89356A - Carlson, Kenneth

,&°,Lomr', ❑CAMA ❑ DREDGE & FILL N9 89356 A; B C D
0 41 GENERAL PERMIT Previous permit
Date previous permit issued
[✓(ew ❑ 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:
:�
ISA NCAC ❑ Rules attached. General Permit Rules available at the following link: www.deq.nceov/CAMArules
Applicant Name
City
Phone #
Email
ZIP
Authorized Agent ,M; II J 3 a •-1 P
Project Location (County): 0
Street Address/State Road/Lot #(s)
'f
r. •,Subdivision
City
Affected ❑CW FIEW FIPTA F'TES PTS Adj. Wtr. Body v ' </ (hat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/ho
Type of Project/ Activity
Shoreline Length_
Access Length _
�Pil(dock) length
Fixed Platform(s).
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/�Riprap length
Avg distance offshore
Breakwater/Sill '—
Maxdistance/length 4:
Basin, channel --
Cubic yards —'
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing --
Other
SAV observed:
yes no
Moratorium: ' n/a
yes no
Site Photos: -
yes no ---
Riparian Waiver Attached:
yes no
A building permit/zoning permit may be required by:
Permit Conditions
(Scale: )
❑ 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 i
Signature *'Please read compliance statement on back of permit" Signature
Application Feels) Check #/Money Order Issuing Date Expiration Date

AGENT AUTHORIZATION FOR CAIMA PERMrr APPLICATION
Name of Property Owner Requesting Permit
Kenneth Carlson
Mailing Address: 3010 Phyllmar Place
Oakton Virginia, 22124
Phone Number: 1-301-873-5652
Email Address: [e-mail]
I certify that I have authorized Millstone Marine 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:
Remove existig pier and construct a new pier and bulkhead
at my property located at 1036 Martine Point Road
In Dare County.
I furthermore certify that l am authorized to grant, and do in fact grant permission to
t)lviston of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection wlM evaluating information related to this
permit application.
Property Owner Information:
Signature
Kenneth Carlson
RInt or Type Name
Owner
10 1 03 1 2024
Date
This certification is valid through 2 / 28 ! 2025
Revised Mar: 2016

DIVISION OF COASTAL Mu No EM FmnTNT
Kenneth Carlson s
certify that I own property adjacent to Owner)
(Name of Property
r..I 1636 Martins Point Road
(Address, Lot, Block, Road, etc.) N.C.
in Kitty Hawk
ptylTown andlor County)
done Marine Construction MailingAddress:201-A Etheridge Road
!-202-2678 Manteo N.C. 27954
i to mews shown below the development he/she is proposing at that location,
7TION'ANDIOR DRAWING OF PROPOSED DEVELOPMENT
rg development must fill in descrlption below or attach a site drawing)
,rt n nPv✓ nier and Bulkhead
notice. Contact information for DCM Offices is
ctdcm.htm or by ;tailing 1-888-1RCOAST. No

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
I hereby certify that 1 own property adjacent to Kenneth Carlson
property located at 1036 Martins Point Road
(Address, Lot, Block, Road, etc.)
I
(Name of Property Owner)
on Currituck Sound in Kitty Hawk , N.C.
(Waterbody) (Cq/Town and/or County)
Agent's Name #: Millstone Marine Construction Mailing Address: 201-A Etheridge Road
Agent's phone #: [phone] Manteo N.C. 27954
He/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 ANDtOR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
Remove existing pier and construct a new pier and bulkhead
ff you have objections to what is beingproposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact intormadon for DCU offices is
available at www.nccoastaimangement.net/contact dcm.htm or by calling 1-8884RCOAST. No
response is considered the some as no objection if you have been notified by Cenified May.
(Prop r Owner infornyatlon)
sign tune
Kenneth Carlson
Pnbt or Type Name
3010 Phyllmar Place
Marling Address
Oakton Virginia, 22124
Cilpstate/Zip
Telephone Number
(Riparian Property Owner Information)
Signature
Bradley Leisure
Print or Type Name
P.O. Box 102
Mailing Address
Blain PA., 17006
C@ylstatelzo
Telephone Number
Date

11
New pier for Ken and Judy Carlson
1036 Martins Point Road
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