79368A_Peninsula HOA c/o Cushnie, Colin & Silvia_20210804

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DREDGE & FILL 'vfit' "rt � fit,
L PERMIT Previous permit # B c D
dification 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 r 1 U
�'�k �i r )(Rides attached.
Applicant Name � t4 h I.1 V &L (a5��''1, irL4 F4Chtf Project Location: County
Address es � j 3 � �aM f g l e. _ V►ri , Street Address/ State Road/ L`o"t"#(s) 4 � P;~'-}�'Lst yv
City _ .. t G _ _ StateNC ZIP i ' _ c4 G{t�G 4L
Phone # (t) Zy T3 E-Mail fOtvs. Subdivision
Authorized Agent G,1 t.SG'► i' Vt1 f_i _ ZIP __ �`q��
Affected CW KEW :PTA XES XPTS Phone # (--- } -" River Basin �l<� �4 -
OEA HHF
AEC(s): fH usA N/A PWS: Adj. Wtr. Body
ORW: yes PNA yes
Closest Maj. Wtr_ Bodyd+0 _
Type of Project/ Activity C— Q °yx 5 wu j;�
Pier (dock) length
Fixed Platform(s)
Floating Platforms)
Finger pie(s)
Groin length
number
khe iprap lengtht
41 (.
avg distance offshore't 2 I
max distance offshore
20
Basin. channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length t 6o 1* 4P 1 f R!
SAV: not sure yes no .oje
Moratorium: 9 yes no
s
Photos: es no
Waiver Attached: yes 0
A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Special Conditions 15
Age p licant Panted Name
Signature ` Please read compliance statement on back of permit
Application Fee(s) Check #
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See note on back regarding River Basin rules.
PermicOfficer's Printed rtame}
Signature
Issurnf Date Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address:
Phone Number:
Email Address:
I certify that I have authorized 7-wc:- -
Agent Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
&/Ij 12--j
at my property located at -7
in 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 Oyiner Informoon;
Signature
Print or Type Name
I'l-4
Title
Date
This certification is valid through / 2- / 0 r / 2'(-> Z" /

RTIFIFD MAii o RFrFIC
Domestic Vail Only
for delivery information. visit our t+ebsite at tvww.usps.conz .
Emanueison & Dad, Inc.
PO Box 448
Nags Head, NC 27959
Phone: [phone]
Fax: [phone]
Email: emanue4son6705('a outlook corn
06/02/2021
Perry & Debra Kohne ttee,
4125 E. Roma Avenue,
Phoenix. AZ 85018
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Re: 123 Peninsula Drive, Manteo, NC 27954 - Cushnie Property
We have been requested by the above property owner to do the following work:
1. Construct a 6' tall x 54' long Vinyl Bulkhead with 1-8' return.
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In order for us to obtain the Carnal permit for this project, Carnal (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
Emanueison & Dad Inc.
■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
e Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
A. signature
t3. ltrame) C. D of
IC r
D. is delivery address different from item 1? 0 Yes '
If YES, enter delivery address below. D No
❑ Adult %Wmture
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Resin ed DaWery
SP Form 3811, July 20✓15�PSN 7530-02-000.9053
Cornestio Return Receip

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Domestic Alail Only
For delivery information, visit our website at wtvty-usps.coril
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Inc.•
Emanuelson & Dad, c
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certified Mail Fee
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PO BOX 8 rti
Nags Head, NC 27959
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Postmark
Phone: [phone]
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Fax: [phone]
0 Adua Signature Pe WVed Deh ry S
Postage $i1,55
Email. emanuelson6705(51-outlook.corn o
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Total Postage and Fps .
06/0212021
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Michael & Yvonne Farmer, o istreetandapt: riio., n,
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13221 Autumn Chase Place, : - _- -N_
a.rty reza.
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-----------------
Richmond, Va 23233 t LMAN d 2—
Re: 123 Peninsula Drive, Manteo, NC 27954 — Cushnie Property
We have been requested by the above property owner to do the following work:
1. Construct a 6' tali x 54' long Vinyl Bulkhead with 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
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 & Dad Inc.
■ 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 mailpiece,
or on the front if space permits.
1. Article Addressed to: f —
i� t C '1. eta n a2rzrt'1
d, up- 23 -2--
A so -man
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B. Received by {Printed Narrie} C.
D. is delivery address different from item 1? 0 Yes
If YES, enter delivery address below: j3 No
II I II III IIII ill l l III I I III I I I I I N 111111111 3. Service Type
o� Restricted �� n `�'`°`�' ,,
nci<,� sxyrmture o 0 maim
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2. A,rticie Number {Transfer from service lffi6Q G c0lfect on Deiivery Restricted Delivery 0 Sk}liatt»e t wfirrnetion'k
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? 018 1130 0001 7 7 6 7 1268 � Restricted Delivery Remoter: Delivwy
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PS Form 3811, July 2015 PSN 7530-02-"-9053 Domes* Return Receipt

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner: Ccl��A,
of Property: t r ` ���. l ac- �-7f S
Address
(Lot or Street #, Street or Road, City & County)
&ka�oA,"Agent's Name #:
ti • Mailing Address: 10L1
Agent's phone #: e �2- - 2,61 - 22 l 2- 1 � -°kS -&tA - ji c. 2-? J �
I hereby certify that I own property adjacent to the above referenced property. The individual
1� applying for this permit has described to me as shown on the attached drawing the development
i they are proposing. A description or drawing with dimensions must be provided with this letter.
I have no objections to this proposal.' _ t 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://www nccoastaimanaciement. netAveblcrWstaff-listinq or by calling 1-888 4RCOAS 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.
t _ I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature Co t i ti C U. kfh (E�.-
Print or Type Name
t a k+ Chi M � -t p-
Ma ingMa ing Address
C-
to
CitylStatelZip
Telephone Number/Email Address
(Riparian Property Owner Information)
Signal e
Print or Tye Name
13�� I l -tl,n in C6Z P
Mailing Address
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chvIStatelZip
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Telephone Number/ Email Address {`}
IJnte Dote
(Revised Aug. 2014)

This map is prepared
from data used for the
inventory of the real
i 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
123 Peninsula DR
Manteo NC, 27954
Parcel: 025818025
Pin: 978912964776
Owners: Cushnie, Colin E Ttee -
Primary Owner
Cushnie, Silivia C Ttee -Primary Owner
- ild -
Tax District: Manteo In
Subdivision: Peninsula Subdivision
Lot BLK-Sec: Lot: 24 Blk: Sec:
Property Use: Residential
Building Type: Beach Contemporary
Year Built: 2005

This map is prepared
from data used for the
inventory of the real
property for tax
purposes. Primary
information sources such
'Dof
as recorded deeds, plats,
wills, and other primary
public records should be
consulted for verification
the information
contained in this map.
123 Peninsula DR
Manteo NC, 27954
Parcel: 025818025
Pin: 978912964776
2
d
Owners: Cushnie, Colin E Ttee -
Tax District: Manteo In
Primary Owner
Subdivision: Peninsula Subdivision
Cushnie, Silivia C Ttee -Primary Owner
Lot BLK-Sec: Lot: 24 Blk: Sec:
Building Value: $456,700
Property Use: Residential
0'
Land Value: $142,300
Building Type: Beach Contemporary
if
Misc Value: $32,200
Year Built: 2005
ling
Total Value: $631,200
a_

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