78708A_Middleton, Robert_20201023

f L- 1/
.AMA / DREDGE & FILL _
B c D
C?ENERAL PERMIT Previous permit #
f New _ 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 15A NCAC �H_ nCJO
Rules attached.
Applicant Name RobGt+_ AN: dJ le, fDf_1_ Project Location: County �%I&
Address q0 G; test^..: r, TfA;
City4�Er� Sltarc s Staten/G ZIP279
Phone # ( YIO) :0 Y. _ ( E-Mail 1 � r�r.� �r �•�'�
Authorized Agent E,,4j 0, * [)0J
Affected � CW EW ./PTA ES X PTS
AEC(s): OEA HHF I USA N/A
PWS:
CHM yes / Qn PNA a I no
Street Address/ State Road/ Lot #(s) LID G; 4c, TIC./
Lo �9a
Subdivision
City <,-0,Aw S ZIP Z?10
Phone # (- ) River Basin Pao,. w
Adj. Wtr. Body_(] . •—• 4e_ C ee'r man. /unkn)
Closest Maj. Wtr. Body C"r : +9- c%. GD&-^c:
Type of Project/ Activity A0
/ JGx("
1;a L, �t, W,&� 1 S r h 1S
, Pla44cr, A&
tye o 6ce-_+h1f 4 . ci0
x te2J jt
(Scale: A T S
)
Pier (dock) length I l3o'k
FixedPlatform(s) IS Cl
6 '
G T�
C►�e N
c-2as^sp
s `
FloatingPlatform(s)�—
Finger pier(s)
Groin length
r �
y Z.4 Ilx 11
number
zowv-
Bulkhead/ Riprap kngth
\(/
avg distance offshore
max distance offshore
I
Basin, channel
cubic yards I
I
s'
/ir /4 /i/ Af r
i/r i / /t
i,' 14, //i
Boat ramp
'� Pw�atccd k
Boathous dift IZ x12 t
*Z.
.'Cc
2
WD,�bCr L� IStx 2S'
?
Beach Bulldozing
7L,
Other j�S x S I L.t((
• A). iX)ckA 3W y
1
Y
Shoreline Length
�i►
�
SAV: not sure yes C-D
ro
11 /
Moratorium: n/a no
Photos: 6ye
S(c,1CJ el- p .
I
/no�
Waiver Attached: yes (J
A building permit may be required
by:
� ^
G� �T�ti S,S
See note on back regarding River Basin rules.
( Note Local Planning jurisdiction)
Notes/ Special Conditions�i
Mv��.� 4
s �r 144i 6.r .... a! c to. r,&, 'f
6i., dr :n 1 �(•� �
1..��F 1i�2_,�1 Q��
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twaa 11 s
Mcp bf
Q-'IC.(—�
q. 4_lso, 'r 0 �01,vt CQf 6c- (-
Agent o plicant PrintedNam
PermitOfficer's Printed Ike
1
Signature ■ *Please read compliance statement onback ofpermit " Signature
% zGD. OG q38 10 23-_11C> 2-a3-2 (
Application Feels) Check # Issuing Date Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: go�ei'�,tG/(s`f�
Mailing Address:
Phone Number:
Email Address:
,t
t dcil
I certify that I have authorized r m a o ija c tiao d—�'il<2-,
Agent / Contractor
Al
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: e o C t{ c o 5 't(116t4pr)
at my property located at 10 IF
in ,q l e- County.
1 furthermore certify that 1 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 Inforrnati n:
Signature
Aokerf /41 l&ta rl
Print or Type Name
©►VW ✓
Title
90
Date
This certification is valid through I J

10/16/2020 Land Transfer by Parcel Number
LAND TRANSFER
Land Transfer Parcel Result List
*Note: Not all Land Transfers record a parcel number, therefore the list may not be complete.
Buyer Seller LT-YR Parcel Property Deed Sale Tax Transfer Reason
District Description Book/Page Price Amt Description
MIDDLETON FARVER TED A3661- 022519101 LOT 79A BLK 129 S 10/1/2020 6900006900 Improved APPROVED
ROBERT B ETUX ETUX 20 20 SHORES 2418/926 Residential
httpsJ/tax.darecountync.gov/landtransferiparcel.php?parcel=022519101 1!1

