87118A - Ardern, William

�Akwr& YCAMA EADREDGE & FILL NU 97118 Q B C C
a 3 GENERAL PERMIT Previous permit
Date previous permit Issued
[Mew ❑Modification ❑ Complete Reissue ❑Partial Reissue
As authorized by the State of North Cardin, Department of Environmental Quality and the Cow at Resources Commission in an area of environmental concern pursuant to:
ISANCAC—CY14.4100 Rules attached. General Permit Rules available at the following link:wm.deq.nc.gov/CAMAniles
Applicant Name lw' 11 imi,% 1 rALryx
Address AO0 W. Kt<<r�.; A GUL
city! (.nrIo4o, state VAr_ zip 2532.02,
Phone#(") %11— 2..4.51
Email U).!2Y[Lf>
Project Location (County): C')rr 1'Tt)C^
SweetAjldress/State RoadUt#(s) k146 A46sv+rY7%s.l,.)r.
Subdivision Men ml ri prrr4—
City —co aoilrA- IF, 2�92'T
Affected CW agEW G3PTA IRE'S l L) yTS Ad). Wtr. Body r s) r t 1 U ' d lice ' 1 end (�unk)
AEC(s): DOEA E]IHA EJUW E]SPIMA E]PWS Closest Mal. Wt, Body Cs I lrrt tune- S6fitttA
ORW: yes(so PNA: yes
Type of Project/ Activity
Access Length _
Pier (dock) length
Fixed Platform(sl
Finger pler(s)
r'.... r....
r.—
ie-
`JO U NX Z)
Total Pladorr area _
Groin length/q �fV; (t (Lfy t7G �J) (J7 {
ul hea Ripraplength 1 52 s V 141 L SJ U L V A EA1)
Avg cistance offshore s
Breakwater/Sill
Max distance%"ll,- rJ s �k�f. ;t; """^•...,�,
Basin,channel I VrF`Fta�C� <
Cubic yards s
Boat ramp
Boathouse/goalliR
Beach BulldolingT TtsM, e-V,I I
Other i'Wrs /'2. ry. LLC- j Ayb,'ryL
fGtJr M 5 .LL-
SAV observed: yes <0J~
Moratorium: n/ yes no
Site Photos: yes no
Riparian Waiver Attached: s <3 (
A building permit/zoning permit may be required by: �l�(1-1'TU tar i1sUv1"FJ
Permit Conditions _,!
TAR/PAM/NELISEJBLIFFER (circle one)
See note on back regarding River Basin rules
See additional notes/conditions on back
{AM AWARE OF STATUTES CRC RULES ANDCONDITIONS THATAPPLY TO THIS PROJECT AND REVIEWED COMPLIANCESTATEMENT. (Please ln{Nal)
��. v r s
Name
SignattV*Please read compliance statement on back,gypertnl9' Signature 1 ' - 't
re.0ln 1. ,/.q /262¢ 5�4IZOZ4-
Appllcalionfee(sI Check N/Money Ortler Issuing Date Expiration Date

L''1CAMA Lh DREDGE & FILL
GENERAL PERMIT
N9 87118 GB C D
Previous permit
Date previous permit issued
[glew ❑Modification ❑Complete
As authorized by the State of North Carolina, Department of Env!ronmen
ISA NCAC Q-114 , i 10 d ❑ Rul
O'r IgllnGt,�
Applicant Name ju 1 �(tQ4+ �,rd arh
Address 01 0 W 'S & 5 -Z-
city CL(100+6- State NG zip 2182.62—
Phone#a",) %2.451
Email UL) . Qtrd�
Affected ❑CW MEW PTA [�?ES ©PTS
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS
ORW: yes4s>PNA: yes6)
Type of Project/ Activity ZV%-5 -CL � [ 1 1 0 Yl¢ta
Shoreline Length 156, _
Access Length
Pier (dock) length
Fixed Platrorm(s).
Floating Platform(s) _—
ission in an area of environmental concern pursuant to:
available at the following link: www.deq.nc.gov/CAMArules
r (i�LCt3.5}erV1 rM-ar i i1
Project Location (County): C U rr 1 tuck
Street Address/State Road/Lot #(s) S It. '40 mierrxxJ Dr.
Subdivision rlyd a,J Ei6rM.y
City Cot itn6. ZIP
Adj. Wtr. Body r r1r r 14UC jie n!` jtnan/unk)
Closest Maj. Wtr. Body C lJ y r tf u e IG S esti m rl_
N � G u 29-11'VGI4
/v
SD U LAID
Finger pier(s)
Total Platform area
A�.
Groin length/#
V '
`
ulkhea Riprap length t 52
Avg distance offshore
Breakwater/Sill
1'.
Max distance/4e" h
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Vi tvtbar I
Other two a,
LLG
ret-ir1a 4
.fir+
i'tto 7b 56D 152 I
'v VI►J`lL StfLvNEAm
ti� 51
I
( At -a e Ttit
SAV observed: yes no
Moratorium: no/ yes no
Site Photos: yes no
Riparian Waiver Attached: s no (( 1
A building permit/zoning permit may be required by: r-J t'r'1 TI a r,`C Co Q NT J
Permit Conditions
THAT APPLY TO THIS
Agent or Applicant PRINTED Name
Signature "Please read compliance statement on back of permit"
{ 400. C- IN 1 0
Application Feels) Check #/Money Order
`Zi
❑ 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
Signature
Issuing Date Expiration Date

