87136A - Hendricks, Gregory

¢ta LelStp�r TCAMA ,. DREDGE & FILL
NY 87130 c'A.=: a C D
GENERAL PERMIT
Date Previous permit
Date previous penal[ issued
NNew ❑Modification [ ]Complete Reissue
❑Partial Reissue
As authorized by theState of North Carolina, Department of Environmental Quality and
the Coastal Resources Canmission in an are. of ereb onmenGil cancer.) pursuant to:
General Pennii Rules available at the following link: y+5rvrddd_�;yvy%CAMN'u>gs,
Applicant Name "' Y �..$�1 G,LG ta,S_.„ _
Authorized Agent C-me r,, Lx(`str. .T SZtJ_
Address ,_,sA.LiL,(..t.2.g,yaIlii$.�- _......—...__
Prefect Location coup l fir,.+ -
I (county) _.
City State �.f C,., _ 711' .,;]., �% �jty', ...-...
Street Addi i sWSiate Road,'L of Ni+) .s�.i�?._1.�G6t.Cs�
Phone Di.-,04___.___.__
----------
t#(3)
Subdivision-__t'uts
-
Cuy. —CJL, ) j..,v_"�—_--_—__--_._71F..._-__��'-'141�.................._.
Affected ECW SEW PTA ES IN PTS
Adl. Wtu
AEC(s): 'VA DJ 1UW P
__ -SPIMA [Al1 PWS
closest Mal. Win Body
ORW: ye6) PNA: ve
Type Of Project/ Activity��..YJ.�y
_— 2 X, S b,..a` ha i kh._...,.1 c+-t� cry fF�.'h.. _ •^�...__._. _.. (Scale: fa -;Tr,!+, )
Shoreline Length ,..KO'
Pier (dock) length
Fixed Piatform(s)
Floating Platform(s)
Finger piers)
Total Platform area __—.--,.....
Grohs length/#1
__Ikh AO Rkelp length 50, —
A
DreakwaterlSill I�' "_ U(AJ
Max distance/length Basin, channel _
Cubic yards
Boat ramp
Boathousel Boatli[t_—
Beach gulldoring 4
Other 4-
0,\ /
. r..."s
-
tcO
SAV observed,,�) yes c!5P a
Moratorium:e. ye no
Site Photos: e >� sn.!u��
Riparian Waiver Attached: yes f_sx'
A building permiUaoning permit may he required by!_
Permit
1,}tt�!P,t,kS
U TANPAM,'NEUSE/BUFFER (circte one)
See note on back regarding River Basin rules
QSee additional notes/conditions on back
I AM AWARE OF STATUTES Cr RC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT PND REVIEWED COMPLIANCE STATEMENT. (Please initial)
rear[ compliance statement.on back of permit'
Xlau�L
Application Feels) Chet :Money Order Issuing Date Expiration Date

