89071A - 4 X 4 USLCC - D. Lister

v`0Aw �CAMA Q DREDGE & FILL
1 GENERAL PERMIT
�ew ❑Modification El Complete Reissue ❑Partial Reissue
W 89071
Previous permit
Date previous permit Issued
eB C D
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:
I5ANCAC-C:JT14 LW56_ U Rules attached. General Permit Rules available at the following link: www.deq.nc.gov/CAMFVuI�
Applicant Name 1L 4' l.� S L {,e Ct� G/ems D. Ls tS}Cr5_
Address-139 V%&t's
Clry-J:LK0+t5 1,6613A State_NG ZIP '79S(Z-
Phone#(j)_y'asL L UL.L
Entail y.A 11140f��i.00lZ2�P_VJf�_
Authorized Agent __ J4Llls1oA—e f••- rJ.H._c s-az�.7' ___.._
Project Location (County): G J r vt,{_U r_�_
Street Address/State Road/Lot#(a) ZL4'- QC/wM
Subdivision -,_C.Q Y b](p.. ':g rn rk___
City
Affected [ICW vrEW vV WE$ V[]rPTS Adj. Wtr. Body_�'G�,61
AEC(.); OOEA IHA l l UW $PIMA U PWS Closest Maj. Wtr. Body ' ha vJ
ORW: yes to PNA: yes nn
Type OfProjett/Activity LN64 ll io,61 bui keaa eyrr;}f11r� 4r>< l2r A�c�
Ws��Fi�F.e75 (Scale:lroatlf)
Shoreline Length _ _ Lo /v
Access Length _
U
Pier length �t 12. r` uc X P�aL�dS
fixed Platforms) _. '�' �- ( l
Floating Platform(s) -
-
C.cl.-v cL• f � Fo V—v%zok-�$
Finger pler(s)
•L
rs��lAd ,7CR.`i
Total Platform area _.
��,_
Groin length/11
ulkhc Riprap length 10 L,
Avg distance offshore 21
Breakwater/Sill
Max distanceJitmglh 51
Basin, channel____
PttpP0.`JC� 9rL�.s �U GK.
Cubic yards _.
Boat ramp __
Boathouse/ BoalliR
N;1 L
I �� �v
Reach Bulldozing.— __
�`�
�>s st
I I J W 4
Other
SAV observed: �yes up
Moratorium: n/a o
Wi *rL-�
4)44 V`5 U-C, �R-
CP
SltePhotos: _es n
POFc+'�'2C.S 1
----+t/-"---� 1 MorrUC4.
1
Riparian Waiver Attached: s no
�'�7f�•-•--' (
gpPCp sG , �'�/�-�
A building permit/zoning permit maybe required by:
TAR/PAM/NEUSE/BUFFER (circle one)
Permit Conditions
See note on back regarding River Basin rules
------—"`
----""-- -- See additional notes/conditions on hack
I AM AWARE pFS7ATUTE CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Agent or Applicant tfVrE lam
Permit Officer's P�PRRII Name
Signature **Please rea "nee statement on hack of permit••
jTED
Signature s z
Application Fools)
Check d/Money
Order Issuing Dale Expiration Date

"NRfCAMA DREDGE & FILL
GENERAL PERMIT
5 New ❑Modification ❑Com let R "
N? 89071 �B C D
Previous permit
Date previous permit issued
p e elssue ❑ 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:
ISA NCAC S2'2i-( 1l0 6
Rules attached. General Permit Rules available at the following link: wwwdea tic gov CAMArules
Applicant Name K Q I q if L, C, �C/ i, Mher�
Address 139 L'ct+6 J5 t Zo
City V h i*}S (4 - -1 State k G ZIP __Z:7�
Phone # (q)
Email d I '5kcrQ ci Ar` r 6ui (Jet,* cratJ
��`r
Affected E1cW FEW PTA YES �PTS
AEC(s): EIOEA EJIHA EluW EISPIMA ElPWS
ORW: ye no PNA: yes no
Type of Project/ Activity 1 y S+a 11 1 n G, I L k� I I L L
Shoreline Length I o 6 '
Access Length
Pier4Q length
Fixed Platformisi
Floating Platform(,)
Finger pier(s)
Total Platform area
Groin length/p_
'r
\
Wkhea Riprap length 1 0&
['
'V`\ills
Avg distance offshore 2 '
Breakwater/Sill ^i
Max distanc'm rrgth rj '
Basin, channel
�-
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
N W L ,
Other
C-v s .
34!JL-�
SAV observed: y es <29
Moratorium: n/a a no
('
W'%A
Site Photos: es noprO
Riparian
Pe.'%lC5
Waiver Attached: yes now
A building permit/zoning permit may be required
by: C t r r r i4;)(
Permit Conditions
Authorized Agent M 11 M} n o z o 1
Project Location (County): C t V.r t �- U r
Street Address/State Road/Lot#(s) 214_____4 0�_..
IFC4 ( I Roo ci
Subdivision CQVONIi
City zIP 2't 9 z
Adj. Wen Body C {
(na an nk)
Closest Mal. Wtr. Body
U P � ci-v% &S
C QA-L Ctl t-o V-r,0f+s
IsLczA& $ccy
(Scaie:i'!
90 LK11 r,), T�>
9')e(2-' DOCK
n/
nI W L
� 3vlktl,c�
MOvro CLL
TAWPAM/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 M a>4i h K t 4Cw-1 (
Permit Officer's PRINTED NameW
Signature "*Please read compliance statement on back of p1
ASDO p p permit** Signature
Application Feels) 1 ZZ� — (- b (fi I l,4, (D
Check N/Money Order Isswng Date
Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: 4x4 USLLC
Mailing Address: 139 Knotts Island Road
Phone Number
Knotts Island N.C., 27950
757-636-1066
Email Address: dlister adrianbuildersgroup.Com
I Certify that I have authorized Millstone Marine Construction, Inc.
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:
Construct a new bulkhead and 12'x8' dock
at my property located at 2144 Ocean Pearl
in LuEoluck County.
I furthennore certify that I am authorized to grant, and do in fact grant permission to
Division of Coastal Management state, 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:
11`1 ad' i/ t
Signature
4x4 USLLC
Print or Type Name
Owner
Title
2 f 28 1 2024
Date
This certification is valid through 6 I 31 12024
Revised Mar. 2016

