86979A_Phillips, Kevin & Barbara_20230110

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AMR
%CAMA EJ DREDGE& FILL 86979 11:5 B C 0 *%
a Previous permit
1 GENERAL PERMIT Date previous permit issued
New F-1 Modification El Complete Reissue f—
I 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 -- i. :- 1-U)Q [J Rulesattach.d. )Q General Permit Rules available at the following link:
Applicant Name 11 110`11.rAuthorized Agent
Address-jAW W"w-w— DIr i yv., Project Location (County)- Dain!e . .........
City Wcu Y-4141an . ...... State --VA— ZIP Street Address/State Road/Lot #(s)
Phone# 6-") _IT At &h L J I
Email Y--? (I L+ 40-4-AW C.0-wNw- Subdivision Ni"i
0 City zip
Affected F CW )<I EW 'PTA ES [:) PTS
AEC(s): E] OEA IMA EUW SPIMA EJ- PWS
CIRW: yes l(D PNA: yes One
Type of Project/ Activity
I& idi, 6�a-tjvX V-1 fltUeV PieAo- iCll-M
OVI ( I
Pier ck) length
...........
Total Platform a
Groin length/#
Bulkhead/ Riprap length
Avg distance of
OreakwaterlSill
Max distance/ length Ilk:
Basin, channel
Cubic yards
Boat ramp —
Beach Bulldozing
oil4ep
SAV observed;
Moratorium: Q>
Site Photos:
Riparian Waiver Attache&
A building permit/zoning 1
1
Permit Conditions -1 0-
Adj. Wtr.Body
'A
Closest Mai, Wtc Body 'A
11
r---------
-J1 I r v\,1
50
X A-
12
yes 43
yes no
40 no
yes no
rmit may be required by:
Eayfi�'-
am
'516-MEN
(,I Lowe*,
112
2
14
Ka
(Scale:
A -
Al
10 l
— 'A4
C
n TARIPAMiNEUSEIBUFFER (circit, vim)
E]See note on back regarding River Basin rules
E]See additional notes/conditions on back
I AM AWARE OF STATUTES, CRC RULES AND �CONDITW�Ns THAT CT AND REVIEWED COMPLIANCE STATEMENT. (Please initial)
_ HAT APPLY 70 THIS PROJECT I --------- = ..........
A =,. Lik Applicant PRINTED Name —r-vv
Sig
nature "Please read compliance statement on back of permit-
!P5
Application Fee(s) Check #/Money I'd
Cu bo CIP ra 0 j4�
PRINTED
Signature I
Issuinill Date I ExIlliraticiA Date

l)ocuSsgn Enve1cPe ID 9880AtBC-B5D5.4CA2-833D-8A2DB48BBB36
Z*♦ - 0, 0; i"PT13:4711JEW119TWOM
Name of Property Owner Requesting Permit. ._kyi"
Mailing Address'
Phone Number: _�jH4 o • "j02
Email Address: .p(rrM_7 kta)^oe.Cow%
I certify that i have authorized
Agent / Conlractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: i�,DOL<c! Wedw �A".'e IF
L Shade, dock ► %owex \%vx6\ .ct. I K )Doc,.-V\j r,+
at my property located at D oq (ylk}Y
in a 0-'W 41�County_
I 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:
pdcu5@nrn by
Kevin Phillips
Print or Type Name
Title
—_1 271oa_zt
Date
This certification is valid through _____J.
RECEIVED
DEC 2 8 2D22
VCM—EC

r-
N.C. DIVISION OF COASTAL (MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONiWAIVER FORM
�RTIEIFu ►� I �� t IJI-(N RQL1P I H QUEOW or 1jh NU U&tIVt12Y
np potiitxl I(, Iu, c15upitiled by cmil nr or their-ir0lz1)
Namrt nt i'rOIH9ty ().'nx-r �'�/I�l i��l�i�t{Ells _
�>il<„��5 M,'r�,,,,y. 209 ouY'rig9er ovine..
i':;ur •»ty Arkkc�c of (ltn: 4,60 v (X\R- vow W w«MvGi1•}Un , VOLD { $to
emailV`-t 1 @ %jo:AuD- -&m Ovinvi s l'itr»1Mi ,)`�-L�-'Z6�'rjQL3
I'
,_ np..0 � ns;an^ g�(A1C1,{�Of� ��t)vuii � fyK.rH I°irotr�:te —ID4•�-i1� •$lcV-1
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(gOltom vetoes too he ctmtpleted by pro AdlaceM Praoerty Otryne
I ix4crvy ccm Wy UTar t oval (NopcAy ['.(1)ilr.(b11101i1P. ,dmvrT tt*-i"rK.oal txrpknty l tlk2 nYtMNh+at .kpj>R+ptlSf :a tr•.r,
{tetr klsmionit to mo. as shrxnl on the tttlar iml d,avkrraeopsirfpr>ltPpA
_ 1 or drfi+Yxy rtith UolwrlsMrts. nwsf bq I)rrt_ idgd vAth lhr_r. kgter.
P1ec><s� I ,1q NOT Nava at))atboms, to Ulrx proposal 1 DO have t4*wts Kxm It. Vv; Imunnsr*.
if you have objecNona to w sw z being prapased you must notify am N.C. oh4sion of f:oasae/
Manaymmen! (DCM) in writing whhfn 10 days of receipt of this notfoe. Correspondence, should be
rrtaited to 401 S. Gra-Um St, Ste. 300. Eiirabeth City, MC, 271M. DCM rapresMAmMms caew else, be
contacted of (M) 2"-3901. No response is considered Hie some as no objection if you have been
noftfled by Certified Me&
WAIVER SEIMMU
r::xiuzaarri that arty W d Pam. dock. nwurinp piiln(s, boat rarnp. knoT \Mev t)oaUxkw. lift ry
U' oil must W set track a nli *mKn dista»co of 16 from my area of rlpa n access agtlti" waivmd by in(,
(fibs does not apply to btr6aleads or riorap revetments). (U you wrah to f•,r the setback you must lion
the appropriate Mank below.)
100 tr+sh to vidive somelell of the IS' se"Mrk
SIg»ottn a of Adjacent Riparian Property (k^ner--
-OR
- i do oat wish to waWe fits 16 aotbeck le(tUirwant (h*U
aiNr•a1: rrQ nt /%*WA rlt Ripnrmn l't(M)W%y o wm. ..
Typed7Printed "saw of ARM $0�`I 0(
tftlin° Addn'ko(ARPO: Zl ! mllyd (,k�-;tl Vu)r
betzo@ rlerrvt�raw1
AIt:Pp'e ARPo's Paarter: 24 2 "2bT —5'9f'
Color 7 'welvw Is volld for up to one year from ARPO's S:ywoture'
k*vmed.hdy 2021
RECEIV �D
D E C 2 8 2022
DCM-EC
ne

