86470A - Stultz, Jason & Stacy

P CAMA ElDREDGE & FILL "? 86470 �jA B C D
a GENERAL PERMIT us permit
Date
� 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:
1 SA NCAC 7 « • 1 ;LOC ❑ Rules attached. U/General Permit Rules available at the following link: www. ft.ncgov/C111 les
Applicant Name 5c.4o,,\ i�S _z -kS Authorized Agent M I l fie, onp r %, e—
Address - ) C R9 frt,&, Ail; rl Ron of Project Location (County): Cite . I+Z. r, k
City _'F"" wKS bof State A& ID ZIP Q--I Oq R, Street Address/State Road/Lot #(s) 9 7'9 Z. [121)e C-4
Phone # (YO) 40S6 - f 1 0-,5 1 a-1- 3� .
Email �.Sar�S� c (f Z t�o N. : /. C[� Subdivision r ,' f e�i IC 3a
City (7orC'l (C / c 1 zip 2?'. Z
Affected ❑ CW �EW gPTA ❑ ES ❑ PTS Adj. Wtr. Body GAjf; �� rrl� `i�C(i^ at an/unk)
AEC(s): ❑ OEA ❑ IHA ❑ uW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body l.r/�f 0 r t:�!'i� �ofi✓`ri.
ORW: yes/no PNA: yes/no
Type of Project/ Activity Akt--> 1 '30'x S F & %O6' o,,o, um- ) GJ� /[�'� rG� �IIc f,lo/�- �/ x 19 lococy
(Scale: )
Shoreline Length -� r
Access Length �
-
o, yam' w
Pier(dock)length S' q i/ CMAQiC4ltf�ri9ESC�-�.0 1Jl
Fixed Platform(s) ' I U mx yf
x
r �--
Floating Platform(s) r
Azo Wks
Finger pier(s) t
.illf
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
T ui ' /ii lli
10'
�r+•S^(77.i� Y�xw�i.�7ili�
tri0��ij
C)9',�1
SAV observed • yes no
Moratorium: n/a yes no
Site Photos:
Riparian Waiver Attached: yes no
A building permit/zoning permit may be required by: C
Permit Conditions morel .tzcu �g 1 bP P_I%Vt l C.A 7 r • . t.•r'r fn,..1
- yo4 weir«-►�
14 - w/ f c.,arbJ.
�I fi
❑ 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)
ii — -
gnatu lease read compliance statement on back of permit" Signature ., --
YX aC'c. (-')� c, ►11-1 r 1-; .3 - - S - 2S - aa
Application Feels) Check #/Money Order Issuing Date Expiration Date
Re�F &f 86q68A t gWO I Ar

DocuSign Envelope ID: 6ACCBA30-9CF9-470D-807F-59EC50BA197D
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Jason Stultz
Mailing Address: 1689 Green Mill Road
Finksburg MD_ 21048
Phone Number: 410-456-1125
Email Address: [e-mail]
I certify that I have authorized Millstone Marine Construction, Inc.
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
Construct a new pier
at my property located at 978 Cruz Bay Lane
in Currituck County.
i furthermore certify that / am authorized to grant, and do in fact grant permission to
Division of 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:
DocuSigned by:
Signature
Jason Stultz
Owner
Print or Type Name
Tine
1 /11 /2922 1/14 /2022
Date
This certification is valid through 7 / 31 / 2022
Revised Mar 2016

DocuSign Envelope ID: 6ACCSA30-9CF9-470D-807F-59EC506A197D
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
I hereby certify that I own property adjacent to Jason Stultz
property located at 978 Cruz Bay Lane
on Currituck Sound
(Waterbody)
(Address, Lot, Block, Road, etc.)
in Corolla
I
(Name of Property Owner)
(City/Town andfor County)
N.C.
Agent's Name #_ Millstone Marine Construction Mailing Address: 201-A Etheridge Road
Agent's phone #: [phone]
Manteo N.C. 29754
Fie/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
Construct a new pier
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at www.nccoastaimangement.neticontact—dcm.htm or by calling 1-888-4RCOAST. No
response is considered the same as no objection if you have been notified by Certified Mail
"kOwner Information)
r7&s-
n, Si a,
Signature
Jason Stultz
Print or Type Name
1689 Green Mill Road
Mailing Address
Finksburg MD. 21048
City/Statelip
410-456-1125
Telephone Number
1/14/2022
Date
"Property Owner Information)
rgna tire
CB 980 LLC
Print or Type Name
P.O. Box 90
Mailing Address
Kill Devil Hills N.C. 27948
City/StatelZip
252-441-9003
Telephone Number
1/14/2022
Date

