87091A - PYBO OBX LLC

RElDREDGE & FILL N� 8'%O91 At B C D
aI GENERAL PERMIT Previous permit
Date previous permit issued
WfflNew Aodification ❑ 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 O ( Si . 1). t7 i > ❑ Rules attached.
Applicant Name (-y .j S G (') TS ?f f__ I.. (_ _
Address Clr^. JJL.ad[ Rors-Li:,, t 9Vnc,(•,•-,r:l•I- ,•4'f' A,t._
City r_} C, et, 5 i, , t1 r] State ZIP
Phone # (91,�) 7_ r,. s) - i "_/ I7 1
Email
General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Authorized Agent 'a <' : -1
Project Location (County): T% r t. r f".
Street Address/State Road/Lot #(s) I '-,.. 2 . xl. 1) 1 i
Subdivision 0 Vt tr u.) VL-- r- �, e. s_ SE. • v._)'` In
Cityfi r 1h._ ZIP
Affected ❑ CW [:DEW ❑ PTA ❑ ES ❑ PTs Adj. Wtr. Body C U f r t ``ra a Ci I(naVynan/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Mal. Wtc Body I') t r- t i V <[
ORW: yes/no PNA: yes/no: )
1 t e
Type of Project/Activity C�, V,- Ct t' I; c _) i.:.1F t'�'z, f.'1e. 1'r II-,V 1? ,;I-. �,i .>, '.,t $
p1U#y1 4 ' :/ 1 t j"a.1 f 5 . (Scale:i
Chnrelinn I eri th —1 'w I
Access Length
ssy�
Pier (dock) length
Fixed Platform(s) I ::;_ V, 1 2
Floating Platform(s)
Finger pier(s)
Total Platform areaGrolniengi
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/length i Go 1"s I
Basin, channel
Cubic yards
Boat ramp
Boathouse/Boatlik
Beach Bulldozing
Other
l
-
Y. X,
- X X X-
K
-
—
—
-
T'�„
i
I
SAV observed: rr(es ', no
Moratorium: n/a yes no
Site Photos: yes no
Riparian Waiver Attached: yes no
I
--
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A building permit/zoning permit may be required
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. (Please Initial)
Agent or Applicant PRINTED Name
Permit Officer's PRINTED Name
Signature **Please read compliance statement on back of permit**
Signature
/
Application Feels) Check #/Money Order Issuing Date
Ex irati n Date.
111

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: PYBO OBx LLC C/O: Mark Burstein
Mailing Address: 69 van Cortlandt Avenue
Phone Number:
Ossining, NY 10562
914-260-2701
Email Address: [e-mail]
I certify that I have authorized Richard Waddell
Agent /
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
Pier and Kayak launch.
at my property located at 1324 Duck Road, Duck NC 27949
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
Signature
Mark Burstein
Print or Type Name
LLC Managing Member
Title
11 i 02 i 2023
Date
This certification is valid through 11 / 02 i 2024

Y- am
187426197122
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December 05, 2023
Dear Customer,
The following is the proof -of -delivery for tracking number: 787426197122
DelNery Information:
Status: Delivered Delivered To: Residence
Signed for by: Signature not required Delivery Location:
Service type: FedEx Standard Overnight
Special Handling: Deliver Weekday; ALEXANDRIA, VA,
Residential Delivery
Delivery date: Dec 5, 2023 14:23
Shipping Information:
Tracking number.
Recipient
ALEXANDRIA, VA, US,
787426197122 Ship Dahl:
Weight
Shipper:
Ossining, NY, US,
Dec 4, 2023
0.5 LB10.23 KG
Proof -of -delivery details appear below; however, no signature is available for this FedEx Express shipment
because a signature was not required.
Thank you for choosing FedEx

LiT
December 05, 2023
Dear Customer,
The following is the proof -of -delivery for tracking number: 787426499053
Delivery Information:
Status:
Delivered
Delivered To:
Residence
Signed for by:
Signature not required
Delivery Location:
Service type:
FedEx Standard Overnight
Special Handling:
Deliver Weekday;
Alexandria, VA,
Residential Delivery
Delivery date:
Dec 5, 2023 09:25
Shipping Information:
Tracking number.
787426499053
Ship Date:
Dec 4, 2023
Weight
0.5 LB/0.23 KG
Recipient Shipper:
Alexandria, VA, US, Ossining, NY, US,
Proof -of -delivery details appear below; however, no signature is available for this FedEx Express shipment
because a signature was not required.
Thank you for choosing FedEx

M

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