86723A_Huth, Matthew T._20221007

(00"* *LCAMA ❑ DREDGE & FILL L l -] ` ` ? �, / U a C
R' GENERAL PERMIT Previous permit
Date previous permit issued
F New U Modification [:]Complete Reissue ❑ Partial Reissue
As authorized by the State of North Carolina. Department of Environmental Quality and the Coaitnl Resources Commission in an area of environmental concern pursuant to:
I SA NCAC --- 1.-� Zfl b _---_ . - ❑ Rules attached. �(� General Pen nit Rules available at the faowk% Fmk: www .nc g Arles
Applicant Name Ct, 4k e lA Authorized Agent L S :r /iq r~ r t htL.
Address J45. ? ;X- Project Location (Count'):
City State N C - ZIP ! r ti Street AddressAtat. Ro"Lot 0(s) S"
Phone # i�a 4Y Ti .. et (P S s ✓ + %^ i •1 i l'� a-i� ��'C0. t
Email �'r ti T' O �� c AA—CL i s C-.b. 1J Y ,
_ rric+.. S.Z it 'h, Sub�v" T--ra.-�_% tom. _-��'�o"y -7
City_ _-ys ff"-;. c{ T ZIP —. st '
Affected DCW So * t�tATA DES u PTS Adj. Wtr. Body < U.- A t,& _- _(naQmaNinit
AEC(# ❑ OEA ❑ IHA ❑ uw ❑ SPIMA ❑ PWS Closest Mai. Mr. Body - �'y ati K� n _- �•__ _
ORW: yes Rio PNA: Veto-')
yVV r o�
Type of Project/ Atdivity ::CA S ' 's,._ �� i�1 ; � ,x / •?� I7 �s c.,"�'� i �"'
C
(Scale: vS)
Shoreline Length v f
Access Length
Pier (dock) length _
Fixed Platform(s)
s
Floating Platforms) r' `
l3ty (3
Finger pier(s)
- iQ w� 2 •
Total Platform area
Groin length/f '� • G�><� PI `S
Bulkhead/ Riprap length '+ IL Witt �l• • • •
Avg distance offshore
Breakwater/Sill
Max distance/ length -• E7<1t s ^� P
Basin, channel
Cubic Ards
Boat ramp
Boathouse oft v
Beach Bulk
Ocher B�/kl.•o�l —(i— __ .___ 1
SAV observed- yes no ,'�
Moratorium: a yes ! 4
Site Photos: t no "J t
Riparian Waiver Attachedno ��;,v
A building permit zoning permit may be required by.. - a T
0,1 Permit Condifiotrs 6 � � TAR/PAM/NEIJSE/BUFFER (title arcs)
Permit C;� yy
� t.3 � fir+ v- e.. ! .2-3to, a n See note an bade regarding Ricer Basin rules
-- - - — - See additional notes/conditions on back
IAM
(Please Initial)V- 00
AC
Ub,MsCdui1%�� -
AB be D e Per q O er's PRINTED Name
Sig read compliance statement on back of permit•• re
Application Feels) Check ft/Money Order issuing Date Expiration Date

