89105A - Xenakis, Anna

I
pt ®LAMA Ih�[)REDGE &FILL NI? 89105 ®B c �
a�
GENERAL PERMPrevi
IT Date tA`e""rc
ate previous permit issued
® New ❑ Modification ❑ Complete Reissue (] Partial Reissue
As autlorited by the Since v, of North Carolina, Depounmeor Dwironmerrtd s Quality and the Coastal Resources Commi olon in an areaof environmental concern pursuert ro:
ISANCAC f-- 111W [] Rules attached. Pg Gerterl Permit Ryles assilable at the following Oak vvwwftmcvrw/CAFWtn,,
Applicant Name/�Anln0. XE ahs _ Awmor¢ed Agent t4 f`!n_ 54,obly
Address f(P`r2 MCI Project looadon{County): fCt fa rN\Av1.S ___
.�OtMENNOiT
Phonef('ia�) 7e1�
Affected ❑cW ®EW ®PTA ®Es (2PTS Adj. Wtr. Body is lL.r,.,a.tt clot,�..`p}adunk)
AEC(s): ❑oEA :]IRA ❑uW [:JSPIMA ❑Pws Closest Mal. Vt, Body &Zona,2 ;riu,�
ORW: yes fio PNA. yes d& ,
Type of Project/ Activity TioissjrwO 1.15'
t"CO�nCQ 6'_3Cf6A-t— n'brCiA 1�, � (scale:
Shorehne Leng[h
s +-
AccessLength
Pier (dock) length "� _t�!_.. wn ��.' ,.N•��- r _ .r �. i �_
Fixed Platform(s)
FloatdngPlatform(s)
4
Finger pier(s)
r 1 i`
Total Platform area _,. �_,, �O•J A___._s.�
:
90Ripraplength jz.�A .. T_
Avg distance offshore
Max dlsanCa/Iength..
Basin,
CBasin, channel
n i i r rJ—h e�' r IT'ii'"gp
r ' r h i i J Y-lsia'rt'-h h
Boat ramp &
eoaihauseJ goatlift 1 I s y r � _...,,__ 1_.i
Beach Bulldoring
Ocher fLi Ids He LA'S
SAV observed:/' yes
Moratorium: yes no
Site Photos: QN no 7- rr- _r t -_� r
Riparian Waiver Attached: yes {Dp
A Wilding permit/toning permit may be raraired by.
Permit Conditions_ _ 1 TAWPAWNEUSE/eUFFER(circle one)
1-1 See rate on back regarding Riva Basin rules
See additional nows/condhions on back
RAVED CDMPUANCE STATEMENT. (Please Initial)
&'Y
on back of pennfO- Signature
2.561 71,1/,2rl
Check#/Money Order Issuing Pate Expiration Date

AMA X DREDGE & FILL
3 GENERAL PERMIT
®New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
Nn 89105 O B C D
Previous permit
Date previous permit issued
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 7N - //w ❑ Rules attached. Z General Permit Rules available at the following link: www.deq.nc goy/CAMArules
Applicant Name P't r% C4 T I= I Ito
e
Address Ale
City rC Stated
Phone #(73)
Email
Affected ❑CW MEW ©PTA
AEC(s): ❑OEA ❑IHA ❑uW
ORW: yes rg PNA: yes fio
Type of Project/ Activity I hsjr�u
t'COkotce eiVb'tlV n"brc
Shoreline Length +/-(jl
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/ti
Bulkhea Riprap length
Avg distance offshore .Z.'
Breakwater/Sill
Max distance/ length 2-
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
\ Authorized Agent V t ntr
Project Location (County): _
zip Street Address/State Road/Lot
City I'F-GJ^'fT'Grn'
® ES 12PTS Adj. Won Body _444,
❑SPIMA ❑ PINS Closest Maj. Wtr. Body
.151 AP hLAV-kend W/ 1 /OJ
P >�
rr
l
\4 t0
F-4
y
(Scale:I:�^t' )
41N
'(Si'I r4 mol I
LkN
Beach Bulldozing -^ )i ^' / %j
Other t'Z�Idr reh rn t..r.If3 �dvN'� ( `tptCQ `
� (` / ( ey
SAV observed: yes �I �ro� -1.
Moratorium: es no
Site Photos: no I
Riparian Waiver Attached: yes (nj' 1 COA building permit/zoning permit may be required by: PCr-�L�IrNQA'S CCL^
(, ❑ Permit Conditions TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Agent or Applicant PRINTED Name
Permit
Signature **Please read compliance statement on back of permit**
<!M t 6_�` PP-156 I
Application Feels) Check #/Money Order
Signature (/'
7/q /,Z y I ( /9 /zy
Issuing Date Expiration Date