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Emanuelson & Dad, Inc.
Ln
PO Box 448
ru
Nags Mead, NC 27969
Phone: [phone]
n
Fax: [phone]
C3
Emgil: emanuelson6705(c)Outlook com
09/25/2020
a
r1i
ru
Robert and Sandra Slates
13-
38 Ginguite Trail,
a
a
Southern Shores, NC 27949
r`
Re: 42 Ginguite Trail — Robert Middleton_
U•Postal Service`-
CERTIFIED MAIL° RECEIPT
Domestic ;'Jail OfIly
We have been requested by the above property owner to do the following work:
1. Construct a 275' pier with 15x25' platform on the end.
2. Install 1-6K Boatlift and 4-25' poles.
In order of us to obtain the Cama permit for this project, Cama (Coastal Area Management) requires
each adjacent Property owner to be notified. We would ask that you sign the attached form and return to
us as soon as you can. You may scan and email, fax or simply mail. We are also attaching a sketch of the
proposed area. If you have any questions, please do not hesitate to contact us. If you do have any
objections to the proposed work, you may contact Cama at 252-264-3901.
We thank you for your cooperation in this matter.
Sincerely,
Jackie Lewis
Emanuelson & Dad Inc.
■ Compiete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach thistard to the back of the maiipiece,
or on the #apt if space permits.
11. Article Adt�sed T:
b�Qas
I{I I IIiI i I �I IA�-
I hill IIIIINI
9590 9402 5357 9189 3760 72
2. Article Number (Ransfer f m servke !abet)
7019 2280 0000 7925 1230
oiF'� 11, July 20115 PSP nodl-0-00"iffig '.
A. Soature
xB.
�•� V�bO�Na—m�49)
-19 1C�ita.oiDefiv
av�
D. Is dWvery address different hunt item 17 Q Yes
If YES, enter delivery address below. No
3. Service Type — Q prp" hd�
O Adult SgnaiLre
Signsti�r 1188trtcted DeN Q Reyr:;W
Certified Malf�3
11 Carttfiied Mail gesbicted t oWsy ❑ f�::
❑ collect on Delivery mofor
❑ collect an Debvery Restricted Delivery D Signatum C�
Mal ❑ Stgnatura CanftenatStx
Ma+f Restricted Delivery P sirlcted DAMP
,W)
Domestic Return Receq

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
N f Pr e Ownere 12 Xd4+�
ame o op rty
Address of Property `� D
00- 0
(Lot or Street k Street or Road, City &(Coon
Agent's Name #: � '`C- nU S4✓` �Ctd Mailing Address:
Agent's phone #:
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. kdesaiWWn or drawing with dimensions must be provided with this letter.
NO.
I have no objections to this proposal. 1 havehobections 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 :llwww nccoastaimanagement.net/weblcm/staff-listing 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)
Signature
ko der- 411 ,I d d I e�
Print or Type Name I--
4o '1 o i 4e- I Est t
Mailing Addret ,,
S 00 �1r 1 S �o I P S, I�C�-?`i0
City/StatelZip
to'I,3S- �IJI t
Telephone Number/Email Address
2,� - zo?'D
Date
(Riparian Property Owner Information) ,
Signature
SLA7'6.5
Print or Type Name
Mailing Address
City/StatelZip
�- L 2 5:5 S I-e, q, r -i". e�&�
Telephone Number/Email Address
Date
(Revised Aug. 2014)

