86185A_McClements Properties, LLC_20211203

00kit'r, )4,CAMA ;& DREDGE & FILL �;L,, N VW01'4w \,W 12
Previous permit
IGENERAL PERMIT Date previous permit issued._
New L-]Modification n Complete Reissue -1 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 W
I SA NCAr— T�4 Rules attached. General Permit Rules avaifable at the following link: wWWAC k-1Ir.-gQMLCA—M6—nJJJ*
Applicant Name —J—Vt-k—NAk A.-K&
Address — I.
City
Phone # i (IM
Affected CW
AEC(s): OfA
ORWye -0.
%EW
kH
Type of Project/ Activity
r, - -- 4 . - InI
PTA
uW
PNA: YeS'
Zip 14-2,40 t2—
ES PTS
SPIMA PWS
Shoreline Length
Access tength
P�(dock) lenwIll
P
Fi1xed0latformls
T—
1z' rt
Floating Platforms}1At4%0
Finger pier(s) 121,11
7'
tatplarfor are
Groin length/#
Cuikhe Riprap length
frA4 U
ax Islam length
Basin, channel ------
Cubic yards
goat ramp
Boathous
Beach Bulldozing
Other
L;
SAV observed: yes no
Moratorium: (Zn,;' yes no 4e Y�i
Site Photos: ewl no
Riparian Waiver Attached,
no
be required by!
A building pe mit/.zoning JM'k' L
Permit Conditions
Project Location (County); ---A
Street AddressiState RoadiLot #(S)
Subdivision
City
Closest Mal, Vii'm Body
-Aldf-ad
Ouy;$f 0%khtV (Scale: N T')
Ict-461,W-1; 66'x )Pill
wfecj Ci V, r- =oc - lle*
'2 PL
4 4
-2'
pv
IL4
41 4
L
(WaAVt4;)i
J TAFVPAMINEUSE/BUFFER (circle one)
ElSee note on back regarding River Basin roles
LJ See
ee additional notedcondirions an back
I AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT, (111eoso initial)
:;; .- - ; . 1---i ---- �'T. -
5 ignatum'i'*Please read compliance statement an back of permit"
Application Feels) Check it/Money Order issuing DaI,
L
WPM=

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: V`� r ��/CX,yy( f 1-&P— A4
Mailing Address: �7t`�►tr^ jet L ,12
g365
Phone Number: 5„33-2
Email Address: U ! //.zt 6�.'%t cC co q
I certify that I have authorized n UP k>C•IN "-
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: ! Lj te/t4�-c.cc
Y
p ve'r
at my property located at1e- re- --Trai I
in County.
l 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 Information:
Signature
Print or Type Name
I �Cfein en t-s l0cdiout L-t-c5 L L C
Title
—�-1 ' 7 lam_
Date
This certification is valid through

CERTIFIED MAIL' RECEIPT
Ernanuelson & Dad, Inc.
PO Box 448
Nags Head, NC 27959
Phone:252'261-22i2
Fax: 252-261'1115
Email: ernanuelson6705�Doutlook.com
09/27/2021
Wiliam & Yvonne Ouikmr
1UKingfisher Trail
Southern Shores, NC 27949
CO
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Re: William McC|ements-15Kingfisher Trail, Southern Shores, NC27S48
VVehave been requested bythe above property owner hudnthe following wodc
l> Construct l6S'ofVinyl Bulkhead tminclude 1��return.
I) Construct 5'x5O' pier (in existing footprint) with 12x12' platform and 4' lower wrap around kayak platform
3) install 1 jet ski lift.
In order for us toobtain the Cama permit for this project, Carna(Coastal Area Management) requires each
adjacent property owner toLenotified. Ne would ask that you sign the attached form and return tousaesoon 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 donot hesitate tocontact us. |fyou dohave any objections b:the proposed work, you
may contact Carna at252'2{4-3QU1
Vuethank you for your cooperation )nthis matter.
Jacqueline 0.Lewis

