86261A_Smith, Brent & Cinda_20220314

���CAMA DREDGE &FILL `" � 9 86261 0A B C D
MIT Previous permit
G
z ENERAL PER
Date previous permit issued
)ANew -] 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:
I SA NCAC J j► `- ' WAw . - Rules attached. General Permit Rules available at the following link: www.dea.nc.gov1CAMArt
Applicant Name gtir r at," `d' C4 Y 46t '�SVvu ! Y--- Authorized Agent NI{ [ J CJ rA&'r a
Address _ V
Cityintil J V Staat�tet��y �^V rT ZIP L J1-1 4.
Phone # (1Z.
Email �� �%t1,► r� VCR �A N
Project Location (County):
Street Address/State Road/Lot #(s)
Affected n CW EW ]KPTA [I ES FIPTS Adi• Wu Body L L LWUA 7T.; .JG i.Li44 (jl _(natF4V gpmk)
AEC(s): U OEA ff IHA UW SPIMA PWS Closest Mal. Wtr. Body
ORW: yesoo PNA: y no
Type of Project/ Activity
I
Shoreline Length] r J
Access Length
Pier
FixedxedPlatform(s)
Platforms►
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/N (r
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing _
Other
rXV) a�
SAV observed: yes no WjA
Moratorium: n/a yes no 1
Site Photos: noOA
Riparian Waiver Attached. P-41
no L�
A building permit/zoning peiay be required by:
Permit Conditions
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plus
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TAR/PAM/NEUSEJBUFFER (circle one)
F (� See note on back regarding River Basin rules
Via Qw Lt —' 1 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)
Brandon Mitchell t 'e
A e r Applicant PRINTED Name Permit PRINTED
fficer's PRD Na e
J&A=
Si nature "Please read compliance statement on back of permit" Signature ^ e Swt..
Application Fee(s) Check N/Money Order IssuinifDate Expiration Date

N
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: 3YWAiA %� tr �d►aY`M} —
Mailing Address: 15y 8 7 _5___�r ca f Cre e<K _L +CI —
M
Phone Number:
Email Address: e_VC,U._--
I certify that 1 have authorized �_Q QU1KgdS �NL
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:��
at my property located at 12 gQ�QY iC N L �-7 9�
in Q4.Xt- County.
I furthermore certify that I 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:
F
Signature
i Brent Smith
t
c
I Print or Type Narrte
i
1 _
Title
2/22/2022
Date J
This certification is valid through
F EB 2 4 2022
®CN1..

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATiONIWAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: 6 Yt.o-:- 4 r, ,rNd 0. _✓ 1Jin
Address of Property: U2 —q41e Qy- k'OVA NC- 27 9L-1 R
Mailing Address of Owner: 15—LiblS__CAA q-y- C,V{ C{C L✓1
Owner`s email, bC vvaiA:NN4PyCA4 ��pwner's Phone#: OL i - Ms & -_ o q t10
Agents Namelviva-umm AivaXtA I Agent Phone#: —7Q-4 - LA12) %
Agents Email. lov.a-,I(\cgSy'!3@o.��� CoM
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Ownerj
I hereby certify that I own property adjacent to the above referenced property. The individual applying for this
permit has described to me, as shown on the attached drawing, the development they are proposing. A
description or drawing, with dimensions must be provided with this letter.
"A 1 DO NOT have objections to this proposal. I DO have objections to this proposal,
if you have objections to what is being proposed, you must notify the N.C. Division of Coastal
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 401 S. Griffin St., Ste. 300, Elizabeth City, NC, 27909. DCM representatives can also be
contacted at [phone]. No response is considered the same as no objection if you have been
notified by Certified Mail.
WAIVER SECTION
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or
groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me
(this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign
the appropriate blank below.)
1 DO wish to waive some/all of the 15' setback yl�A5,rtja
-OR-Signatureof A iacent Riparriaann Property Owner
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner.
Typed/Printed name of ARPO:
Mailing Address of ARPO:
ARPO's email:
Date: 2-- 2 3
ARPO's Phone#:
2 Z *waiver is valid for up to one year from ARPO's Signature*
FEB 2 4 2022
Revised July 2021
DUN,-...

N.C. DIVISION OF COASTAL MANAGEMENT
f ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
t CERTIFIED MAIL RETURN RECEIPT RE UESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: Q.Gr-d.-0. _
--
Address of Property: 3 Y �C7� �.�QY- W 4 NC
Mailmg Address of Owner�-ia��_C,eC�---
Owners email. 1pCsV-A;}eVcu_edtt�wner's Phone#:Q�_.:tP, , 9 y
Agents Name 1(� 1J�pn 1 �t (� I_ Agent Phone#: -10" - LIA—Z- GCV �p-7
Agents Emad:%Dv 0.10984S 1• , Cv'M ---
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
I hereby certify that I own property adjacent to the above referenced property. The individual applying for this
permit has described to me, as shown on the attached drawing. the development they are proposing. A
des
►�c
nription or drawing. with dimensions_ must be_provided with this letter.
_ —4DO NOT have objections to this proposal I DO have objections to this proposal
If you have objections to what is being proposed, you must notify the N.C. Division of Coastal
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 401 S. Griffin St., Ste. 300, Elizabeth City, NC, 27909. DCM representatives can also be
contacted at [phone]. No response is considered the same as no objection if you have been
notified by Certified Mail.
WAIVER SECTION
I understand that any proposed pier. dock. mooring pilings, boat ramp, breakwater. boathouse. iift or
groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me
(this does not apply to bulkheads or riprap revetments). (it you wish to waive the setback. you must sign
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback A(i
Siynatur cenarian P rty Owner
-GR-
I do not wish to waive the 15' setback requirement (initial 111c blank) _
Signature of Adjacent Riparian Property Owner _-_U'Y-""'
Typed/Printed name of ARPO:
Mailing Address of ARPO:
ARPO's emailARPO's Phone#:
Date: 2. 2 : J - 2-Z `waiver is valid for up to one year from ARPO's Signature -
Revised July 2021
F a 2 4 2022
[)CM -EC

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This map is prepared
from data used for the
l�,•
inventory of the real
�j
property for tax
/r
purposes. Primary
information sources such
as recorded deeds, plats,
wills, and other primary
r
public records should be
consulted for verification
of the information
contained in this map.
342 Eagle DR
Colington NC, 27948
Parcel: 019874000
Pin: 986308995898
Owners: Smith, Brent -Primary Owner
Smith, Cinda L -Primary Owner
Building Value: $304,100
Land Value: $153,500
Misc Value: $20,800
Total Value: $478,400
YX
Tax District: Colington
Subdivision: Colington Harbour Sec M
Lot BLK-Sec: Lot: 124 Blk: Sec: M
Property Use: Residential
Building Type: Beach Contemporary
Year Built: 2007
I

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