86467A_F & R Family Holdings, LLC_20220323

0CM74�j_ ACAMA XDREDGE & FILL
GENERAL PERMIT
J� No 86467 v B C D
Previous permit
Date previous permit issued
0 New MModification ❑ 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 G iJ + 3 0G ❑ Rules attached. 2General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name Fay`.• Iv 1400!n!,'K- 1-i.C- CQ�t/GrJ
Address Cf,-e 1 c C2 oe.c(
City /fit ili1C/ L �Q State /V e zip
Phone # () I �6 133
Email 3cbuef 60—CA,or4-Gir✓ Kjo- NG k
Authorized Agent I. - A � `�-'" ( T" !',
�- N�
Project Location (County): �(� T :C..{
Street Address/State Road/Lot #(s) 20-G ) ronh I'` L 1 WGd
Poore I --U-- (733oaoo.00 I AoGG rj
Subdivision
City
P 2?'9ss'
Affected ❑ CW [JEW PTA Q ES ❑ PTS Adj. Wtr. Body (an/unk)
AEC(s): ❑ OEA ❑ IHA ElUW ❑ SPIMA ❑ PWs Closest Mal. Wtr. Body C //�� t'rf +G.r: %Z
ORW: yes& PNA< yes o
Type of Project/ Activity
Shoreline Length
--;, K: f to•t Access Length F" �Tyt 1(-,I1 S
Pier(dock)length r-
Fixed Platform(s) r"
Floating Platform(s)
Finger pier(s)
Total Platform area r O
6reil�-4ellet /# �•f►�1,zed �/ !~ o
Bulkhea Riprap ngthk�sGd
Avg distance o s ore vi r
Breakwater/Sill ~ ;T I� �tn t
Max distance/ length .Z ' iC7 6'�5-�7'' ti �Y
Basin, channel L y J
u ty
Cubic Yards ^' O
Boat ramp is K
Boathouse/ Boatlift
Beach Bulldozing
Other '/'Xtfo' 1 +
�- ot,e r w Y -'- (Z
►s'.( ►4c; C-A.-te ACC of rc/�•
SAV observed:/� U�. t�+'�Q yes T
Moratorium :4fn es no �p N/� I i
Site Photos: 5 no V ICI'
i
Riparian Waiver Attached: yes no rr--
A building permit/zoning permit may be required by:
Permit Conditions
J
t�
Ft
Ab
tuk J
Fr1 �l
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
ElSee 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) X
T'C' . Robert' Cor h
Agent or Applicant PRINTED Name P it Officer' PRINT a e
Signature "Please read compliance statement on back of permit" Signature
CCo. ca ��Y2 l 3 -23-
Application Fee(s) Check #/Money Order Issuing Date Expiration Date

Lyn Small Inc, Marine Construction
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit. F&R Family Holdings LLC - Jeff Dover
Mailing Address 220 Franklin Lane - Moyock. NC 27958
Phone Number: 252-619-8133
Email Address: [e-mail]
I certify that I have authorized
Lyn Small 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:
at my property located at Fr"k1,k::� L A,,- MocG�� Utto
in Currituck County.
/ 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.
Print or Type Name
Title
2. / 09 1 zeZ.
This certification is valid through _12 /_9 / 2021�
Date
This certification is valid through _5 1 31_1_2022

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:
Address of Property:
d n s s_4,
Mailing Address of Owner: �j4x 3� nlD►�DGK, r4(, M15$
AD414@ curr��ck. 42
, � nG k
Owner's email: Owner's Phone#: 26a-41 1q
-0 9
Agent's Name: J►/,AtI It1G . LL Agent Phone#:
Agent's Email: f<(!I Gl1 IS ( A1L( r,(V1 i0 � X . CQ fh
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
description or drawing with dimensions must be provided with this letter.
I 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.)
I DO wish to waive some/all of the 15' setback
-OR-
Signature of Adjacent Riparian Property Owner
I do not wish to waive the 15' setback requirement (initial the,1alank)___S,3 /
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARI
Mailing Address of ARPO:
ARPO's email: Co(/ARPO's Phone#- `tea `jUi�
Date: *waiver is valid for up to one year from ARPO's Signature*
Revised July 2021
i f,.

