78506A_Clements, Judson_20200226

[CAMA / ❑DREDGE &FILL R
N9 78506 B C D
GENERAL PERMIT Previous permit#
Clew ❑Modification ❑Complete Reissue ❑Partial Reissue 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 t t • 2 �� X�
EX Rules attached.
Applicant Name
J U d:i o N C (e nee Nt s
Address try FofmS{
Pt,"
City Ne woo (i
News State \/ A ZIP ? 3 (o �
Phone # (_4;_1 3l4ll1 -ge(oZ E-Mail
Authorized Agent
�r 5 Mq li I N C •
Affected $'cw
�5m ($PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA
❑ HHF ❑ IH ❑ URA ❑ WA
❑ PWS:
ORW: yes / ,no PNA yes / no'
Type of Project/ Activity fa A f
Pier (dock) ILfngth -----
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Groin length �^
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel ^"^�
cubic yards —'—"
Boat ramp
Boathouse/ Boatlift k
Beach Bulldozing -------7—,
Other
Shoreline Lengi + Zq_QiW
SAV: not sure yes
..
Moratorium: n/a yes no I
Photos: no } ..... I L
Waiver Attached: yes n:gq
A building permit may be required by: Pri (e
( Note Local Planning jurisdiction)
Notes/ Special Conditions
Agent or ApplicanLJ4inteSL.Narn
X
Signature Please read compliance statement on back of permit''"
2—Wov
Application Fee(s) Check #
Project Location: County Dowe
Street Address/ State Road/ Lot #(s)
LS�,�y
Subdivision SI6A11�� TAG (, C) Vk AAWirJ A
City 'Mott i eo_ ZIPZ-j9Sy
Phone # ( ) River Basin ►U4 AndK
Adj. Wtr. BodyS % t ._� (nat man unkn
Closest Maj. Wtr. Body IbeMow c p SoorA of A(
(Scale: - )
❑ See note on back regarding River Basin rules.
ited Name
Issuing Date Expiration Date

Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become
null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The
applicant certifies by signing this permit that I) prior to undertaking any activities authorized by this permit, the applicant will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
landowner(s) .
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar - Pamlico River Basin Buffer Rules Other:
Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the
River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of
Water Resources. Contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the
Wilmington Regional Office (910-796-7215) for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave 943 Washington Square Mall
Morehead City, NC 28557 Washington, NC 27889
252-808-2808/ 1-888ARCOAST 252-946-6481
Fax: [phone] Fax: [phone]
(Serves: Carteret, Craven, Onslow -
North of New River Inlet- and Pamlico
Counties)
Elizabeth City District
401 S. Griffin St.
Ste. 300
Elizabeth City, NC 27909
252-264-3901
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover,
Onslow - South of New River Inlet -
and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/ 17

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONlWAiVER FORM
Name of Property Owner: Judson Clements
Address of Property: Shallowbag Bay Marina, Manteo slip # 54
(Lot or Street #, Street or Road, City & County)
Agent's Name #: Lyn Small, Inc Mailing Address: 113 Ballast Rock Dr
Agent's phone #
252.491,8562
Powells Point, NC 27966
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 be provided with this letter.
X I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at http.tlwww.nccoastalmanactemen t.netlweb/cml'staff-listitrg or by calling 1-888-4RCOAST.
No response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must
be set back a minimum distance of 15from my area of riparian access unless waived by me. (If
you wish to waive the setback, you must initial the appropriate blank below.)
X I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature
Judson Clements
Print or Type Name
6 Forrest Drive
Mailing Address
Newport News, VA 23606
CitylStatelZip
Telephone Number / Email Address
Date
(Riparian Property Owner Information)
Signature
Shallowbag Bay Club Marina H.O.A
Print or Type Name
1100 N Club Bay Drive
Mailing Address
Manteo, NC 27954
CitylState/Zip
T.sT Z15 ---"15YI 76,�.oGEC��
Telephone Number / Email Address
15 /,2y v
Date
(Revised Aug. 2014)

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner: Judson Clements
Address of Property
Shallowbag Bay Marina, Manteo slip # 54
(Lot or Street #. Street or Road, City & County)
Agent's Name # Lyn Small, Inc Mailing Address: 113 Ballast Rock Dr
Agent's phone #: [phone]
Powells Point, NC 27966
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 be provided with this letter
I have no objections to this proposal _ I have objections to this proposal.
if you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at http:,t`www.nccoastaimanapement.netlweblcmistaff-listiraq or by calling 1-888-4RCOAST.
No response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must
be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If
you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
S'wnatiirc
Judson Clements
Print or Type Name
6 Forrest Drive
Mailing Address
Newport News, VA 23606
City/State/Zip
Telephone Number / Email Address
mare
(Riparian Property Owner Information)
tom.
I�;iTC Ni`C''
Shallowbag Bay Club Condo H.O.A
Print or Type Name
1100 N Club Bay Drive
Mailing Address
Manteo, NC 27954
CitylStatelZip
Telephone Number l EmailAd ress
Dare
(Revised Aug. 2014)

Parcel Data Sheet
County of Dare, North Carolina
'Owner and Parcel information is based on current data on file and was last updated on January 312020
Primary (100%) Owner Information:
MCKEE INVESTMENTS, LLC
D/B/A/ MCKEE RENTAL PROPERTIES, LLC ----
112S AZALEA GARDEN RD
NORFOLK VA 23502
Parcel Information:
Parcel: 030836054 PIN: 97890768886854
District: 10- MANTEO IN No Image on File
Subdivision: SHALLOWBAG BAY CLUB CN MARINA
LotBlkSect: LOT: UNIT G54 BILK: SEC:
Multiple Lots: -
PlatCabSlide: PL: G SL: 170 Units: 0
Deed Date: 12/22/2011
BkPg: 1880/0100 030836-054
Parcel Status: ACTIVE
Property Use: BOAT SLIP CONDOMINIUM
BUILDING USE & FEATURES
Building Use:
Exterior Walls:
Full Baths:
Bedrooms:
Heat -Fuel:
Tax Year Bldg Value: $0
Half Baths:
0 DOCKS #G54
Actual Year Built:
Heat -Type: Finished sqft for building 1:
Air Conditioning: Total Finished SgFt for all bldgs: 0
Disclaimer: In instances where a dwelling contains unfinished living area, the square footage of that area is
included in the total finished sqft on this record. However, the assessed value for finish has been removed.
MISCELLANEOUS USE Tax Year Misc Value: $116„ zQ0
Misc Bldg a: (S132) SHALLOWBAG BAY LOC 2 Year Built: 2005 sqft: 1
LAND USE Tax Year Land Value: $0
Land Description : 10-Leasehold Improvement
TOTAL LAND AREA: 0 square feet
Tax Year Total Value: $18,500
*Values shown are on file as of January 312020
https://tax.darecountync.gov/parcelcard.php?parcel=030836054 1/1

This map is prepared
from data used for the
Off=
inventory of the real
property for tax
purposes_ Primary
.''■txr ",A`
information sources such
{4
as recorded deeds, plats.
wills, and other primary
jr public
records should be
wfi
consulted for verification
of the information
contained in this map.
0 Docks G18
Manteo NC, 27954
Parcel: 030836018
Pin: 97890768886818
Owners: Mckee Investments, Llc -
Primary Owner
Building Value: $0
Land Value: $0
Misc Value: $18,500
Total Value: $18,500
Tax District: Manteo In
Subdivision: Shallowbag Bay Club Cn
Marina
Lot BLK-Sec. Lot: Unit 18 (G-18) Blk: Sec
Property Use: Boat Slip Condominium
Building Type:
Year Built:
No Image on File

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