DocuSign Envelope ID: 6ACCBA30-9CF9-470D-807F-59EC50BA197D
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
I hereby certify that I own property adjacent to Jason Stuitz
I
(Name of Property Owner)
Property located at 978 Cruz Bay Lane
(Address, Lot, Block, Road, etc.)
on Curntuck Sound . in Corolla
(Waterbody) (CitylTown and/or County)
N.C.
Agent's Name #: Millstone Marine Construction Mailing Address: 201-A Etheridge Road
Agent's phone #: [phone]
Manteo N.C- 29754
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
-------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
Construct a new pier
If you have objections to what is being proposed, you must notify the division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at www.nccoastaimangemenineticontact dcm.htm or by calling 1-888-4RCOAST. No
response is considered the same as no objection if you have been notified by Certified Mail.
�PffARW*
Q�tLwner information)
jA Sdv� rj f w.i
1 �1�F9EAC 1...
Jason Stultz
Print or Type Name
1689 Green Mill Road
Mailing Address
Finksburg MD. 21048
citylstatelzip
410-456-1125
Telephone Number
1/14/2022
Date
i6A6"yProperty Owner Information)
SF Corolla Bay LLC
Print or Type Name
P.O. Box 90
Mailing Address
Kill Devil Hills N.C_ 27948
CitylStatelZip
252-441-9003
Telephone Number
1/14/2022
Date

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5bl� a3'1J'YV - 1124,01' _._.._
w... X 10' DRAlNW i
to NO—CAk. t V7X/TYEA.5j!!Wr'.� 15' RIPARIAN CORRIDOR %^ .. -----------
19.7LSEti1_._..-----
-_-
U X i P 130.00'
3.2' v 99.60' a4
t prjr,
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Ir F---------
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15' RIPARIAN CORRIDOR
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DocuSign Envelope ID: 25F9AEOC-1886-4E6B-B500-B4F74B99AB7C
Pier for Lot 36 Corolla Bay - SAGA
Lower
Finger Fier
Steps
Down
Aluminum
Ladder
tg
gm3
7Roof over
l 0, 0 area
5' Wide
Built in Tables and
Benches

CONSTRUCTION
ENGINEERING
SERVICES, INC.
P.O. Box 665, Manteo, NC 27954
[phone]
FAX [phone]
N
o
bi
Gi
t
SHEET NO. ►OF
CALCULATED (3y--. DATE 1 -4'1'
CHECKED BY
SCALE
CURRITUCK SOUND
DATE
— HIP ROOF OVER
10'x 10'PLATFORM
AT PIER HEAD SEE
SHEET NO. 3
ALUMINUM 7-
LADDER
k
6" DW P.T.
PILES 0 IO'c-c
PLAN OF PIER
�CALE:118" = 1 -0"
b
D PRCAXICT 207

CONSTRUCTION
ENGINEERING
SERVICES, INC.
P.O. Box 665, Manteo, NC 27954
[phone]
FAX [phone]
JOB L.om �o L. CG%' C L L. A, r`9 V•
SHEET No. tt OF
CALCULATED BY L i . i DATE
CHECKED BY DATE
SCALE
— 2" 42" P.T. RIDGE
12
12 5 2"Xb*' P.T. RAFTER 0 16"r.-c
' 2" A10" P.T. HIP
2 - 2"AO" P.T. GIRDER
- EV8" D GALV. BOL'• 5
2*`1-;,' P.T. TIES 14AIL TO
INSIDE FACE OF GIRDER
C" Sri D.A. P.T. AND EACH RAFTER
TlMSER PIL[ 8' +i FACE w/ 3) 6d NAILS
MIN. EMBEDMENT INTO EACH MEMBER
10'<-
'OP OF PIER
e
G. �eas�a•��
TYPICAL SECTION OF COVERED PLATFORM : Q IF.E.
SCALE: 3i8" = -0`
D PPDDUCT 207
r

Currituck County GIS Data Viewer G1b,
Currituck County GIS
Phone: [phone]
E-mail: [e-mail]
W
Addresses
Communities
Aydlett
Barco
Cokybck
corolla
' Currituck
Gibbs Woods
Grandy
Harbinger
Jarvisburg
Knotts Island
.......
Maple
Moyock
`� irtt Harbor
Poplar Branch
Poveas Point
shawboro
Sligo
Waterl0y
County Boundary
— state
--County
Streets
Wright Memorial Bridge
Major Streets
—Arterial Principal
-- Arterial_Major
— Collector_Major
Parcel Lend Hooks
Parcels
Currituck County
Aerial Photography (202t
ERed: Band_1
Green: Band_2
Blue: Bantl 3
Phis map should be used for general reference purposes only. Currituck County assumes no legal liability for the information
>hown on this map.

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