87199A - Wild Duck Dunes, LLC

�tat,ay c ► (D DREDGE & FILL No 87199 C , e C
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GENER�4L PERMIT P1e"D�P�"g`
Dace pn'reyiora permit [cued
ONew ❑Modification ❑Complete Reissue ❑PartlalReissue
Aa ahhtMrised h ant Sum of Noeth Crhra+Rvt fI-p-rurrcre of Emkonmertd Qw ity and alto Coastal Resaorces Commission in an arm c lenviroMwHd ca+hcern ,_,/ purswnt ta;
ISAIJCAC—rM ;A �jii�£1 Rules urached. LJ"Peak Wles¢lail"aa the kimvft Ink:
Afoo.rt hktme fa"11 1, m [:. < ( 'd `n a^.: ^s U ./`.
Ad6ps L 1 % hLwl liCxik 'fir' as M.
Cyr a] u v^.l_ Saco j.l G ZIP L"Y 94 �.
Plhraho#{�) .
Fhrhad !ri r4-i:i n,n.r Fr. ��,ry [i�t� � muds
Avdhoraadnaent ,.�+; �, �. �:.., Y'.,! i°i /-'6•,:;��.� r-S •,-ts' �,�,
Project i.omtion (Cou�+j: __ {�?i.r il*_
SDIaerAddmsflSwla Rpad/I.ot ir(s) _ I { 1 r , r..I EA
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Cityin tt)CV. 2lp
AfattSd Elm ggW gM SVIES 'ffPn A4. Wtc Both' ".exafh iraG is �v�ytGLh� jr5oharyeNh)
AEC(,): [)OEA []INA El WY 13Sg1NA ❑PWS Clmmt FLj, Wrc Body" rrrhi xi �. ���=;ri a
ORW: yes,�ifB,i pNA: Les/
Type off'r*WAcd ty_3*..:.,i•.!1.rLC �' f,h
Shora"Ungth— ©s
Aoness Length_ a -
Pier (dolt) lergrh
Sited platlomW .
Floating Pladwalm[ej
nngerpier(SI
Total inatform arise f
Groin length/1
�Weai Ripw iexl m '
Avg distance offshore
ereakaaxter/Sll •"�""r
"distance!•lerrrh
Lllbdcyards
Boot ramp —
Bpetlrouso/Bwttifl,
Beach Buildolk,g
Other
SAV observed:
MpralOnam:
Rio photos:
Hpmdm waiver Roadbed:
A buMng pemkt/Imtng l
Yes r ssrOf
dyes no
no
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TANPAtW4E1AWLIFFER (old. me)
❑ Sae note mback m pmW Rlvw Basin ruin
See additional nabWaulditionson back
iE OF STA7_UTESW RULES AND CONDM0MSTNATAPPLYTOTNISPROJECT AND REVIEWED MMPUANW STATEMENL jpease Initial)
J Ml, Pi ij 4'i Ra + -1
PlaanI PRIN116 me Permll OlR WSPRINTEDNahne
,Pkasemd 4ince statement an back of permR•• 53grwwre�—r
c>. (°-`-' 2399
Fae(s) Oheckil/Morey Order Issuing Date ExpvaEon Elate