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT
ENLAN PROPERTY
ER LIHAND NMAIVER T C E I V E DCERTED MAIL, RETURN REQSTED or DELVE
(Top portion to be completed by owner or their agent) 1AN 0 6 2023
Nance of Property Owner: _1(1 i�.l. �_
DCM-EC
Address of Property: 209 0L"ctcer_^p►nvn-._._ . _.
Mailing Address of Ovrner y30 v OINQ_\&CW W W a"01 VOA _r V CL2-()1 $ (0
Gwner's emaik!«Uy7 C gahce-coM Owner's Phone#: 50-L?)
r
Agent's NameQX1 N►A-t� �_-- Agent Phone#:�1i4�y� �Sdtcy7--
Agent's Email: $8u3- 9�^a.
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
@2 om portion to be compkMid by the Adjacent Property Owner}
i hereby certify that I own property adjacent to the above referenced property. 1 he individual, appiyiny;o% this
permit has described to me. as shown on the attached drawing, the development they are proposing. A
description or dravringlwith dimensions. must be provided with this letter.
j-)l-gSf- 1 4_.1 DO NOT have objections to this proposal. - -- - I DO have objections to this proposal.
_
!fyyou 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 (252) 2"3901. No response is considered the same as no objection if you have been
notified by Certified Mail.
WAIVER SECTION
1 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
Signature of Adjacent Riparian Property Owner
-OR-
i do not wish to waive the 15' setback requirement (initial the blank) -- —
Signature of Adjacent Riparian Pyopeily Ovrner: -_
TypedlPrinted name of ARPO: -J� �Vr -re'
Mailing Address of ARPO: �.1 �c�t�t 1 r" Se T-PXfr- IJIJQ ! na )n) LgP7& BIZ
ARPO's email: C� 0 3ei)GBMCR `nARPO's Phone#: 1 &c13 - Lc 1j5
Date: . _.__`waiver is valid for up to one year from ARPO's Signature`'
Revised July 2021

• 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 mailpieee,
or on the front if space permits.
I . Article Addressed to:
9.60 9402 /539 2098 8983 03
2. ?022 0410 0001 0564
PS Form 3811, July 2020 PSN 7530-02-000-9 b3
F dto' fi T. ^'fr`d�7C
F c
A. Sig a u
�Receiv d by (Printed Marne)
D. Is delivery address different frorn stern -l'a
If YES, eater delivery address: belcv.,: o
RECEIVED
JAN 0 6 2023
DCM-EC
3. SeR ice Type
171 Adult Signature
❑ Adult Signature Restricted Delivery
Cl Certified Mail-O
0 Certified Mail Restricted Delivery
elivery
3960 elivery Restricted Delivery
ff-Insured Mail Restricted Delivery
(aver $500)
L 7— Priority Mail Express D
• Registered Ivlaiil"
• Registered Mali Restricted
Delivery
• Signature Con firmatianTM
• Signature Ccnfirmaticn
Restrictea Delivery
Domestic Return

.Phillips
209 Outrigger RECEIVED
.Kill Devil Hills, Boat Lift
NC 27948
121611 --� JAN 0 3 3
DCM-EC
:Property Property
Line Line Ncn
00. 3
-J O
O CD 8'OP
0
�.
15,_f " N :CCU
CCU CD
CD —�
12
DockLower Landin
Existing Bulkhead _
15'
oa d al 1 s- _
48' �I
House

This map is prepared
from data used for the
inventory of the real
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 mao.
209 Outrigger DR
Colington NC, 27948
Parcel: 019757000
Pin: 987417014085
Owners: Phillips, Kevin M Ttee
Primary Owner
Phillips, Barbara M Ttee -Primary
Owner
Building Value: $292,800
Land Value: $122,100
Misc Value: $13,400
Total Value: $428,300
Tax District: Colington
Subdivision: Colington Harbour Sec L
Lot BLK-Sec: Lot: 141 Blk: Sec: L
Property Use: Residential
Building Type: Beach Contemporary
Year Built: 2006

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