86456A_Avenue Properties, LLC_20220104

`°"S'A ❑CAMA ❑ DREDGE & FILL N9 86456 A B C D
GPrevious permit
GENERAL PERMIT I�
Date previous permit issued
❑ New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC `� h 1 � g Rules attached. General Permit Rules available at the following link: www.denc.Qov/CAMArules
Applicant Name A Q e 1 •s t- L. Authorized Agent / 5 f w /T 1A r � �' S e r- y r
Address /y , P` X •�2 '7 k a v n Project Location (County):
City 4 �/ E n N State 11 D zip Street Address/State Road/Lot #(s)
Phone # (�? //) U y 3 416
^ ��r
i
Email < r C, / n e j e n-3 e/ "T c < e ii Subdivision P b^ S S fYi cL
city AN` a rN s 14 e r.- d zip 2- 79 s
Affected ❑ eW ❑ EW 0 PTA ❑ ES ❑ PTS Adj. Wtr. Body
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Mal. Wtr. Body t
ORW: yes/no PNA: yes/no
Type of Project/ Activity. e.0 47: c.
S
(Scale: A/ 7 ' �i.., e_ b�• 1 { � t!�
Shoreline Length
Access Length
Pier (dock) length
Fixed Platform(s) /
Floating Platform(s)
[ 4
IG_.r.aR l
Finger pier(s)
Total Platform area
Groin
gt /
Bulkhead/ Riprap length v±//
Avg distance offshore
Breakwater/Sill
Max_Siistance/ length"
Basin, channel j - V
Cubic yards I
Boat ramp
Boathouse/ Boatlift Beach Bulldozing `� t "� ---. "`^
Other
oe
SAV observed: yes no
Moratorium: n/a yes no # ��
Site Photos: yes no
Riparian Waiver Attached: 'yet no `+' .5'L' /%`✓�
A building permit/zoning permit may be required by: A n c, 1-1-L
Permit Conditions L.1,, Ti I L '% ' L-t1 r
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. , (Please Initial)
Agent or Applicant PRINTED Name
Permit Officer's PRINTED Name
Signature "Please read compliance statement on back of permit"
Application Feels) Check #/Money Order
Signature
i``lizz
Issuing Date Expiration Date

�_________ ___-- __�—__ ANT AUTHORl7ATtON FOR CAMA PERMIT APPLIC_. ION
Name of Property Owner Requesting Permit
Maiiing Address �� - X
Phone Number.
Email Address: 6AI4-
/i�r1sd7,errry�"
I certify that I have authorized
Agent ! Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMAff permits
S proposed development:
necessary for the followin We e )- i r e( 4 r e a
1� ��Asi�, s.� �'�r-r�,S•�le.�►.,� ��.�%l�r d v,,,ll� �,e�,;.c6.r'�.�5
at my property located at _/ I r) AWZ) ti A I)f,1 y t
in 0Ai:t N1iG5
County.
! furthermore certify that i am authorized to grant, and do in fact grant permission to
Division or Coastal Management staff, the local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application
Property Owner Information:
twH
Pnn! or Type Name
Title
Date
I his certification is valid through

0
N.L. II►vl:;{tlN Ot tMAS l'AI. MANAGEMEN f
ADJACIAI I411'ARIAN I'ROI11:111 Y OWNER NOIIIICATIONIWAIVI R FORM
't:1:It Ili H I) MAII It1 I tIItN Ill (:I II,I 1t1,(IUI III P or I IANIMI I IV[ HY
(I op pol h ll to bo t:omplotu'd by owner or thoir agont)
Nanu;of1'ropcltyOwrnlf. KiVIN f)Doi,E ! AveNui fNbr'OKPI,S
Acldross of 11(ope►ty: 1 1 t) . $ 0 Lt -Pi MARINA h R \ V F AIAG 1, /-1 r /4 7 N t:
Mauling Addross of Owner.Nlwk 2b-I /h!! Nu-- Nt D • Lb(rt+fj
Owflot'sonlail: ��ttcr �tit)turJ Ddr�`wi�kv1(.-r'sPhof11:1l:3UI
?j ft, l ►NC.r i t, c 5 t r v t fi a I)+ c At tit Thong; tl: 13 L '2" '5 ""
Ayont's Nanu): W cl.)cel E S ru. V4n g"
Mlonl's tanail:
AUJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
il�nl�atfon to e cornploted btoAaca PMchI_OWierl�tti
hotoby cmlify oval I owo progmrty adiactl d le the :It)oVU Ie1e1"C11C NI Pfollerty. rho Individual applying for 11IN
iterotit has doscribod to no, as silowo oil tho attached dniw r+i. the development ►hoy aro Pr0P0si09. A
d scrjlilpli ur clr4)+wirtct. WI►Il_ irg n ts, must do I�%vISI I wilh_Utla l�llyr.
t DO NOT havo otyectlOns to this IwOPOsai. 1 t)O have objections to this proposal.
-io-
I© objectns to what Is being proposer!, you must notify t110 N.
f you bavC. Division of Coastal
Managoment (OCM) /if M14111g W11111n 10 tlbys of rocolpt of this 1106co Correspondence should he
contacted od to f [phone]. No rosporrlso s cor0, Elizabeth Ctdo ed the M09.
no Asno objOCtlor)tlf you ives case
ave bor►
notified by Cortifled MAY.
WAIVER SECTION
I understand that any proposed pier, dtx:k, mooring lflhrnls, beat ral,q), txe rcw:+tt r, boathouse. Itft, or
yarn must t)a set back a ndninuun dislanro of /!i kmn.rny area of lipapian access unless waived by nw
(tl+is duos not og)ply to btdkhuads or rilxap «wrt tgr (it you wish to waive the setback, you must a�ttt
the approguiate blank boloW.)
I DO wish tO WINO sentclall of the i!i salha
.SirJnaluro nf/tdfaccnl R/jx►riarr PropOrty Ownur
-Olt- j
1 do not wh isto waivo the tt; sutbadt retit ifoulcol OAU;1l Iha t,l:nik)
SiUM110ro of Adiacont Riparian Property (lvrrx:r. v
TypedlPr(nted name of ARPO:
� iT-ec•_m i 11 C ? � 1
Mailing! Addrosa of AMIM
�' ✓rhC i') �`' / ARPO� Phonotl: ! S -2 y y l 0
AItPO'f: omatt:I<rrt/r �7 -�j
Date: / 11 i l z_ ! ✓ •Waiver Is valid for till to one yaar from ARPO'o tiignadtira'
_ - 1 tf)visud Jlrly ;)0 f
tl ,

