87108A - Werry

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Acwr', ❑CAMA H DREDGE & FILL NO 87108 A B C D
103 GENERAL PERMIT Date 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:
I SA NCAC ❑ Rules attached. E] General Permit Rules available at the following link: www.deo.nc goy/CAMArules
Applicant Name
Address
City )c %+4-4 i'i State ZIP `7
Phone # (-41A-) 4i q
Email J 61)" _)Onr Yq :j7 c %vk r,' .' C.
Affected ❑cW
AEC(s): ❑OEA
ORW: yes/no
E]EW ❑PTA
❑IHA ❑uW
PNA: yes/no
Type of Project/ Activity
Shoreline Length
❑ ES ❑ PTS
❑SPIMA ❑PWS
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
Adj. Wtr. Body
Closest Maj. Wtr. Body
1l-t V1i,II
(Scale: )
Access Length
er
rm )
Fixed Platform(s)
Fixed Platforms)
Floating Platform(s)
(�
Finger pier(s)&
Total Platform area
id.
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-
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x14
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Groin length/H
T—
L-
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..,w dy
Bulkheao{length )ti`=i•
w�Riprap
Avg distance offshore r
--
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_
Breakwater/Sill
Max distance%length d.
Basin, channel
1-
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17
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Cubic yards
Boat
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eVcl.
_
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ramp
Boathouse/ Boatlift
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Beach Bulldozing
Other
SAV observed: yes nod,
_
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_
4r—
—
Moratorium: n/a yes no
Site Photos: yes no-..j
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Riparian Waiver Attached: Yes no
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A building permit/zoning permit maybe required by: 3./l1.C' Cd 4. U U Y A4
THAT
Agent. or Applicant PRINTED Name
Signature *'Please read compliance statement on back of permit'*
Permit Officer's PRINTED Name
Signature
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please Initial)
Application Feels) Check#/Money Order Issuing Date Expiration Date

DocuSign Envelope ID: D171B84B-577C-4CD4-ACFF-24EE4B030EC5
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: John and Dawn Werry
Mailing Address:
Phone Number:
Email Address:
4052 Martin's Point Rd
Kitty Hawk, NC 27949
[e-mail]
I certify that I have authorized Emanuelson and Dad
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
1-8' return, in existing footprint
rebuild 5' tall x 104' long vinyl bulkhead with
at my property located at 4052 Martin's Point Rd, Martin's Point
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:
1pl IIJFKKI�
Signature
JOHN WERRY
Print or Type Name
Title
9/26/2Y3 I
Date
This certification is valid through I I

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12/14123, 4:41 PM
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Your item has been delivered to the original sender at 11:35 am on November 7, 2023
in NAGS HEAD, NC 27959.
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