89642A - Medina

(fiCAhA4 RFOGE &FILL
GENERAL PERMIT Previous
� a p:ePo�s permit issued—
}Mew ❑Modification [,Complete Reissue QPartial Reissue
As authorized by tho' Sta�t(e of North Car+ Z, Department of Errvironmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I $A NCAC t=� to t `Z., as es ❑ Rulesle—Ganerai Perma flutes available at the follovAng link:
Ins attached. www.dm rK.govj LeA
Project Location (County): � t*- C 4—
Street AddresslState Road/Lot 0(s) jm&- in. ,
Subdivision 45 (F dJ CC ._...
City _---ZIP .2-%
Affected QCW �EW P§PTA VES OPTS Adj. Wtr. Body '$„% ,C+:0 %Jl__® ut (nat(naniunk)
Q AEC{s}; OEA IHA QUW �,SPIMA QPWS Closest Mal. Wtr. Body �d,MA C-4, _
ORW: ye 10
o PNA: yesj.
Type of Project/ Activity
Shoreline Lengthy-
Access Length
Pier (dock) length
fized PlaHorm(s j, )
Floating Platform(s) —
Finger pler(s)�
Total Platform area
Gro' ngth/R
ulkhea ipraplength- l�
g istance offshore
Breakwater/SIII
Max distance/length 2 r
Basin, channel
)KY Gt� �ntr �Lr i
C,klJ A L--',
a
bT� j��r0.4LQA4A�
Boat ramp ^ O' Ir / 9
Boathouse/ BoatliR; `�
sc7e(ST/t-f G
Beach Bulldozing
Other "' )
.r
e K!4-iC-�
SAV observed: yes no j r lE f to A
Moratorium: (Inla yes no
Site Photos: s no I
Riparian WaiverAtteched: no
A building permiVzoning permit be required by: ,_C—h
Permit Conditions
(scale: A%%S)
01
Q TARIPAMlNEUSE(BUFFER(tlrcle one)
QSce note on back regarding River Basin rules
QSee additional notes/conditions on back
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Pleaselnidal)`-
Permit Of icpr's PRINTED Name
Check N/Money Order Issuing Date Expiration Date

ItfiNew
COM"�OZAMA -DREDGE & FILL
GENERAL PERMIT
❑ Modification ❑ Complete Reissue ❑ Partial Reissue
Nv 89642 . (C--' l_ J 13 C D
Previous per
Date previous permit issued
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 { /' J �, I y °' " ❑ Rules attached. II -General Permit Rules available at the following link: w ..deq.nc.gov/CAMArules
Applicant Name /'frf �9..{�� I- J p`!t�11114-.d'IA Authorized Agent 6'"'C nV^'O Js1n ®-'Ct_s
Address, /�� (� 1 ul /(5 / v t.CLy_ 'R el4 4 Project Location (County): � t+- (-I-
City �.�1� ^ R,th A State VZIP 2'3 (° �° 2- Street Address/Sote Road/Lot #(s) �" �$� , i�J
Phone # ()11,;yy � (6 ��� 5 n 2- q1 . Pop--L t,,, c. ^1-� t— con
Email /Yl a of WcL Q s.x, o % r Co Subdivision 1"S iI Ug/t J _T 1`a, ct -1,
cq F*'t t'c ct ZIP 27 93 (o
Affected ❑ CW rj� EW ® PTA OKES �§75 Adj. Wtr. Body C•:., ft/ (na an unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body �A..'R // c,
ORW: yes no PNA: yes/
46
Type of Project/
Shoreline Length - /( O
Access Length ry
Pier (dock) length X ,l
Fixed Platform(s)
Y
Floating Platform(s)
Finger piers)
Total Platform area
Groi ngth/#
ulkhea iprap length+_
vg distance offshore
Breakwater/Sill '
Max distance/length 2
Basin, channel
Cubic yards
Boat ramp
Boathouse/Boatlitt
Beach Bulldozine
Other
SAV observed: yes no
)<y �L' e
c A lJ a fs
d /'l1 Q�(J (ACQA4A�
- - —.r r. -
/c,• 4r/+ -al (Scale:
al Abli
Fig-�f7 22d
�-
Pl�.� «s
y
'5"II S T/ r4 G If t k e- K
Moratorium: n/a yes no t J1
Site Photos: es no " I
Riparian Waiver Attached: es' no �L
A building permit/zoning perms y be required by:
Permit Conditions
Agent or Applicant PRINTED Name
VIE -
Si nature**Please read compliance statement on back of permit"
2CR3g
Application Fee(s) Check #/Money Order
❑ TAR/PAM/NEUSE/BUFFER(circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please Initial)
Permit Officer's PRINTED Name
si ur3 /_9 / AL 3 "7 13 / /z3
Issuing Date Expiration Date

