89724A - McCann

❑DREDGE & FILL M) 89724 p A B C b
�ENERAL PERMIT Previous permit
Date previous permit issued
a�IJew ❑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 ? {'Tt Z 0 O ❑ Rules attached. 14,Gens ral Permit Rules available at the following link: swnydeq nc g /CALLArules
Applicant Nam[g) 16CI .e..s. 1 �-z� cay't > M G.• n
Address T. , . a:: X /
city, 0 - 016- J state C ZIP.
Phone # (e)4) 2,:> I--1-
Email_ Ccl-O f an. 1—au eeln «F'�✓M •. / t: rv`.
Affected ❑CW ` ffEw- ©pYK DES ❑PTS
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS
ORIN: yes/(o PNA: yes/6
Type of Project/Activity
Shoreline Length- T7.5
r
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platforms) •�
Finger pler(s)
Total Platform area
Groin length/ll
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/length -'
Basin, channel
Cubic yards
Boat ramp
Beach
Other
t/{
Authorized Agent C._ S•
Project Location (County): 'D is _( Q_
Street Address/State Road/Lot #(s) _ L , t
Subdivision C5Isi Nu-4,
City IV 0.4 S {'/'y e ��- ZIP °Z�% tr..Li e(
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Adj. Wtr. Body (naV an/ k)
Closest Maj. Win Body 9 U c et 'c) � --S b � n -/
f" e n N_
s-ki_fCN /_)L.y
�A t r 1 I
SAV observed: yes no �y�.d) I rn!L-Cc- It
Moratorium: V/� yes no
Site Photos: �es na t/
!
Riparian Waiver Attached: esL no ..✓
A building permit/zoning permit maybe required by: � u1n o (^ A) f{ccc �i
Permit Conditions
(Scale: 15 )
h' N
Glt D�t:eC
❑ 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) K�L .
1V' Monica L. M. Small
v<u-
Agent or Applicant PRINTED Na A,(A/ Permit Officer's PRINTED Name
Signature --Please kdd compliance statement on back of permit-• Si [ure
6LC;z b 3 / 3 '1 5 73.1 /.-3 `� l�s6/2 3
Application Feels) Check d/Money Order Issuing Date Expiration Date

❑DREDGE & FILL NU 89724 A B C D
a GENERAL PERMIT Previous 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:
F
I SA NCAC ❑Rules attached. El General Permit Rules available at the following link: svww.dea nc yov/CAMArules
Applicant Name. f - < Authorized Agent
Address Project Location (County):
City State ZIP Street Address/State Road/Lot
Phone # O
Email At - Subdivision t
<_
_ City t" ` ZIP
Affected ❑ CW ❑ EW ❑i. PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk)
AEC(s): ❑OEA ❑IHA ❑UW SPIMA ❑PWS Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/no�
Type of Project/ Activity
., I I. , I ck—li—l—e k 11b
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t
(Scale: )
... ,..
Access Length
Pier (dock) length
Fixed Platform(s)
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ill
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I
FloatingPlatform(s)-
I
-
Finger pier(s)
Total Platform area -
Groin length/11
Bulkhead/ Riprap length _
Avg distance offshore
Breakwater/Sill
Max distance/ length
channel
Cubic yards
Boat ramp �-�
Boathouse/Boatlik )t
Beach Bulldozing
Other
-
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SAV observed: yes no --r
Moratorium: n/a yes no —47
Site Photos: yes no -;� -i-
Riparian Waiver Attached: yes no _
-
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A building permit/zoning permit may be required by: - . 1..0-5
Permit Conditions
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
I AM AWARE OF STATUTE$,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial) /--
Agent or Applicant PRINTED Name
Permit Officer's PRINTED Name
Signature •"Please read compliance statement on back of permit" Signature
Application Feels) Check q/Money Order Issuing Date
Date

❑DREDGE & FILL N9 89724 Ua B C D
Previous permit
3 GENERAL 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:
15A NCAC r Z O ❑ Rules attached. $4,General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Nap i"S c.vJ �7 � �t �- Authorized Agent L S � � 0.� � A � C1 /1 S�
Addressw, 1 'a % )'L / . / Project Location (County):
City w 0. State N C ZIP 2� ,S Street Address/State Road/Lot co �t- 2-%
Phone # ( )1 lia 7-1' v $ y I ��O :Z� ISM c.,6) ,'Jl� c1t-y
Email C <11- ll' 6.-I '�- /Yu Lc-CJM.a -� C� n1. Subdivision OldCity IV IV an S /fiee=d zip `L�7gsy
Affected ❑ CW f 0i VI LI r rA ❑ ES ❑ PTS Adj. Wtr. Body (nat/ an/ k)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes/r) PNA: yes/6
Type of Project/Activity
1, 15f�42si is c P (Scale: /4TS j
Shoreline Length
Access Length
Pier (dock) length +�� �-
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/M _ IL a(S'rl i Lf "J��/•sLf�
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill _+ �� • •
Max distance/ length
•
ze
Basin, channel
Cubic yards
Boat ramp CJCc D�c�
Boathouse/ oatliftWt-
BeachBulldozi - ips<-rit; :. dULKm
Other 7
SAV observed: yes no
Moratorium: n/a yes no ` I O
Site Photos: yes no Riparian Waiver Attached: es L no ./ �• r _ 1 t
A building permit/zoning permit may be required by: ! 'e u1 /t C 1' A/ c�ct-S !7 Q-a s�
< ❑ TAR/PAM/NEUSE/BUFFER (circle one)
Permit Conditions
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
I AM AWARE OF STATUTES, CRC R
Agent or Applicant PRINTED Name
ilS PROJECT AND REVIEWED I
Signature **Please read compliance statement on back of permit-*
ID 31�1
Application Feels) Check p/Money Order
(Please Initial)
y V � 11 n<_' Ce_CZ/-�[_
Permit Officer's PRINTED Name
Si ture /
S `3 � A3
Issuing Date Expiration Date