o+° °"" LrJDAMA L11 DREDGE & FILL N9 87199 0 B C D
GENERAL PERMIT Previous permit
Date previous permit issued
�ew ❑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 01 A - 1 l 00 ❑ Rules attached. FOGeneral Permit Rules available at the following link: www.deq nc gov/CAMArules
Applicant Name W tin
Address u!o Mel D c-1 Ij G.
City D u J4 State N L. ZIP Zi 1i.4 9'
Phone # ()
Email WcUkMAC- an MCI, 1 C. 0MA
Affected ❑CW EEW ✓IPTA VIES RIFTS
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS
ORW: yes e/ PNA: yes
Type of Project/Activity �z°1-o�.Q.�.c. 5yt n� 6ukl
S'1'2IL
I -
Shoreline Length 60 `
Access Length (V Pao L
Pier (dock) len
Fixed Platform s
Floating
Finger pier(s)
Total Platform area '
Groin length/4
ulkhead Riprap length 501
Avg distance offshore Z `
Breakwater/Sill
Max distancemerlm 2t
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
a t �t �nS117rG ��
SAV observed: yes V uMZ
Moratorium: n/a yes no P4X l r%er6
Site Photos: yes no (•sJa� �Cd)
Riparian Waiver Attached: es no
A building permit/zoning permit may be required by:
Permit Conditions
Authorized Agent I (1 tn, y n 11.'� JS)Agaaa
C'(Atr(G (:. s'45,
Project Location (County): D ,3-1 L
Street Address/State Road/Lot #(s) n TLL
A .
Subdivision W I litj r- j7tJ>A G5
City Dl.)ak ZIP �-ty4g
Adj. Wtr. Body [.0 Ifl•(UGIC Sio.,nA
.t ti/nan/unk)
Closest Maj. Wtr. Body Cvclr;+ock S000U
-tr
col e- Q nTeVy CLiv c-C �(Scale:
/ �
t =20)
REPL- ACE 05TAIR,6
��JPU cJ i►,� JOt �E•V�
NwL
Nli1b duck DunrS
❑ 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)
M.«r4;v, M i}c[, &-1 1
Agent or Applicant PRINTED Name Permit Officer's PRINTED Nanje
`WI�C� i
Signature "Please read compliance statement on back of permit** Signature
4 b Z399 Sill /7,02- 4 -./((/ '21->24
Application Fee(s) Check #/Money Order Issuing Date Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Wild Duck Dunes Land Owners Assoc.
Mailing Address: 110 Mallard JW.
Duck NC 27949
Phone Number:
I ZZ 0 C hCAn-ef . ft et
Email Address: [e-mail] &iecrw
I certify that I have authorized Jillian Kalis / Shane Clark Construction
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: 50 ft vinyl bulkhead & replace 6-7
at my property located at 1361 Duck Tar Duck NC 27949
in Dare County.
l furthermore 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:
Signature
it Duck Dunes Land Owners oc.
Print or Type Name
Title
tll l�l 2�
Date
This certification is valid through

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 by owner or their agent)
Name of Property Owner: Wild Duck Dunes Land Owners Assoc.
Address of Property: 1361 Duck Rd Duck NC 27949
Mailing Address of Owner: 110 Mallard Dr. Duck NQ 27949
Owners email: [e-mail] Owner's Phone#:
Agent's Name: Jillian Kalls Agent Phone#: [phone]
Agent's Email: Lillian0shaneclarkconstruction.com
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adiacent 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.
4— 1 DO NOT have objections to this proposal. I DO have objections to this proposal.
If 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 (Choose only onel
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 P J
Signalu6VAdj cent Riparian Property Owner
-OR-
I DO NOT wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
TypedlPrinted name of ARPO: -RM2 Partners I
Mailing Addre Sjjo,f,, ARPO: _ QQ3—Cut�ttaw-AVe.,Richm-o d.. ALA.,=
ARPO's email Q %l ��RP'4's�Phone#: L 4v
Date. A-�01— *waiver
is valid for up to one year from ARPO's Signature'
Revised August 2022

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONiWAIVER FORM
_CERTIFIED MAIL RT113N,.CEIPT RE(�1� Lib oLNl3ND DELIVERY
(Top portion to be completed by owner or their agent) ,A w�
tl
Name of Property Owner. _ �91111" l._-t��bua -Z)� Nrzbb d4_> l
Address Of Property:
Mailing Address of Owner:
Owner's email
" "' dwner's Phone#:
M` \ " C kVrCC g hone#, 740-359-7132
Agent's Name:. Jillian Kars
Agent's Email: jllian a�shaneciarkconstructioncom
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 far this
permit has described to me, as shown on the attached drawing, the development they are proposing. A
I DO NOT have objections to this proposal.
this letter.
I DO have objections to this proposal
If you have objections to what is tieing 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., sta. 30o, Efizaheth Cify, 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 one)
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 somelall of the 15' setback ALP—� `,",
Signature of Adjacent Riparian Property Owner
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