NC Division of Coastal Management
Cashier's Official Receipt
27141Os C D
Received From: ^ "-e /3c
Permit No.: � P � ? ( / 2-
-
Applicant's Name: A i �" r '' �c`-^ �- �c -'! '� •'�C�
Project Address: -7 & 2 y �
Date: 3 1 y 20 Z 3
$ L"Z, 4
Check No..:: '2 L -3
County:
Please retain receipt for your records as proof of payment for permit issued.
Signature of Agent or Applicant: `t V" Date: %L 1 Z
Signature of Field Representative: �� """x ^""'"�" Date: l ( 3
No work can be initiated until after we receive the signed copy. If you have any questions regarding
this correspondence, please don't hesitate to contact me. Thank you.
*WMW
Yvonne B. Carver
Environmental Specialist II
Division of Coastal Management
NC Department of Environmental Quality
252-264-3901, ext. 237
yvonne.carver(a)ncdenr.aov
401 S. Griffin St., Ste 300
Elizabeth City, NC 27909
-�- ME Q
0 p 1 nil of .......... .... W tummy
Email correspondence to and from this address is subject to -the North
Carolina Public Records Law and may be disclosed to third parties.

&dta"41 I�CAMA U DREDGE & FILL N9 89642 A`- s C C
a Previous permit
. GENERAL PERMIT Date previous permit issued
Q 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 ❑ Rules attached. ❑ General Permit Rules available at the following link: wwwdeq nc gov/CAMArules
Applicant Name
Address
City
Phone # ( )
State
Affected ❑ CW ❑ EW ❑ PTA
AEC(s): ❑OEA ❑IHA ❑UW
ORW: yes/no PNA: yes/no
Type of Project/ Activity
ZIP
❑ES ❑PTS
❑SPIMA ❑PWS
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
Adj. Wtr. Body
Closest Mal. Wtr. Body
(Scale: :% )
:�EEEEEEEE�
C
IEEEEEEEEEE'
..
...
.�:
■
t
.
■■
.�
EEC■i.■�■��E.EEE■■E=..
INN
MEN
.
E�
an���EE�E��EEE
�■�
'�9�EIN■■■■■■■■■■■
::�■■�■���■I�.�
rllIMF
■■
N.:�■■■■®■
®■■■■.■■■■■■.�
.
BE:
EEC
E
■®■��C
■■®■■■r
1■■■■■■■0
■■■■�
■■�
■■�■■■■■■■■■■■�■■■n
'■i■■E■�■E'■Euiiu'■■'I�iCEEEiE'�i��!
�N�■■
A building permit/zoning permit may be required by: `—
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 STATUTES CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT.
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature --Please read compliance statement on back of permit" Signature
Application Feels) Check p/Money Order Issuing Date
(Please Initial) _
Expiration Date

A � ,r t + S• t M 1 Y• `
Name of Property Owner Requesting Permit: Arturo and Janet Medina
Mailing Address:
Phone Number:
Hampton, VA 23662
757-344-6977
[e-mail]
1 certify that I have authorized Emanuelson and Dad
Agent i Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
demo 30' existing dock, now Vx8' pier with
12'xl2' platform on the end and 4' wide wraparound lower platform, now 6' tall x 110' long vinyl bulkhead
at my property located at 50240 Freebooter Ct, Frisco ,
in Dare County.
I furthermore certify that t 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 r In a#io
Signeture
Print or Type Name
Title
�j:_ r a ._i u ~s l
Date
This certification is valid through

w
m
G
Is
^�
\�
\\\\\\
\\\\\\\
��
\�\\
«

0
Emanuebon 46 Dad
M1
m C1459
a
r #gqaaWS,. i 06
Certified Mail — Returr o t, , ,r VIA
Ett v, , #tt 00
Ns #G fu1
2/1612023 0
f0 63 ------ ) 02/21/2023
Thiel E 06ttiR$ Urei &Erin Rutledge � and jr 4 13
,
PO Sox 281
Frisco. NC 27936
O
Dear Ural and Erin.
We have been contracted by Arturo and Janet Medina to do the following work at 60240 Freebooter Ct
Frisco:
1_ Demo existing dock
2. Construct new 5'x8' pier with 12'x12' platform on end and 4' wide wrap around platform
3. Construct new 6' tall x 110' long vinyl bulkhead
As the adjacent riparian property owner. I am required to notify you of the project in order to give you the
opportunity to comment. Please review the attached sketch for additional information.
We ask that you sign the attached Waiver Form and return it to us as soon as you can. You may scan
and email, fax or simply mail. If you have any questions, please do not hesitate to contact us. Should you
have any objections to the proposed work, you may contact a NC Division of Coastal Management
representative at 252-264-3901. or in writing to 401 S. Griffin St.; Ste, 300, Elizabeth City, NC, 27909.
We thank you for your c4
■ Complete items 1, 2, and 3./h^
X Signatu"O
Argent
■ Print your name and address on the reverse
X C %YGr f
Addresses
Sincerely,
Y so that we can return the card to you.
• Attach this card to the back of the maliplece,
B. Received by {Printed Name)
C.�}Date o u
or on the front if space permits.
1. Article Addressed to:
?_
D. Is delivery address different from item 1? ❑ Yes
if YES, enter delivery address
below: ❑ No
t
LoreleiZumbrunnen� Lj1I i RO
Emanuelson & Dad � Pi 6 {f
y�
IliSCi�NJG I '
111111
3. Service Type
❑ AZu elgnatum
❑ Pdmty Mail O&pmsse
❑ Registered MWITM
IIII��IJl11111�11111111 (iltI11)
RelNery
❑AdWgsd
f7 qDagbtered MI Restrcted
9402 7776 2152 2817 07
MdResvicled
0 oe +°« MWI aeeMedDelivery
° sionvitturecwnmwa ones
9590
'-- —
2. Article Number (Transfer lrom servtce /seat)
❑ Collect on Delivery
a Cogmt on Dew" Restricted Detiv"
G aignatum Confnmsgon
Restricted Delivery
7020 0640 0001 7137 5810
IInsured Mail
ors D) Res du ed bo rvWy
Domestic Return RecelPt
PS Form 3811, July 2020 PSN MM2.000-9053
s;nan�ielsgn87;75 .outl0uk.corr,
www.ema nuelsondad. co m

