89097A - Smith, Joe and Beth

°°"" 'cAMA DREDGE & FILL
GENERAL PERMIT
Nn 89097 © B C D
Previous permit
Date previous permit issued
�t�lew ❑Modification ❑Complete Reissue El 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:
I SA NCAC 111, ( Ia9 ❑ Rules attached. ❑ General Permit Rules available at the following link: w xleq me goy/CAMArul
Applicant Name �Q-,��e '� �/ A S n S Authorized Agent .S1a a n y- - I O-S-1ti' cs �, -'-
Address / QQ o [ojI/P Project Location (County):
V
City OT 1114m51,µi state ZIP /62(E 7�3 Street Address/State Road/Lot#(s) -7/S r 4�o K r- V)e.w D
Phone # (5i) 9 i I-J- S 4 X3 L—V
Subdivision Cts If /L4 •t'6 .. H 0.(' La u.( S e c(r.Y
Affected ❑cW JjJ!W- EPTA ®ES aPTS Adj. Wtr. Body _[•j- [�(fz •ti-�n e.r 1a S ^aL ( t/ an/unk)
AEC(s): ❑OEA ❑INA ❑UW ❑A ❑ SPINA, Closest Mai. Wtr. Body 2-y �r14 _$ r, t.,, tJ
ORW: yes/(J PNA: yes/ryq/ ``
Tyne of Prolelit/ Activity l 4 y I/ sin
s-c>_
-' (Scale: A17- )
Shoreline length fi S. I
Access Length '• A I C 'C'4 NJ
Pier (dock) length
Fixed Platform(s)
(✓'�� 1ST/ � (}
Floating Platform($) n r K I td (-
-
f-ACIcfTy
Finger pler(s) I,
Total Platform area 4 n•2.n 1V
G�(y'Irglh/N ,Zr M0.)t ul qk-W ut-µ
Bulkhead iprap length I .f- a p t J''/-1
Avg istance offshore d
Breakwater/$III
------------
Max distance/length 9-
Basin, channel MA, r—nA—
Cubic yards
Boat ramp
Boathouse/ Boadift
Beach Bulldozing
Other
SAY observed:
ry;; no
Moratorium: n/a
yes., no
Site Photos:
n
Riparian Waiver Attached:
yes no
PL
A building permit/zoning permit may be required by:
Permit Condition /
t(,, Jillian Kalis
Agent or Applicant PRINTED Name
d- �Ppop 7/18/2024
Sig lure. Please read compliance statement on back of permit**
2501 tf`o
Application Feels) Check g/Money Order
UFf I /
OL
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please Initial) k- JK
Permit Officer's PRINTED Name
g y
S 2r1[J
Issuing Date Expiration Dale

oAuomr" MZAMA l a DREDGE & FILL N? 89097 Q B C D
GENERAL PERMIT Previous permit
3 Date previous permit issued
VNew ❑ 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:
t
15A NCAC ` (I'9 ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deo.nc.gov/CAMArules
Applicant Name o a � 'at— .leg-- � S Authorized Agent ✓ aA� C'I O--k C',
Address) U d A 4' A 5 0. %o jy4 Project Location (County):
City iJ N State _zip Street Address/State Road/Lot#(s) —7/S 'Dr,9
Phone#(O[ t) L, + 17 ff I
Email to R—a s ) :�A mo.5, C ,p ie. Subdivision eLJ
c�-
city G. 11�2l1...-, ZIP Z.-Z�Y B
Affected ❑CW IF2 —
AEC(s): ❑OEA ❑IHA ❑uW
ORW: yes/ PNA: yes/6D
Type of Project/ Activity
I IN eJ ( 1 ci a 1,,�—
Shoreline Length - 14 3,
Access Length
Pier(dock)length
Fixed Platform(s)
Floating Platform(s) —
Finger pier(s)
Total Platform area
Gr length/N
Bulkhead Riprap length x
ge
tt�a
Avice offshore 2
Breakwater/Sill _
Max distance/ length
Basin, channel
Cubic yards
Boat ramp _
Boathouse/ Boatlift
Beach Bulldozing
Other
FIES. EffiTS Adj. Wtr. Body tj✓ 119 SS —[A- S a —^ILat/r ( an/unk)
❑❑f]-
SPIMA PWS Closest Maj. Wtr. Body e.�Rrlo " d
c.-i I' , X r K L+%,,r,
(Scale: /t/T- 5 )
NJ
AXIS f
9
y-
PECIci .—�►
' fY
/ ( SN1tr1 G- 6Sff//
�\
SAV observed:
l yes C no
Moratorium: n/a
yeses no
Site Photos:
� n
Riparian Waiver Attached:
yes no
A building permit/zoning permit may be required
Permit Conditions
Agent or Applicant PRINTED Name
f—
fL
APPLY TO THIS
Signature **Please read compliance statement on back of permit**
zseI tl�-z)
Application Feels) Check II/Money Order
❑ TAR/PAM/NEUSE/BUFFER(circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please Initial)
Permit
Officer's PRINTED Name
Sig ur
77
Issuing Date Expiration Date

