87248A - Blair, Weeden (MOD)

❑DREDGE & FILL N9 87248 — c A }B
Previous permit
GENERAL PERMIT Date preiospermitissued
New [Modification ❑ Complete Reissue ❑ Partial Reissue Kod `t� t od 5/91 L4
� hA
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:
I SA NCAC ' ❑ Rules attached. ❑ General Permit Rules available at the following link:v ..dett.nc.gov/CAMArules
Applicant Name
Address
City
Phone # ( i
Email k1i k_
ZIP
Authorized ,agent k
Project Location (County):
Street Address/State Road/Lot #(s)
City
Affected ❑ CW ❑v EW D PTA ❑ ES ❑ PTS Adj. Wtr. Body - i . (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes/no PNA. yes/no
Type of Project/ Activity
f _t, lhc;t r (, -A i 2' )c �f' N_I ew a_tpa (Scale: I )
Access Length_
Pier (dock)length -
Fixed Platform(s)I
(—
I
C.
'__i
�
(
`_17—
'
I
—
�
!1.10i
Floating Platform(s)
i
Finger pier(s)
I
7
Total Platform area
Groin length/ff
_
! -
Bulkhead/ Riprap length
i.-_.
__
4b_1I'u..Ji—
--
-_7
-
Avg distance offshore
Breakwater/Sill
Max distance/length
I
[-`-
-
�.'_\
.r.-f
ci .
.I
1
L
Basin, channel
Cubicyardsit..
Boat ramp
..__
Boathouse/ Boatlift.�
Beach Bulldozing
o
7
JAiEx7
J
Other E�lt_t/r
i
i
SAV observed: yes t no
Moratorium: n/a yes no �
t -
- .
-�r-
�-
�)'
��
I
o os: yes no
Ri anaSite
Waiver Attached. yes no
A building permit/zoning permit may be required by: V. C r 1 i , t r �...
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)
1 'I,
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature **Please read compliance statement on back of permit**
Application Fee(s) Check JJ/Money Order
Signature
Issuing Date Expiration Date
Ut�4L�tr� 5��1� 11� -

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Waterlily Sunset LLC
Mailing Address:
Phone Number:
5124 Providence Rd
Virginia Beach, VA 23464
757-237-4522
Email Address: [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: 4' wbe x 40' long pier with to'xto' platform and
4' wide wrap around lower platform
at my property located at 1127 Walerlily Rd, Coinjock ,
in Currituck . County.
1 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
Print or Typo Name
M a h'i f e
—�T Title
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 Waterhly Sunset LLC
Address of Property 1127 Waterlily Rd, Coinjock NC 27923
Mailing Address of Owner. 5124 Providence Rd, Virginia Beach VA 23464
Owner'semail WiD0oA5'°g° °i`°" Owner's 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.
,;,::,,;..,.•° r,-r� I 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
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
r'✓/rj�l � �/i a%fM � (�
Signature of cent Riparian roperly Orvner
_OR_
�1
I do not wish to waive the 15' setback requirement (initial the blank)
1e
Signature of Adjacent Riparian Property Owner t
Typed/Printed name of ARPO:1, �s
Mailing Address of ARPO:
ARPO's email: rr�s_ hilt �,�i� XRPO's Phone# •�%���_. L7' �
Date: 441!V?l -waiver is valid for up to one year from ARPO's Signature'
Revised July 2021
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• •Il•t ••YV
r y nomearlc Arno only
Li Ml�b01pf•dUO Fwdadlcr,y Infor.mlon. 0..l oer wobltl0
1/25/24
Victoria Hall
1125 Waterllly Rd
Coinjock NC 27923
Dear Victoria,
rL II _ '
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Certified Mall — Return F ❑ ;1 fj
❑. - iU,GG
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oimTrws
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Pit
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We have been contracted by Waterllly Sunset LLC to do the following work at 1127 Walerlil ry Rd,
Comiock
nys9
1.11
02/O6/21:124
1 Construct new 4' wide x 40' long pier, with 10'x10' platform on end, and 4' wide wrap around
platform
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 co _.
■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
Sincerely, so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if snare na. ltc
l i
Lorelei Barrett I ClLY I bt tn� "'
Emanuelson 8 Dad ��i, bra V L1 I1/ PA
IIIII IUIIIIIIIIIlilllIIIIIIIIIIIIIIIIIII III
P 90 9402 7776 2152 2639 16
7020 0640 0001 7142 11983
_ PS F6w381T, July 262 PPSN 7L90-DZdIDU nO:J '-
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1127 Waterlily Rd, Coinjock
February 6, 2024 1.402
Addresses ElParcels Waterlily Sunset LLC o 000szs 00065 Dols mi
11274 Waterlily Rd o ocos oor ooz xm
•-•• County Boundary Coinjock, NC 27923
Streets PIN 008000000290000