AGENT AlI't HORIZAT iGN FOR LAMA PERMIT APPLICATION'
Name of Property Owner Requesting Permit: .) 1 ccm
Mailing Address: 3co 'o 1. Inu
t t
Phone Number:
Emaii Address: W m C�r�l Y1. C� cc� rY�ex-� urn
I certify that I have authorized c �� _� ,( S�.kAn (�ll� ► l t'1 t'. ,
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:
at my property Iocated at,_, J I Of'\ W Y" ,L
in. J,d&S,..:K.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:
r signal Vro
Print or Typo Name
Title
Date
This certification is valid through
Revised Mar. 2016

,�, J
N.C. DIVISION OF COASTAL MANAGEMENT
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)
Name of Property Owner. u )M I i 1Y7'&r1'1
Address of Property: _
Mailing Address of Owner;
Owner's email: Wl(
A,(. �rn
Agent's Name: W JC,
Agent's Email: 111.,k \ Pi
Ps Phone#: 91��1'
Agent Phone#.,�—
rr-1%
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. &
s us[ UqQPv1qUU W11111 U110 roues.
l rl l i t CN f -,6,t+ar-
to this proposal. __ _ ._,_,1 DO have objections to this proposal.
it you nave objections to wnar is being proposeo, you musr nary me iv.r.. urwsron or wawa,
Management (DCM) In writing within 10 days of receipt of this notice. Correspondence should be
malled 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 on
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)
Signature of Adjacent Riparian Property OwOwner.ne
2 Typed/Printed name of ARPO: x berah
Mailing Address of ARPO:
Date:
Phone#:
'waiver is valid for up to one year from ARPO's Signature"
ME
Revised August 2022

Mitchell, Martin L
From: [e-mail]
Sent: Thursday, December 21, 2023 1:55 PM
To: Mitchell, Martin L
Subject: [External] FW: sign off for William Ardern
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.
See below for Ardern. Mrs. Hayes responded below that she is the owner.
From: Deborah Hayes <[e-mail]>
Sent: Thursday, December 21, 2023 11:55 AM
To: [e-mail]
Subject: Re: sign off for William Ardern
I'm the owner
Sent from myiPhone
On Dec 21, 2023, at 9:35 AM, [e-mail] wrote:
Mrs. Hayes,
This is Julie at Northeastern Marine. You just signed off on a notification for Timberly LLC. Coastal
Management wanted to know how you are affiliated with Timberly LLC. They just need to note this for
the notification since it is under an LLC. Are you the owner or manger etc. Just email me back so I can
let them know.
Thanks,
Julie— NE Marine