Emanuelson & Dad, Inc.
PO Box "8
Nags Head, NC 27%9
Phone: [phone]
Fax: 2!.2-261-1115
Email: emanuelson6705(d)outlook com
09/25/2020
Domestic
nt
ii,,
'.
L USE
ru
ce►n�ea Fee,
0419
U-
$ 7 pc
07
(ct+eoDow. add fee /
$e
an —
(� RetlBecalm 4 e dwcvt 3
O
(:
❑ rildilnl Receiat {e4actron4 $ I 1 , i (l t
Posanark
❑ CwVfied MR1 Restricted DMvwy ! S CI flCi
E Hare
C3
0
Ad.1t Signature Re[,WpW
Padua 3Vanae Restnctea v
�
8 ►»leg ir, ,
nU
ru
09/29/202n
Total Posu and is -
$
Son To
- b e-5 �.............�
John and Carlene Czesnowski. er °'�° %'`
- -----
�'
42 Ginguite Trail, �i;�
Southern Shores, NC 27949 °�
r.. r
Re: 42 Ginguite Trail — Robert Middleton.
We have been requested by the above property owner to do the following work:
1. Construct a 275' pier with 15x25' platform on the end.
2. Install 1-6K Boatlift and 4-25' poles.
In order of us to obtain the Cama permit for this project, Cama (Coastal Area Management) requires
each adjacent property owner to be notifieed. We would ask that you sign the attached form and return to
us as soon as you can. You may scan and email, fax or simply mail. We are also attaching a sketch of the
proposed area. If you have any questions, please do not hesitate to contact us. If you do have any
objections to the proposed work, you may contact Cama at 252-264-3901.
We thank you for your cooperation in this matter.
Sincerely,
Jackie Lewis
Emanuelson & Dad Inc.

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM
"64j
A 4 � /
Name of Property Owner: +
r
Address of Property:
feS N C
(Lot or Street Street or Road. City &(Count 1
-C
Agent's Name #: U d 1pMailing Address
ii Agents phone #: jJ. "S 2- -Z? 17
(W
IN-1
..t I hereby certify that I own property adjacent to the above referenced property. The individual
CV applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawingwith dimensions, must be provided with ti�is letter.
me no objections to thi,, propo��d.",�-- I have objections to this 1-iroposal,
it ye r,)have objections to what is being proposed, you I must . I I notify the Division of Coastal Management
writing
(D M) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available athtt,o,,I,,'www,nccoastaimanaotmenLnetlwebl'r-nvstaff-listin or by calling 1-888-4RCOA 11; T.
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 1 5' setback requirement.
(Property Owner Information)
Print or Type Name
Mailing A6&4�d
Ie S r 14 I
citylstate"Zip,
L'rf 0
Telephone Number /Email Address
-2
111'e
Print or Type Name
Ma&Lci Address
�F/State/zip
ell --2
Telephone NumberlEmWAddress
/hill,
(Revised Aug. 2014.1
C.

tee: 1,,,,_

7-
7
41
yy fe (�la
prepared '
Shores S
Tax District Southern
4q i � Ginguite TRL Owners. Farver, Ted A -Primary Owner
sed for ti,e �M
a,e,pai Southern Shores NC, 27949 carver, Donna tvt -Primary Owner Subdivision: So/sh C31k 129 5e< F'

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so!�4 TUNITO lao
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This map is prepared
from data used for the
A �' ( V
inventory of the real
`,'•, �J
property for tax
purposes. Primary
information sources such
as recorded deeds, plats,
wills, and other primary
public records should be
consulted for verification
of the information
40 Ginguite TRL
Southern Shores NC, 27949
Parcel: 022519101
Pin: 986714323684
G S-
Owners: Farver, Ted A -Primary Owner Tax District: Southern Shores
Farver, Donna M -Primary Owner Subdivision: So/sh Blk 129 Sec E
Land Value: $205,700 Lot BLK-Sec: Lot: 79a Blk: 129 Sec: E
Misc Value: $0 Property Use: Residential
Building Value: $482,900 Building Type: Traditional
Total Value: $688,600 Year Built: 1992
a
RE-1,714

1
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