89277A - White, Brian and Charlotte

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oz a OCAMA ElDREDGE & FILL N4 89277 0B C D�
fA GENERAL PERMIT Previous permit
Date previous permit Issued
tNew ❑Modification ❑Complete Reissue ❑Partial Reissue
As authorized by e 1 S,{late r
of North Carolina, Department of Environmental Quality and the Coastal Resources Commission In an area of environmental concern pursuant to:
15A NCAC 11't I o ❑ Rules attached. �ieneral Permit Rules available at the following link: www.dea.ncsroyLAMArules
Applicant Name OT'a o.n V-lU-t'ft k3&j T•L- Authorized Agent yr
Address 3 a (Sa. / / a.S df- P� 14& Q C"r Project Location (County):
City /it -^TR' State �jL ZIP 2—%9 Sy Street Address/State Road/Lot#(s) 31:� /S4.1/c1LYJtA3,M-0�
Phone #AM 3 a $ —/' i o 4,0+ & o i
Email k'A 1't'q-W LgtybS+�c fi n- Subdivision, ei ��a-" /✓a �'aS 7'T• r�At,J—
City 444 A,,+-- ZIP 2T 9 S yy
Affected ❑ CIV R4 W- FrrA ❑ ES ❑ PTS Adj. Wtr. Body r, s, 0.n o %c•_ Sa w �4- J nV aVMan/unk)
AEC(s)o ❑OEA ❑INA :]UUW ❑SPIMA ❑PINS Closest Mal, Wln Body A. SewnC
ORW: yes/6) PNA: yesQ; )
Typo ofro ect/ PActivity ,C c
W A. Z/Gr
Shoreline Length si g
Access Length
Pier(dock) length
Fixed Platform(s) `
Floating Platform(s)
Finger pler(s) _
Total Platform area
Groln length/N
Bulkhead/Riprap length
Avg distance offshore —'
Breakwater/sill _
Max distance/ length
Basin, channel
Cubic yards _
Boat ramp � (�
Boathous Boatll J
Beach Bulldozing _
Other
SAV observed: yes
Moratorium: n/a yes
Site Photos: ye no �t,�,�ds,L� )4.
Riparian Waiver Attached: L no
A building permit/zoning perm be required by:
Permit Conditions
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❑ 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
VcMatthew suernum
Agent A ant MN
Sig t ea r compliance statement on back of permit••
�D �4
Application Feels) Check R/Money Order
PRINTED Name
pasure
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Issuing Date Expiration Date

a�r4 EDGE &FILL N° 89277 lJB C D
;o� CAMA ❑DR
GENERAL PERMIT Previous permit
Date previous permit issued
New ❑Modification []Complete Reissue ❑ Partial Reissue
As authorized by the State o�fl North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC 9 H I ( ^ C> Q ' ❑
� 1 � Rules attached. rpf'6eneral Permit Rules available at the following link:: www.deq.nc.gov/CAMArules
Applicant Name lJ -r o-A �' C�L4(` I a'Y�l C Q J i +,x-- Authorized Agent
Address 3 D I �0.- j % a S �/ P� j rt� 5�) C-i Project Location (County):�{�
City �"'�� State 1��- zip Z'77 sy Street Address/State Road/Lot#(s) 3o iS G.�L4S A l 14—Of,/
Phone #{ D) 13 Zt- $ " � a i Lo"l� a .
Email b A 6L�VShii-R[ �. �- Subdivision
/*Ir C.o �Q"/✓�^ ��`S
city /I�2ti}vvam zip 2'79.ry
Affected ❑ CW T. Fffm ❑ ES ❑ PTS Adj. Wtr. Body 0,10 r(,C, S,,//a s+ticL nV`at//nan/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj. Wtr. Body /fpo a^A ic.Ypv-n6
ORW: yes/6) PNA: yes
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platform(s) �-
Finger pier(s) =
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/length '-
Basin, channel
Cubic yards
Boat ramp
Boathous / Boatfift
Beach Bulldozing
Other
,9
It,
SAV observed: yes no
Moratorium: n/a yes no
Site Photos: yes no
Riparian Waiver Attached: a (✓ no
ning p` L
A building permit/zoerms y be required by: �ncyyV if'�4J�4
Permit Conditions
Agent or Applicant PRINTED Name
X( S r I,J 6
L A-rr-6 2,
-I— P I C—r2
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
REVIEWED COMPLIANCE STATEMENT. (Please lnitial)�--
Officer's PRINTED Name
Sig t re **Please read compliance statement on back of permit** $i'gpature l
Application Fee(s) Check #/Money Order Issuing Date Expiration Date

