86774A - Ange, Jerry & Jennifer

o(MU, t]CAMA ❑ DREDGE & FILL N° 86774 A B C D
''� Previous permit
PERMIT �-�
3 GENERAL 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:
15A NCAC H ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name
Address 5q I
11.r : tom:: . „ F9`: i.:' ;.± Authorized Avant .,,....4......�.,.r..�..�..,.
City
r V!A4 �I&Wvo State ZIP
Phone # ('5 ? I
Email V Vidz, a v �(✓ .
re J—
Project Location (County): 1 ti,j, `<
Street Address/State Road/Lot #(s) J— V'" f °-•
Subdivision
City -1 a'- z- ZIP :2 ? 44
Affected ❑ CW EW J] PTA ❑ ES ❑ PTS Adj. Wtr. Body :, 1 t _ , ,10 nat%ynan/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes/no PNA: ye!(
Type of Project/ Activity , ( ct a ilJ�
t'= i � i (Scale: +e j )
Access Length
Total Platform area
Groin length/#
Breakwater/Sill
<11px_distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift _
Beach Bulldozing_
Other
SAV observed:
Moratorium: e'n/a
Site Photos:
Riparian Waiver Attached:
A building permit/zoning permit may be required by: k .3 'r, k J--t & `
Per it Conditions ❑ TAR/PAM/NEUSE/BUFFER (circle one)
; A (y C A0— 6 -1 H. I L : -:0 u, ,-, �1{�,t,c; ❑ See note on back regarding River Basin rules
❑See additional notes/conditions on back
n VO(i. [ a:`. J A;.f�a t� f f { l �!..� ,:a iii! A' r fl ee ,+l� ,
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Agent or Applicant PRINTED Name
Signature "Please read compliance statement on back of permit"
.h;
Application Fee(s) Check #/Money Order
Permit Officer's PRINTED Name
Signature
Issuing Date Expiration Date

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTtFICATIONIWAIYER FORM
QLB1 F 9+,1rAlt RET Rh R r tt+
TED or HAND D av
(Top portion to be completed by owner or their agent)
Name Of PIPPerty Owner
Address of Property: — t�O0 1.
vY Lane
Maling Address of Owner: i 01A(ner'Som811; j Ir_l y! Itn!r byIittt7 t L/
Agent's Name: Agent Phony#
Agent's Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(134StQm nottian to be c mot�t�d by the A�+lac..nt Praaam ow..��}
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 rtlmAnsmust be , sided with this letter.
1 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 Coasts( Management (DCM) In writing within 10 days of receipt of this notice. Correspondence should be
mailed to 401 S. Griffin St., Ste. 300, Elisabeth 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
Signature of Adjacent Riparian Property Owner
i do not wish to waive the 15' setback requirement (initial the blank) e� RC E [ V D
Signature of Adjacent Riparian Property Owner:
S E P 2 0 2022
Typed/Printed name of ARPO: -,
CM -EC
Mailing Address of ARPO: ` .5 4Z`t
ARPO's email: rp!�c��r r�)fJ�'r' z« E@„,�,..ARPO's Pfsone#:9 s / —
Date: _*waiver Is valid for up to one year from ARPO's Signature*
Revised July 2021

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONfWAIVER 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: 3900 Ivy Lane _
Kitty Hawk, N.G. 27949
Mailing Address of Owner: "� l
Owner's email:
T
.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 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.
XI 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.G. 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
noted 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.)
DO wish to waive someiall of the 15' setback
Signature of Adjacent Riparian Property Owner RECEIVED
do not wish to waive the 15' setback requirement (initial the blank)
S E P 2 0 2022
Signature of Adjacent Riparian Property Owner: �; ,:�� z zf j ��-
DCM
Typed/Printed name of ARPO: U V t if S.,
Mailing Address of ARPO: -7 L Llet % ice- C�-,, • .o e s L.11. 1(e 6,i4 20 /s`5-
ARPO's email: Pe,- r Leis., N I . I aC��� :,ARPO's Phone#: (-7u
Date: H �f' `� *waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

