89146A - Hampson, Melanie and DeBridge, Jane

dio—u" CfCAMA ❑ DREDGE & PILL
NQ 8914E 0 B C
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GENERAL PERMIT
Previous permit
[yj'New ❑Modification ❑Complete Reissue
Date previous permit issued
❑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 —1 :1 12 073 Rules attached.
`General Permit Rules available at the following link: mmdeo nc epy/CAMAnn...
Applicant Name I'` ^K u A -
�{�ss�y[i�srs�+�@.
1
Authorized Agent _.�Nyrrb_y_r,�..y�0 r
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Address 1 �s—. ul zg 61.t.� C, 5(- / {'iQir Jfa T1�
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Project Location (County): r.s, rt•. ��L'.s...-__
Street Addr #
t�
Clry - oSmte NA! Ns a - ilP IJ24TF 3
ess/State Road/La s
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Phone#(fjjj�_4rs-I•At't,t 1'�at� 92,9-IkVZ
D.ttr-�v,.a u.c{s fit✓
Emall r..'--' ��A ,j -hates•-i1 �'
n
J @ dob.tc4�;t,�, CtaYrt
Subdivision �1 cumn * r,. +( s 4}.brv„rS
city— �zn.Ua L zIP
Affected [:]CW QEW ©PTA OES nPTS
Adj. Wtr. Body esrCry}-U.�etR,"rT„rVwk)
AEC(s): r'�OEA INA [:]UW $PIMA DPWS
Closest Mal. Wtr. Body Ctt_ m U,,V Cs r9 &4
ORW: ye no PNA: ye(q)f
Type of Project/ Activity ('ntxyt 1 4 r k at IL , �b r to wit E ftr a t tC t q
Shoreline Length (_{p(2 s
Access Length
Pier (dock)
Fixed Platform(s) 49 2- p r
Floating Platform(s)
Finger pler(s)
Total Platforma" 2-49V.
Groin length/h
Bulkhead/ Riprap length
Avg distance ofhhore
dorm (scale:tit_r
3 „' 8o%1V.1cM1+l<G�
^�t -^
� �t2[LSC.whC�.al.'C t000slda.r,�
tl-Ar.o Ika mp5o�t
tr� (C 1✓xs'�' Ptgr � t��ai•'t"'t'wx
Max distance/length ( ` -
Basin, channel Pk0e 06 Ga
Cubic yards t >< 1114 .
P lk
Boat ramp T i•Of=tq.
Boathouse/Boatlift
Beach Bulldozing �,_„�••�
Other.
cu.2�tT'vCK
SAV observed: yes no
Moratorium: yes no
Site Photos: s
Riparian Waiver Attached:
A building permit/zoning permit maybe required by: CkA
Permit Conditions
�p�jfic�gt-
� c�t�t Ler
'Cww%vcd
TAR(PAMNEUSE/BUFFER (circle one)
See note on back regarding River Basin rules
See additional notes/conditions on bark
IAM AWARE OF STATUTES. CRC RULES ANB CONDITIONS THAT APPLY TO THIS PROTECT 0.ND REVIEWED COMPLIANCE STATEMENT (Please Initial)
u.�na� r i.r...,� r !V .. .. r r , t
Name
statement on back of permit*• signature T t t
Check 4/Money Order Issuing Dater Expiration Date

