86968A - Cam Jan, LLC & Village Idiots, LLC

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CAMA )<DREDGE & FILL „0 B c °
Previous permit
GENERAL PERMIT Date previous permit issued
❑ New ❑ Modification XComplete Reissue ❑ Partial Reissue
As authorized by the State ofNorth Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
-_�j
I SA NCAC _1 .I 4 G) E] Rules attached, General Permit Rules av�aiyiablle at the following link: www.deq.nc.gov/CAMArules
Applicant Name �3 y�/f'r�.i. . •�S �(/i {GLji�i r�i_�L Authrn ized Agent oiJdc41�Lfo, i V ii.
Address C .1 iN, 1L� r n. W ., �•l Project Location (County): MYV--
City State ZIP L Street Address/State Road/Lot #(s) 9 2W u1 . j -
Phone # (?���—�831� _tao ✓ C25 202 -2g ��- �a d _+Q_5 a �kj �--
EmailVlQY.__Qi1 V1Qt���j/Q Subdivision
(Vd (Ma4W,O- � > m>M city --
Affected TkCW AEW 54PTA §�4S �&TS Adj. Wtr. Body
AEC(s): MOEA M IHA 11 UW EISPIMA EJPWS Closest Maj. Mr. Body HIV vtaA9 't;.�iV
.Tr- — , ,..z—z•.,...,—r
Access Length I JA
Pier(dock)length �
Fixed Platform(s) lY }s
7
Floating Platform(s) P • ✓A ....
Fingerpier(sj ._._ ,,,. � a,r
yj �q
Total Platform area 4- [�
Grain length/IsV �� T• + ,
uikhea Ripraplength '
v ratan offshore f C51
Breakwater/Sill �^ AiA*kt v}7a (j�}�{tK v
tvtax distance length 11 .S Q
�. 1 h
Basin, channel It 14A
Cubic yards
Boat ramp
Boathouse/ Boatlift �' •
Beach Bulldozing ^ • a. ,�
Other
1 �
`V SAV observed: yes V W.
Site Moratorium: n a yes no Q,p �' s�• �
Site Photos no
Riparian Waiver Attached: � no
A building permit/zoning p6f may be required by: ��l � — — -
Permit Conditionsli_ �{-i_riLu r_C Gt ' __��� �j(��/�[(y ❑ TARIPAMINEUSE/BUFFER (circle one)
_ Et�j__(�j�f Q�1l� _ ��(�}�(� VN� �(i(_ �L„ lj See note on back regarding River Basin rules
in0-}__�J4.C�QI. t{ _ A.viC(�� —'�j ' W2 .��d�1 — lam 6hvv1J.
VY — 5 ! } ��Q�.ti1 p Sec additional notes/conditions on back
LMY 51vuG1-r o ►mil
1 AM AWARE OF STATUTES, CRC RULES AND CONDITIONS T AT APPL TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initlal}
Agent rA plicant Pi
INTEO'Narne Permit flicer's PRINTED h e
Signature "Please read compliance statement on back of permit" Signature
Application Fee(s) Check II/Money Order Issuing ate Expiration 6ate

`? Dare County - Property Records
Dare County - Property Records
017959000 CAM JAN LLC Assessed Value
921 W KITTY HAWK RD, KITTY HAWK, NC, - $1,559,300
27949 921 W KITTY HAWK RD
KITTY HAWK, NC,27949, USA
PARCEL INFORMATION
Parcel ID 017959000 PIN 987505089609
Land Use Code 1900 Land Use MULTI -USE
Description
District
KITTY HAWK
Neighborhood
08624499
Zoning Code
VC-2
Zoning Desc.
VILLAGE COMMERCIAL 2
Subdivision Code
0000
Subdivision
SUBDIVISION - NONE
Legal Desc.
LOT: LOT 1 RR BILK: SEC:
Plat Cab Slide
PL: J SL: 77
Deed Date
09/03/2019
Book / Page
2321 / 0546
Tax Status
Taxable
LAND
LAND DESCRIPTION
SQFT
ACRES
LAND VALUE
1 H62-08-Commercial Village Primary
92,800
2.1304
$478,100
2 H23-08-Marsh Acreage
144,602
3.3196
$1,300
Total Assessed
237,402
5.45
$479,400
BUILDINGS

