86988A_Petty, Dale_20230131

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uts,� 'il 86988 A B C D
i�CAMA CJ DREDGE & FILL A II
GENERAL PERMIT Previous permit ����� -7,
Date previous permit
[_] New ❑ Modification "plete Reissue []Partial Reissue
As authorized by the Statiel North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
( Rules attached. (( Generai Permit Rules available at the following fink: www.d
I SA tVCAC ��_�� 1._..� - I. _.� vnng en.rtC. ovg JG4P4140
Applicant Name
City _-{�c-a state— ZIP
Phone # (eLS�j /p • b-7 ¢
Email4 d� 1tA
Affected ElcW
AEC(:): EIGEA
ORW: yes/,tit5
pPTA
EIIHA uW
PNA: yeloD
Type of Project/ Activit
/gi 7,�n� v
a
Shoreline Length :r 2-4.,ZP1 a
Access Length
Pier (dock) length
Fixed Platform(s) _
� J
Floating Platform(s)
Fingerpier(s)_ T> `� f
Total Platform area
Groin length/#t
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/SiN
Max distance/ length .---
Basin, channel _ —
Cubic yards___
Boat ramp
Boathou ./Boatlift /
4)
�tl ?t i'jz(Q
Tf'
Other �, t�j� o q-NlS
;t
Authorized Agent _T l� I / ( .S "7-b M e, I f tCv f it
Project Location (County):
Street Address/State Road/Lot #(s)nT_
S'VG Y(ra _C /
Subtlmsi.n ar --p,___.._. _......
Ciq _
U ES ❑ PTS Adj. Wtc Body `t r a ✓l wSj I`- ( )
(��'( �} ,j..........___.. r� _.natfntannirtk
11 SPIMA L J PWS Closest Maj. Wtr. Body - (4 fit.. / 7G.+� �.J "'A'AA SL
Ae 2 (q OL r d
(scale:t�%� )
r, 6,4,5 J AI - . _/ I [ hl c;
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SAVobserved:
SiteMoratorium: (rrja'� yes no
AR1 NA
Site Photos:
Riparian Waiver Attached: nnt�
A building permit/zoning Permit may be required by,
Permit Conditions
AND CONDITIONS THAT APPLY
�- n B r,2 _
Agent or Applicant PRINTED Name
fWSignature "Please read complian a state t on bade permit"
Zoo /
Application Feels) Check li/Money Order
U TAKIPAMINEUSUBUFFER (circle one)
See note on back regarding River Basin rules
See additional notes/conditions on back
NU KtVILME) CUMPUANCE STATEMENT. Y(Pfease initial) . ...... A_
Permit Officer's PRINTED Name "�^
sign re
--.//3-� 5�- --
Issuins c6te Expiration Date

