87128A - Brinkley, Shannon and Mark

'L0pj4 LAMA ❑DREDGE &FILL N4 87128 Ca B C D
GENERAL PERMIT tp
Previous permit _
Date previous permit issued
New ❑Modification ❑Complete Reissue ❑ Partial Reissue
As authorized by the St to of North Carolina, Department of Environmental Quality and the Coastal Resources Commission In an area of environmental concern punuont to:
15A NCAC es �'-+ J ❑ Rules attached. P44..ral Permit Rules available at the the following link: ycmyL a.nc.pbv1C0.MAruIe
Applicant Name 0.C' Authorized Agent __ S- •a q e. O:.r') n q
Address _ A� O S S a v, J l. - n r Project Location (County): M Cni'Q--
City ci State A) -ZIP _ _
Street Address/$tate Road/Lot 4(s) L a, ^f' Y
Phone M ) cl �� �v p', n a .� [t f7r"i ✓R
Eitsall _ S%ann .. b t^1 n :� i�Ay L' q iss s�r c_e.r— - Subdivision_ 7' �cLn
City --0 [l..(F.'1 • o Zlp 2- --7 c/ S
Affected CW �EW PTA ES PTS Adj, Wtr. Body C- o, ex A
AEC(s): �OEA IHA ❑UW ❑SPIMA ❑PWS Closest Mal. Wlr, Bodynrs.
ORW: vesN%N', PNA- vnd:' \ u-
Type of Project/ Activity
Shoreline Length 4 fi
Access Length "•"
Pier (dock) length
Fixed Plolformis)
Floating Platform(s)
Finger pler(s)
Total Platform area
Groin length/#_,__,_
Bulkhead/Rlprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length _
Basin,channel
Cubic yards
Boat ramp -
Boatho e/ BoatliR—`��C /17
Beach Bul doring
Other
i : -P 4-
F-4--i e�ri I I e R
Ex• pcA�Th/
a
:i
ell
SAVobserved:
Moratorlum: n/a
yesy no
Site Photos:
ye no
Riparian Waiver Attached:
no
/ves'y}p0
Oe-
A building permlVioning pe`rod~t nirequired by: � v+ A SX- dJ
Q A J- k- o
Permit Conditions
(Scale:^./j )
TAR/PAWNEUSEBUFFER (circle one)
See note on back regarding River Basin rules
❑ See additional notes/conditions on back
I AM AWARE OF STATUTES CRC RULES ANDCONOITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial) /NC.'
MW411/LGPVA-- �a n CGNV-
Ageitt or Applica INTED Per It k1t,r's PRINTED Name
Signature --gleafe read comiSliance statement on back of permit^ Sig 9 ure
Appt211 Rf •els) Check#/Money Order Issuing Date Expiration Date

AMA ❑DREDGE & FILL N9 87128 B C D
INERAL PERMIT Previous permit
ICE Date previous permit issued
ew ❑Modification []Complete Reissue ❑Partial Reissue
As authorized by the St to of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to: I
I SA NCAC 7 ft �-a DD� Rules attached, General Permit Rules available aw.
/t the following link: wwdeq.nc.goy/CAMArules
Applicant Name 0.r O Authorized Agent % jsT%� q C � ii�(') /v.2
Address a lP bS Se v. Jr r LG A 9 Project Location (County): .�I J O'ry_'c�
City 6— u w State tJ C ZIP Street Address/State Road1 Road/Lot #(s) 4- o T f
Phone #(//_) I9i TYi3Y f(i¢ it,"n, A S w I c,ram(✓P_
Email S wb t—) n k r¢ y A (t C. lr.` Subdivision
1
City A" 'g f ¢o zip
Affected cW EW JZ�FTA ES PTS Adj. Wtr. Body C ex—r2 a, (n t/man nk)
AEC(s): F-1IEA �INA F—IUW SPIMA 0PWS Closest Maj. Wtr. Body �oc�na{`R- —SdNil d
ORW: yesrno \ PNA: ye no
Type of Project/ Activity
Shoreline Length % �[
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/q
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards e
Boat ramp
Boatho e/ Boatlift 4 C /1
Beach Bul ozmg
Other
Pa
SAV observed yes no
Moratorium: n/a ye no 4
Site Photos: no ®
Riparian Waiver Attached: yes no
A building permit/zoning permit me be required by: a to A a'i— f y`M' J__
Permit Conditions
Agent or Applicant PRINTED Name
Signature **Please read compliance statement on back of permit**
App ication Feels) Check N/Money Order
(Scale:/VTr )
N
i
e
a
SL4Ps-
ty L
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
STATEMENT. (Please Initial)
Perrhit Officer's PRINTED Name
`"i Sig c/
ife / ( 2
Issuing Date Expiration Date