■
dM�
f LIMITED LIABILITY COMPANY ANNUAL REPORT
1/6/2022
NAME OF LIMITED LIABILITY COMPANY: Carp Jan. LLC
SECRETARY OF STATE ID NUMBER: 1855735 STATE OF FORMATION: NC
REPORT FOR THE CALENDAR YEAR: gn77
SECTION A: REGISTERED AGENT'S INFORMATION
1. NAME OF REGISTERED AGENT: CR Services. LLC
2. SIGNATURE OF THE NEW REGISTERED AGENT:
E - Filed Annual Report
1855735
CA202210110213
4/11/2022 02:32
Changes
SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT
3. REGISTERED AGENT OFFICE STREET ADDRESS & COUNTY 4. REGISTERED AGENT OFFICE MAILING ADDRESS
235 N. Edgeworth Street
Greensboro, NC 27401 Guilford County
235 N. Edgeworth Street
Greensboro, NC 27401
SECTION B: PRINCIPAL OFFICE INFORMATION
1. DESCRIPTION OF NATURE OF BUSINESS: Cow Home Custom Cabinets Inc
2. PRINCIPAL OFFICE PHONE NUMBER: [phone] 3. PRINCIPAL OFFICE EMAIL: Privacy Redaction
4. PRINCIPAL OFFICE STREET ADDRESS
921 KITTY HAWK RD
KITTY HAWK, NC 27949
5. PRINCIPAL OFFICE MAILING ADDRESS
921 KITTY HAWK RD
KITTY HAWK, NC 27949
6. Select one of the following if applicable. (Optional see instructions)
❑ The company is a veteran -owned small business
❑ The company is a service -disabled veteran -owned small business
SECTION C: COMPANY OFFICIALS (Enter additional company officials in Section E.)
NAME: Dianne Narron
TITLE: Chief Accounting Officer
ADDRESS:
921 KITTY HAWKRD
KITTY HAWK, NC 27949
NAME: Nathan Neal
TITLE: President
ADDRESS:
867 Herbert Perry Rd
Kitty Hawk, NC 27949
NAME:
TITLE:
ADDRESS:
SECTION D: CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a person/business entity.
Dianne Narron 4/11/2022
SIGNATURE DATE
Form must be signed by a Company Official listed under Section C of This form.
Dianne Narron Chief Accounting Officer
Print or Type Name of Company Official Print or Type Title of Company Official
This Annual Report has been filed electronically.
MAIL TO: Secretary of State, Business Registration Division, Post Office Box 29525, Raleigh, NC 27626-0525

Dare County - Property Records
Dare County - Property Records
017959003
VILLAGE IDIOTS LLC
Assessed Value
0 W KITTY HAWK RD, KITTY HAWK, NC.
-
$41,100
27949
921 W KITTY HAWK RD
KITTY HAWK, NC,27949, USA
PARCEL INFORMATION
Parcel ID 017959003
PIN
987505089255
Land Use Code 0010
Land Use
VACANT LAND (PRIVATE)
Description
District KITTY HAWK
Neighborhood
08644499
Zoning Code VC-2
Zoning Desc.
VILLAGE COMMERCIAL 2
Subdivision Code 0000
Subdivision
SUBDIVISION - NONE
Legal Desc. LOT: LOT 3RR BLK: SEC:
Plat Cab Slide PL: J SL: 77
Deed Date 09/03/2019
Book / Page
2321 / 0543
Tax Status Taxable
LAND
LAND DESCRIPTION
SOFT
ACRES LAND VALUE
1 1-164-08-Commercial Vlg Undeveloped
37,192
0.8538 $40,300
2 H23-08-Marsh Acreage
76,060
1.7461 $800
Total Assessed
113,252
2.5999 $41,100
BUILDINGS
No data to display
OTHER IMPROVEMENTS
No data to display
PERMITS
Permits issued in the past 6 years. All information deemed reliable but not guaranteed. For more information, please visit Dare County's searchable
permit site.
No data to display

�LIMITED LIABILITY COMPANY ANNUAL REPORT
U6/2022
NAME OF LIMITED LIABILITY COMPANY: Village Idiots, LLC
SECRETARY OF STATE ID NUMBER: 1855736 STATE OF FORMATION: NC
REPORT FOR THE CALENDAR YEAR: 2022
SECTION A: REGISTERED AGENT'S INFORMATION
1. NAME OF REGISTERED AGENT: CR Services, LLC
2. SIGNATURE OF THE NEW REGISTERED AGENT:
E - Filed Annual Report
1855736
CA202210110756
4/11/2022 02:47
SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT
3. REGISTERED AGENT OFFICE STREET ADDRESS & COUNTY 4. REGISTERED AGENT OFFICE MAILING ADDRESS
235 N. Edgeworth Street
Greensboro, NC 27401 Guilford County
235 N. Edgeworth Street
Greensboro, NC 27401
SECTION B: PRINCIPAL OFFICE INFORMATION
1. DESCRIPTION OF NATURE OF BUSINESS: Cozy Home Custom Cabinets Inc
2. PRINCIPAL OFFICE PHONE NUMBER: [phone] x 3. PRINCIPAL OFFICE EMAIL: Privacy Redaction
4. PRINCIPAL OFFICE STREET ADDRESS 5. PRINCIPAL OFFICE MAILING ADDRESS
921 KITTY HAWK RD
KITTY HAWK, NC 27949
921 KITTY HAWK RD
KITTY HAWK, NC 27949
6. Select one of the following if applicable. (Optional see instructions)
❑ The company is a veteran -owned small business
❑ The company is a service -disabled veteran -owned small business
SECTION C: COMPANY OFFICIALS (Enter additional company officials in Section E.)
NAME: Dianne Narron
TITLE: Chief Accounting Officer
ADDRESS:
NAME: Margaret Neal NAME:
TITLE: Owner Manager TITLE:
ADDRESS:
ADDRESS:
921 KITTY HAWKRD 925 W. Kitty Hawk Road
KITTY HAWK, NC 27949 Kitty Hawk, NC 27949
SECTION D: CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a person/business entity.
Dianne Narron 4/11 /2022
SIGNATURE DATE
Form must be signed by a Company Official listed under Section C of This form.
Dianne Narron Chief Accounting Officer
Print or Type Name of Company Official Print or Type Title of Company Official
This Annual Report has been filed electronically.
MAIL TO: Secretary of State. Business Registration Division, Post Office Box 29525, Raleigh, NC 27626-0525

