89229A - Lacour, Denise

�t°tO1j C(t AMA [� DREDGE & FILL
l GENERAL PERMIT
New 1JModifiwtion Complete Reissue DPartiallkelssue
W (49229
Previous permit
Date previous permit issued
As authorized by the State of North Carolina, Deparouent of Environmental Quality and the Coastal Resources Conn isslon In an area of emir"nental concern pursuant to:
I SA NCAC �_'" 1 r l ? L) Rules attached. t% 'tlenceal Permit Rul" asalTable at the following link: wood q nc gov/CAMAruI
Applicant Name 7. v-A) i C Gr L.. cr, c oc1 (- s Tit q sic
Authorized Agent /j')'+II
ti'I"one.
M6,-t— Len
Address- cI 7 v u /(I .\ C'.., •v,'.(" y �. i .(.,_, (
Project Location (County):
aq<_L-t lr,f Pes ✓tile state L/A _ZIP,_'i
StreotAddross/StateRmd/LotN(s) % si
Ln I I+L S`I
Phone /f/(LW `r') I -Y 7% E
G-cJ.1- _[-
Email cf ¢ 11 1 f' AS d 1 I< :a; r_
—♦: y, I _
pp
Subdivision J I r
r
J�
1
City _ /IA A (I c
� ZIP 'Z_ 19
Affected LJCW r�EW ©PTA uES nPTs
goy
Ad). Wtr. Body
e
AEC(s): ❑IDEA [—]INA ❑UW ❑SPIMA ❑PWS
Closest Ma). Wtr. Body .JC+^.t
ri •s/[c
S,>,. �. c{ ____
ORIN: yes/qo; PNA: yes/nn,,'
type of Project/ Activity
shoreline length -r S 6 r
Access Length '•
Pier (dock) length .jwr/:-:? I
Fixed Platform($) 2 fx 9 `s
Floating Platform(5)
Finger piers) z/ ; f� /
Total Platform area_ C/`/?I
Groin length/9^
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel_
Boat ramp
Boathouse/ Boattift
Beach Bulldozing
Other
'e- yrn„-
SAV observed: yes
Moratorium: n/a yes Lnd) _
Site Photos: `Vey no `! t (.4C. o+ F
Riparian WalvernttacI d: ArellyyJ no
A building permit/zoning per`mlt''Vrbe required by: `(7 t•l o-. C4su,t�yd
Permit Conditions ___
(I
e (_r Ala_}l.
_ (Scale: n' S
I(I .'�'A
❑ TARIPAMINEUSEIBUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
I AM AWARE OF SjATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please inidal), AL
Agent or Apnikant PBII Name
Signature. easer comptianc co permits•
Application Feels) Check R/Money Order
tl/ 1�_C, •tl Jlr
P rmit Officers PRINTED Name
�,.4 A c<o ,
Si rare
Issuing Date
Expiration Date

j
AMA ❑DREDGE & FILL
!GENERAL PERMIT
3
}New ❑Modification ❑ Complete Reissue ❑ Partial Reissue
NQ 89229 G9 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:
I SA NCAC r I Z J 'a' ❑ Rules attached. 'F'4t-General Permit Rules available at the following link: wwmdeq.nc.gov/CAMArules
Applicant Name r/ 2
'\ i S q- E, L o� cover I Tf V_Q�_
Authorized Agent
Address It `� iT za /9,
n / tit'\ C­U S t I +� 3 D /
Project Location (County): `!/
CityC k�rl o±J2 S ✓5 I Ie. State 1/ A zip
Street Address/State Road/Lot #(s) % 9' QQ
I I A S 4_ 14 -" � + p R/
Phone #(`L3�) 71
1—577'e
moo+- I �q
Email AQnS S e_.
4 ca wr ✓bLaS , cA/ti-
Subdivision P ) rw a Co V¢- VJ
Ilrn dl
City /'2O'A
zip 'z- ysy
Affected ❑CW
[jgfW ®PTA ❑ES ❑PTS
Adj. Wtr. Body. /Qn�w oke_
sc' n �
(2n man/unk)
AEC(s): ❑OEA
❑IHA ❑UW ❑SPIMA ❑PWS
Closest Maj. Wtr. Body OK c' nokC
1
S�U�cL
ORW: yes/r66�
PNA: ye no
Type of Project/Activity/KiO 2-3
e lace- 3a'
�/&c�
¢.5' --F ter Add J 12 R- P,(t
qs r- t
(Scale: &R!, 1
Shoreline Length
Access Length
2mr ? 8 P/ad %vCn
Pier (dock) length 3 a J
Fixed Platform(s) xX2t. tiye�
Floating Platform(s)
Finger pier(s) / ���
/�/_S 7AdG
Total Platform area q t
0
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore — � � (g `i/ NJ
Breakwater/Sill — /
Max distance/length _ g2 0t[�A.n,�' - �J
Basin, channel _ G✓ �. f✓Y� I P�d,/! �. ��
Cubic yards
Boat ramp
Boathouse/Boatlift
Beach Bulldozing
Other 'Z 05/5,�.95
SAV observed: yes (nQ1 .,/
Moratorium: n/a yes n✓
Site Photos: *es -no Riparian Waiver Attached:no
A building permit/zoning pebe required by: C*i `'t
Permit Conditions
1 I I
I es
Y L
❑ 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 lnitial)DC
/✓Dnn
Agent or Applicant PRINTED Name P rmit Officer's PRINTED Name
l _
Signature "Please read compliance statement on back of permit" Si tune
y�� i2-73 7Z/1111(1-2-s
Application Feels) Check N/Money Order Issuing Date Expiration Date

