86292A - Hood; James & Shelly

3o1*00ARV&I FICAMA El DREDGE & FILL �� N9 86292 A B C D
GENERAPrevious permit
L PERMIT
3 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 ❑ Rules attached. ❑ General Permit Rules available at the following link: www.dgq.nc.gov/CAMArules
Applicant Name
Address
City State ZIP
Phone # (_ )
Email
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
P
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Mal. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
Shoreline Length
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
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
SAV observed: yes no
Moratorium: n/a yes no
Site Photos: yes no
Riparian Waiver Attached: yes no
A building permit/zoning permit may be required by:
Permit Conditions
(Scale: . )
❑ 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's*Please read compliance statement on back of permit"
Application Feels) Check #/Money Order
Signature
Issuing Date
Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Shelly Werner -Hood
Name of Property Owner Requesting Permit:
VD
MAR 2 9 2022
Mailing Address: PO Box 624, Frisco, NC 27936
Phone Number:
Email Address:
I certify that I have authorized
703-987-7070
[e-mail]
Jared Hood
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
boat lift
at my property located at 50081 Blackbeards Court, Frisco, NC
in ["-Ire
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:
Signature
Shelly Werner -Hood
Print or Type Name
Home owner
Title
/ 21 / 2022
Date
This certification is valid through I I
Revised Mar. 2016

James and Shelly Hood
PO Box 624
Frisco, NC 27936
March 4, 2022
Yvonne Carver
Environmental Specialist
Division of Coastal Management
NC Department of Environmental Quality
401 S. Griffin St, Suite 300
Elizabeth City, NC 27909
Dear Yvonne:
RECEIVED
MAR 1 1 2022
DCM-EC
Please find attached the information required to request a permit
for installation of a boat lift. The property is located at 50081
Blackbeards Court, Frisco, NC 27936. Included in attached are
the following:
• Project drawing of proposed boat lift location (includes info
for jetski lift as well but we are not intending to install at
this time)
• Adjacent riparian property notification/waiver forms for
neighbors on both sides of the home
• Check in the amount of $200
Thank you in advance for your review of the plans and visit to
the site. If you have any questions, please contact me at 703-
987-7070. /
s:. dO�v'
—�y
Thank you,
Shelly Hood
sh e11yel-) 1 ©od
6 /. L401-yi

,
,
LOT 163
If
LOCATION SKETCH, NOT TO SCALE
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II
MAR 2 1 2022
DCM-EC
JAMES E. HOOD
SHELLY WERNER-HOOD
,
/
,
,
/
,
LOT 164
BRIGANDS' BAY
50081 BLACKBEARD'S COURT, FRISCO, NC 27936
DATE: 11/09/18
40 30 20 10 0 40

N.C. WMION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTWICATIONIWANER FORM
R11F,1ED MAIL RETURN,FCEIPT BEQUES1'ED or NAND DUNE&
(Top port xi to be completed by owner or their agent)
Name of Property Uwnw .lamas Flood b Sheey Wwner-Hood
- -- 2022
Address of Property: 50081 gwwid wjrds Court, Frtsoo, NC 27936
M&Wng Address of Owrar P.O. Box 624, Frisco. NC 27036
Owners email: +�NMwld�wr�ll oom
Agenrs Na".
Agent's Emai
Owner's Phorxt. 703-987-7070
Agent Ph~
ADJACENT RIPARIAN PROPERTY OWNER'S CUMF1CATION
(122M i2!'k41 Ig W OArrttfienb by ttht Ad.Ncgnt Propane Owner)
I h eby cw* thm I own property sojacent to they above referenced property. The Individual apptying for thts
Pam* has dMabed to me, as rltwwn on the attached drawing, the deweiopt.-*nt they are proposing. A
100 NOT Nate obtections to this proposal
-you hftv obj cilons to ~ Is beAng Proposed you must nodfy thr NC Dfvislon of Coastal
Management (DCM) In wr%ft wfihln 10 daps of receipt of this rx)dcr. Correspond.ne. Should be
malted to 401 S. QrfMn St, Sir. 300, EftabrNn City, NC, 27808. DCM r+apres nftd~ can afro be
contacted at (252) 264-3M. No narponso /s consldared the same as no ob)cdon It you ha►t bean
r►oMW by Ceti~ Mall.
WAIVER SECTION
I understand that any proposed pier, dock, mooring pilings, boat rarnp, breakwater, boathouse, lilt, or
groin must be set back a minimum distance of IV from my area of riparian access unless waived by me
(this does not apply to buOd►eads or riprap revetments). (If you wish to waive the set>,ack. you p
Ow appropriate blank belaw. )
I DO wish to waive some/all of the 15' setb6ck
L._
Signetuiv dt A40mni Ripadan Property Owner
-OR-
I do not wish to waive the i 5' setback requirement (initial the blank)
Signature of Adjacent Riparian Property
TypedlPrtmrd nwnee of ARPO• . �C A) '1 Le tbc t
Ming Address of ARPO:
ARPO's *mail: . � � �• � ARPO's Phones: 222. 9Tr 002�
Date: 'walver to valid for up to one year from ARPO's Signature
Revised July 2021