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 -
Mailing Address of Owner: 15 16 M=9
Owner's email: /�tMAJANt /yP. 0o" I Owner's Phone#:
Agent's Name:
Agent's Email:
Agent Phone#:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owneri
Ski ib'. r nv�l t�
Fyn
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 fetter.
t/ 100 NOT have objections to this proposal. I DO have objections to this proposal.
It 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, lif, 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 someiali of the 15' se back J
Sign / lac t ipar open caner
-
OR-1
do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner,-Z * ��_
Typed/Printed name of ARPO, _71 kli a CT n,4yt-r1ek r
Mailing Address of ARPO: 1?e4,o ft 71-2;ii0u,11(, IvC
ARPO's email: ARPO's Phoned 7_-:r-7JZoZ -1L2,
Date: waiver is valid for up to one year from ARPO's Signature`
Revised May 2021

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONiWAIVER 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:
Mailing Address of Owner
Owner's email elite Owner's Phone#: _ 7 ' �z—,227
ou
Agent's Name:
Agent's Email:
Agent Phone#:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
I hereby certify that i awn property adjacent to the above referenced property. The individual applying for this
permit h s described to me, as shown on the attached drawing, the development they are proposing. A
descri on 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.) f
I DO wish to waive somelall of the 15' setback L1.
5iyn .pR_ d cent Riparian Property Owner
i do not wish to waive the 15' setback requirement (initial the blank)
r
Signature of Adjacent Riparian Property Owner.
277�%
Typed/Printed name of ARPO: +�
Mailing Address of ARPO: r L / %W C 2 1'1
ARPO's emaiitt `ti ► C�+�` j`{;p m'4`1' ' ARPO's Phone#:5�" r%
Date: t✓ -waiver is valid for up to one year from ARPO's Signature`
Revised May 2021

SNRAH E F URRES
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w�TLANDS
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EDGE OF WA ER /
AS PER AERIAL
PHOTOGRAPHY
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LOT 3RR
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MAR 17

XCAMA X DREDGE & FILL
GENERAL PERMIT
)PW,116320
ous permit
Date previous permit issued
ew D Modification F—j Complete Reissue ❑ Partial Reissue
C) B C D
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 '� �/ d ----- Rules attached. General Permit Rules available at the following fink: rvrvw. nc.-(;AhlArules
Applicant Name �-1,.II .-c. " V► Jd/bt J_ Authorized Agenti�i1
Address tl Project Location (County). .
City - �,� WVY'State ZIP .. Street Address/State Road; Lot #(s}
Phone # (?+ ?a 0�' �I 2 S2.JV...N) ov (V ) 2P2
_k-e� ZS IT
Email a _fC1 f ,0-J M F . � � e%A.O✓ N*. Subdivision ... ._ s"�••.......... _...........
lJKA1� area-�COWK C{tY _.......%ir ZIP _._./L��y---
Affected W EW + PTA Xi ES yPTs Adj Wtr Body ` rAA __-tv......Dtak-P�d.Sd,� 4na an, k)
AEC(s): OEA 1:1IHA 1 UW SPIMA PWS Closest Maj. Wtr. Body A) kww Uv U
ORW: ye no PNA: y no Type of Project/ Activity Coyy5 -Y VrL
1 6 -+ (;f #!-i'+,r 1- a 4head yyit14 c-
Access Length _
Pier(dock)length
Fixed Platform(s)
Total Platform area I
Groin length/#
Bulkhead Riprap length
Av distan offshore } ��
;3rr!akasatet►1l —
ax distan / length 1
Basin, channel
Cubic yards
Boat ramp --
Boathouse/ Boatlift
Beach Bulldozing
Other _._.
SAV observed:
Moratorium: n a
Site Photos:
Riparian Waiver Attached:
9ILI �
TLL'
___......... -
gent Applicant PRINTED Name
Signature "Niease reao compliance statement on nark or permit-- �.mgnatt
Applic, lion Feels) Check #/Money Order Issuing
(Scale: N1✓ )
I
TAIt'PAM/NEUSE/BUFFER (circle one)
QSee note on back regarding River Basin rules
0 See additional notes/conditions on back

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