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°`°"'`l CAMA DREDGE & FILL 'yt3 do 4 ',•: J a c D
GENERAL E RAL PERMIT
R M' T Previous pemvt RNVi,-New
Date previous perlrxt issued ❑Modification Complete Reissue ❑Partial Reissue
As authorized by the Sate of North Carolina, Department of Environmental QuAry and the Coastal Resources Commission in an area of environmental concern Pursuanr to
I SA NGAC �� � � _ Rules attached Ger enl Permit Rules available ar the faiiuNnig link- i nv'irtAM—Qc IV—�—�Ll
Applicant Name _ t�► � _ Authorized Agent JI I / Il s le
Address
Protect I er..,en ;County) - �DEiira—
Gq 4 ¢ o State L ZIP _,2�% qs�t Street AddrewState Road,'Lot #isI �: �S �+`CPhone --I
Email yall"I('9 Joe
0.1 ¢ C v. �C S •w,n . C, Zyp— Subdivision Q�L o- 1 r /• tw "5 f�
-ZIP
Affected ((''�� L__ICW VjjiM 0PTA EjES E]M Adl %Vtr Body Ces /lo.� O.sr/v (r usk)
AEC(s)! ❑OEA nINA f--' }
Uw SPIMA U PWS Ciosest Mal. Wu Body Q it (1 L o J O
ORW yesO PNA• ye Z
Type of rdect/ Activity 1 " s a-
Y
ati4-t: k z.1 S1I ie 2.'7 c.nci .> t� yJr ` r f scale: VP )
Shoreline Length
Access Length r �//
Pier (dock( length
Fixed Platform(sl � 1
FloatingPlatform(s)
Finger p ens) 'YZ`
i
Total Platform area t �{
Groin length/p f qi J
�s
Bulkhead/ Riprap length
Avg distance offshore
Breakwater; Si0
Max distance/ lengtn ^7 it a 1°
f
Basin, channel
Cubic vards �I
Boat romp � n
Boathou / Boatfirt3
Other ` `
SAVobserved. yes ® t �([�KS L�•t I P\ �? <-1lV I
Moratoriums n/a yaj) no
Site Photos: V/TY
Riparian Waiver Attached: yes no
A budding permit/zoning permit may be required by- Z G Gott
Permit Conditions 2 ii ¢ aR�'— `'J—i_ &t n q e� �rl't ..� ❑ TAR/PAM'NEUSEiBUFFER (circle one)
�F �tf's_ See note on back regarding Ricer Basin rules
— See actdmon.al notes%condawri, on back
I AM AWARE OF MMES. CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. {Please Ininaq _
Agent or Applic NT Permit Officers PRINTED Name
Sig na ure "Plea r lance statemen ack of permit— u r
Application Fee(s) Check 4/Money Order Issuing Date Expiration Ddic

EtNI 1=0R LAMA PERMIT APPLWAiION
Name of l'ro"rty owner Requesting Permit:
Mailing Address:
Phone Number:
Email Address:
l certify that 1 have authorized
Dale Pe
P•44 6ox 1667
Manteo N.C. 27954
252-996-0729
dale surfarsound.com
Millstone Marine Consbuction
Agent ! cuntrsc,w
to act on my behalf, for the Purpose of applying for and obtaining all LAMA permits
necessary lbr the follOvAng ProPOSOd ttevelOpment:
Install boattifts in sli 26 and 27 and a fin-er ier in the middle as indicated on the drawl
at my Property located at Teach's Lair Marina Condo, Hatteras N.C.
in Dare - County, F
I furthermore certify that / am arutfiorlZed to
Division of Coastal lUanagernent staff, the Lc�cataPlerrrtit Officer their a , and do In fact grant pemtissk�n to
orb the a�mentlorred lands in connection► with evahaating information � related Lois
/�rmet $pplhation.
PrOPejrt%Y Owner InfarMation
tune
Dale Petty
Print Or Type IVo►ma
Owner
f�
_.1 - 30 t 2022
Date "--
This cortiflcatiOn is valid through LL 12 I 1 i 2022
RevZW Mar. 2016

This map is prepared
from data used for the
inventory of the real
f
property for tax
f
•
purposes Primary
information sources such
s
as recorded deeds, plats,
wills, and other primary
public records should be
�+•"
consulted for verification
'"'�
of the information
contained in this map.
R E
AU6262022
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0 Docks jlCG/ l Owners: 1lTceer Tax District: Hatteras
Hatteras NC, 27941 Primary Owner Subdivision: Teach's Lair Marina Condo
Parcel: 015617006 Lot BLK-Sec: Lot: 29 Blk: Sec:
Pin: 95840758312206 Building Value: $0 Property Use: Boat Slip Condominium
Land Value: $0 Building Type:
Misc Value: $40,500 Year Built:
Total Value: $40,500
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RECEIVED
AUG 262022
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• Complete Items 1, 2, and 3.
• Print your nW* and address on the reverse
so that we can raturri ft card to you.
■ Attach IM card to the boot of the mailpiece,
or on the **M 0 3pdoe permits.
1. Artid,Addrss"i1�
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B. Recetved by (FWdbbd NWW l G of Delivery
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IN Complete items 1, 2, and 3. r
■ Print your name and address on the reverse
so that we can return the card to you.
N Attach this ca'd to the back of the mailplece,
or on the front if space permits.
1. Article Addressed tn-
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11 1 11111i111111111111 M III 111111111111
9590 9402 7490 2055 5845 48
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