NY 89146
❑DREDGE & FILL
GENERALPERMIT Previous permit - ffDate previous permit issued
[]New ❑Modification ❑Complete Reissue []Partial Reissue
OA B 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:
15A NCAC O'j 0. 12 023 ❑ Rules attached. `General Permit Rules available at the following link: www.dea.nc goy/CAMArules
Applicant Name IV eu)q'1 E. unrxF60i"t Jeanr, Z 4
Address L 12c%a-CtIa r. 611r 1A.3oI?
Cityt�ls_le.! ,A( State lidAIIAT ZIP D24KZ(ZOBt>3
Phone # (!32W�!9�tt - 919 - t 1 q 3
Email br%= . 1)�-5��-
3atste-@&o 10 t A5� C i t+�. C, KLCG WL
Affected ❑ CW [VJEW PTA ❑ ES ❑ PTS
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS
ORW: ye no PNA: ye no
Authorized Agent Sm aV%U eU .6 O�;�C3�F
Project Location (County): L. rf-r;'r5 r�
Street Address/State Road/Lot #(s)
Subdivision
�p���rsr
CityPZIP
Adj. Wtr. Body Glrrt�-t e k SOUh.tl (�an/unk)
Closest Maj. Wtr. Body C lUffrr{t=r l�-_ SO s.z_ h r-k
Type of Project/Activity C ou f,tc� 4'u 7 of O`c%�ry r tY. Cht�r {it < ` X: t.Q.
u f
(Scale:t _4JO )
Shoreline Length t G 6 `
Access Length �
Pier (dock) length
Fixed Platform(s) �]L2pl S I
�`ut¢1 JS
Floating Platform(s) �Cjcr1 ts1 1rAIC C r
:Z to CtJ4 r a
Finger piers)
2CL5cn�.etL� bo U hdae.r �/
Total Platform area 2 P20PU5��\ l
Groin length/k ':'tk 20 \ 4Fctrh �5OvL
Bulkhead/ Riprap length �1 ` 1
Avg distance offshore �XS"f P t CT— � 1 4.�\ �o V,
Breakwater/Sill-
Max distance/ length
PI'OPOSCa t 'Dp$ric�ge
Basin, channel r r ` V
Cubic yards l x l' {)\
P l kTi--o£NL f Boat ramp C.G `J CiLN1.P t1'� bdJ h4C7.r
Boathouse/ Boatlik Beach Bulldozing
Bulldozing —
Other
GuR gt-ro cli
SAV observed: �) yes no 5D UWD
Moratorium: t�'.� yes no
Site PhoTian W: 0
Riparian Waiver Attached: a
A building permit/zoning permit may be required by:
Permit Conditions
I AM AWARE OF STATUTE
Agent or Applicant. EPINTED Name
Signature '*Please Bad compliance statement on back of permit"
Ft� Ob'39�®
Application Fee(s) Check #/Money Order
S cL-w+ z er
(W cCl, VCA)
❑ TAR/PAM/NEUSE/BUFFER (circle one)
See note on back regarding River Basin rules
See additional notes/conditions on back
JD REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Permit Officer's PRINTED Name
Signature t r L I
7r�1(Z^cE IZ/1 /Z-t
Issuing DateT Expiration Date

NY 89146
dcwt,lEICAMA ❑ DREDGE & FILL
SaPrevious permit
GENERAL PERMIT Date previous permit issued
New [:]Modification []Complete Reissue ❑ Partial Reissue
(A) B 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:
15A NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc gov/CAMArules
Applicant Name
- 1)
a V,rA��ti,•-
Authorized Agent t^, fA `00
Address i
A 'X�
J
Project Location (County):
City
State
ZIP ,)24V.-l-
Street Address/State Road/Lot#(s)
Phone # (=)
e �i
, :. - i 'T) V-
,
Email rA r(
Subdivision c rti+1 10L c71r<.S
r' .
City C-; ;, ,.. (i t3 ZIP
Affected ❑ CW
❑ EW ❑ PTA
❑ ES
❑ PTS
Adj. Wtr. Body , 'E� �, �., •_ 1 .(tizt/rran/unk)
AEC(s): ❑ OEA
❑ IHA ❑ UW
❑ SPIMA
❑ PWS
Closest Mal. Wtr. Body ?. ,. r
ORW: yep/no�
PNA: yes/no;
Type of Project/ Activity n,A 5 1 +, c F 4 u 7 r, G:f>,n s{r-a , A 1 _ ` Y t
46k-C or W, . (Scale: i `c5fut 1
ck-..-H..., i...,. k
J—
Access Length-
I
I-
i
_
--
-
Pier (dock) length
Fixed Platform(s) A?
.
-
—
_
_
i
,
(
Floating Platform(s)
I
I
�-
Finger pier(s)
P,SLLtP
G
ply
r—
r0
--I—
c
t
_
t1
Total Platform area z4 Si
Groin length/M
Bulkhead/ Ri ra len h
Riprap gt
Avg distance offshore
Breakwater/Sill
Max distance/length-
Basin,channel_
Cubic yards
Boat ramp
Boathouse/ Boatlift
ell
I
C
,y
,.j.
(I
V
t
Beach Bulldozing,;o,
Other
u tz
U'Uj
1._
ti
- _..
s
-
7ei
,..._
-
- •"
SAV observed: Yes no
Moratorium: , n/a yes no
Site Photos: yes noIL
RiparianWaiverAttached:. Yes no
_
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L<yil.
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A building permit/zoning permit may be required by: %-lt Y ' ,-yi x1 f.
Permit Conditions
Agent or Applicant PRINTED Name
Signature '*Please read compliance statement on back of permit*"
Application Fee(s) Check ff/Money Order
Permit Officer's PRINTED Name
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please Initial)
Signature
Issuing Date
Expiration Date