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to bfe�completed by owner or their agent)
Name of Property Owner: r r�^�t-�w+� l f d j rl l�S (_,LL
Address of Property: 220 r►&nAt1 w"+t$ (noboL"C, 0(, a1i5$
Mailing Address of Owner: R0• QG�( $1 fyl we Nt; a?Ig5S
Owner's email: �Ol 4mpCW'rlLc4e..(y2-nG'Owner's Phone#:
u
Agent's Name: Hin Agent Phone#: �2-l'g5✓<�
Agent's Email K(�ILLN �51 ►hG rl nGODx . CO rn
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
description or drawing with dimensions must be provided with this letter.
I 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.)
I DO wish to waive some/all of the 15' setback
re dt`Adjacent Riparian Property Owner
-OR-
Signatu
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO:jd
Mailing Address of ARPO: a
ARPO's email: ARPO's Phone#:
Date: eZ �?-L *waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

' ' OSED �� BULKHE��sl
r
TULLS BAY
'"I"
VICINITY u — TS !
_ �J �% : ROP �D BOAT RAMP
`� � •, ROPOSED, 2.4 BULKHEAD
END BKHD AT FENCE
� EItIN ATR P /
PROP OF:
NC DOT — R/W
O TOLLS CREEK RD
GRAVEL ACC�55
`
PROP OF:
'�•• ••
ALBERT SAWYER
``
LA
`` �`
�`= �` �� ``
�`
�` ``
MOYOCK,NNCN
GRAPHIC AtE
lice o eo ,mom
PROPOIr
EULKHEAD f 90AT RAMP
DI 14
i inch 100 [!.
m 7 FAIKIl00 4 W I
meru.r. c.
7 t S lm.Y I�DLDIIiKiB
u�
oo. ti« rnw

6x6 WALE •
8"000' PILE
A TIE ROD
�VIry l\YIIIi\W�\
NWL\%J 70 ANCHOR
ALUMINUM
CMI 8' 325 SERI
SECTION B
SCALE 1 "= 4'
GRAPHIC SCALE
( IN FEET ) •
1 1no1'r — 4 ft.
BACKFILL
JI,ALL I = 9
�I1W
OPO SED BULKHEAD, BOAT RAMP RI P-H -,,
tN
-1-1z 220 FRANKLIN RD, MOYOCK, NC 113 BalNRxk Or
s� �Pwllr PdIN77%6 m �F & R FAMILY HOLDINGS 17-491-9567N
sGJ~
_ Nr (,esnve A, 29790
X

SECTION
113 Ballast Rork Dr
Powells Point, NC77966
157-<91-9562 752-491-8564
W L icense No. 29760

Currituck County GIS Online Mapping
1000 ft
Currituck County GIS
[phone]
www.co.currituck.nc.us/Geographic-Information-Services.cfm
Addresses
Communities
Aydiett
Boroo
C,ni njnrk
Cul ul la
Currttuck
G i bbs YVaods
G T wfy
H:AI lAw-w-I
Jo rvleburq
Knott bland
Maw
. .,
Moyock
4
f"nt Ho rbor
L
n
a
rVT4nr Rrnnr.h
.
Rune IN Rllnl
.k•....
Shawbaro
1
bilao
WMImlily
A_
County Boundary
•w x
•r. t•,
—Crrinly
Streets
Major Streets
x ,� .
—Aria rl8l ME71or
— C',nl k-rtnr_Mnjnr
Parcel L©nd Hooks
Parcels
0
Currituck County
Aerial Photography (2016
^c'
MHod: Bond 1
Blur. Bated 3
This map should be used for general reference purposes only.
Currituck County assumes no legal liability for the information
shown on this map.

