89929A - Masdylandco.LLC

Nv 89929 Y'� r.JB C D
dsauze WCfAMA ❑ DREDGE & FILL '-
Previous permit
GENERAL PERMIT Date previous permit issued
EjtNew ❑Modification ❑Complete Reissue ❑Partial Reissue
As authorized bytheState of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pumant to:
ISANCAC !L._IT` 2"S--j--5❑ Rules attached. ffftlarsl Permit Rites available at the following Nnk: ssus;,diiq.nc:gos%Ce"^-°-wl
Applicant Name
City W g�ppp��i6^].�..a^, state Fyj 9 zip 2�,
Phone # (i-z)��1
Email �s rlC GSM+
Authorized Agent HAAf 4LsJ
Pro)actlocadon(county):, T 0-f"4-
StreetAddress/stateRoad/Lot :P(s) 7(r V 9 S'
V ara a �i p �s. Trot
Subdivision
city. o : ¢ zIP 2r793-C„
Affected ❑CW 5�11111 V*A ❑ES ❑pTS Adi.WV Body ftL wM lna caner
AEC(s): ❑IDEA ❑INA ❑UW ❑SPIMA ❑PWS Closest Mal. Wtr. Body -9ba ^ es I"*Ad
Access length
Pier (dock) length
Fixed pladorm(s)
FloeNn�yq PleHorm(s)
Finger pler(Q
Total Platform area D -
Groin length/g
Bulkhead/ Riprop length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat amp
Boathouse/ BoatliR
Reach Bulldozing
Other,___
a auN�
SAVobserved: yes � \�
Moratorium: n/a yes no
Site Photos: ® no
Riparian Waiver Attached; yes
A building permit/zoning permit may be required by: ::ZIsAn sd AIo-gJ QCL
Permit Conditions -- -
Agent�,r}tsspnam r®pttLY name e/9ItO2-
Sign{tureespleasehill compliance statement on Baca or permR" -
n o0 2�4!
A p effort Fee(s) Check N/Money order
Per Officer's PRINTED Name
Y
V . 4
1 NVa
1
3
(L-
TAR/PAMINEUSFJBUFFER (circle one)
See note on back regarding River Basin rules
See additional notes/con JI)ons an back
(Please

❑DREDGE & FILL
GENERAL PERMIT
LTrvew ❑Modification ❑ Complete Reissue ❑ Partial Reissue
N9 89929 B C D
Previous permit
Date previous permit issued
As authorized by the S/t : of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC _ 1 Yi•-'�9D'� ❑ Rules attached. KeMMral Permit Rules available at the following link: www.deq.nc.gov/CAMArules
City 00461,.,,m State rn D zip 2/'7 2 �%
Phone#` 2-1)_1252.-rj1./C9
Email _ 17t-tAl't" dD rtti
Affected ❑CW � &TA
AEC(s): ❑IDEA ❑IHA ❑\1 uW
ORW: yes/f%� PNA: yes/06
Type of Project/ Activity
In e�ers %7n°� 4
Shoreline Length_ Fn
Access Length
Pier (dock) length
Fixed Platform(s)
Flo atintg Plattorm(s)
/0.., 7C s) E0.
Finger pier(s)
Total Platform area Z:�
Groin length/#
Bulkhead/ Riprap length _
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards _
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
❑ ES ❑ PTS
❑SPIMA ❑PWS
R N0 Kcc Su
Project Location (County): `ttJ O- t"�—
Street Address/State Road/Lot #(s) 74P C/ i .5.
V's ra'i ': a CA, �'il c�rt �Frc5 1
Subdivision
City 0q, is 11 Q rs zip 2�7 9 SCa
Adj. Wtr. Body R a nu n a kc _ S'o •+�+ 4, / (n+an/unk)
Closest Maj. Wtr. Body R b o-'A o k C_ .S ct" J_
�u{r OrFv�
e
L
(Scale:NTS )
b V` �3 <J.uT{1041
r7ceI f
m�<1Jy�«11JJ*C,Ce_
SAY observed: yes no '
Moratorium: n/a yes no
Site Photos: <�E5 no f
Riparian Waiver Attached: yes (:f> /
A building permit/zoning permit may be required by: �p v3 rN ug3 #ec"'L
Permit Conditions
tAl
r-
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please Initial) _?!
t or Applicant PRINTED Name Permit Officer's PRINTTEEtD Name
Signature *'Please read compliance statement on back of permit" Sllgatu96
;"Ll'i ?/t$/1-3 11123
Application Feels) Check #/Money Order Issuing Date Expiration Date