�tCAST.V �®CAMA EdDREDGE & FILL N9 89105 A, B c D
a GENERAL PERMIT Previous permit
3 Date previous permit issued
0 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 ❑ Rules attached. Q General Permit Rules available at the following link: www.deq.nc.goy/CAMArules
Applicant Name
Address
City State
Phone # ( )
FAN
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City _
Affected ❑ cW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/Jnan/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Mal. Wtr. Body
ORW: yes/no PNA: yes/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
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed: yes 'no �l
Moratorium: n/a yes no
Site Photos: yes no
Riparian Waiver Attached: yes no
A building permit/zoning permit may be required by:
Permit Conditions
IC ( Onn!
(Scale:
❑ 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
Signature **Please read compliance statement on back of permit**
Application Feels) Check H/Money Order
Signature
Issuing Date Expiration Date

A NCDENR
N rth C lina De artment of Environment and Natural Resources
o aro p
Division of Coastal Management
Beverly Eaves Perdue, Governor dames H. Gregson, Director Dee Freeman, Secretary
AGENT AUTHORIZATION FORM FOR PERMIT APPLICATION
r
Date:
Name of Property Owner Appl
Mailing address:
I certify that I have authorized
to act on my behalf, for the purpose of applying and obtaining all LAMA permits
necessary for the proposed development of
r
at my property located at _
This certification is valid through
Property Owner's nature
&&'# //7iy121 4 9
Print or Type Name
20-3 i 9 ?-- �()Y3
Telephone Number
1367 U.S. 17 South, Elizabeth City, North Carolina 27909
Phone: [phone] \ FAX: [phone] \ Internet: mow riccoastalmanagement.net
An Equal opportunity IAirrmative Action Employer - 50% Recycled \ 10% Post Consumer Paper
(date).

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (MINOR PERMIT)
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERED
Date
Name of Adjacent Riparnm�_Pro
���)pp)erty Owner
tJf�
%�izQ7 4,; n, P r)
Address
k 1, ra EMI) a0707
City, State Zip
To Whom It May Concern:
This correspondence is to notify you as a riparian property owner that I am applying for a CAMA Minor permit to
on �my property at & L & lfJ T-0 )i 4—/ Ve L / b £tj
1
in _:'Voml M nS County, which is adjacent to your property. A copy of the application and project
drawin is attached/enclosed for your review.
If you have no objections to the proposed activity, please mark the appropriate statement below and return to me as soon
as possible. If no comments are received within 10 days of receipt of this notice, it will be considered that you have no
comments or objections regarding this project.
If you have objections or comments, please mark the appropriate statement below and send your correspondence to:
(LOCAL PERMIT OFFICER, NAME OF LOCAL GOVERNMENT, MAILING ADDRESS CITY, STATE, ZIP CODE)
If you have any questions about the project, please do not hesitate to contact me at my address/number listed below, or
contact (LOCAL PERMIT OFFICER) at (PHONE NUMBER), or by email at: (LPO EMAIL).
Sincerely,
Ao-o,(A-g/g
Property Owner's Name Telephone Number
Address
City
State
I have no objection to the project described in this correspondence.
I have objection(s) to the project described in this correspondence.
Adjacent Rip n ignawre� Date
Print or Telephone Number
Zip
Address City State Zip
Revised July 2021