0
IJ.C. DIVISION OF COASTAL tdANAGEMEN I
ADJACENT RIPARIAN PROPER' Y OWNER NOc1FICATIONA D nryERRORYM
WRTIFI µAI Rf:? UKN RlLl APT RFOl1E,rTEO 9' .-L_____._ :..
(Top pvrtimI to bo cnmp)eted by owner or Itleei agent)
Neme• o+ Property Ot►rrer L to f _ G — � 11
j l �{ sc�,. rN h14f J jJA C', t y E IJAG •Fie 7iA rl t 2`7 4 SA
Arklress of Pro1>Arry. t : S A
MaiYnp Addross of Owrrer: 9Gf b F,lir l j+ t_gjk'k �I
-Lss' Owner s Phone/ ZSZ 2ri b h i 3 L�
Owner a efreail. n� � N. i'fii'D_� __
W/U+UE fI�V�K ems` �nl� z3i 43P St ! Z .
AgenCs Nano' �.s M 4r c Sfs3yic tt S AP rwlr
Agent's Email
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATIOIJ
(Botlom pod n 10 t omolelvd by the Adjecernt ProOortY Owner)
I h el eby co t.ty that I vwf, prupwly adjacenl In D:e al�uvv rwterentctt prpparly The uul;viduaf appt>"ng for this
parmit has dmnlwd to me• ae %hnwn on the altarhed drawing, the devaloPmenl they are ProPosing A
Qsny
hqn of drawu;n. with dimt•ns:ran N"•h. � M
have uLieclions to ltxs DroP�at I DO have objection, to this pmoposa
I DO t10T
it you have obJ ,,jon. In what is baj g FWj..d, you smut no1rly tho N.C. Dlvlcton of Caastai
Idanagemoni (DCM) in vfitiny within 10 days of n Ceipr of Ih1e notice. C s noenfdee ' " also hn
r rslled to 4fly S. Grtfflrr St, Ste 30D, EfIrabeft: Ctty, NC, 27909 DCM rc
Contacted of (?52) 26I-3901. No response is considered the same as no objection !/ you ha n been
notified by Certified Mall.
WAIVER SECTION
I understand that a ty proposed pier, dock, mooring pilings, boat ramp, bredkwatar, boathouse. GR, or
I Ind mast Ua t el back a minimum d:stanrr of 15, fro ; inyy area of nparian access uNass waived try me
(65is doa> not opaY lu bullheads or nprap revaimanj& . li wash to wawa the setback, you trust Skin
the ap)xoprrato Clank below.)
I DO wish to wa ve somoiafl of the W betback
. r__ at - of lldfacont Hjpanan Pro,3eriy Owner
-OR-
I do not wu>h to warce the 15' selback requirement (initial the blank)
Siprk-uure of ACjacent Riparian Property Owner
TypediPrinted name of ARPO:
Mailing Address of ARPO: _
ARPO's email. _ ARPO's Phonetf:
Date. -----'waiver is valid for up to one year trorn ARPO's Sgnatw.
Revised July 2021
PXL 20211118 190522370. jpg
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AM
S v.a':qa OR Owners- Aveiue Properies Uc - D:st-ic*: Nags meac
%ags Head NC 279SS Pr,"Iary OvIner Subdivision Pcnd islanc Manna
Parc el. 007WOOC Lct BLK-Sec. Lot'. Parcel A Elk, Sec: I
Building Value: $0 Property Use: Secondary Irnorovernent
.and Value, 5217.300 Building Type,
M isC Val je: S 17,400 Year B��I,:
T otal Value: $234,700LL

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