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
RTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of property Owner: MATTHEW T. HUTH
Address of Property: 7814 S. VA. DARE TRL., NAGS HEAD, NC
Mailing Address of Owner. PO BOX 92, WANCHESE, NC 27981
Owners email: MATTHUTHOOQGMAIL.COM Owners Phone* 252-473-8996
Agent's Name: Scott C Small Agent Phone#: [phone]
Agent's Email: [e-mail]
ADJACENT RIPARIAN PROPERTY OWNER'S CFRTIFiCAT10N
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
desk rotr ion or drawing with dimenj a must be provided with this
_ / I DO NOT have objections to this proposal. I DO have objections to this proposal.
You have obfectlons to what is being proposed. you must notify the N.C. 06fslon of
coaa—
Mana9wnent (DCM) In writing within 10 days of recsrpt of this notic& Corrospondsnce should be
marled to 401 S. G►ilffn St., Ste. 300, Elizabeth Chy. NC, 27M DCM npresentaOF— can also be
cortgtcted at (262) 26"M. No response is conskWwd the some as no ob0cdon N you have been
notified by CwWfrsd 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 glan
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback
-OR- Signature of Nrp&7&TPMP61y caw w
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:`, r%✓,,.4,.,� ___l,1 _
Typed/Printed name of ARPO: WINFRED S SHREWSBURY
111411ing Address of ARPO: PO BOX 113, LERONA, WV 25971
�Py {,
ARPO s smash '_iswy: ✓a% .. l .► �D r 's Phone#: _ �D � 1/_ Lk ?y %
DIU: it 9 6- •waiver Is valid for up to one year from ARPO's Signature"
Revived July 2021

AGENT AUTHORIZATION R CAMA PERMIT APPLI M!!!VTION
Name of Property Owner Requesting Permit:
Mailing Address: P O 6 yl � � IA/ � � t � � C
Phone Number:
Email Address:
I certify that I have authorized
r10124% V A v U A-�,J . C-• #-..
W
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: 13 o sm- L ; -}
at my property located at D� y �. V i C i A% OVX 7)-t •) JV f n fk4 J
in County.
1 furthermore certify that I 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 kdWn AW:
NNW
rm
Signature
AG w4e w .r.__
Print or Type Name
d vt/ r� Rf
Title
Date
This certification is valid through _i /

PROPOSED NEW 13K TIDETAMER BUT LIFT & PILES
@ 7514 S VA DARE TRAIL, NAGS HEAD, NC FOR MATTHEW HUTH L
RIPARIAN DRAWING 1 OF 1 - NOT TO SCALE - 5/31/2022
DRAWING BY: SCOTT C SMALL OF LSI MARINE LLC - 252-473-7695
WWW.LSIMARINE.COM SCOTTQLSIMARINE.COM
� 7810 S VA DARE TRL �
CANAL
Lso
MARINE
Construction, LLC
EXISTING DOCK ,\ ! 3' OFFSET
TO BE REMOVED,
APPROX. Y X 6' (18 SF)
4
EXISTING
BULKHEAD
I T OFFSET 'UJ •
x
PROPOSED NEW
13K - 4 PILE
TIDETAMER
BOAT LIFT -
13' X 13'
c^�
PROPERTY OF:
7814 S VA DARE TRL
PROPERTY OF:
59 +/_
LL
7fA---
PROPOSED NEW
10" BUTT X 30' ROUND 2.5
CCA BOAT LIFT PILES X 4
M4 S VA DARE
PROPERTY OF:

N.D. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
ERTIf 1ED NIA1L RETURN RECEIPT REQUESTED or HAND D LIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: MATTHEW T. HUTH
Address of Property: 7814 S. VA. DARE TRL., NAGS HEAD, NC
Mailing Address of Owner: PO BOX 92, WANCHESE, NC 27981
Owner's email: MATTHUTHOOGOMAIL.COM 25-473-�g96
Owner's Phone#: _
Agent's Name: Scott C small 252-478-7695_
Agent Phone#:
Agent's Email: sCotttg1simarine.com
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(10ottom etion to ba comnietecl by the Adiace:nt ProaeRv 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 le, tt_r.
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 )
I DO wish to warve somelall of the 15' setback
-UK-
Signature of Adjacent Ripanbn Property Owner
I do not wish to waive the 15' setback requirement (initial the
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: DELBERT WORTH RINEHART A PAULA D RINEHART
Mailing Address of ARPO: 204 OAK HILL DRIVE, EDENTON, NC 27932
ARPO's email: _ ARPO's Phone#:
Date: waiver is valid for up to one year from ARPO's Signature'
Revised July 2021

9
UZ
do -j mmum