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
--1by owner or their agent)
Name of Property owner: iLi r
Address of Property:
Melling Address of Owner W 5�b (s f- -� r--� ,, 1 N) e, -9V W a ,.
Owners email: /1{1C( (,/=At Owners Phone#: ' I
I aC -i%i i� her L3r'?j
Agents Name: agent Phone#az-
Agents Email: r e ( t'X'ncl
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(HMm Portion to ba g2m®Ieted by the Adiscent Property Owner)
I hereby certify that I own property adjacentto 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
to this proposal. 100 have objection's to this proposal.
It you have objections to what Is being proposed, you must nof)fy the C. Division of Coastal
Management (DCM) In writing within 10 days of recolpt of this notice. Correspondence should he
mailed to 401 S. Griffin St., Ste. 300, Elizabeth City, INC, 27909. DON representatives can also be
contacted at [phone]. No response Is considered the same as no objection rf you have been
notified by Certified Mail.
WAIVER SECTION (Choose only on %�/ �//��]("
I understand that any proposed pier, dock, mooring pilings, boat ramp, brea'mvatkr, 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 d2rap revetments). (if you wish to waive the setback, you must lion
the appropriate blank below.)
I DO wish to waive somelall of the 15' setback
-OR-
Signature of Adfecont Riparan Property Owner
I DO NOT wish to waive the 15' setback requirement (initial the blank) .
Signature of Adjacent Riparian Property
TypediPrinted name of ARPO: )A. ichul2ei c
Maliing Address o1 ARPO: -12Y-=fW7o i213D cLJtJai
ARPO!s email: /ILSW& t" & _e ApAI/. eem ARPO's Phone#:._
J / �.
Date: 7--- . all -waiver is valid for up to one year from ARPO's Signature'
Revised August 2022

45
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONN9AIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: W 1 0 i QM ay-A-i V tl
Address of Property:
Mailing Address of Owner; ,!�p(ZW . S44--) S !r­I,O q C katj o 4e_ ' V
Owner's email:WoCLrA-enr..ne�Y�Owner'sPhone#: Io+' 3LAI-a-1J i V8'c'
�+rr*C` Or
e1r c'
Agent's Name: Ne,, (Tire rryl a Agent Phone#:
h
Agent's Email: i e
ry-,%
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
is, rov a MuMIAmptlyr. c-
7CO`L %9 t. A4
to this proposal. I DO have objections to this proposal. O vyQ —
ff y3u have objections to what Is being proposed, you must nomy me N.G. UM51017 or coasm'
Management (DCM) In writing within 10 days of receipt of this notice. Correspondence should be
mailed to 401 S. GrlHln St, Ste. 300, Elizabeth City, NC, 27909. DCM representatives can also be
contacted at [phone]. No response Is considered the same as no objection ff you have been
notilled by Certified Mail.
WAIVER SECTION (Choose_oAlhf4ne
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 riorso revetments). (If you wish to waive the setback, you must sign
the appropriate blank below.)
100 wish to waive some/all of the 15' setback
Signature of Adjacent Riparian Property Owner
-OR-
1 DO NOT wish to waive the 15' setback requirement (initial the
Signature of Adjacent Riparian Property Owner.
Typed/Printed name of ARPO: 'S'T%a/r= m,4F✓eS9
Mailing Address of ARPO: /y 1 2,) CJ 6e-&:Y•
ARPO'semail: �Mt 14 !Sa"' �'�wARPO'sPhone#-. 77y /3din
Date: 2Waiver is valid for up to one year from ARPO's Signature"
Revised August 2022

DLO.
MCNTERAY
MORES
W`OX A
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8
1 THIS SURVEY IS SUBJECT TO ANY FACTS THAT MAY BE
8, DISCLOSED BY A FULL AND ACCURATE TITLE SEARCH.
`4� 37y I AREA BY CCOROINATE COMPUTATION a 13,W5 S.F.
3 F.I.R.M. ZONE: AS SHOWN
4. PIN NO.: 115C00001050000
5. RECORDED REFERFNCE: P.C. S. SL 377; D.B. 481. PO. 570
6. MINMIIM WILONG MINES (MBL). IF SHOWN HEREON, ARE PER THE
CURRENT LOCAL ZWINO RECULATIWS. OTHER SETBACKS
AND/OR RESMCTIONS MAY APPLY AND MUST BE VERINED
PRO TO CONSIRUCTIW.
7. ELEVATIONS (NAIN 19N)! AS SHOWN
C�U1R ITUCK SOLLbQ 18• CUP
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V\ SURVEY FOR
BILL ARDEN & SANDY CRAIG
LOT 108 - SECTION 2 - PHASE 1 - MONTERAY SHORES P.U.D.
POPLAR BRANCH TOWNSHIP — CURRITUCK COUNTY — NORTH CAROLINA
SEABOARD SURVEYING d PLANNING, INC. U-1636
1 inch = 30 1t k�-A
103F W. WOOD HILL DR., P.O. BOX 58, NAGS HEAD, NC 27959
OFFICE: [phone] FAX: [phone]
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