Lyn Small Inc Marine Construction
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit F&R Family Holdings LLC - Jeff Dover
Mailing Address 220 Franklin Lane - Moyock, NC 27958
Phone Number: 252-619-8133
Email Address: [e-mail]
I certify that I have authorized
Lyn Small 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.
at my property located at 2.20 �r�tvir, ►+,�- Q_2C' J�pT
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
Print or Type
Title
1 �7 l 0,7 l Zoe
This certification is valid through _12 / 9 / 2021
Date
This certification is valid through r5 / 31 _1 2022

■ Complete items 1, 2, and 3. A Signature
■ Print your name and address on the reverse X 13 Agent
so that we can return the card to you. ''--v Addressee
■ Attach this card to the back of the maiipiece, B. Received by (Printed flart C. Delivery
or on the front if space permits.
1. Article Addressed to: D. s de t ery address We etrt from Rem 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
D Priority Mail Express®
D Adult Signature
El Registered Mait'TM
D Adult Signature Restricted Delivery
❑ Registered Mail Restricted
9590 9402 5501 9249 4417 18
D Certified Marla
Delivery
❑ Certified Mail Restricted Delivery
❑ Return Receipt for
❑ Collect on Delivery
Merchandise
9 Arftr•.ta N,,mhar ?anefar ftnm Sgryjr _iahaa
❑ Collect on Delivery Restricted Delivery D Signature Confirmation -
7020 2450 0000 6 216 0924
cared Mail
:ured Mall Restricted Delivery
D Signature Confirmation
Restricted Delivery
—_.-----._._.__.................._._------._............ .........
_V— - ter $500)
PS Form 3811, July2015 PSN 7530-02-000-9p5 1
Domestic Return Receipt
■ 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. Artir4e Addressed to:
(6 C -I
X 13 Agent
❑ Addr ssee
B.`Re9eived by (Printed Name) C. Date of Delivery
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: i] No
3. Service Type
D Mail Express®
ll I'�II')
I'll
ICI
II II
II
II I�I
I I)
�) I
�' f
(I
❑ Adult Signature
gy
❑ReRegistered Maii
I III
ll'
❑ Adult Signature Restricted Delivery
❑ Registered Mail Restricted
9590 9402 5501 9249 4417 01
Cl Certified Mall®
Delivery
C Certified Mall Restricted Deilvery
❑ Return Receipt for
D Collect on Delivery
Merchandise
nh'claN, mbar D anefpr fmm sarldca lat,dl
❑ Collect on Delivery Restricted Delivery ❑ Signature Confirmation -
_
2450 0000 6 216 0 917
red Mail70211
1sured Mail Restricted Delivery
D Restricted Delivery Signature rmaon
-
-, --,aver $500)
PS Form 3811, July 2015 PSN 7530-02-000-9053
Domestic Return Receipt

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: F & R Family Holdings LLC
Address of Property: 220 Franklin Lane, Moyock, NC 27958
Mailing Address of Owner: PO Box 39, Moyock, NC 27958
Owner's email: [e-mail] Owner's Phone#: [phone]
Agent's Name: Lyn Small Inc. Agent Phone#: [phone]
Agent's Email: _terri(-mkcontractor.com
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
description or drawing with dimensions must be orovided with this letter.
-- I DO NOT have objections to this proposal. I DO have objections to this proposal.
If you have objections to at 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.)
I DO wish to waive some/all of the 15' setback
-OR-
Signature of Adjacent Riparian 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: Steve Trowell for NC DOT
Mailing Address of ARPO: 113 Airport Drive, Suite100, Edenton, NC 27932
ARPO's email: [e-mail] ARPO's Phone#: [phone]
Date:
*waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

$E DETD SF�ET 3 (T U L L S B A Y
1f k
200 LfITETAL M AP-NgNITY MAP - NTS
f MJ /�
SED BOAT RAP
/ / r 1
SEF ISETAIL SHEET
Y �
OPOSED IW BULKHEAD
SEE/ DETAIL SHOT 3
Y N O Q
Y PROP OF,
NC DOT - R/w
W O TULLE CREEK I1Y
GRAVEL ACCESS
PROP OF:
ALBERT SAWYER
Y Y Y Y \ \ \ \ Y 308 FRANKLIN LA
MOYOCK. NO
Gx 'PHIC
\ I
Y (�
1°ROPO D BUI.XHBAD, MT RAMP &
Y Y SYlaoh W100 it`` •,. _ a 3 IF F m 1 � I aus
Y '�• Y Y ��..�... � \ / y W� i. SJ yy AevW� AW, K JJllf
►.. '�' Y Y W ""'., ti �.. __ _ Z /AV,\—�1_ Jf1.➢�-�.G!7