�TCAMA P DREDGE & FILL
. GENERAL PERMIT
N° 87136
Previous permit
Date previous permit issued
Al 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:
7 R I SA NCAC - - I 1 00 ❑ Rules attached. X General Permit Rules available at the following link: wwwdecinc gov/CAMAmIes
Applicant Name l7 lrtdn ry Nend TIL�S
Address 11L, Rod nh fir.
City K-11 Dw A !I V Ak S state N zip _ )19 49
Phone fl assa) a.o i - 3,)04
Authorized Agent r✓han utlSrer. 0�2 �w�
Project Location (County): 0/ C
Street Address/State Road/Lot #(s) a 16 f2nc. raca kPL bf i yt
EmailUnhnn. Corr. Subdivision 0011nsjl� t 1}0fbOvr
City CJ 1;� ZIP i -y) Lig
Affected ❑ CW rKEW �Q PTA ES PTS Adj. Wtr. Body (Tz n41 (nathraAnk)
AEC(s): ❑ OEA ❑ IHA ❑ UW $PIMA ElPWS Closest Maj. Wtr. Body A Ihe.,w y 14 So ✓ r` J
ORW: yes, PNA: ye6)
Type of Project/ Activity (:,, %A f J'1 So 2la -i (Vinyl ) +wO �4'}
w04_ + (Scale: U,T.S, )
Shoreline Length $O�
Access Length
Pier (dock) length
Fixed Platform(s).
Floating Platform(s)
Finger piers)
Total Platformarea
length/
Groin length/Jt
ulkhe Riprap length 50 1
Ave distance offshore ni
Breakwater/Sill
Max distance/length e7.�
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
`} I•rySTI ��
0.1 r G n/1v-✓t,�
\i3. yd I tx 4SvIWks`2
0'
SAV observed:
yes ® `�-
Moratorium:cf5)
yes no
Site Photos:
a no
Riparian Waiver Attached:
yes (!
`
A building permit/zoning permit may be required by: 1 y(_ Ca.+n'i• y
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)
or Applicant PRINTED Name
Signature "*Please read compliance statement on back of permit" ftffgure L/
'A 400.00 # 3E11 I la�lao�w S/at?�ao�y
Application Feels) Check Jf Money Order Issuing Date Expiration Date

,t°0WVRFM
TCAMA � DREDGE & FILL N9 87136 A B C D
aGENERAL PERMIT DatePrevir 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:
��
15A NCAC 111, ❑ Rules attached. W General Permit Rules available at the following link: wwwd9-q.nc.gov/CAMAruIes;
Applicant Name r
Address
City State ZIP
Phone # ( )
Email $ EI P. f
Affected ❑ CW ❑ E W ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS
ORW: yes/no PNA: yes/no
Type of Project/ Activity
<L,,..enne I en, k
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)-
Subdivision
City
Adj. Wtr. Body
Closest Maj. War, Body
v 1.
(Scale:)' T .' )
Access Length
Pier (dock) length
Fixed Platform(s)
I,
L
-
_
Floating Platform(s)
Finger piers)
Total Platform area
Groin length/ff
Bulkhead/ Riprap length—
Avgdistanceoffshore
Breakwater/Sill
Max distance/length
Basin, channel
Cubic yards
y
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
L
—
—VAX
ri p
—
,
..�....o
I
..
_
�
—II--
SAV observed: yes no
Moratorium:- n/a yes no
Site Photos: yes no
Riparian Waiver Attached: yes no
J—,
A building permit/zoning permit may be required by: �•
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),/\
or Applicant PRINTED Name
Permit Officer's PRINTED Name
Signature **Please read compliance statement on back of permit**
Application Feels) Check M/Money Order
Signature ...
J. 'r
Issuing Date Expiration Date

DocuSign Envelope ID: A3B733E4-FF5G-4CDD-88FC-1C40584028F6
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Gregory Hendricks
Mailing Address:
Phone Number:
Email Address:
216 Roanoke Dr
Kill Devil Hills, NC 27948
252-207-3214
[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:
wl 1-8' return
construct 8' tall x 50' long vinyl bulkhead
at my property located at 216 Roanoke Dr, Colington ,
in Dare
County.
I furthermore certify that f 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:
FNluSM,nl, .b� 11�
It�I�M1^� 1�S
Signature
Greg Hendricks
Print or Type Name
Title
10/17/123 f
Date
This certification is valid through

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: Greg Hendricks
Address of Property: 216 Roanoke Dr, Colington NC 27948
Mailing Address of Owner: 216 Roanoke Dr, Kill Devil Hills NC 27948
Owner's email: rhendMka27948@y0h0000m Owners Phone#: [phone]
Agent's Name: Emanuelson and Dad Agent Phone#: [phone]
Agent's Email: [e-mail]
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.
in21al oppropne?e wank_L I DO NOT have objections to this proposal. I DO have objections to this proposal,
it 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
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 we We some/all of the 15' setback
In,pRV$ 9n appropr:atu Manx Signature
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: T t`, f' N G r t iJ 1 V kS -V E, k c N
Mailing Address of ARPO: I (6 3 Z 0 VR R-WQCAI> l%ry t
ARPO's email: SORNSTE �t � F�'pSTSil �Gi4 o's Phone#: N0 1 l U - � U 3 0
Date: 1 (l (01 23 `waiver is valid for up to one year from ARPO's Signature"
Fill out and sign bottom portion Revised July 2021

