86603A_Hendrickson, David & Terri_20220729

'CAMA DREDGE & FILL NO t36�U3 a c n
GENERAL PERMIT Previous Datepermit
ate previous permit issued
New Li Modification [a.] Complete Reissue F7J Partial Reissue
As authorized by the State of Ncnh Carolina. Department of Environmental Quality and the Coastal Resources Commission in an area of enwromnental concern pursuant tn.
t5A NCAC _...-- _ -r L` sy � _L ' Rules artachrd_ General Perni t Rules available at the following Link, v w r�.. g ,nS.gcvf p gArut
Applicant Name --i �'t ksi l y A>;e tL'�
..L..___J.,��f.X.. L.L1L.1��4 Authorized r�,
Address Project Location (County): _ __...�.� _e.. _. . _
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Zip state { Street Address/State Roadi #(s)_k _-
Phone AZ
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Type of Project/ Activity
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A,cers Length
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steel ht rtfn..ryi(�1
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floating Platform(O ._
Finger pier(s)
at,tt Platform area„_:_� r V
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`ttt kheAf!J tiprap length `r ___ l„{,, r '�..• �4�.. q s
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!?iprtr,;,n SNarver Attacheth ems..- f-ti no
buriCrng permrtlzoeing permit rny be required by'fi'.,,«_>i j
p/'CnHt coriditlon% _ 7
._
TAR1PAMINEUSE/8UFFER (circle ones
See note on back regarding River Min ruinN
...._. ...... _._.. _
..__._.._ See addrtiar.,vt ruatcx/condrbs> 3 cx„ tsack
I AM AWARE Of STATUTES. CRC RULES AND CONDIT�TIHATA��fIPIYTHIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please "initial)
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aermitt)NScar'sRRtNTE:tNarce�
RI,.aie rear) txampii<mce statement on back or pe rnrt" iattm ___. _ _....
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. ,>Ir.2tnrrn f, t. 5) Check g/Money Order 5suinn warn -. _-'—*(,Jtfo'_..Date
P><pvanan Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: David and Terri Hendrickson
Mailing Address. -
Phone Number:
Email Address:
PO Box 221
Kitty Hawk, NC 27949
802-525-1166
[e-mail]
I certify that I have authorized Emanuelson and Dad
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
retrum.. construct new 1Q'x14' upper plaform and 8'x10' lower platform
construct 5'x68' long vinyl bulkhead with 1-8'
at my property located at 333 Eagle Drive, Colington Harbour
in Dare 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 Information:
'r .�....�.....� b .� ,..�5 ,..... ...._ RECEIVED
Signature
=-mod A-. u�►..a�t�,�- y_ „i J U N 2 4 2022
Print or Type Name
DCM-EC
Title
4 f t '2.y2.2-
Date
This certification is valid through

N.C. OF COASTAL MANAGEENT
ON
ADJACENT RIPARIAN PRIOPERTY OWNER OTIFICATION(WAIVER FORRECEIVEC
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
J U N 2 1 2022
Name of Property Owner: David and Terri Hendrickson DCM-EC
Address of Property: 333 Eagle Drive, Colington Harbour Gee
Mailing Address of Owner: PO Box 221, Kitty Hawk NC 27949
Owners email: (Jaye nenanckSon@treefinesolutions cam Owner's Phone#_ 802-525-1166
Agent's Name: Emanuelson and Dad
Agents Email: [e-mail]
Agent Phone#: [phone]
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adiacent 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 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 some/all of the 15' setback
-: !g!!:�!vrE �i; /,'c?Cr'd`t plh ?'ru^^t7 : nln fly
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner.
Typed/Printed name of ARPO: L' j fi 1 % L
Mailing Address of ARPO: 7:.19�?
ARPO's email: � � < /6 ARPO's Phone#: /y3 ; 3 ,z 7 Y, 3�,
Date:, s *waiver is valid for up to one year from ARPO's Signature*
F=ii out and sign bottom portion Revised July 2021

6K5/2O32
Ruth Staley
72Q2HatteryFarm CL
Mount Airy. K4D21771
Dear Ruth Staley,
CartifiedyNai|-RetumRocz
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U. S. Postal Service"'
CERTIFIED MAIL@ RECEIPT
00mestic Mail Only
I I 1= L
For delivery informatiom visit our website at P&COW1,
We have been contracted by David and Terri Hendrickson todothe following work at333{Eagle I�
K�b��»~���U����K~�
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1 Construct 5'x68' vinyl bulkhead with 1'8' return
2 Construct new 1D'x1O'upper platform, and 8'x1O'lower platform 2 4 70;
As the adjacent riparian property owner I am required to notify you of the project in order to give you �� ��x�~
oppo�unitytocomment onthis pn�ectPlease review the a�mnhedsketch for additional inforn�adon8 8K .K`�K-����
We ask that you sign the attached VVowo/ Form, and return it to us as soon as you can. You may scan
and email. fax or simply mail. If you have any questions, please do not hesitate to contact us, Should you
have any objections to the proposed worK, you may contact a NC Division of Coastal Management
representative at252'2G4'3AO1 ormwriting tu4O1S Griffin SL.Ste. 3OO,Elizabeth City, NC, 27SOQ
Nethank you for your cooperation inthis matter.
Sincerely,
•Cmmpletn - 1.��d�
Lo��iZumbonnan ap�t�� and address onthe reverse
e��v�mmm�n#m���Y�.
Emanue|son�Dad
• Attach this card tnthe back ofthe mw|pie«e.
or on the front if space Dermits,
I , Article Addressed to:
171 Addressee
0 Agent
0. Is delivery ad differerA from item 17-0 Yes
if yESenter delivery address below: C3 No
,;ZtSiginature
El Registered Mii-r`l
Adult Signature FiestriCtOd DeliVerf
0 =ad Mail Restricted
car"11KI Mai*
r Collect on Delivery Restricted Deb"
Fleetricted Delivery
2. Article Number (7�ansf- fMM service h7bel)
S�ured mail
Domestic Return Receipt

