89850A - Hayes

o�otcouru Lis\ CAMA ❑ DREDGE & FILL
GENERAL PERMIT
N° 89850 Jai B C D
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:
SA NCAC ` t ❑`Rules attached. Q General Permit Rules available at the following link: www.deq.nc.gcv/CAMAruIes
Applicant Name
Address
City
State
Authorized Agent WO
Project Location (County): i'V ! C
Street Address/State Road/Lot #(s) i i %.i 0 i u t) W t,,
Phone # ( )
Email Subdivision I,. 1..., Ile, Lri
I
City i I:, .; ZIP
Affected ❑ CW ❑iEW � PTA ❑ ES PTS Ad" Wtr. Body //a
" '`' 1 (nat/fFanlunk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Mal. Wtr. Body i� ) i- t
ORW: yes/nb) PNA: yes/iio
Type of Project/ Activity '.i c- ) i < l:, l:
Shoreline Length ''• g
Access Length
Pier (dock) length1�.�>',
Fixed Platform(s)
r'
Floating Platform(s)
Finger piers)
Total Platform area
Groin length/q
Bulkhead/ Riprap length
Avg distance offshore_
Breakwater/Sill
Max distance/ length_
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift _
Beach Bulldozing
Other_ J
SAV observed:
Moratorium: Can/a
Site Photos:
Riparian Waiver Attached:
yes no
yes no
yes no
yes no
(Scale:10�rS. )
A building permit/zoning permit may be required by:
❑ TAWPAM/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 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"
t:
Application Feels) Check q/Money Order
Signature
Issuing Date
Expiration Date

ADJACENT R
CERTIFIED (,�
(To Ll� lQo�0 HC
Name of Property Owner
Address of Property:
Mailing Address of Ownr
Owner's email: roy.hay
Agent's Name: self
Agent's Email:
same
a- dxck�qL 4 'may .ems
O&jj 4 C'.e� L- ✓pu w try
VT RECEIVED
N/WAIVER FORM
IAND DELIVERY OCT 0 9 2023
r agent)
18
42
92-2908
same
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
DCM-EC
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 letter.
_X 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 riorap 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)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: A. H. Harris / J. B. I -Parris
View GO 9 ;i11 o I�S(9%'Ay/.Y7Dtk PtA,t
Mailing Address of ARPO: ��Pilt 7QnS W KKr VA
ARPO's email:
Date:
ARPO's Phone#: 2a3 " 395--6-906
*waiver is valid for up to one year from ARPO's Signature''
Revised August 2022

RECEIVED
12' - Om -
110 Club View Court
Kill Devil Hills, NC
Hayes Proposed Dock
Yard
43.22'
Bulkhead
Pier ,1, 'g'
8'-0"
1
s
Im
13' -11"
�1
A ' Ladder
-12'-0"-44'-0"ffi
27' - 0" -------... - - -
- 15.22' -
Water
OCT 99 M
DCM-EC

RECF'
N.C. DIVISION OF COASTAL MANAGEMENT OCT 1 6 2023
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
DCM4 (,.
Name of Property Owner: Roy Hayes
Address of Property: 110 Club View Court, Kill Devil Hills, NC 27948
Mailing Address of Owner: 15550 Greenbriar Blvd., Disputanta, Va. 23842
Owner's email: [e-mail] Owner's Phone#:
Agent's Name:
self
Agent's Email: same
804-892-2908
Agent Phone#: same
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
description or drawing, with dimensions must be provided with this letter. I �o
I DO NOT have objections to this proposal. _� I DO have objections to this proposal. �pNy'A
If you have objections to what is being proposed, you must notify the N.C. Division of Coastal �i I S c,
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be d wk
mailed to 401 S. Griffin St., Ste. 300, Elizabeth City, NC, 27909. DCM representatives can also be V �5
contacted at [phone]. No response is considered the same as no objection /f you have been
notified by Certified Mail.
WAIVER SECTION (Choose only onel
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 slan
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback
-OR-
Signature of Adjacent Riparian Property Owner
I DO NOT wish to waive the 15' setback requirement (initial the blank) L /" I /— f n
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: Lewis Molton / A/fiber Molton
Mailing Address of ARPO: 113 Harbour Court, Kill Devil Hills, NC 27948
0
t.a—
ARPO's email: LAJ CwiS M , I-�o 1 P il" ARPO's Phone#: ZSZ" (1 7
Date: ! r; 1 12,; " 'waiver is valid for up to one year from ARPO's Signature'
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DATE TIMES
MCA,
TELEPHONED
RETURNED YOUR CALL
®LEASE CALL
❑ W ILL CALL AGAIN
CAME TO SEE YOU
z nWANTSTO SEEYOU

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From: Hayes, Roy (GE Vernova) <[e-mail]>
Sent: Monday, October 23, 2023 1:52 PM
To: Renaldi, Ronald <[e-mail]>
Subject: RE: [External] RE: CAMA General Permit Info - 110 Club View Court, Colington
Sensitivity: Personal
CAUTION: External email. Do not click links or open attachments unless verified. Report suspicious emails with the
Report Message button located on your Outlook menu bar on the Home tab.
Ron,
Please see the revised dock plan, I even shifted it over from 15.22' to 16.22' on the one side. Let me
know if you have any questions, thank you.
gory q"
Sr. Services Manager
GE Vernova — Steam Power
PWP SP-AM-Nuclear
[e-mail]
M [phone]
Email correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to third
parties by an authorized state official.
<110 Club View Ct. Kill Devils Hills, NC. Dock - Pier only rev. l.pdf>

I ec..c.,U,u gwv -. 1641/duy.3
110 Club View Court
Kill Devil Hills, NC
Hayes Proposed Dock
Yard
43.22'
Bulkhead
�-
Pie r 12'-0"
7
12' — 0"
1
21'-0" 6'—W*
27' — 0" 16.22'
n
Water /

F al hi n
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if