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONfWAIVER FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner'. ffi C 42A�
-r
�4 ,e� ---- I L"I
Address of Property KI'til d7lkalIJ461rs. H-tq 0
Marling Address of Owner'. -7.3 -7 i(Z{,Ja�i
0 4��--3?
Owner's email mcp,4i c- a 0\-. Owner's Phone#, - 73
AgentsNam,e AcentPhone#
Agent's Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
Bottom portion to be completed by the Adiacent Property Owner,
I I � nerecy cerlify that I own property adjaceritto the above referenced property The individual applying for this
ir
oemlit has aescrtshowneu to me. as sown on vie attached UIOWI"V, the deveioprnent they are
description ordrawtirig, with dimensions, must be provided with 'his letter.
I DO NOT have objections to :his proposa!� I DO nave objections to :his proposal
If you have objections to what is being proposed, you must notify the N.C. Division of Coastal
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 401 S. Griffin St., Ste. 300, Elizabeth City, NC, 27909. DCM representatives can also be
contacted at [phone]. No response is considered the same as no objection it you have been
notified by Certified Mail,
WAIVER SECTION
I uncersano that any proposed pier. dock, rnoonng pilings, boat ramp, breakwater, boathouse,hft, or
groin must be set back a minimum distance of 15'from my area of riparian access unless waived by rrie
i this does lot apply to bulkheads or riprap revetments). if you wish to waive the setback, you must sign
the appropriate blank below)
DO wish to waive some/ali of the 15'setoacK
9 P
ignature of Adjace'-Riparan Property Owner
-OR-
do notwisn to waive the 15 setback r&puiremert -,ir.tiai tre tmariky)
Signature of Adjacent Riparian Property Owner &Q , �
TypedlPrinted name of ARPO: 1--�.1 A -.;5 7D V t
Mailing Address of ARPO: to KinqLt-Phetr- LCA-tAft 5ft,+ ;Lq 4cl
ARPO's email: t ker 2 64 ARPO's Phone#: 12.4�Xj ;kJt—C>7W0
Date'. Gtrw 1p-,-,waiver is valid for up to one year from ARPO's Signature'
Revised May 2021
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15 Kingfisher TRL Owners: Mcclements Properties, Llc - Tax District: Southern Shores
Southern Shores NC, 27949 Primary Owner Subdivision: So/sh Blk 61-a Lots 1-25 Ph
Parcel: 022523012
Pin: 98680S07S626 Building V. Lot BLK-Sec: Lot: 1.1-a Blk: 61a Sec: 1
y
Land Valu Property Use (Residential T t
p
Misc Valut Building Type: Bea( Contempormy '_•`
Total Valut Year Builj: 1996
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Step,,_6 — Connect stainless CABLE.to CRADLE ARM
1.) With cable wound over the calble-winder drum, as
shown in photo on bottom of page 4, connect
cable to CRADLE ARM using the supplied 3/4
stainless bolt:
Step 7 — Aluminum BUNK attachement.
I
1.) Assemble the Aluminum Bunks to their brackets
at shown here:
2.) Then, mount the
Bunks into place
on CRADLE ARM.
-NOT FOR LIFTING/LOWERING HUMANS Page 5 09/07/2017

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This map is prepared
from data used for the
15 Kingfisher TRL
Owners: Mcclements Properties, Llc -
Tax District: Southern Shores
inventory of the real
Southern Shores NC, 27949
Primary Owner
Subdivision: So/sh Blk 61-a Lots 1-25 Ph
property for tax
Parcel: 022523012
1
purposes. Primary
information sources such
Pin: 986805075626
Building Value: $642,500
Lot BLK-Sec: Lot: 12-a Blk: 61a Sec: 1
as recorded deeds, plats,
Land Value: $514,500
Property Use: Residential
wills, and other primary
Misc Value: $75,000
Building Type: Beach Contemporary
public records shouldbe
consulted for verificatioonn
Total Value: $1,232,000
Year Built: 1996
of the information
contained in this map

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