88909C - 1811 Invest 1, LLC

Nt
s, consrar 88909 A B� D
CAMA Z DREDGE &FILL
m Previous permit
G E N E RAL 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:
I SA NCAC f' . I, V ❑ Rules attached. General Permit Rules available at the following link: www.deg.nc gov/CAMArules
Applicant Name
Address 1K—B�nn
City Po
Phone # (252
Email---'
CJftn/� ,,,�� 5
State lvC ZIP
A3 -b112
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision I
City �(�i�rC7�� ZIP i.t) -
Ad' Wtr. Bod r i��% (nat/(9unk)
Affected ❑ CW SEW PTA VES ❑ PTS I� y { n �5'�
AEC(s): ❑ OEA ❑ IHA ��yUW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body /�It/�'i�t/�`—
ORW: yes/0 PNA: yess,ffiol
Type of Project/ Activity((J����//I� ►✓L1� l� !�-� �I` l 1 N I�l�i J �,L��!'� f��"lri 1�-C�� �i"' l
(Scale:Nj < )
Shoreline Length,
Access Length _
Pier(dock)length
Fixed Platform(s),
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/#
uIkhea Riprap length — f '
istance offshore Z I MAx
Breakwater/Sill
Max distance/ length
r i r�l
asin channel WY
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozz
Other %IN�
i
SAV observed: yes no v`
11.01)
Moratorium: n/a yes
Site Photos: yes
Riparian Waiver Attached: yes o
A building permit/zoning permit may be required by
_ 4Poste ���
�
I,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) —� &1____
Age n or Applicant.PRINTED Name
gnature **Please read cApliance statement on back of permit**
Application Feels) Check #/Money Order
r,
Issuing Date
Date

e
essib _•J it v_..'i'! CL -J Cted ;
or
a T 1is ermit _.:,}: 1)p r t;? = any act --Dies al �or-ized oy Ns
r late local authorities %o Confiir(i that ct l' ...iS projer_t iS Ct7nsi�telit '�/\J l.t^ ti!a
-al land ( •flan and all loci dinances, and �) a written statement from the adjacent ri(` r �Q:owner(s) �' r t J Jarian r o;pertf
C 1, r ,,, t o f of dei't eM, +�
liJ . ; of certified , ai n: a -or; �; adiacen r a progert; ;awner s).
�CaI J `s` f`n Cc; �H.. anCi ...,? ��' 7 f r a �•-,o
�iS of J, u,7S-ai 1a I� h i; - I
_ »u rc er the best avai(ale
_. iroject iS consis ei PFl .2"_�i >as.a, .,'�-. ?gern.ei1t Pro -ram,
River Basil; Ruches Applicable To Yci- r Pro,eci.:
_. a n'icc, R e r 8aSir, u!f-_r RLl euse Rider 8aSln BUf er Ri-iI�S
if indicated on front of permit, your oroject is subject to the Environi'nental Management Commission's Buffer Rules
for the River Basin Checked above due to its locat on `,vithin that River Basin. These buffer rules are enforced by the
!C Division of Water Resources, If you have any questions, please contact the Division or Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-1215).
)Votes/Additional Permit Conditions°
S Pit I 51-(ALL -�v 6 -1 %�1 N -4A)'JW&M
�Pom /,MXL_
�a� Ste. �xcx -5'
Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland location.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST Fax: [phone]
(Serves: Carteret, Craven —south of the Neuse River, Onslow
Counties)
Elizabeth City District
Washington District
943 Washington Square Mall Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Craven — north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Wilmington District
401 S. Griffin St. Ste. 300 127 Cardinal Drive Ext. Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax: [phone]
(Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford, (Serves: Brunswick, New Hanover and Pender Counties)
Pasquotank and Perquimans Counties)
http://portai.ncden,.or- /web/cm/d,m-home Revised 6/01/2021

AGENT AUTHORIZATION FOR LAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Wi Iew Clark
Mailing Address: To
l arbor- NC
Phone Number: al -3— Oil
Email Address: W��i� rk-4 P M {� u � ; cooll
I certify that I have authorized mmilal I ,
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: -�b u1 ki,'
at my property located at i it FrooLSira+ ,
in Ltt �'`C�i County.
1 furthermore certify that l 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
WJiaAv�G.Nark-
Print or Type Name
owmer
Title
Date
This certification is valid through I I

AoJACENT N.C. DIVISION OF COASTAL MANAGEMENT AIVER FORM
CE RIPARIAN PROPERTY OWNER NOTIFICATIO IW DELIVERY
�TIFIED D r
� MAIL RETURN RE EIPT RE EST
Name ofp (Top Portion to be completed by owner or their agent)
Addressropes Owner � C /
_ �Q(!k .13-
Mailing
-Address
dress of
ow, owner. PO o tl 5�t or O G
Hera email: Vv r,- i 3 l to
Agent's Name_r�4i'HA i � CDMOwner's Phone#' �_
Agents Entail: Agent Phone#' _—
�pA�DJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
Aeher by �� a'Sottoln po►tlon to be completed by the AdlaCent Pn O eft tin for this
de harrnit s descri wn property adjacent to the above referenced property The individual app Y g 9 A
tt in
n or bed to me, as shown on the attached drawing, the development they are proposin
1� h dim nsions m st be rovided with this letter.
NOT have objections to this proposal. I DO have objections to this proposal.
� You <5vle i
IYranagemen oajec'vn to
mat
n7a�red t jDCjy� in /s being proposed, you must notify the N.C. Division of Coastal
at t° 40o Comore >vnt`ng within 10 days of receipt of this notice. Correspondence should be
�2�) Sf5_5400 i yO �e'4ve, N1®nehead City, IVC 28657. DCM representatives can also be c°ntacR�d
Cetyfi�,o, Maii resp°nse is considered fhe same as no objection if you have bee» noted by
/ unc10in tang
groin that any proposed WAIVER SECTION
must be Sef bap Pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or
this does not a k a minimum distance of 15' from my area of riparian access unless waived by me
apply t® bulkheads or riprap revetmenm
revetments). (if you wish to waive the setback, you ust sign 7e appropriate blank below.)
DO Wish to Waive some/all of the 15' s%S1
ack
�- nature of d act:nf Riparian Property QwnerT��
not wish to waive the 15' setback requirement (initial the blank)
Wre of Adjacent Riparian Property Owner_
'Printed name of ARPO: M Q-0\
Address ofARPO:
11ct Wamrrovy��y�tct.S �,
Oman: i� ARPO's phone#- 6e��S 66 �
..-- "WaiVBr is valid for up to one year from ARPO's signature*
Revised Mn �t�� 9

