89220A (MOD) - Petty, Dale and Annah

(I�CAMA V( DREDGE &FILL 1n f` 9220 Y1 CA B C D
Previous permit
;® GENERAL PERMIT Date previous permit issued
MNew *edification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the S to ooI North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
1 SA NCAC rn 1 717 p I / ❑ Rules attached. �neral Permit Rules avai-labfle/at the following link: �q.ncgov/CAMArules
Applicant Name J l r � .Q q- A Ara, o.k °f' z-44 s/ Authorized Agent /V 6 L- T-r. & & S f-q--n Al ry rl rt ts-
Address ! r Q , /. A I G C.' Project Location (County): 0) a� C-K-
qry A S/<s el stare /J C zip.2— 15� Street Address/State Road)Lot N(s) .�2 2 2�
Phone H('.,),1` 'p) �% % jar^- O s� -,,a4 sa±1"r" (� i 1 + ,( wr d. 0 clrr rS 4
Email 4,N I CD iA. Subdivision Z-�j.5 � la -r/
City 417 oa/1+g 0 ZIP
Affected ❑ cvv FW 0PTA PES �p7S Adj. Wtr. Body OC , e� .S na n/unk)
AEC(s): ❑OEA gIHA ❑UW ❑SPIMA ❑PWS Closest Maj.Wtr." 16rct,.Agt'<.._�a
ORW: yes/t!151 PNA: yes/
Type of Project/ Activity
Shoreline Length � J, it..fi r
Access Length _
Pier (dock) length ..r�
Faced Platforms)
'H
Floating Platform(s)
Finger pler(s)
Total Pladofm area _
iIn I'm h/g
ulkhe.di Riprap length. -,
Avg distance offshore
Breakwater/Sill
tplazdistance/length �
Bas(n—channel
Cubic Yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed: yes
Moratorium: n/a ie;
Site Photos: C ye_s
Riparian Walver Attached: des
.0 r
A building permit/zoning permit maybe required by: (- �� Q- C �'< � I�
00
a's
C eF�ey� s
a � o.r
PRINTED Name
.- Q_n
(Scale: rk;TS )
❑ TAR/PAMINEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
ofpermiY• Signature
-15/-5 � Z(,/-Z /A,b
Check R/Money Order Issuing Dale Expiration Date

MCAMA 0 DREDGE & FILL
d GENERAL PERMIT
[ fNevv ❑ Modification ❑ Complete Reissue []Partial Reissue
NY 2S`JLLU F�— (qj 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 V9 z /I Oc)
❑ Rules attached.
VI Zeneral Permit Rules available w. at the following link: wwdea
Y7Auutthorized
nc gov/CAMArules
Applicant Name T 0.`oQ_ n o ],y
p
t#+e_ +y
Agent &18 1"k/44-0-5 +_4_iil
n ri Ay
Address I r 6 , 6 rJ L 16 0
Project Location (County): :!) a,-C- _
. 11
City 11 �/,Z n State /V C
zip
Street Address/State Road/Lot#(s) ,1q I 22`�
y
tQr Xl
Phone#(5'-) 2 9 G((�
0v
o'f"1tiQ,� Vi /I +t-�/ ci1�tl-
d,
Email _ A 51 `z Gzs S t�C'T"��- fI
Sh l.yt C1,
C.,o T-
%bdiveien Lo f .S .2 r /
City 0./I4- _ / zip
Affected ElcW W E4=
W f S
" [J
//2-%9-5V
Adj. Win Body OCJ1/t O a/�C/ -SD sAd (Y
nat/ an/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW
❑ SPIMA ❑ PWS
/ I
Closest Maj. Wtr. Body�1rwC1-
ORW: yes/�) PNA: yes/6.
Type of Project/ Activity
II
r, -(�:_ Qx` S- +�l it9
(Scale: hTS )
Shoreline Length ? 3 (k'
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s) _
Total Platform area _
Ch/q
Riprap length f' Z 6&
Avg distance offshore 2 r
Breakwater/Sill —
Max distanc Aength 2 r
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
—
Other
_
SAV observed:
yes
Moratorium; n/a
es
Site Photos:
Y es no
Riparian Waiver Attached:
es no
A building permit/zoning permit maybe required by: 1-ID"_7C..as-fin
ev, r
_ �tt
/Z��/q/V6lti
X Ty
V \/
LAr/
❑ 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 RULESAND CONDITIONS THAT APPLYTO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial) K
•i_ y u o a l� Carve
Agent or Applicant PRINTED Name Permit `Officer's PRINTED Name
Sig a ure *'Please read compliance statement on back of permit" Si ure
-7 5/s 17 4, //2V 1 /�- 12s
d Application Feels) Check #/Money Order Issuing ato Expiration Date