DIVISION OF COASTAL MANAGEMENT RIB C �-- r
tIPARIAN PROPERTY OWNER NOTIFICATION FORM
IFIED MAIL - RETURN RECEIPT REQUESTED
MAR 2 2 2024
I hereby certify that I own property adjacent to 4x4 USLLC C Li seer )
(Name of Property Owner)/rt
property located at 2144 Ocean Pearl
(Address, Lot, Block, Road, etc.)
on Currituck Sound in Carova N.C.
(Waterbody) (City/Town and/or County)
Agent's Name #: Millstone Marine Construction Mailing Address: 201-A Etheridge Road
Agent's phone #: [phone] Manteo N.C. 27954
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
---------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT -
(individual proposing development must fill in description below or attach a site drawing)
wrA i"Pltr4ea does nod- o<,Jr-'c,+ -Jv fill- vte,.J 6c-lkhzo4+
� � � r�lc a5 lone as-t-l1e. v►�w brcikh-Qad �s-�''�es-Fa.tdrri��t �f-4►�
Cartel Lot d I F, ?Zr cAvtit>,k
Zi '' Y$ ulr�.mtsnis > 'I""tuS Con.crtrr�
is �B_tn e.�pp��s
t ottg bulkh.e.&eJ -�' e Z a
144 ©ee.n (iCd -�u°li �s tra
�v Cos rug ew�k� la2 O�� ��r( 1° buead nt 8 dock
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at www.nccoastaimangementneticonfact—dcm.htm or by calling 1-888-4RCOAST. No
res onse is considered the same as no ob'ection if you h ve been notified by Certified Mail.
(Property Owner Information) ( arian Proper)ypwner Information)
Signature
4x4 USLLC
Print or Type Name
139 Knotts Island Road
Mailing Address
Knotts Island N.C., 27950
City/State2ip
Telephone Number
Date
Signature — a tc rq 5. Le ^Wor 1-f-k efn6
WJA Properties �+ndrfro^dL /�PFeova( #
Print or Type Name
345 West Freemason Street
Marling Address
Norfolk Virginia, 23510
Cdy/State2tp
757 -359 -1109 John Adktt� GY—
Ielephone Number "
757 — &75— (o©®Z W,kure jk--txelwb�l
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USPS Tracking®
&RP0. Deavt Marv-oLK
Tracking Number:
9589071052700712721979
Copy Add to Informed Delivery (https://Informeddelivery.usps.com/)
Latest Update
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Your item was delivered to an individual at the address at 4:00 pm on March 8, 2024 in VIRGINIA BEACH,
VA 23451.
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Delivered
Delivered, Left with Individual
VIRGINIA BEACH, VA 23451
March 8, 2024, 4:00 pm
Arrived at USPS Regional Destination Facility
NORFOLK VA DISTRIBUTION CENTER
March 7, 2024, 10:38 am
Arrived at LISPS Regional Destination Facility
RICHMOND VA DISTRIBUTION CENTER
March 7, 2024, 12:15 am
In Transit to Next Facility
March 6, 2024
Departed Post Office
MANTEO, NC 27954
March 5, 2024, 4:29 pm
LISPS in possession of item
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