NT F"PARrAN "O r tjp,;;1`fL
crop PorWn to be mmpV-Iad ty ulf' t
N'ama of
lai��fe�. rk f aadn,oa ornr��y: - .�.-r��'��''� .�.
malling Addrem a,Y 'J, i_ --' �.��r �`
owner Owner PGYDJK 11 51
Agents Name: Ovmafs PWOO
gggrR P!
AgenYa t-
ADJACe" WPAMN pEt pBM 0WON8 �'
t hergb °
perm 8 tad i own propOrty adjacwdto the abWe r6f0rerMd oc f' rt *
on to me, ea *Mn an the attar dWW8. floe
musi tra orar+aeQ
1 DO NOT t,.V6 1 t7D rive
it,�T�sasr+
` oble�lons to tt�s proposaL
maps � �1 irk TO d of you & two ra3dm �� ' '"e
a*tx ss C4n'J"�°A"L,XWahmd4CNy, zt►tt t =r
C&�TeoM At°' Is commWmW to soma as no �
� MY Pie , dark, rt►aa t ems. bay rant/ �- r".
9hOin must be set talc a mirrin im ftWm of I& ftm my gm a€dpgW. amm u*M
(fhis do"
not plY " bct*hehft or ft" mvebwft). (tt You vAsh tt, W00a ft - 'ate- --
01e aMM btatlk below.)
t DO Wish to wW" someJalt of the 15 setback
-DR- S&m&Vm of Acyaomg IUWjw ProPs&j Omfflw
1 do not wish to waw the is soft* FeWm terA ("ifW ft Marc
S19M*JrtOfAdjacW RIprim Pmp M Qwtmer:
AfttIftI9 AddMft ofARiX): C3 i it o '�o►ce PIIA642 KV- c9mm
Wm to valid for up to one Year from ARM WvWW

OjfjW
ApJACe MPARM" Pftopm;NTY 0WOMM" �"°u�
C7aP Porban to txa erampWted by r "fW •,, rraX ' �
Name of pro ,
ndd,ud4 "Ire—v. �✓[ ��TDYCi l 3 f� ry�j
Malnh$ Andreae of d I `� r° r�
0�°raemall:
A9enra Name: Om,es
Agenra Eman: AOW*
� �A CENT WPAltt1►N PWPERTY QWWWS CSTTMA, .
t he *ca"�t-�
Permit �� oat i aim prOP" art to the abWe r cs�f. �'0 &0 i.6 �J���
db ,�.�fW:firrjur�� -
-�sz , � �fna fti118t �7 ifidGS t
1 DO NOT have objecox" to Uft prvpoes 100 r4a"
/f YrD�t AByrg
Maheg ent ray to AB bed d Y� tt &a 1%t:" ., .
maq � to of of t we
Cdv�,40°' Na , � vM *tree a � Objecfta IV you
undsr'WOPOMd �+. dock, mcarMg ems. bast rW%, 1
Win must be } a mininum a of IV froAn nN area & rjWw-- . J O = R�
ffis �+PDiY btu to tip r�retiments}.tfu u►c�t +�
aWrOPnafe blank )
I D© wISh to Waive'MOW of the 15' c I I L
-OR- 50aftire (rfAMoW# R�- *'-
I tla t!� wish iv vveiva fl1e 1S tom( fEE�liCerrtertE {��� � t�srity
ftnaturt ofAdjawt Rqmft pmp" Owrer;
rypeditOftd ofARPO. Ma,iuse.!k
AAeiiing AiWMs ofARP&. ,�_& k t" f 6ce- 94A4n N�P- CT1402A,
ARC'#enW 1!g&.W :t Wf A d.cAf­ ARMS Moneft0t1-60-7-Hac
Dow. [ *mfvw is mid for up to one year ftm

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AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit.
Mailing Address: �1410 . />olt 1159 /
/ Gl ✓ bo r0 /�G 62
Phone Number:
Email Address: �9GXf ik q (V
I certify that I have authorizede„i�
Agent / Contra for
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
messary for the following proposed development: e 17a
my property located at
✓c County.
urthermore certify that I am authorized to grant, and do in fact grant permissio
iision of Coastal Management staff, the Local Permit Officer and their agents to E
the aforementioned lands in connection with evaluating information related to
rmit application.
iperty Owner Information:
I
Signature
Print or Type Name
Title
Date
s certification is valid through _ / 1
0-1 . -r - v Tl\ T 7-1
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