DocuSign Envelope ID: 06C50F94-7F04-4608-8A81-9E066374ADD7
AGENT AUTHORIZATION FOR LAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Jane Dobridge
Mailing Address:
Phone Number:
Email Address:
4308 Haverford Dr
Rockville, MD 20853
301-929-1183
[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: new 4' wide wrap around lower platform on end
of existing pier/platform
at my property located at 866 and 868 Drifting Sands Dr, Corolla
in Currituck 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:
�Coo�osgrae nv:
l%el vt
Signature
Jane Dobridge
Print or Type Name
Title
4/10/2T4 f
Date
This certification is valid through

DocuSign Envelope ID: BCCC1246-4BBA-4061-885B-42EBD17AD935
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Stuart and Melanie Hampson
Mailing Address: 1 Benvenue St
Wellesley, MA 02482
Phone Number: 508-207-3131
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: construct 4' wide wrap -around lower
platform on end of existing pier/platform.
at my property located at 868 Drifting Sands Dr, Corolla
in Currituck 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:
�
y
4 �
Signature
Melanie Hampson
Print or Type blame
Title
112312 0? 4 l
Date
This certification is valid through i t

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: Stuart and Melanie Hampson
Address of Property: 868 Drifting Sands Dr, Corolla NC 27927
Mailing Address of Owner: 1 Benvenue St, Wellesley MA 02482
Owner's email: mai@hanrps s.roe.uk
Agent's Name: Emanuelson and Dad
Owner's Phone#: [phone]
Agent Phone#:[phone]
Agent's Email: [e-mail]
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom Portion to be completed by the Adiacent Property Owner)
I hereby certify that 1 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
iaiaat appropriate bi4 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 notary the N.c. urwsron or coasra/
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 some 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 somelall of the 15' setback
initnaysigt appropriate blank Sigha ure of Adjacent Riparian Property own r
OR
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner: rr /
Typed/Printed name of ARPO: po ilM o
Mailing Address of ARPO:
ARPO's email: ARPO's Phone#:
Date: 'waiver is valid for up to one year from ARPO's Signature"
Revised July 2021
Fill out and sign bottom portion

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONI IAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: Melanie Hampson and Jane DoBridge
Address of Property: 868 and 866 Drifting Sands Dr, Corolla
Hampson (1 Benvenue St, Wellesley, MA 02482)
Mailing Address of Owner: Dobridge (4308 Haverfoid Dr. Rockville, MD 20853)
mo'aham� psons.ma.uk 508-207-3131
Owner's email: iane.dob Mgeglnc om Owner's Phone# [phone]
Agent's Name: Emanuelson and Dad
Agent's Email: [e-mail]
Agent Phone* 252-261-2212
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 he provided with this letter.
tnftW appropna1e bW I DO NOT have objections to this proposal. I DO have objections to this proposal.
It you have objections to wnat is being proposea, you must noury ure rv.� . umww, v, a ......
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 somelail of the 15' setbacc
W110Us{pn Opp-priam blank _... -.
Signa u o " djacent Riparian Property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:[�
Typed/Printed name ofARPO: gleviuP# P"1it S�4io-zee_
Mailing Address-� off�A_�R))PO;_ l d Af/J
ARPO's email: YU3G175lr l�% t2 tAVO yARPO's Phone#;(Z,'U) V7-6" %
a Date: `waiver is valid for up to one year from ARPO's Signature*
Revised July 2021
Fill out and sign bottom portion

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