1*o" te"'`❑CAMA El DREDGE & FILL NO 87128 B C D
R
GENERAL PERMIT Previous permit
Date previous permit issued
'O 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:
�1
I SA NCAC 7 - - - ❑ Rules attached. ;..General Permit Rulees w.d available at the following link: wwen.nc.gov/CAMArules
Applicant Name �'( rs n n I� : t "t- #1 <, k O r i n i ja : i Authorized Agent i / I ''
Address > �^ r rJ 114 L ri n � Project Location (County):
City i = State IJ ZIP
Phone # (_)
Email - f7 C" i n k 9 4 niall�. C
i
Affected ❑ CW P EW PTA ❑ ES ❑ PTs
AEC(s): ❑OEA ❑IHA ❑UW SPIMA ❑PWS
ORW: yes/no PNA: yes/no
Type of Project/ Activity
Street Address/State Road/Lot #(s) I
Subdivision J/ n_
City
Adj. Wtr. Body
Closest Maj. Wtr. Body
(Scale:,v`TJ )
Access Length
Pier (dock) length
_
r I
g<
Y
/
Fixed Platform(s) `—
_
_
�- -
i>
}
j.i
Floating Platform(s)
r
Finger piers)
Total Platform area
Groin length/it
I
Bulkhead/Riprap length-
+—
--�
--
--
--I—--
Avg distance offshore��—
Breakwater/Sill � -
—
i
,
r-
-
; � �
_
/- A
i '
-k_ `
�
-
.J
Max distance/lengthBasin,
channel
Cubic yards
Boat ramp
+.--
—i
Boathouse/ Boatlift
45
Beach Bulldozing
Other
lJ
SAV observed: - yes - no
f. _.
e
t
\
._
Moratorium: - n/a yes
- -- -
Site Photos. yes no-
RiparianWaiverAttached: yes no
A building permit/zoning permit may be required by: �� W A
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
.r
Signature "Please read compliance statement on back of permit"
r_/ / 1 <. v /
Application Feels) Check N/Money Order
Signature
Issuing Date Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Shannon Brinkley
Mailing Address: 2605 South Pilot Lane
Nags Head N.C., 27959
Phone Number: 2 .-1 — -I M — S I el
Email Address: [e-mail]
I certify that I have authorized Millstone Marine Construction
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:
Install a new boatlift
at my property located at 116 Peninsula Drive, Manteo N.C.
in Dare
County.
1 furthemrore certify that / 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:
Sd "Aoff. Sri UC
Signature
Shannon Brinkley
Print or Type Name
Owner
TWO
1 I 8 1 2024
Date
This certification is valid through 4 1 31 1 2024
Revised Mar. 2016

0. vr, Ia,t 12
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMIANER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DFLIVFRY
(Top portion to be completed by owner or their agent)
Name of Property Owner: Shannon Brinkley
Address of Property: 116 Peninsula Drive
Mailing Address of Owner:
2605 South Pilot Lane
Owner's email: [e-mail] Owner's Phone#:.2 rx
Agent's Name: Millstone Marine Construction Agent Phone#: [phone]
Agent's Email: [e-mail]
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottomportion to be completed by the Adjacent Property Owner)
I hereby certify that I own property adjacent to 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
descriotlon or drawing with dimens must be provided with this letter,
Q NOT ha ia4bjectlons to this proposald 1 DO have objections to this proposal.
it yr nave 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 some 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 th(A setback, you must sign
the appropriate blank below.)
I.D.Owishtov0vesarriofthe l5'setba 1
-OR-
Signature of Adjacent Riparian Property Owner
I do not wish to waive the 15' setback requirement
-8I9,U*rapfAdJaoentRjpanan Properly Ovule? _
Typed/Printed name of ARPO: Hattie Garrison
Mailing Address of ARPO: 114 Peninsula C
ARPQ's ema1P
the blank)
U
Manleo N.C., 27954
's.Pllonalit: L/ �
Y
Damn / �- '7 — Z / *waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