❑CAMA ❑ DREDGE & FILL Nu 89220 , (Aj
GENERAL PERMIT Previous 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:
15A NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: www.de .nc. ov CAMAruI
es
Applicant Name
Address
City State ZIP
Phone#(_) I
Email rl �. : J,fl
Affected ❑CW ❑EW PTA ❑ES ❑PTS
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS
ORW: yes/no PNA: yes/no
Authorized Agent!
Project Location (County): rx
Street Address/State Road/Lot #(s) ^ !
Subdivision -
City !, (. ZIP
Adj. Wtr. Body
Closest Mal. Wen. Body
Type of Project/ Activity 1Z I J {i -i l 'k % CG cp A, -I
v
(Scale: VT )
Shoreline Lenefh /
Access Length
Pier (dock) length
Fixed Platform(s)
w
Floating Platform(s)
■
■�■■
Finger plers)
Total Platform area
■■�uG�����::■:■i�::
°i■i�Q■Qla
r�
e:■■
:®��
is
,•■■■■
Bulkhead/ Riprap length
:■:��
Avg distance offshore
■
�1!\�LGI���■
Max distance/ length.
Vasin, channel
■rya■■
.■�I�i.�■i�ic.�����m�����■
.■:
:.:.■.�::
■:.■:�••e..■.:::::
A building permit/zoning permit maybe required by: i. -)CT- C ca k n "f
Permit Conditions r
❑ TARJPAM/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
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature --Please read compliance statement on back of permit`" Signature
—7
Application Fee(s)
Check #/Money Order
Issuing Date
I i
Expiration Date

AGENT AUTHORIZATION FOR CANA PERMIT APPLICATION
Name of Properly Owner Requesting Permit
Mailing Address:
Phone Number:
Email Address:
I certify that I have authorized t ) .
Agent/Contraotor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
at my property located at cA v
in DAVCounty.
I furthermore certify that I am authorized to grant, and do in fad 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
permlt applicaffon.
Property Owner information:
This certification is valid tnrougllt---7 '
Revised Mar. 2016

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N
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMIAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be
Name of Property Owner..
Address of Property: _
Mailing Address of Owner:
Owner's email:
Agent's Name: Alp, mar 1,r }:e
Agent'sEmai{: ftd�l (Q nr',ma--Y
by owner or their agent)
Owners Phone#:
Agent Phone#:_ �� , �1 W 1 ` - �C j Q
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adlacerd Pronerty 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 haverob)ections to this proposal. 1 DO have objections to this proposal.
If you have objections to what is being proposed, you must notify the N.C. Dlvislon 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 some as no objection If you have been
notified by Certified Mall.
WAIVER SECTION (Choose oniv 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
-OR-
Signature of Adjacent 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 off ARPO: -Y • U -0 U K . b ) LP
ARPO'Semei:nhecndO O'0AR O'sPhonef:75�-�I 1�1-k19
g 1 1
Date: *waiver is valid for up to one year from ARPO's Signature*
Revised August 2022