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. Arturo and Janet Medina
Address of Property: 50240 Freebooter Ct, Frisco
Mailing Address of Owner: 60 Browns Neck Rd, Hampton VA 23662
Owner's email: modwakeaolmm
Agent's Name: Emanuelson and Dad
Owner's Phone* 757-344-6977
Agent s Entail: emanuelson6705Qoutiook,com
Agent Phone* 252-261-2212
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adiacent 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
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 noury me rv.�. tnvrawa v, ..,,.,--
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, lit, 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.)
1 DO wish to waive some/all of the 15' setback
Signature of Adja n 'Ripatian Proper440wfref
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner d
TypedlPrinted name of ARPO: EYi n t
Mailing Address ofARPO: poboy 1 , :fyi!(Q /Ve )'Mi3lLP
ARPO's email:
Date:
ARPO's Phone#:
"waiver is valid for up to one year from ARPO's Signature"
Revised July 2021
Ftk 001. and Son t ttcun UOrtioi �
i��J

Emanuelson a Dad
Certified Mail - Return Re
211612023
Peter & Anna Marie Coady
963 River Rd
Hillsborough; NJ 08844
Dear Peter & Anna Marie,
We have been contracted by Arturo and Janet Medina to do the following work at 50240 Freebooter Ct
Frisco:
1. Demo existing dock
2. Construct new 5'x8pier with 12'x12' platform on end and 4' wide wrap around platform
3 Construct new 6' tall x 110' long vinyl bulkhead
As the adjacent riparian property owner. I am required to notify you of the project in order to give you the
opportunity to comment. Please review the attached sketch for additional information.
We ask that you sign the attached Waiver Form and return it to us as soon as you can. You may scan
and email, fax or simply mail. If you have any questions, please do not hesitate to contact us Should you
have any objections to the proposed work, you may contact a INC Division of Coastal Management
representative at 252-264-3901, or in writing to 401 S. Griffin St., Ste, 300, Elizabeth City, NC. 27909,
We thank you for your cool
■ Complete ttants 1, 2, and 3. k-'--
ature■ Print your name and address on tyo reversejSincerely, so that we can return tha ca d to you, n9ent
■ Attach this card to the back oece,p or on the front ifsoace nnmrcY�
Lorelei
Zumbrunnen Y� 19 ElNo
Emanuelson & Dad Pf)��' rf A y j� frla� "- iu
44
II(1 11 1111 11 ff 1111 II 3. S ice _
0AAdult sig.. `ia PnontydMWII,
❑ �isteMd Mall RoWd,d
9590 9402 7776 2152 2616 91 Mildf Certified Mail Restiteteat%ii ..- -'"wry
2. Article Number J Collect on Dallvery ' ❑ signature Confirmation•e
(rran5fef frpfi SeriiCB label 10 n'—,od MaDlalivary Rastrkted DelNery ❑ ns t'Med Nfi ev nature �aUan
7020 0640 0001 7137 5827 Wki RaaklatedDW y
PS Form 3811, July 2020 PSN 7b30-02.0W."b3 Wo
Domestic Return Receipt
e;n_____n ueuelsr no�0§o�lmi aoRtgm.
www.ernanuelsondad,com CO

.. �� � \ \ � . . .
§�ZK �� \� . / \
.,. y
«.� :£3 � d «=2
� 'a®©��
.<:� ® � �
� , v ^
� :w
m�»...»2 �
-? ~ �
�
. .,
\\,�\:2
. -
.f...-- v.
..>
° _ » * .
©-°� : \f\& .
�,\
: :� . . �
. � . } w ,: \/^ �� �
\» /���
~ « ���
��
� .
y % .
. � .
�
�^ .x� y�
\ . , 2 � «
Vim, -
.� � � � ,
: \ � \ ��`\\} »�
�
`� �\��� � i � � .