nubs
o Q 1.) AREA CALCULATED BY THE COORDINATE METHOD.
eu¢ 2.) RECORDED REFERENCES: D.B. 320, PG. 180'. P.C. 2, SL. 120• MAPS 4-8; P.C. i. Sr —
Of '<
a j MAPS 1-8 AND P.C. 2, SL 122, MAPS 1-5 OF THE PEROUIMANS COUC>
NTY 4ES -_
FL P 3.) PROPERTY IS LOCATED IN FLOOD ZONES -AE (EL 4.1')' AND 'X' AS PER F.,.2.v
i 372OW2600J (EFFECTIVE 10/5/04).
tan 4.) A 20' UTILITY & DRAINAGE EASEMENT RUNS CENTERED ALONG ALL SIDE LOT LINES. A 2,'
BALD EAGLE UTILITY & DRAINAGE RUNS ALONG ALL FRONT & REAR LOT LINES. A 30' DRAINAGE
POINTE DRIVE EASEMENT RUNS ALONG ALL MAIN OUTLET SWALES.
5.) THIS PROPERTY IS SUBJECT TO A 30' CAMA BUFFER AND A 75' AREA OF ENVIRONMENTAL
SITE CONCERN FROM THE LINE OF NORMAL WATER LEVEL.
6.) THIS SURVEY IS OF AN EXISTING PARCEL OR PARCELS OF LAND AND DOES NOT CREATE
ALBEMARLE SOUND A NEW STREET OR CHANGE AN EXISTING STREET.
VICINITY MAP — — — —
(NOT TO SCALE)
BALD EAGLE POINTE DRIVE (50' R/W)
125.00' S87'41'44•W N87'41'44'E 125.00+ p�(C) N87'41'44'E 125.00'
til
— — x
0— EXISTING IRON ROD r 30' M.B.L. u 4
0 — POINT ON SHORELINE I I to
® — WATER METER I 1 Dz
1 �
F
CD —ELECTRIC TRANSFORMER PAD I I
R/W — RIGHT OF WAY 1
4 (C) — CONTROL CORNER I O W z
I mom
M.B.L. -MINIMUM BUILDING LINE I I U N V
!2 off ,
R I 1 1 eD 1 6 -
1 O F �0�
80 J0 ° so 1 LOT 168 1 ^ _ W
1.19 ACRES 1 0 a w
J �
I inch = 60 ft.as
GRAPHIC SCALE _� II a w
1 I � F-
A
I I O ic-<
0 I Q F= W
Do I N N U S
in
N I 0
2 1 1 a
LOT 169 I I LOT 167
L `FLOOD ZONE •g• I /
FIL DO
•AE (EL. 40ry)• I
L—_, 50' M.B.L. —J
s —F 3>1
J7o9 001 1 "��
,�J
,�•�'�1 NCA.,�f a _v � o/
.........
tob
Oi
�qj
/ ,U
2 Q4F ESS-po %- -y 125.16' N89'26 51ow
S 3A9 v� ALBEMA FI46U�V a �' l a��T
rb
I• SCOTT L. TEMPLE, P.L.S., CERTIFY THAT THIS MAP WAS FlU N0.
MADEDRAVUNDER MY SUPERVISION FROM AN AC7UAL SURVEY 2011-068 PROPERTY SURVEY FOR:
RECORDED 1 800NER P� PkGDE DESCRIPTION MMY DAM
ANNA MARIA XENAKIS
REFERENCE SWRCf1 "'�—OR O7HER 8-9-11
THAT THE BOUNDARIES NOT. SURVEYED ARE INDICATED AS DrDD 6
DASHED LINES AND DRAYA4 FROM INFDRMATjON.IN BOOK LOT 168
...SEE... PAGE N=-ZOR OTHER REFER�'� o,.• mTTT., OTSn DL,O ]m ._--•- ----- --
.7r-:.� �^:-- .. .. ENCE gOURCEI .•_

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (MINOR PERMIT)
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERED
To Whom It May Concern:
This correspondence is to notify you as
3 412c
Date
property owner that I am applying for a CAMA Minor permit to
a
in County, which is adjacent to your property. A copy of the application and project
drawing is attached/enclosed for your review.
If you have no objections to the proposed activity, please mark the appropriate statement below and return to me as soon
as possible. If no comments are received within 10 days of receipt of this notice, it will be considered that you have no
comments or objections regarding this project.
If you have objections or comments, please mark the appropriate statement below and send your correspondence to:
(LOCAL PERMIT OFFICER, NAME OF LOCAL GOVERNMENT, MAILING ADDRESS CITY, STATE, ZIP CODE)
If you have any questions about the project, please do not hesitate to contact me at my address/number listed below, or
contact (LOCAL PERMIT OFFICER) at (PHONE NUMBER), or by email at: (LPO EMAIL).
Sincerely,
lll�loA&/)� LE (OR KI-s
Property Owner's Name
Address
City
?o -Wq� -�o"3
Telephone Number
State
I have no objection to the project described in this correspondence.
I have objection(s) to the project described in this correspondence.
Adjacent Riparian Signairdre Date
'W-01 JcltvLet9YO-300--i2Y9
Print or Type Name Telephone Number
1/7 SEA" 2/y,Sez�j 0�a'�f
Zip
Address City State Zip
Revised July 2021