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PROJECT COPYRIGHT © 2022 Lk•n»/: C-0208
OUIOLE a ASSOCIATES, P.C. BZ7I.�AD SIT
P20110.1 THIS DOCUMENT IS THE PROPERTY OF SWCE 1659
OUIBLE B ASSOCIATES, P.C. ANY Cr1 uible
DRAWN BY ALTERATION OF THIS DOCUMENT IS ANGE PARCLES O r.l
BITED. 1.0 & Associates P.C.
JTY IF THIS DOCUMENTPROHIIS NOT SIGNED AND 3 3 NY~B 0 ��Hyy
SEALED BY A LICENSED PROFESSIONAL n S ENGINEERING" ' CONSULTING - PLANNING
CHECKED BY THEN THIS DOCUMENT SHALL BE KITTY HAWK DARE COUNTY > iFy.�:i ENVIRONMENTAL SCIENCES • SURVEYING -
CONSIDERED PRELIMINARY, NOT A 1"C Ly—ENG./SUA. NOT OFFERED AT BLACK 1 . OFFICE—
BDR CERTIFIED DOCUMENT AND SHALL NOT NORTH CAROLINA > 8466 Corabk• N Y� ry, Pow•Ila Po(nl, NC 2]986
BE USED FOR CONSTRUCTION, 0 5p iW Phon•: [phone]
DATE RECORDATION, SALES OR LAND X 90 Church Sf., SN. R. 91-1, M... Wn, NC 28]it
CONVEYANCES. UNLESS OTHERWISE Phon•: [phone]
03/22/22 NOTED. GRAPHIC SCA-E IN =EET 1"=50' - .aminbfrm.rsRalbl•.eom

Loeffler, Sarah W
From: Loeffler, Sarah W
Sent: Saturday, September 17, 2022 10:13 AM
To: [e-mail]
Cc: Renaldi, Ronald; Brian Rubino
Subject: CAMA Permitting - 3904 Ivy Lane, Kitty Hawk (Perry/Ange)
Attachments: PerryAnge - Major Permit #122-21 (Original).pdf; PerryAnge - Submitted Project
Drawing (2-23-2021).pdf; PerryAnge - Letter of Project Refinement.pdf; PerryAnge -
Refinement Drawing (11-30-2021).pdf
Hello Jennifer,
Per our conversation, attached to this email is information in regards to CAMA Major Permit #122-21 associated
with 3904 Ivy Lane. I will provide the general permit information for 3900 Ivy Lane in a separate email.
3904 Ivy Lane, Kitty Hawk
- CAMA Major Permit #122-21 was issued on September 8, 2021 for a bulkhead alignment on 3910 & 3904. 1 have
attached a copy of that permit and the associated workplan drawing dated 2/23/2021 to this email.
- A refinement request was made by Applicant David Perry to refine CAMA Major Permit #122-21 to add the
addition of a 30' wing wall along the southern property line of 3910 Ivy Lane. The refinement was granted on
January 10, 2022 and I have attached the letter of refinement and drawing to this email.
- In February 2022, Quible & Associates provided DCM a drawing (dated 1/06/22) via email demonstrating a
request to change the approved bulkhead alignment for 3904 Ivy Lane and to add the property located at 3900
Ivy Lane to Major Permit #122-21. DCM staff responded that these changes would require the submittal of a
Major Modification Request and suggested that a scoping meeting be held with the review agencies.
- In March 2022, Quible & Associates provided DCM with an alternative drawing (dated 3/22/2022) via email
demonstrating another approach to the request to change the approved bulkhead alignment for 3904 and to
add the property located at 3900 Ivy Lane to Major Permit #122-21. DCM staff responded with the following
information via email:
o "...if the applicant would like to keep it all under one permit (the major) then it would still probably need
to be a major modification as it would include a property that had not been previously reviewed.
However, it may be possible to do the southernmost property (3900 Ivy Lane) under a GP [General
Permit]. Then possibly see if a minor modification could be done to the major for a revised alignment on
the northern two properties to accommodate the potential 2' waterward alignment created by the GP.
Timing and contractor availability may also need to be considered and may still put the project into the
major modification category if the applicants want to do it all at the same time. Otherwise, the GP
portion may have to be executed and completed before the modification can be made. While an official
permit determination cannot be made at this time, these were our thoughts."
So, please let me know or have your authorized agent contact us with how you wish to proceed or with additional
questions. I will be following up this email with the forms and steps necessary for applying for a CAMA General Permit.
Thank you for your time and attention to this matter.
Sincerely,
Sarah Loeffler
Sarah Loeffler
Field Representative
Division of Coastal Management
401 S. Griffin Street, Suite 300

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