Carver, Yvonne
From: Carver, Yvonne
Sent: Tuesday, May 30, 2023 4:48 PM
To: Monica Small ([e-mail])
Subject: Fw: Send data from MFP13999191 05/30/2023 08:05
Attachments: MCCANN GP89724-05302023080500.pdf
Monica,
A copy of McCann's permit for 4620 S Cobia Way is attached for your review.
To finalize, please:
1) print and sign/initial where indicated,
2)scan and return a copy to me for our file.
Thank you,
Yvonne
Yvonne B. Carver
Environmental Specialist II
Division of Coastal Management
INC Department of Environmental Quality
252-264-3901, ext. 237
[e-mail]
401 S. Griffin St., Ste 300
Elizabeth City, NC 27909
DEQ is updating its email addresses to @deq.nc.gov in phases from May 1st to June 9th. Employee email addresses may
look different, but email performance will not be impacted.
From: Coastal Management - Elizabeth City <[e-mail]>
Sent: Tuesday, May 30, 2023 8:05 AM
To: Carver, Yvonne <[e-mail]>
Subject: Send data from MFP1399919105/30/2023 08:05
Scanned from MFP13999191
Date:05/30/2023 08:05
Pages:2
Resolution:200000 DPI

R E C U
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
MAY 1 0 2023
Name of Property Owner Requesting Permit: ANDREW D MCCANN ®l. M iE c
Mailing Address: PO sox 7
NAGS HEAD, NC 27959
Phone Number: 252-202-8892
Email Address: [e-mail]
certify that I have authorized SCOTT C SMALL / LSI MARINE CONSTRUCTION, LLC
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: NEW BOAT LIFT & 4 PILES
at my property located at 4620 S COBIA WAY, NAGS HEAD, NC
in DARE County.
I 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 Owner Information:
Signature
AnicGtZ�.w 1 .�,i� eC`t�Jl��
Print or Type Neme
W oCi?-
Title
04/ 10/2023
l I
Date
This certification is valid through

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: ANDREW D. & LOVE MCCANN
Address of Property: 4620 S. COBIA WAY, OLD NAGS HEAD COVE, NAGS HEAD, NC
Mailing Address of Owner: PO BOX 7, NAGS HEAD, NC 27959
Owner's email: CAP TANDY10EMBAROMAILCOM
Agent's Name: soon Small / 1.81 Manna conativdicn, LLc
Owner's Phone#: [phone]
Agent Phona#: 262.261-1967 ors t 252473-7e95 cen
Agent's Email: [e-mail] / [e-mail]
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bo_ ttom nortton to he Completed by the Adjacent Prouertv Owner)
hereby certify that I own property adjacent to the above referenced property. The individual applying forthis
permit has described to me, as shown on the attached drawing, the development they are proposing. A
descrlo ion or drawing, with dimensions mi iet hn nm,ddn •u_ -
I DO NOT have objections to this proposal. I DO have objections to this proposal.
IT you nave objections to what is being proposed, you must notify the N.C. Division of Coastal
Management (DCMj 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 waive som�al�of the 15' sethack
-OR-
Signature Ofgdja ep pa an Property Owner
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner: __- _1)
Typed/Printed name of ARPO: THERESA SHARP
Mailing Address ofARJ 4609 S ,RIIOANOKE WAY, NAGS HEAD, NC 27959
ARPO's emafL,- e61i 41 i t RP 's PIn n a#:
Date: )' l —)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 NOTIFICATIONIWAIVER FORM 4d .-
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY R C -�.1 \,` ', s,
(Top portion to be completed by owner or their agent) MAY 1 0 208
Name of Property Owner: ANDREW D. & LOVIE MCCANN
Address of Property: 4620 S. COBIA WAY, OLD NAGS HEAD COVE, NAGS HEAD, NC DCM-EC
Mailing Address of Owner: PO BOX 7, NAGS HEAD, NC 27959
Owner's email: CAPTANDY16EMBARQMAIL.COM Owner's Phone#: [phone]
Agent's Name: Scoft5MaR/LSIMarineConstruction. LLC Agent Phone#: 252-2s1-19B7ofc/252-a73-7695call
Agent's Email: [e-mail] / [e-mail]
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom Portion to be comoleted by the Adjacent Property Owner)
I hereby certify that I own property adjacent to the above referenced property. The individual applying forthis
permit has described to me, as shown on the attached drawing, the development they are proposing. A
-description or drawing with dimensions must bg Provided with this letter.
_ I DO NOT have objections to this proposal. I DO have objections to this proposal.
Il 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
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
_OR_
Sion re of Adjacent Riparian Property Owner
I do not wish to waive the 15' setback requirement (initial the blank) �—
i'
Signature of Adjacent Riparian Property Owner: I% T
Typed/Printed name of ARPO: JAMES 2r BERTS
Mailing Address of ARPO: PO BOX 921, NAGS HEAD, NC 27959
;,.DARPO'semail: (,oy���r.a.H r/-..�,• .r ARPO'sPhone#: 7o;-yH�/-U08S -
Date: Zoe i "waiver is valid for up to one year from ARPO's Signature"
Revised July 2021

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