Emanuelson & fry
I MaMee CORBftbCHeb &Plrftl 'CObtrbUot
10130/2023
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$0.66
Stephen and Barbara Ornstein o x. _". 10/31/2023
16320 Harwood Dr SW M1 I% [n ge antl Feea a . L.jr
Frostburg, MD 21532
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Dear Stephen and Barbara, i&�-
..""Yr'-
m
We have been contracted by Greg Hendricks to do the following work at 216 Roanoke Dr. Colington
Harbour:
1. Construct 8' tall x 50' long vinyl bulkhead with 1-8' return
As the adjacent riparian property owner, I am required to notify you of the project in order to give you the
opportunity to comment. Please review the attached sketch for additional information.
We ask that you sign the attached Waiver Form and return it to us as soon as you can. You may scan
and email, fax or simply mail. If you have any questions, please do not hesitate to contact us. Should you
have any objections to the proposed work, you may contact a NC Division of Coastal Management
representative at 252-264-3901, or in writing to 401 S. Griffin St., Ste, 300, Elizabeth City, NC, 27909.
We thank you for your cooperation in this matter.
Sincerely, A. Signature
■ Complete items 1, 2, and 3.�,
■ Print your name and address on the reverse X __ � 'g— ( Agent
so that we. can return the card to you. Adore
■ Attach this card to the back of the mailpiece, B. R ive (Printed Name) C.fDate of Del
or on the front if space permits,
Lorelei Barrett t. Article Addressed to: D. Iscieliv addressdifferentfromftemt? ❑yes
Emanuelson & Dad If yes, enter delivery address below: ❑No
tw 4patbQ,r�i (1Yt'tS-k
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9590 9402 8124 2349 5986 47
2 Article. Number
1589 0710
e m a n u e l s o n 6 7 D 5@ o u tl o o k.c o m
www.emanuelsondad.com
Ielill
AddN Signotwe Restricted Delivery
>reriifietl Mahe
Certified Mail Restricted Delivery
Collect on Delivery
Collect on Delivery Restricted Delivery
-oared Mail
❑ Priority Mail E.Wesse
❑ Registered Mail"
❑ RDeegisteretl Mail Restdoted
rvery
O Signature Confirmation'"
❑ Signature Confirmation
Restricted Delivery
Domestic Return Receipt

r � MOMYTOTMI
mod" C*40hRC"M a Phtn cm"C""
Certified Mail — Returr
10/30/2023
John Hubbell
7921 Jackson Rd
Alexandria, VA 22308
Dear John,
We have been contracted by Greg Hendricks to do the following work at 216 Roanoke Dr, Colinqton
Harbour:
1. Construct 8' tall x 50' long vinyl bulkhead with 1-8' return
As the adjacent riparian property owner, I am required to notify you of the project in order to give you the
opportunity to comment. Please review the attached sketch for additional information.
We ask that you sign the attached Waiver Form and return it to us as soon as you can. You may scan
and email, fax or simply mail. If you have any questions, please do not hesitate to contact us. Should you
have any objections to the proposed work, you may contact a NC Division of Coastal Management
representative at 252-264-3901, or in writing to 401 S. Griffin St., Ste. 300, Elizabeth City, NC, 27909.
We thank you for your cooperation in this matter.
Sincerely,
y/lTiff
Lorelei Barrett
Emanuelson & Dad
emanuelson6705@a outiook.com
., fi tI � t' td:.
�1r't".tt,;,, 123
www.emanuelsondad.com

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