86563A_Alexander, Bill & Beth_20220520

❑CAMA ❑ DREDGE & FILL No 86563 ' A{ B C D
ant GENERAL PERMIT +F Previous permit ,
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. 0 General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name LA Q. '
c`
Address .-' n
City _ c ' State :/ A ZIP
Phone # ( ) � W (�-
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s) Z 5!'
Email M c. , ( Subdivision <
City N Q i ZIP
Affected ❑ CW C EW 0 PTA ❑ ES ❑ PTS Adj. Wtr. Body (na ma nk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
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
;'t r >d
(Scale: S )
❑ 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" Signature
Application Feels) Check #/Money Order Issuing Date Expiration Date

rhir map �s prepared
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213 W Amberjack CT
Owners: Alexander, Bill -Primary
Tax District: Nags Head
Nags Head NC, 27959
Owner
Subdivision: Old Nags Head Cove Sec A
Parcel: 006209000
Alexander, Beth -Primary Owner
Lot BLK-Sec Lot: 83 Blk: Sec: A
Pin: 989116946741
Building Value: $232,500
Property Use: Residential
Land Value: $175,000
Building Type Old Nags Head
Misc Value: $25,500
Year Built: 1987
Total Value: $433,000

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
MAY 0 9 2022
Name of Property Owner Requesting Permit_ Bill and Beth Alexander
Mailing Address' 5163 Summerduck Rd
Summerduck, VA 22742
Phone Number: 540-680-0467
Email Address: [e-mail]
I certify that I have authorized Emanuelson and Dad
Agent r Conbactor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development Install 1-10k boatlift, 4-8"x25' butt piles,
Build on to existing platform creating a cantilevered platform over bulkhead to access the boat.
at my property located at 213 W Amberjack Ct, Nags Head NC 27959
in DARE County.
I furft more cerW 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 witty evaluating information related to this
permit application.
Property Owner Mfomwtkm:
Si�natrwe
Print or a Name
PRy�C� Ucci�lc�-
Tt/e
Date
This certification is valid through 1 I

a
PO Box 448
Nags Head, NC 27959
Phone [phone]
Fax [phone]
Email: - __ )5na outlook ccr-
4/26/2022
Alfred and Tamzen Lohmann
240 Shirley lane
Norristown. PA 19403
IDAIL' RECEIPT
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Re: Bill and Beth Alexander — 213 W Amberjack Ct Nags Head RECEIVED
We have been requested by the above property owner to do the following work
MAY 0 9 2022
1 Install 1-10k boatlift on 4-8'x25' butt piles
2 Build onto existing platform, creating 2'x8' cantilevered platform over bulkhead
ECIn order for us to obtain the Cama permit for this project. Cama (Coastal Area Management) requires �_
each adjacent property owner to be notified. We would ask that you sign the attached form and return to
us as soon as you can. You may scan and email. fax or simply mail We are also attaching a sketch of the
proposed project. If you have any questions. please do not hesitate to contact us If you do have any
objections to the proposed work. you may contact Cama at 252-264-3901
We thank you for your cooperation in this matter
Sincerely.
Lorelei Zumbrunnen
Emanuelson & Dad
■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the maiipiece,
or on the front if space permits.
1. Article Addressed tO:
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B. Received by FMIW Name) C. Date of DeliM%
D. Is 0ekveryttadrass CRta'ent irem item 1? Q Yes
M enter delivery address below: ❑ No
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3. Service Type
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Restricted Delivery
2. Article Number (ra"r from service —5
❑ C elect on Delivery Restricted Delivery
11 Insured Mat
7 0 2 0 0 6 4 0 0001 5280 7 7 2 9
1 Insured MaH Restricted DekverY
lover $500)
Domestic Return Receipt
PS Form 3811, July 2020 PSN 7530-02-000-9053