1.) AREA
1.) AREA CALCULATED BY THE COORDINATE METHOD.
2.) RECORDED REFERENCES: D.B. 320, PG. 180; P.C. 2, SL 120, MAPS 4-8: P.C. 2. SL. 12'..
w MAPS 1-8 AND P.C. 2. SL 122, MAPS 1-5 OF THE PEROIIIMANS COUNTY REGISTRY.
n 3.) PROPERTY IS LOCATED IN FLOOD ZONES 'AE (EL 4.1')' AND 'X' AS PER F.I.R.M. PANEL
i 3720W2600J (EFFECTIVE 10/5/04).
N 4.) A 20' UTILITY & DRAINAGE EASEMENT RUNS CENTERED ALONG ALL SIDE LOT UNES. A 20,
BALD EAGLE UTILITY & DRAINAGE RUNS ALONG ALL FRONT & REAR LOT LINES. A 30' DRAINAGE
POINTE DRIVE EASEMENT RUNS ALONG ALL MAIN OUTLET SWALES,
S.) THIS PROPERTY IS SUBJECT TO A 30' CAMA BUFFER AND A 75' AREA OF ENVIRONMENTAL
SITE CONCERN FROM THE LINE OF NORMAL WATER LEVEL
-
SURVEY THIS SURVEY IS OF AN EXISTING PARCEL OR PARCELS OF LAND AND DOES NOT CREATE
ALBEMARLE SOUND A NEW STREET OR CHANGE AN EXISTING STREET.
VICINITY MAP
(NOT TO SCALE)
BALD EAGLE POINTE DRIVE (50' R/W)
125.00' S87'41'44'W N87'41'44'E 125.00' (C) N87'41'44'E 125.00'
- EXISTING IRON ROD i T M.B.L. , U <
O - POINT ON SHORELINE
1 z
® - WATER METER 1 0
F
L] - ELECTRIC TRANSFORMER PAD 1 1 u
4
a R/W -RIGHT Of WAY
I O W Z
(C) -CONTROL CORNER
M.B.L. -MINIMUM BUILDING LINE - I u w
w 1 I W
r 10 U ¢
O I tb O S �O
O I r W rn
o z poi
66 30' 0 60' 1 LOT 168 rn r w
1 1.19 ACRES I a 0
I,
1 inch = 80 (t. Tn m ml i ow
GRAPHIC SCALE s a
1 I o aG
4 �j
1 a WW
00
z
LOT 169 LOT 167
FLOOD ZONE nI
/ ^FLOOD ZONE I O� ,' Iw'Cr AE
, (EL. 4. 1')- I I IIC1'I Ck T 1
L _ _ 50' M.B.L. _ _ J r
aa�i�bt� UQ � C
_ J��J 0) 7�i lm av1.1r n
N..CARp�l --- �L P CA
CA 1N�
06 ro
:;�J.:OFESS/p''• 9''; 125.16N89'26'51'W v»(
_.. _.. _Y_..._..._. __._..._..._..._ ._
a SEAL 3B29r s = LBEMARLE SOUND
Tot
I, SCOTT L TEMPLE, P.LS,. CERAFY THAT THIS MAP WAS FNE ND. PROPERTY SURVEY FOR:
ORAVM UNDER MY SVPERN90N FROM AN ACTUAL SURVEY 2011-066
MADE UNDER MV SUPEgNSION (DEED DESCgIPRON "wy DAW
RECORDED IN GOOK �10 PAGE 1R0 OR 07NER B-s-11 ANNA MARIA XENAKIS
REFERENCE SOURCE: _ __
THAT THE BOUNDARIES NDT SURVEYED ARE INDICATED AS 11066 DASHED UNES AND DRAwN iRO1.1 1NFORMA710N IN BOOK LOT 168
.3EE_, PAGE NOTE 20R OTHER REfERENANOS7WHATETHIS �1"- 80, THE SHORES AT LANDS END, PHASE 2)
MAP MEETS THE REWIRFJJENTS Oi h1F e......___ _

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