'45
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be
Name of Property Owner:
Address of Property:
Mailing Address of Owner:
Owner's email: f
Agent's Name: M p ri n t
Agent's Email:_ 1lk\l�Cc' nP (7Vt n
by owner or their agent)
jV G
Owner's Phone#:
Agent Phone#252 a� of -31og a,
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom Portion to be completed by he Adfacent ProParty Ownerl
I hereby certify that I own property adjacentto the above referenced property. The Individual applying forthls
permit has described to me, as shown on the attached drawing, the development they are proposing. A
sc ' on o drawin w' dim nslon ust be i is
�5 u a6S CIPf»l� l? h eu> I t I,11 ltn r�,l — c) Ve.r -
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. GdMn 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
notiffed by Cartiiled 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 aooly to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign
the appropriate blank below.)
100 wish to waive some/all of the 15' setback
-OR-
Signature of Adjacent 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: ,7—� L i4od (�
Mailing Address of ARPO: Z 30 /MO rV f (z
ARPO's small: c3Yl,gEj... kVlady'ui�Ma ARPO's Phone#:
/ i
Date: 712 yl 'waiver Is valid for up to one year from ARPO's Signature`
Revised August 2022

Manteo Out, NC 27954
Parcel: 029993000
Pin:988007584504
Tax District: Manteo Out
Subdivision: Subdivision - None
Lot BLK-Sec: Lot: 2-r Blk: Sec:
Property Use: Residential
Building Type: Traditional
Year Built: 2009
Tax Owners: Petty, Troy Dale -Primary Owner, Petty, Annah Allen -Primary Owner -Primary Owner
Mailing Address: P O BOX 100 Avon NC 27915
Building Value: 800,500
Land Value: 374,700
Misc Value: 57,600
Total Value: 1,232,800

0 Mother Vineyard
Manteo Out, NC 27954
Parcel: 029992001
Pin:988007582648
Tax District: Manteo Out
Subdivision: Subdivision - None
Lot BLK-Sec: Lot: lb Blk: Sec:
Property Use: Secondary Improvement
Building Type:
Year Built:
Tax Owners: Petty, Troy Dale -Primary Owner, Petty, Annah Allen -Primary Owner -Primary Owner
Mailing Address: P O BOX 100 Avon NC 27915
Building Value: 0
Land Value: 379,100
Misc Value: 24,300
Total Value: 403,400

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RECEIVED
®.LAMA 0 DREDGE & FILLCA
s C D
0 C T 03 2024 Previous
GENERAL PERMIT
permit
Date previous permit issued
dNew ❑Modification ❑ Complete Reissue
DRi
As authorized by the S//tale of North Carolina. Deportment of Environmental Qualityand the Coastal Resources Commission in an area of environmental concern pursuant to:
ISANCAC i'r c'Cc ❑ Rulesattached.
V-General Permit Rules available at the following link: Wnwdm.nc. WCAMArudes
Applkant N=e T e I ¢ 9- A n J, fid-I V
o A.
Authorized Agent _ A.
Z- -4Ix x- A S A A'l a : -i A st-
Address r r . A / G C.•
Project London (Count: 06
City A x!,1 s n State A; C ZIP � - r� /S
StreecAddres nshne, Road/Loc#(s) .9-.? N� 22-
) �i
PhoB) cl I �O L's�9
m�0
Icn_- k- \1c. isc .S /'tQo
Email l[ Q I L' Cd S t.: -r v C S:• y c I. C G : ry
Subdivision LcI-'-. S �I, I o
city f%70./l-N-
Affected ❑CW EWv FI .PTA [2-ES ffgS
Adj. Mr. Body \ O.Sc,. trlCl �jnan/unk)
AEC{s): ❑OEA gIHA ❑UW ❑SPIMA ❑PWS
,G"'1016E.
Closest Mal.Wtc Body
ORW:yes4r(o' PHA: yes/
Type of Project/Activi�'! C. Activity c-r t1:«(f.c� i � 2lc«n e.en'1- .2....r .0S4Z-k,;,rst
n .�-" 4. x'e i I it-i %A rf L4 ( I 6z (scale: rN775
Access Length v
Pier (dock) length_,__ _
Fixed Platformis)
Floating Platformisi
Finger pler(s)
Total Platform area
G oin length/a,
uikheadk Rip raPlenglh L •V Ai-•
Avg distance offshore 7.
Breakwater/Sill
Wax distance( length Z r
Basin, channel �'
Cubic yards -�
Boat ramp
Boathouse/Boallih
Beach Bulldozing
Other
SAV observed: yes nP._
Moratorium:
site photos: Veers o
Riparian Waiver Attached: —qes C
A building permit/zoning permit may be required
ure "Please
�D
V
—t —
.0
by: I�r�i � � �t\nT
TARIPAN/NEUSE/auFFER (circle one)
❑ See note on back regarding River Basin rules
See additional notes/conditions on back
Permit Officer's PRINTED Name
�711
signature^
7 /(,. /-Z I/c-b
Issuing Date Expiration Date

