79316A_Glade. Jeffrey & Miirker, Tara_20210706

0
VCAMA / DREDGE & FILL W 779 3 116 B C D
6 GENERAL PERMIT Previous permit #
-4-Aew Modification Complete Reissue Partial Reissue Date previous permit issued
As 3uti%orized by the State of North Carolina, Department of Emronmental Quality
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
S^ies attached,
Applicant Name.�j�4 rey -Fto M; r kiii, r Project Location: County
Address Street Address/ State Road/ Lot *(s)
City stawtJ!C! zip, ... ... ...... .. . .... ---- ----- . ..... ......... .
Phone # Subdivision
E-Mail . .... ..
Authorized Agent jF (S% City ZIP'_ - - - tot
Cw EW 4TA ES AFTS Phone River Basin0.
Affected HHF lH UOA , WA
AEC(s). OEA Adj. Wtr. Body,,.&' . . ....... ___ --- 1�cnl_ /UnKr)
Pws;
Le C.I.
ORW yes U PNA `y,, „. —, , "4- — ­r --
Type of Project/ Activity do re t,@.* B'(k6caz�
(Scale:
Pier (dmx.) lar-O
Fixed Platfami(s)
Floavng Ptatform(s)
O.
F-nXer pieris)
Bukhea 'prap leV,
3vg cinance offshore
max distance offshore _t'
CA
cubic yards
Boat ramp
603thousd Boadift
Bown aullatizing
0-her
S1xxqi'm Le e
SAV. nm sure!- 3
Moratorium: 0ves ­
phoms; ye3 no
WaiverAmached: Ms C.
A building permit may be required by: ��k 5lues
i Note Local Planning jurisdiction)
Notes) Special Conditions
Agent Oicam Printed Name .
'-
Stgnature ** Pease read compliancestater.wton backofpermit*'
'kQ00 - oo CO .._
Apoic,vAon freers; . Check #
See note on back regarding River Basin rules.
n I
K iv
t i-, Cx (b,
Re"nitofficer's No'�ed �Na�e
Signature
lssuingc)ate Expiration Date
VA �

AGENT AUTHORIZATION FOR LAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: JP ft� t7 IG /—laaa a k,.r
Mailing Address: i0 j Zj r un S ;,u ,c 11
N L 2 74101
Ij
Phone Number: 519 y SS 713e
Email Address: _jP4 14e4
I certify that I have authorized +l ��r► �, ,, ,�> �c �,.,�1 , <,�,i .
Agent / Contractof
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development_ cc-, 7 4 prve
X"i ho .",�_
at my property located at 15S V dyPe it % I911- Sli t °ti' S tfi��
in A446 County.
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 Inforrnatron:
Signature
nt or Type Name
Title
Date
This certification is valid through r Z 1 3/ I Zy 2 /

[e-mail]
From:
Sent:
To:
Sent from my iPhone
john meyers <[e-mail]>
Saturday, June 19, 2021 11:37 PM
[e-mail]

