86363A - Butler, Jackie & Michelle

,PODU,�,,)�CAMA DREDGE & FILL
4
f 4 GENERAL PERMIT
n--,Y�New 0 Modification [--] Complete Reissue E] Partial Reissue
N9 86363 B C D
Previous permit
Date previous permit issued
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 • ___lr ...__. Rules attached. General Permit Rotes available at the following link: yyww.d.nc v C (t6ruL
Authorized
Project Location (County): _ _ j'.�Q.L�`� .
Street Address/State Road/Lot #(s) i r1�1'�'j,_
,,,
SS11
Subdivision //iiC �, HJT �s- W.41
City-, _ i, i � - � .__zlp 2-f R q 8
Affected C j CW 1,54kW PTA ES C PTs Adi, Wtr. Body — III k2d.4ft LIM Lit... 7V it ACI lnathinantunk)
AEC(s): F OEA ❑ IHA ❑ uW [:J SPIMA C PWS Closest Maj. Wtr. Body
ORW: yes s PNA: yeseo
Type of Pro'ect/ Activity i�r` , � i f c' ) 121)( � �. % V
_01, {Scale: N j" )
Access Length
f �
ier ock) length/)�1__�
axed Platforms I L X
L we Irk fv' w�rr
,}
*`+�tiileC�
otal Platform are
Groin length/# IL
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
M d i th M
0
ax stance / eng � E t�'�'�
Basin, channel 11 2 M L' ���j
Cubic yards
Boat rampC
Baathays Baatli N �. t 1 .2 (sue_
Ba;irtl�ilui{cloair�g -""""• l,.Jt..t,.{+! {�i � 7`"
ther
� ol► 1ti tCA+f' r �
SA"
aLserved: yes
Moratorium: n/a yes no
Site Photos: no
Riparian Waiver Attached. it
na
A building permit/zoning permit
wmay
►be required by: _._ bav l.. ", LA
Permit
Pie* -t Fluff - 4,
-
n TAWPAM/NEUSEiBUFFER (circle one)
I
�❑ See note on back regarding River Basin rules
(�Q See addition otes onditions on back
i AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE
Brandon Mitchell G�IAI 4t„s—
Ap;
Agent r plicant PRINTED Name r Permi fhcer's PRINTED Na
(Please initial)
Signature "Please read compliance statement on back of permit` `—[�j-1�-----
can hpkMane� �.y Order
Fee(s)
Signature
Issuing bate Expiration Date

CAN
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: �Qc L,
Mailing Address:
Phone Number: -
Email Address: J,7UAA
I certify that I have authorized
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
in DtL)(e- County_ -7gLI] c)
I furthermore certify that I am authorized to grant, and do in fact grant permission to
Division of Coastal 1:9anagement 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 Ovaner Information:
,'"t, bu&r Y
Signature
Jackie Butler ]r
Print or Type Name
REC NED
MAR 2 1 2022
Title
3/15/2022 j"6
----I — -J-_._.__.-
Date C - �, J
This certification is valid through I

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL RETURN RECEIPT RE CIUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
' j t
Name of Property Owner
Address of Property:�\oV av
Marling Address of Owner -L _ Ct' ��.) - X Q• _� �( 1 k� arL.11�t
Owncr's email J lb"-4c r 1-1 is gN k owner s Phone#.
Cc .Yl
Agent s Name q1 'e I -� Agent Phony.#-J () LA L-1 1
Agents Email I'JY CS1er
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner}
TereLy certify that I own property adjacent to the above referenced property. I he individual applying for this
-= permit has described to me, as shown on the attached drawing. the development they are proposing A
_V aesc ptron or draw,ny_w_ith dimensions. must be provided with this letter.
i DO NOT have objections to this proposal 1 DO have objections to this proposal
s If you have objections to what is being proposed, you must notify the N.C. Division of Coastal
Management (DCM) in writing within fd 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
understand that any proposed pier. dock. mooring pilings, boat ramp. breakwater. boathouse. lift. or
groin must be set back a minimum distance of 15' frorn 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.)
i CC wish to waive sometali of the 15' setback
�R- SignatJefdlacent Riparian Property Orvn -
do not wish to waive the 15' setback requirement (initial the blank)
n n_ I. --
&gnat;;re of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO:
1R,
1-eas e-.
Sk C) n
Mailing Address of ARPO: 71 dki'o,V D `
A RPO's email: 70A 7,9 1674V >rf-, f &,�, ARPO's Phone#: 9 b U
Date: Ak-4 fig, 2 D2-22 *waiver is valid for up to one year from ARPO's Signature`
Revised July 2021
MAR 2 1 2022
DCM-F C

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONtWA1VER FORM
CERTIFIED MAIL, STED or HAND DELIVERY
(Top portion to be (�completed by owner or their agent)
Name of Property Owner:A��� _K _
Address of Property: I1�_�Vx ncl V\ntyct C Oar 10
Mailing Address of OwnerDS
J%9,()( ku
Owner s email J �Itr l 1 *4N�M JJ 2 52 2 8q �J� c' �-�g 0 to
3 li_ Owner's Phone#.
CG�'Yl
Agent s Name: �YC��GiO�'1I ��� Agent Phone#O_Li �-il� iP
Agent-s Email: ICY u-) py MCI t Cam \
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
descr:pt.on or drawing, with dimensions must be proved with this letter.
a,�1 DO NOT have objections to this proposal. 100 have objections to this proposal.
if you have objections to what is being proposed, you must notify the N.C. Division of Coastal
Management (I)CM) 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 it you have been
notified by Certified Mail.
WAIVER SECTION
t understand that any proposed pier. dock. mooring pilii:gs, boat ramp. breakwater. boathouse. lift. or "_' !4�'-"-
gfoin must be set back a minimum distance of 15' from my area of riparian access unless waived by mR`_r' x.
MI s does not apply to bulkheads or rip(ap revetments). (if you wish to waive the setback. you must sistn
the appropriate blank below.)
100 wish to waive sometali of the 15' setback MAR 2 1 2022
-OR- f li t
Signature of Adjacent Riparian Property Owner D C j� /� — E C
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner. -�
Typed/Printed name of ARPO: /4c 3g„r r' 110 f
Mailing Address of ARPO: 10�1 -4L��nn —P LL ^^ ,�/�
�!6vtt lltf 1 /Y
ARPO's email: AN- It & r rs�,r, f • 1-1 ARPO's Phone#: 2 � 9'
Date: 3 f i� f 1 2 -waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

.31,30ec ecove
)O°� -:7 1<11(V
\
77P 1/0
ash
lz
MAR 2 1 2022
DCK,14

This map is prepared
from data used for the
�' ()�
inventory of the real
V�
�j
/r
property for tax
.ere
purposes. primary
'!
information sources such
A
as recorded deeds, plats,
wills, and other primary
'
_
public records should be
k/�� f. `ytti>>�
consulted for verification
of the information
contained in this map.
109 King Edward CT
Owners: Butler, Jackie C Jr -Primary
Tax District: Colington
Colington NC, 27948
Owner
Subdivision: Colington Harbour Sec U
Parcel: 020590000
Butler, Michelle T -Primary Owner
Lot BLK-Sec: Lot: 16 Blk: Sec: U
Pin: 986312769143
Building Value: $215,300
Property Use: Residential
Land Value: $192,500
Building Type: Beach Box
Misc Value: $15,100
Year Built: 1999
Total Value: $422,900
A Doi
-Mr...
W