❑LAMA ❑ DREDGE & FILL Na 89229 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 ❑Rules attached. n General Permit Rules available at the following link: wwsv.deq.ncgovlCAMArules
Applicant Name
i (` R.lt
.
Authorized Agent
Address
'#-°
�' '/
Project Location (County):
J,�)o, �=-
City State
ZIP
/
Street Address/State RoadUt#(s) % F
Phone #
Email t'
Subdivisioynn P
City %l a .
ZIP
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
Type of Project/ Activity
" %a , ,
2 Z,' r<
2 ,) f' /a 4- r:: 'Y l
x
e�
n.ld 1
Tie P.I'.,Is
F:,r I silo,
(Scale: n%Sj
IN
I
11MINEMMI
Em's
M
0
M
M
0
ON
U
. . . . . . . . . . .
:�C
:E:■C:::�
C■
1-I
E
'::11:::
111
Bulkhead/ Riprap length
Avg distance offshore
distance/ length
Basin, channel�
Beach Bulldozing
ME
4
:I:O:
moll
...��.�.:■:.::
N■!�MEMax
■��I..H.■■■.■..■■...11..■■....
air
MEMO
..M
�
ME
�
I
��
..::
MEM
■■...I1�E
01
1l
.■■
�F
11
IN
Moratorium: n/a yes no
Site Photos: yes no
RLI
..:..■.��:
..
■.■.....■■fil■lf
UMMU■■
iEM
::
In
::■ilMEM
EMEM
RE
A building permit/zoning permit maybe required by:l)
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)''<.
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature "Please read compliance statement on back of permit" Signature
Application Fee(s)
Check #/Money Order
Issuing Date
Expiration Date

ACCENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting permit: Denise L.acour
Mailing Address: 1430 Rolkin Court Suite 301
Charlottesville, Va. 22911
Phone Number: 434-971-8996
Email Address: [e-mail]
I certify that I have authorized Millstone Marine Construction
Agent l Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
To replace my pier platform, 30' of pier and add three mooring piles
at my property located at 76 Ballast Point
in Dare County.
l 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 appAra8on.
Property Owner Information:
Owner
Title
7 f 30 l 2024
Date
This certification is valid through 1,1 / 31 l 2024
Revised Mar. 2016

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: Denise Lacour
Address of Property: 78 Ballast Point, Manteo N.C., 27954
Mailing Address of Owner: 1430 Rolkin Court, Suite 301, Charlottesville Va., 22911
Owner's email: [e-mail] Owner's Phone#. [phone]
Agent's Name: Millstone Marine Construction 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 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 er drawing with dimensions must be Provided with this letter.
x I DONOT'Mvq *0 M M t0 t* pfopoAl. 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. Grim 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 weyta the setback, you must sign
the appropriate blank below.) /�^ `l._
I DO wish to waive somelall of the 15' setback
!e.
I do not wish to waive the 15' setback requirement
"it of
Typed/Printed name of ARPO:
Mailing Address ofARPO: P.O. BOX 634, Tarboro
ARPO's email; [e-mail]'s Plrone#: 252-813-5389
Date: 7/30/2024 `waiver Is valid for up to one year from ARPO's Signature'
Revised May 2021

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY 0WNERj!ODFF).CATI0N FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
I hereby certify that I own property ad)acent to Denise Lacour 's
(Name of Property Owner)
property located at 76 Ballast Point
(Address, Lot, Block, Road, etc.)
on Albemarle Sound in Manteo
(Waterbody) (City/Town and/or County)
Agent's Name #: Millstone Marine Construction
Agent's phone #: [phone]
Mailing Address: 201-A Etheridge Road
Manteo N.C_ 27954
N.C.
Me/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 o site drawing)
To
30' of pier and add three mooring
(DCM) In writing within 10 days of receipt of this nodca Contact InWroodon for OCM okces Is
available at www.nccoastalmongementnedcontact dcm.htm or by calling 1-M-4RCOAST. No
Owner Information)
Name
1430 Rolkin Court Suite 301
Wing Address
Charlottesville, Va. 22911
CifwSfate/Zip
Telephone Number
Dato
(Rlparta P rty Owner Information)
P77/�—"-
Sigr4gum �T
Terrell Thomas, Jr.
Print or Type Name
P.O. Box 729
Mailing Address—'
Wendell N.C., 27591
Citylstaia/Zip
Telephone Number
Dale

Pier Replacement for Denise Lacour
78 Ballast Point
Optional
Mooring
Piles
Sr r
N10 r,

ks+�
1