N.C. DIVISION OF COASTAL MANAGEMENT RECEIVED
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent) MAY 0 9 2022
Name of Property Owner Bill and Beth Alexander - — yr
Address of Property 213 W Amberjack Ct, Nags Head NC 27959 �ii3�DCI(V'
Mailing Address of Owner 5163 Summerduck Rd, Summerduck VA 22742
Owners email [e-mail] Owners Phone#: [phone]
Agent's Name Emanuelson and Dad Agent Phone# [phone]
Agent's Email emanuelson6705@outlook com
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed bV the Adjacent Property Ownerl
I hereby certify that I own property adjacent to the above referenced property. The individual applying for this
initial permit has described to me. as shown on the attached drawing the development they are proposing. A
where description or drawing, with dimensions, must be provided with this letter.
applicable
X I DO NOT have objections to this proposal.X _ _ 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 nprap revetments) (If you wish to waive the setback, you must sign
the appropriate blank below )
I DO wish to waive someiall of the 15' setback
Initia! or X
sign Siynaturc of Adjacent Rwanan Property Owner
where -OR-
applicable I do not wish to waive the ' 5' setback requirement (initial the blank) XL __-
Signature of Adjacent Riparian Property Owner_
Typed/Printed name of ARPO: Lax C v ► r1�►vl[R
Mailing Address of ARPO: Pb bOrC 12'2 T t�sBec-d. Q C- 21251`1
ARPO's email- dYt `iotl�Qc _._. ARPO's Phone#• CnSo - 22:55
3.'Ywi C�YI
Date: Vj��, 2U 22 `waiver is valid for up to one year from ARPO's Signature'
Revised July 2021
Sign, fill out above, and return

A
Emanuelson & Dad
PO Box 448
Nags Head, NC 27959
Phone:[phone]
Fax:[phone]
Email: _ 3 :. sc.n67050)outlook cor-
4/26/2022
Alfred and Tamzen Lohmann
240 shirley lane
Norristown. PA 19403
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Re: Bill and Beth Alexander— 213 W Amberjack Ct, Nags Head
We have been requested by the above property owner to do the following work:
1. Install 1-10k boatlift on 4-8'x25' butt piles
2. Build onto existing platform, creating 2'x8t cantilevered platform over bulkhead
In order for us to obtain the Cama permit for this project, Cama (Coastal Area Management) requires
each adjacent property owner to be notified. We would ask that you sign the attached form and return to
us as soon as you can. You may scan and email, fax or simply mail. We are also attaching a sketch of the
proposed project. If you have any questions, please do not hesitate to contact us If you do have any
objections to the proposed work, you may contact Cama at 252-264-3901
We thank you for your cooperation in this matter.
Sincerely,
Lorelei Zumbrunnen COMPLETESENVER
Emanuelson 8 Dad ■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mom,
or on the front I space permfts.
1. Arkcb Addressed to.
Mf riM f-70LM7ZM I,OFI m
AD SPw U� Lan
IVW10CNVn j PA- t�TO
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❑ Agent
MAY 0 9 2022
B. Name) C. Date of Detivery
D. Is ddivery addreae dtrererrt pan Aem 17 ❑Yes
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2. Arkde Number (rmnsAer from sannos AW
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Ps Form 3811, July 2o2o PSN 7s3o-o2400-ww
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;

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: Bill and Beth Alexander
IVED
Address of Property: 213 W Amberjack Ct, Nags Head NC 27959 Y 0 9 2022
Mailing Address of Owner 5163 Summerduck Rd, Summerduck VA 22742
Owners email. [e-mail] Owner's Phone#: [phone]
ACM -EC
Agent's Name Emanuelson and Dad Agent Phone#: [phone]
Agents Email [e-mail]
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
Initial permit has described to me, as shown on the attached drawing. the development they are proposing. A
where description or drawing, with dimensions, must be provided with this letter.
applicable
X I DO NOT have objections to this proposal.X 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 15from 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 DO wish to waive someiall of the 15' setback t
Initial or N` V�NyLIQ
sign Signature of Ady6cent Riparian Froperty Owner
where -OR-
applicable I do not wish to waive the 15' setback requirement (initial the blank) X
Signature of Adjacent Riparian Property Owner )}LSD 1j, n� �'ti;1U rivy
Typed/Printed name of ARPO: T1 iL121: ,yi A.
Mailing Address ofARPO:�� J�ltr��v1-n5 `er�m1;�\�e.j'�11°►4G
ARPO's email: ARPO's Phone#: (- 1 E 30 C3.5o
Date: 'waiver is valid for up to one year from ARPO's Signature'
Revised July 2021
Sign, fill out above, and return

Ap
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........ . . . . . . . . .