• N.0 t iVSICN OF COASTAL. MANAGEMENT
ADJACENI RIPARfAN Fiat, PERTY OWNFR NOTIFICATIONMAIVER FORM
QU-211FIMBAILN R iPT R t tAtA t
(rQR pWbon So be c Wed by OWFW os ttW agent)
Nacres of Fmpert-4 Owwar .J>t MW flood 6 !t !& WMW4400d
lw"ll" at Property 30061 be.srsl+t Cowl Fnsm. NC 27S't33
&,ya„yQ A *&M a owner PA. Boar e24. F(%W, MC 27 O
Apsrtts Naner
llpareft Eau&
OWWs Poww 70.3-N7.7070
ADJACENT R1PAfd" PROPERTY OWNER,3 CERTIrocAT*N
1�4�stt Dania+ to be 4grep}eNd by the Adwom Progeft Oyn+i-)
t her" M" t;hM i Awr. property a 4scart to the above rs0We-sd property 1 he nc%- 0um app-yvV ow rest
plrrnit Na descf d 10 ms. as GJown on the atsscred Qrawerep, the drwloprr� TWy are prO mom L
4nr_= in4 low
_ NOT 'bare at:teceorss to wus propo" 1 Do Craw at�OaW410 T* prap�osal
d Yam+ l&w oly+cbons to WfW is bsrr>p proposock y+du must nrxtty tf4 NZ.- of Constar
Y &W (Dctp In w.frw Wftn 10 gays Of yet 0*9 a nr+s acdco Commspondeme shoWd be
MOW to 401 S. GnMn St. Ste 300, Et I&b@M Ctry, KC. 27W. DCAI tMpr►ser►bth►os can sho be
COAL CUd at (252) 2ds•J M. No rssxarrs4 is c onsidorrd cPw sa-ne as no oboocVon if rom new tawr
notttleQ by Cerdffhd Ma;!_
WAIVER SECTION
1 u'eGerY�tnd Jett ary propow p+er, dock pare. DOW rarr,p. wes6vater, bOWV�e, ; Ot
WI* ft%M be set back a nwrr4xr disbnco of 15' 4an rrey arcs of nparw scoria unJf" ~OW by me
(em does rat apply 10 buWw ds or rtprap reel (ff you Wuh to waive VW seams e. roe, MM&LMp
" aPPmP use blank brow i
t DO west to wirre we " rah d J!4 15, sett Wx
-OR- S1prlsAa V & AcWiW ;;;j0w , pfttD,ery Owner
1 do srot ~ to WON Ire. 13' StZack r*QU#V"W* ► nfW e* tXank;j
M A4acent Roarsan property owner
is f r4M* of ARtO: gang ( cxP l '
000o Additss or ARPO: 1 85 Nob? Gt�s mew; rL 32 530
i
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ftvimd J* 2021