N❑CAMA ❑ DREDGE & FILL W 89277 A B C D
a GENERAL PERMIT Previous permit
3 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.deq.nagov/CAMAruIm
Applicant Name _
Address
City
Phone # ( )
Email
State ZIP
Affected ❑ ON ❑ EW M PTA
AEC(s): ❑OEA ❑IHA ❑UW
ORW: yes/no PNA: yes/no
Type of Project/ Activity
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
❑ ES ❑ PTS Adj. Wtr. Body-
❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
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A building permit/zoning permit may be required by:
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 PROJECTAND 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

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: P l .n
Mailing Address:
Phone Number: a �- • ��rr �`� ��
Email Address: 6/64 s b` fie-- /-�/-Z
1 certify that I have authorized Matthew Sherman ,
Agent / Contractor
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 'jo
in /Jqt-e- County.
Ila /1a'r 14
61 e CL.-� '�rcl r4 /"° ? �--
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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:
L �)� 7[(W
Signature �
Qs l 4
Print or Type Name
1JCJ let L✓ 1
Title
,
Date
This certification is valid through ! I l S
Revised Mar. 2016

Y3/ ZY
Currituck Boat Lift & Marine Services LLC
Matthew Sherman
252-435-8534
sherman—[e-mail]
Currituck Boat Lift & Marine Services
102 Red Horse Ln.
Jarvisburg, NC
27947
Home Owner:
Brian White
252-305-1070
30 Ballast Point Dr.
Pirates Cove
Manteo, NC
27954
Existing Boat Lift and Pilings Removed and Replaced with
24K X2 Hi -Tide GearDrive Boatt lift On Class B, 30'
2.5 CCA Treated Marine Grade 12" Round Piles
Driven to an Embedment of 12'-14' Under 4'-5' of Water
16' Outside to Outside Lengthwise
16' Center to Center Widthwise
Positioned Next to the Lower Landing
At the End of the Existing Pier
. Dock contlnuee to House
16,
Currituck Boat Lift & Marine Services LLC
Matthew Sherman
Currituck Boat Lift & Marine Services
252.435-8634
[e-mail]
102 Red Horse Ln
Jarvisburg, NC
27947
Home Owner:
Brian White
30 Ballast Point Dr.
Pirates Cove
Manteo, NC
27954
30'
Class B 12" Butt Dock
Marine Grade 2.5 CCA
Round Pile
Water
12' Minimum Embeciment_—� I I Sand
16,

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by ownerortheir age/n/y
Name of Property Owner !s /� 4/1 r4' </1/" A �T �-r'��/�� 11
Address of Property: �© �•[��•G,J1'� /�H;.1 7r- Ynn�r Nell7r/�ed,/flC
Mailing Address pof Owner. /7 Z /
Owner's email: p,'Awne s PhoneO:
Agent's Name: Agent Phone#
Agent's Email: .)/J4,A /4/7 I
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjapnt Property Owned
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 dimensiong, must be provided with this letter.
100 NOT have objections to this proposal. 100 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 N 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 16 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 16 setback
Signature o Adjacent eny Owner
•OR -
I do not wish to waive the IF setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner.
Typed/Printed name of ARPO:
Mailing Address ofARPO: (22.\\ l eu user C�\r r� GlZ- brk "erg VI 33RCO?,
ARPO'semail: T SSIAACk< U AuL ti.,,sARPO'sPhone#: qt7--t`o`!E--CtLv0
Date: 'waiver is valid for up to one year from ARPO's Signature'
Revised July 2021

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONNYAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top porttiion to be completed by owner or their agen t
Name of Property Owner.
Address of Prop": _ L 46411G„f
Mailing Address of Owner. A M et
Owners email: �/�1 �a e .2L rrd' Al nners Phone#. �/
Agent's Name: t ,10CjA--er—V ��f/�l/�i'r Agent Phone#: .jigs `Z -f/"Td
Agent's Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
Bottom poAion to be comaleted by Nre AdlaceM PrO0'1Y QMOF)
I hereby certify that 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
descri fion or drawin with dimensions must be provided with this letter.
I DO NOT have objections to this proposal. _ I DO have objections to this proposal.
e N.C.--- -
----have - — —_ i must no the C. Division of Coastal
ft you objections ro what is being proposed, you tNy
Management (DCM) In writing within 10 days of receipt of this notice. Correspondence should be
waited to 401 S. Griffin St, Ste. 300, Elizabeth City, NC, 27909, DCM representatives can also be
contacted at (252) 2"3901. 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 16 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
Signature ofA aaent Riparian -Property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner. /
TypedlF'rintedname ofARPO: C-jqf%gE'S .51q#1�/t-�jr,1.�T1'f, _
Mailing Addressof ARPO: 3l ar44(Its`jJ0f'
ARPO'semafL•C's£rr<����•k'G+—_ ARPO'sPhone#:,���7' �7GY
Date:�I 9 261r{_ ._'waiver Is valid for up to one year from ARPO's Signature'
Revised July 2021

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