❑CAMA Q DREDGE & FILL No 89097 A B C D
Previous permit
GENERAL 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:
I SA NCAC : i ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name
r%
Address '!v �•.I'. 4
City State i �/i zip %
Phone # O -
Email
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/no
1.
Type of Project/ Activity
i!
Shoreline Length -
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platform(s) -
Finger pier(s)
Total Platform area "-
Groinlength/q -
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatllft
Beach Bulldozing
Other
SAY observed:
Moratorium: n/a
Site Photos: I
Riparian Waiver Attached: J
A building permit/zoning permit may be required by:
Permit Conditions
(Scale:. )
❑ TAR/PAM/NELISE/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** Signature
Application Feels) Check N/Money Order Issuing Date Expiration Date

DocuSign Envelope ID: Al895799-0483-4D64-A473-A9855EE6CDA4
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Joe Smith
Mailing Address: 188 Huntingdon Pike
Williamsburq,PA 16693
Phone Number: 814-931-8483
Email Address: joena,smithmas.com
I certify that I have authorized Jillian Clark / 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: Replace approximately 65 ft of existing
bulkhead and (1) 8 ft return. Add -one -additional piling to extend -dock —,A/
at my property located at 715 Harbour View Drive
in Dare County.
I 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:
CDocuSigoed by:
,jbt, $wli�in,
Signature
Joe Smith
Print or Type Name
Owner
Title
4// 7/2024 I
Date
This certification is valid through

Gil Hughes
711 Harbour View Dr
Colington, NC 27948
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N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAID ,g�T1,1RN FtE��IPT �E�i)E$TED or HAND I�ELIV�RY
(Top portion to be completed by owner or their agent)
Name of Property owner Joe &i1 r
Addressof Property,•• • i• •r ► '
Owners email igeA�5 im thmaS.COm Owner's Phone*
Jillian Clark / Shane Clark Construction
Agent's Name Agent Ph
Agent's Email iiiian@shaneclarkconst
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(09.Hom aorilon to bQ completed by the Adiagent 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.
N� 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, 21909, 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 (Choosrrgfyy ono!
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 nat apply to bulkheads or npraprevetments) (if you wish to waive the setback, you must sigjt
the appropriate blank below )
I DO wish to waive some/all of the 15' setback
KIM
Signahito of Adjacenl Riparian Property Owner �
i DO NOT wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO:
Mailing Address of ARPO:
ARPO's email: AM&QM ARPO's Phone#(
Date:! " <-� f f •waiver is valid for up to one year from ARPO's Signature'
Revised Atirmcr �n)9

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: Joe & Beth Smith
Address of Property: _715 Harbour View Drive Colington. NC 27948
Mailing Address of owner: 188 Huntingdon Pike Williamsburg PA 16693
Owner's email: joee-smithmas.com Owner's Phone#:
Jillian Clark / Shane Clark Construction
Agent's Name: Agent Ph
Agent's Email: iilian(cDshaneclarkconstruction.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
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 (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 some/all of the 15' setback
Signature of Adjacent Riparian Property Owner
Sima
I DO NOT wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: Jeffrey or Ellen Billmyer
Mailing Address of ARPO: 717 Harbour View Drive Kill Devil Hills, NC 27948
ARPO's email: shallowwell(cD�yahoo.com ARPO's Phone#:
Date: ��iaiver is valid for up to one year from ARPO's Signature*
Revised August 2022

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