'45
RECEIVED
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
OCT 0 3 2024
(Top portion to be completed by owner or their agent) ®C (t pmC
Name of Property Owner: ' Vi
Address of Property: i a r�� f2c
Mailing Address of Owner: PO'PnakI00, %ik NIL e,212�r 1 j
n
Owner's email: Owner's Phone# � �t (O- I. Cl ( P5a
Agent's Name: ICE, n -'L r1 C) f Agent Phone#: ,25a aLC—J
Agent's Email: rrl(t 1'1 n (�
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owns )
1 hereby certify that I own property adjacentto 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 o i dimensions, must be providedis letter.
l i �, O (TLiC V C' I I
fJ0 - ecxj
6C j� I DO NOT have o jectlons o s proposal. I DO ve dblectiloroVo this proposal.
N you have objections to what Is being proposed, you must no the N.C. Division of Coastal
l Management (DCM) In wilting within 10 days ofreceipt 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 objeodon ff you have been
notified by CwNed Mall,
WAIVER SECTION (Choose _on
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 rioreo revetmentst. (If you wish to waive the setback, you must sign
the appropriate blank below.)
100 wish to waive some/all of the 15' setback
-OR-
Signature of Adjacent Riparian Property Owner
I DO NOT wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner; J
Typed/PdnWd name of ARPO: A %1 V �IC - t
Mailing Address of ARPO:
ARPO'S email:
Date:
ARPO's Phone* 2 5 L -'( 7 3. (F 9 o (a
'waiver is valid for up to one year from ARPO's Signature*
Revised August 2022

N.C. OMSION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM OCT 0 3 7.0M
CERTIFIED MALL . RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be
Name of Property Owner:=
Address of Property: a
Mailing Address of Owner: 1- lJ 1Jl J) L
Owner's email:
Agents Name: (M -1' 1 .n P .
Agents Email: t c 1 � e ca ne VyN--Lr1
by owner or their agent) DCM-EC
-( hlC.11 IIn a
Owner's Phons* "Q�r�- //" 1 //"1 l0 — o
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom Portion to be Comoleted by the Adjacent Pronertv 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 thery� are proposing. A //''
description r win withdmen s at r d i e [ 111E 0t u. lnlrl` I' 1`'l�`
W e'er �e_✓l lC 11 1� 2 4xc= (eY t `d
DO NOT have objections to this proposal. 1 O hav bjections to this proal.
it you nave oDJecnons to woat s t,e,,,y N„
Management (DCM) in writing within 10 day
mailed to 401 S. Griffin St., Ste. 300, Mizabi
contacted at [phone]. No response Is
nodfled by Certified Mail.
of this notice. Correspondence should be
27909. DCM representatives can also be
the same as no objection if you have been
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 16 from my area of riparian access unless waived by me
(this does not apply to bulkheads or riorso revetments). (if you wish to waive the setback, you must sign
the appropriate blank below.)
1 DO wish to waive some/all of the 15' setback
Signature ofAd)acent Riparian Property Owner
-OR-
I DO NOT wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Properly Owner.
TypedlPrinted name of ARPO: z.r" I
Mailing Address of ARPO: t�
ARPO's small: ARPO's Phone# S
Date: `waiver is valid for up to one year from ARPO's 8lgnatuW
Revised August 2022