Emanuelson & Dad, Inc.
PO Box 448
Nags Head, NC 27959
Phone: [phone]
Fax: [phone]
Email: emanuelson67050outlook com
06/'0412021
Frederick Meyers,
11 Buck Branch Drive,
Richmond, Va 23238
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---------------
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Re: 155 Yaupon Trail, Southern Shores -Tara Mirkar
We have been requested by the above property owner to do the following work_
1) Construct a W tall x 90' Vinyl Bulkhead with - 1-16' return and 1-8' retum.
In order for 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 project. 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.. Inc. COMPLETE TH/l7
■ Complete items 1. 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the m&lpiece,
or on the front if apace perrnite,
t. clu AddlsSpekj to:
X
B. - by (Printed N." C. Date of per/
a cWhrem from Main t? i 'Yes
it YES, enter definery address bekmr; 0.No
Type �.. .. __... 0 PAalgvMaif ___.
OAdAftuW.
29:=� eRertrI I Ddwy ❑ MYlcted•
9590 UO2 6133 0209 1057 25
Dar..r ❑ � ter
0 �
�
2. Attire motor r►iwmfw bon SWAM tawo
❑ DnYG M Dw.e.y Restricted DON.. 0 5w h- OorO"w6--
_ ____ _ _
7018 1130 0001 7767 1305
0
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%-ttt I trttD MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIANROPERTY OWNER NOTIFICATIONiWAIVER FORM
Name of Property Owner. av��—j l
Address of Property: y r, (�C�,�l �County)�
� �4�6 (2S
(Lot or Street #, St eel or Road. City
Agents Name #: (110 Malting Address: I ti'_— ,
Agent's phone #. '�Z'2`� ''22.� 2 _ 9`� �. 5 t�t+_t�
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. (have objections to this proposal.
tf you have objections to what is being proposed, you must notify the Division of Coastef Management
(DCM) in writing within 10 days of receipt of this notice. Contact informstiorr for DCM offices* is
avaliableattrttn:/Avww.nccoas lma ttetlwreWcm4staff1150naarbycaffingt-i"N"RCOAST.
No response Fs considered the some as no ot>yecda» if you have been no~ by CorthUd 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 16 setback requirement.
_ I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature M
Q
Pnnt or Type Name
rlina Address
. N L '7 ,7 f
cdylstatei 1v
TefeRtmne NNum� berI Emart Addrese
's�
Date
{ iparian Property Owt�ter Information)
�rgn
Priat� erne '.
1z-,-7 �A-ii L
Marling Address r.
rtylStat ip
1�1 C z7t�
Telephone ulrcWerl Emaff Address
(Revised Aug. 2014)
�� 2a _ Corti()l�_ a. (ocAj

Emanuelson & Dad, Inc.
PO Box 448
Nags Head, NC 27959
Phone: [phone]
Fax: [phone]
Email: [e-mail]
06/04/2021
Gregory & Rosemary Dante,
157 Yaupon Trail,
Southern Shores, NC 27949
Re: 155 Yaupon Trail, Southern Shores -Tara Mirkar
We have been requested by the above Property owner to do the following work:
1) Construct a WWII x 90' Vinyl Bulkhead with —1-16' return and 1-8' return.
In order for 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
oas soon as you can. You may scan and email, fax or simply mail. We are also attaching a sketch of the
Proposed project 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.
ao thed we rssn ream the card to � .ate
■ Attach this cad to the back of the rnailpWM,
or W the trotR 9 su ra oemjbL
11��1�1 �IIItfIIIINII�I�
9590 9402 6133 0209 1057 18
7018 1130 0001 7767 1299

This mip are is PnPd
I— data used for the
�..\l (?� n+Wvyi>+y pflM real
` .,'IA P-pedy for tm
... i, Puipotes primary
+ � "` iel�Im„iLipn SMrtaW: StKh
ax —.,ded d- t, plats.
WHIS. iAd OW prinwry
of the infremation
Conwood in this map
155 Vaupon TRL
Owners: Glade, Jeffrey -Primary Owner Tax District: Southern Shores
Southern Shores NC, 27949
Mirkar, Tara -Primary Owner Subdivision: So/sh Sound Blks 112 122
Parcet021684001
Buik 123
Pin: 986705195604
Lot BLK-Sec: lot: 1b Bik: 122 Sec.
Property Use: Residential
Building Type: Traditional
Veer Buik; 1998

IRV
This map is prepared
from data used for the
inventory of the real
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
155 Yaupon TRL
Southern Shores NC, 27949
Parcel: 021684001
Pin: 986705195604
Owners: Glade, Jeffrey -Primary Owner
Mirkar, Tara -Primary Owner
Building Value: $323,600
Land Value: $367,300
Misc Value: $12,100
Total Value: $703,000
Tax District: Southern Shores
Subdivision: So/sh Sound Blks 112 122
123
Lot BLK-Sec: Lot: 1b Blk: 122 Sec:
Property Use: Residential
Building Type: Traditional
Year Built: 1998

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