❑CAMA ❑ DREDGE & FILL Nv 89929 E- A B C D
P
GENERAL PERMIT Date reperm``
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:
ISA NCAC - ❑ Rules attached. ❑ General Permit Rules available at the following link: w ..deq.nc goy/CAMArules
Applicant Name Authorized Agent
Address Project Location (County):
City State ZIP 2� Street Address/State Road/Lot#(s)
Phone # ( ) V I -
Email Subdivision
City ZIP
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PITS Adj. Wtr. Body Y'i '> •*. "n c (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
a , r .• . J "s\ f.... (Scale:,',
Access Length '-
A-
7�,{lc
Pier (dock) length
Fixed Platform(s)
('
Floating Platform(s)
_
�-
�y
�-
-_.
-
_
Finger pier(s)
�.
__
-
- _
�.
•
Total Platform area
_!..
m
�
e.
i
Groin length/Jf
-
•4-^i--
f
C„x
�-
--r
- i,-
i
Bulkhead/Riprap length
i
-!-
�)
-
Avgdistance offshore-
--
-
-
7
-
Breakwater/Sill
-
r
Max distance/length
Basin, channel
Cubic
T
-
s
-."}„-•
.y-
- -�
-
_
-
yards
Boat ramp
t,T
�i'
t•
11
!..
t
r-
F
Boathouse/ Boatlift
Beach Bulldozing
i
Other
-
-
r
--
-
SAV observed: y es no
Moratorium: n/a no
�
+
L-
yes
Site Photos:
-
yes no
f
Riparian Waiver Attached: Yes no
A building permit/zoning permit may be required by: s
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.
t'
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature "Please read compliance statement on back of permit'* Signature
Application Fee(s) Check 4/Money Order Issuing Date
(Please Initial) T'
Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit
Mailing Address: I S CJ). I O
Phone Number: 6 ce-D-'s 2-- —q 2�,-,
Email Address: b n1 (� t.�o-o - C ,V/� A ' )
I certify that I have authorized 1 ° Nbil� ) IIF
Agent /Contractor -21.5A -I,?, z�7_
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
at my property located at YZ 6gvl �C]U% V ► ,(L/1%/�}
in
/ furthermore certify that 1 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.
P perty Owner Information:
Signature
Print or Type Name
Title
Ili 1 2D
Date
This certification is valid through I I
Ltc
RECEIVED
JUN 2 2 208
DCM-EC
Revised Mar. 2016

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RECEIVED
cv-Su\j,jl \�Nkt4�S�u(ks JUN 2 2 2023
DCM-EC

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lUN 2 2 2023
DCM-EC

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be
Name of Property Owner:
Address of Property:
Mailing Address of Owner:
ed by owner or their agent)
(CilV►iA J a 1
t
Owner's email: l� t�s� 01A�1�`iSwner's Phone#: oils
Agent's Name: Agent Phone#:
Agent's Email:
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
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 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 (Choose only onel
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
-OR-
I DO NOT wish to waive the 15' setback requirement (initial the blank) AL.,
Signature of Adjacent Riparian Property Owner: �f���(
Typed/Printed name of ARPO: l "a K t0S
Mailing Address of ARPO:
ARPO's email:
Date: e 3
Or a 3 5 Q 0
I
Revised August 2022

ADJACENT
(Top
Name of Property Owner: .
Address of Property: _
Mailing Address of Owner:
Owner's email: Im
Agent's Name:
Agent's Email:
N.C. DIVISION OF COASTAL MANAGEMENT
'ARIAN.PROPERTY OWNER NOTIFICATION/WAIVER FORM
to be completed by owner or their agent)
Agent
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
Nfi cc L.L(
L-w-_
HCA9 N.0
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 notify the N.C. uivision 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 waive some/all of the 15' setback C,
1.
Signature of Adjacent Riparian Property Owner
:oR ..D
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO:
Mailing Address of ARPO:
ARPO's email:
Date:
ARPO's Phone#:
*waiver is valid for up to one year from ARPO's Signature`
CM-F-C
Revised July 2021
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RECEIVED
EIVED
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N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to b� a/-/c-omplettee�d by owner or their agent)y
Name of Property Owner: ( /V / (1�n1 / / '" �ntb l C� Gt/
Address of Property: 1 S / / %" E M " j
Mailing Address of Owner: I SLR �le)��' 11, L) ��lJW
Owner's email: g ��� ] Owner's
%Phone#: 1 — �SZ � 1 1 t E
Agent's Name:"1' U!1 FCIi INIItZ�)! ��' i4YJ I "Agent Phone#: I 252 l
Agent's Email
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION RECEIVED
(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 applyinOdh3s2023
permit has described to me, as shown on the attached drawing, the development they are proposing. A
ti or drawing, with dimensions must be provided with this letter. DCM
E
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 (Choose only one
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
ME
I DO NOT wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: DLoo N e
Mailing Address of ARPO:
ARPO's email:
6'
ARPO's Phone#:
Date: U u )/ _._>"waiver is valid for up to one year from ARPO's Signature`
b j
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Revised August 2022

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USPS.com® -.USPS Tracking® Results
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Tracking Number:
70200640000171420688
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Your item was picked up at the post office at 4:03 pm on June 14, 2023 in MANTEO, NC 27954.
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Delivered, Individual Picked Up at Post Office
MANTEO, NC 27954
June 14, 2023, 4:03 pm
Available for Pickup
MANTEO, NC 27954
June 14, 2023, 10:46 am
Arrived at Post Office
MANTEO, NC 27954
June 14, 2023, 10:44 am
Departed USPS Regional Facility
ROCKY MOUNT NC DISTRIBUTION CENTER
June 14, 2023, 4:46 am
Arrived at USPS Regional Facility
ROCKY MOUNT NC DISTRIBUTION CENTER
June 13, 2023, 2:39 pm
Departed USPS Regional Facility
1 of 3 7/13/2023, 9:19 AM

USPS.conn7 - USPS Tracking(a' Results
RALEIGH NC DISTRIBUTION CENTER
June 12, 2023, 11:44 pm
Arrived at USPS Regional Facility
RALEIGH NC DISTRIBUTION CENTER
June 12, 2023, 11:41 pm
Departed USPS Facility
NAGS HEAD, NC 27959
June 12, 2023, 4:00 pm
Departed Post Office
NAGS HEAD, NC 27959
June 12, 2023, 3:59 pm
USPS in possession of item
NAGS HEAD, NC 27959
June 12, 2023, 2:44 pm
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