.. 'N.C. DIVISION OF COASTAL MANAGEMENT
--
- ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM.
[�j_Iii1Ft( M,/Ul•"NEjlllj�RFCFIF',1-jTQ JEST-Pgr NESfJ2nELIVM
(Top porilon to hn oomplotnd by ownnr or th©lr agent) "
Name of Prop" Owner. Shannon RrinkleL..^_._T
_ Address at Pmpedy 116'Peninsula _Drive — _ -
ftAllnp Address of ourarr 2605 SoU(fi Pllot Lane
- Uvrie{sgmag;shennanabrfnkley�gmail.cnm OwnCfsPhanaN z i - ...ys�.� {JI aq
Agent's Name: Millstone Marina Cenetrdclion Accent Phoeell;�262-202.2678 -
- Agenrb Finail!,T"$tohemanne@gmell:com .
R
' - ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Banom oprt"onto be comalelod by tha Adliaem ProoerlV Ownerl
- ) harelly Certify Mat l am property .. !i p , as shown adjacent toeattacvr.r dmvA Ig. he dove' Thaindividualapplyingloithis
Penrvt has deacnoetl to me, as shown on the atlachad dmwing, the development they n
A des
proposing.
coon or drawing with dlmo o m St be orovitled w n bIs lei. � -
1DO NOT heve uteciwns
r 10 jive, "kat d _ I DO have objections to this proposal. -..
t1 you have ob/ecuons to what 15 being propoa I ynu mrut no .fire N.C. Ohdslon of Coaetal
Management (OCM) In writing wnhrn to days
ofMWP( offhis tracts.. Cahrespondemm shordd be
mailed to 401 S. Gd9/n St, Ste, 300, Elizabeth City, NC, 27909. OCM.Yepresanfsyyav can Slap be
contacted at (253) T6P-3901.
No response is eonsidered the sameas no ob/etfton ltyou have been -
notified by Cortrned Mall,
I untleratand that any WAIVP.R SECTION
Y proposed pled; dock, mooring filings, heal ramp. ornekwater, hoaftuae, Idt, or
r
gni;n must be sal back a minhnum distance of 1S' from my Brea oldpedpn.atxecs
(Isis does nol apply to bulkheads or dPMP revohaems). tuyeu wish to waive toe winless vein ar sme
unless waived by
the aPuropnate blank below.) -
n
l.rC. star In milre x"Wak of la: 15. 801011" 1
rap
-oR- SreneNrOkilAWcen RlPedan PropagY Own'g~—
I do not wish to waivo the 15' Setback rltquryBmggU1 Qrdl18l1he hl8nkj'
/.
_ %W4-Wn,,f M. r'All PPww
TYPeWfirintednamedfARPO: JendMef PPSherr:`_
. Mailing Address ofARPQ: 118 Panineula OfiVO Manteo N.C.. 27054
hRPo's
Gs(O'—"—`i='r
A 1W.41V6rf®Valid 'of uP to ono year from ARPO.'s signaturo-
I?Ov)wd May 2021
lid

Carver, Yvonne
From: Carver, Yvonne
Sent: Wednesday, January 24, 2024 3:04 PM
To: David 'Cowboy' Ambrose and Kevin Lineberger ([e-mail])
Subject: Brinkley GP87128
Attachments: BRINKLEY GP87128, RECEIPT-01242024145727.pdf
Good afternoon Kevin,
A copy of general permit (GP) number 87128 is attached for Brinkley's boatlift project in
Manteo. The pdf attachment also contains a copy of the receipt for the permit fees.
In order to validate this permit, please address the following:
1. review, print and sign the permit on the bottom Left-hand corner belowyour printed
name,
2. initial where indicated on the bottom right of the permit, and
3. scan and send a signed copy of the GP back to me.
No development can be initiated until after we receive the signed copy. Please let me
know if you have any questions regarding this correspondence.
Best regards,
Yvonne B. Carver
Environmental Specialist II
Division of Coastal Management
NC Department of Environmental Quality
252-264-3901. ext. 237
401 S. Griffin St., Suite 300
Elizabeth City, NC 27909

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