N.C. DIVISION OF COASTAL MANAGEMENT SEC E I V E
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONtWAIVER FORM
S;E TIFI I T I U r IV,IRY
1 U N 2 4 2022
(Top portion to be completed by owner or their agent)
Name of Property Owner- David and Terra Hencrickson _ D(� M-EC
Address: of Property' 333 Eagle De, Colin rivton Harbour v
Mailing Address of Owner:. PO Box 221, Kitty Hawk NC 27949
Owner's email d— co- owner's Phone# [phone]
Aaent's Name Emanuelson and Dad
Ager:t Phone#: [phone]
Agert s Email: [e-mail] _
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adiacent 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
z,.ry„�1I 00 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 (DCkt) 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 understanc that any proposed pier, dock_ mooring pilings, boat ramp, breakwater, boathouse, lift, ar
groin must be set back a minimum distance of t 5' from my area of rparian access unless waived by me
(this does not apply to bulkheads or riprap revetments). (if you wish to waive the setback, you must sign
f the appropriate blank below.)
100 wish to waive some,Wl of the 15' setback
tiank -OR-
Signature of A jece,nt Alparian 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:
Malting Address of ARPO:
ARPO's email:
ARPO's Phone#:
Date: 'waiver is valid for up to one year from ARPO's Signature'
Revised July 2021
f-<t �-x:t anra �rgn ryia[tc=rn plrt�:�i

Certified Mail - Return
8/6/2022
Robert and Gail Ways
7824Acorn Bank
Pasadena, K8O21122
Dear Robert and Gail Ways.
Postal Servic
r-3!: led Mall Fee
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Son
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Wehave been contracted by David and Terri Hendrickson todothe following work at 333 Eagle Drive.
Colinciton � RECEIVED
1 Construot5'n58' vinyl bulkhead with 1'8' return
2. Construct new 10'x10' upper platform, and 8'x10' lower platform
jUNy4Y09
lop�� K���
Ay�xeadjacent dpahaopropednotify jmotinorde 8��~����opportunity to comment on this project, Please review the attached sketch for additional inform jo .
VVeask that you sign the attached Waiver Form and return hhouaessoon amyou can. You may scan
and emaii, fax or simply mail. If you have any questions. please do not hesitate to contact us. Should you
have any objections to the proposed work, you may contact a NC Division of Coastal Management
representative at252'284'3QO1.nrinwriting to4O1 S. Griffin 8L.Ste 3O8,Elizabeth City. NC, 27&O0
VVethank you for your cooperation inthis matter,
/
Sincerely.
SENDER: COMPLETE THIS SECTION
Print your name and address on the reverse
Lorelei Zurnbrunnen so that we can return the card to you.
2 Attach this card to the back of ft mallpiece,
Emanuelson & Dad or on the front if snaca nwvnit-q
11011111111111111111
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2.Article Number RranSfer ftni
0'u2u 0640 0001 5280 7453
4,
A. Signature
X Agent
Addressee
B. Per�ed by (ewted Name) CDate of Delivery
If YES, enter delivery address below, 171 No
aovmmis Type
owu�
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led Maft
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Of
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0^=°"`n
" Restricted Delivery
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nrmictedoell"ery
Domestic Return Receipt

49
Thrs map .s prepared
from data used for the
r tj
iwentorr of the real
-
oropeny -or ta-
•
purpos.rs pnmary
nforrrldlRYt sources such
A.
a1 recorded deeds. plats.
wills. and noer pnmary
+
ouhbc records should h
'µ
t.unwlird !c.r vrnhc Mrun
nl the• rnlnrmahor
�.unldlnctl n. Uu; maU
333 Eagle DR Owners Hendrickson, David A - Tax District: Colington
Colington N�V �� rimary Owner Subdivision: Colington Harbour Sec M
Parcel: 019 er k n, Terre L -Primary Owner Lot BLK-Sec: Lot: 133 Blk: Sec: M
Pm 986308997615 Building Value: $212,900 Property Use: Residential
JUN 2 4 2V2 Land Value: $125,900 Building Type: Salt Box
Misc Value: $11,300 Year Built: 1991
Total Value: $350,100
DCM-EC

This map is prepared
from data used for the
r1 }' _ Of
inventory of the real
�I
property for tax
,�.
purposes. Primary
information sources such
as recorded deeds, plats,
wills, and other primary
..
public records should be
consulted for verification
of the information
contained in this map.
of
333 Eagle DR
Colington NC, 27948
Parcel: 019880000
Pin: 986308997615
Owners: Hendrickson, David A -
Primary Owner
Hendrickson, Terri L -Primary Owner
Building Value: $212,900
Land Value: $125,900
Misc Value: $11,300
Total Value: $350,100
Tax District: Colington
Subdivision: Colington Harbour Sec M
Lot BLK-Sec: Lot: 133 Blk: Sec: M
Property Use: Residential
Building Type: Salt Box
Year Built: 1991
ti

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