83926_Ricky & Penny Clough_20210920

El DREDGE & FILL
EN _ RAL PERMIT � � i (83 6 CA)B C D
w [ 1P`ia?tfiFication 7Complete Reissue [DPardal Reissue Previous permit #
Gate previous permit issued
As autharixed by the State of North [..
Carolina, department of Environmental Quality and the Coastal Resources Commission in an area of environmentalconcern pursuant to 15A NCAC r 2 v
Applicant Nance "l [, /'. 'f--.-c(- f ,t � 4c m attached.
.. ----....!! y� Project Location: County_._.._
Address All
Street Address/ State Road/ Lot
Stateg� ZIF 2':`7
Phone # �) _ �'_ %Ct "' Subdivision a C' • r'
Authorized Agent City—ct �Ll. A��_ ZIP �, I ._..
Affected O cw IkEw TA 0l:S n Prs Phone # (" ) River Basin s
AEC(s): L 1 qEA s I HHF 7 lH CJ UBA EJ N/A _
LA PWS; Adj. Wtr. Body '�:., u +'a, i�-+s.•�,,, '•"� ,,..�., ,.,...*,....._ na an..-,funkn
09w: yes /� d PNA yes no Closest Maj. Wtr. Body-s C-."
Type of Project/ Activity,
Pier(dock)length__ Xm ,
(Scale: / // 3 t/
Fixed Platform(s)
Floating Platform(s)
Finger
Groin length d
number
Bulkhead/en gtlX
R P length
distance
g offshore
I �
max distance offshore
Basin, channel
a
cubic yards
10
Boat ramp
Boatho e/ Boatli _,.. -� N
Beach Bulldozing
Other
6
Shoreline Length_1I V V.�'?���1 0A � re _ I�KhE. �.._
SAW: not sure yes n' f ✓Fmk"
Moratorium: `►.lv3 yes no CA
Photos: yex
Waiver Attached: yes
A building permit nin ur sdictired by: � � t^�_ � y L] See note on back regarding River Basin rules.
( Note Local Planning jurisdiction
Notes/ Special Conditions Ca s . 7.
11 y ` , p
_�,d"y q,-�t...iL',�1.�T.�� 1VM� Wr� t��y
fWl.-.lam_-.W+.
1 4 ...____
ent or plkantPrinted Name
d�
St a re "Please read compliance statenn nt on ck of permit es
Application Fee(s) Check
Ror itOFficer`s Printed Flame
Sig cure
Issuing ate Expiration Date

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date 8131
tName of Property Owner Applying for Permit:
f11,44 01 px-on!j fJiil
Mailing Address:
I certify that I have authorized (agent) to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity)
at (my property located at)
91
,tea
This certification is valid thru (date)
Z/
Property Ownef Signature Date

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LEGEND
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7
- EXISTING IRON PIPE
✓
PK/MAG NAk
'
a _ CALCULATED POINT o
(i} - TOTAL DISTANCE ROPOC
,5
�
EN
EOP - EDGE OF PAVEMENT ADDtFCfv
Y
-, `�•�� BL�c s
cum-UTI�TYOPOLE
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M,R4- -- MINIMUM BUILDING LINE
I e2-STpR
- DARE COUNTY REQSIER
- 107 NUMBER
W✓ ENCL.
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ram.Vf*
PROP, coYERAGE:
� $
BUILDING, DECK, PORCH
CONC; ORNE
do STEPS + 1.852 of. n
i57 of.FIG
TOTAL, = 2,054 of. / 9.73?C 52Af1A '�.a` A,1 � _
r �ZA,
NO TES Mj FEE:
PROPERTY ADDRESS: $3 y SKYCO RP' IS SITE PLAN WAS OERIM FROM A SURVEY
PROPERTY PIN; B78919817250 E AdASDN RAY RUARNS, , S.
Sl D i BRUARY a 4, 2012
AREA - 21,105 �, ft. = 0.*,87 acres u v
AREA CALCULATED BY COORDINATE METHOD. A,V 4 sk-SliR g° W. C Off' R'�S'
LOT SUBJECT To EASEMENTS & COVENANTS OF RECO . UCINALD 'SURVEY : OR
PROPERTY SUSZOT TO A FULL. AND A=RATE TI"1.I SEARCt+, UDNAts L SKIOMORE AND DGhifida J. SKIC7MDRE.
LOT MAY BE IN AN AREA OF EN"M'RWMENTAL CONCERx -C-T 4 ASWdw 4ARROW,
WDIVIDUAL PERMITS MAY 9E REQUIRED. ZNGtAc �N ^iOr; <. ;890
SUBDIVISION AS RECORDED IN P.C, C', SL. ?3A, D.M.R.
PROPERTY IS LOCATED IN F.I.R.M- ZONE "AE" (Et_ R21 PCPQ .,.5.;.
MAP NQ 372D978900,, iNDEX DATED: 09/20/2"
SUBJECT TO CHANGE 8Y F.E.161.A,
GRAPHIC SCAT
a SITE g
LA�RA ArA�^J1EL5
'�/ t r a LO.' 4
! i ti ASHB ' HARBOR
SAGS tea' NSF DARE COUNTY NORTI, CAROLINA
..:cture S tio,,4
Tom; 5 re Devel¢prrreof
Cori oal 1423 CRQKTAN XNY
i.�it'dN t u Gf 8l6&Vk:vw,-. ;iit .stl:..

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICAIIONIWAIVER FORM
QEUE1g12 MA_IL - 13gjURN agpEIRT RgQUE,§1EQ or JJ6ND —DELIVEBY
(Top portion to be, completed by owner or their agent)
Name of Property Owner.
Address of Property:
Mailing Address of Owns
ou
I q L� 1- 0
LA VJ (
Ownees email: Owner's Phone#- q9--
Agent's Name: CLY, le - .. 3 (013 -Q
Agent Phone*. 66-c�
Agent's Ernai� i ec&- ne- r
1151110111 1:11soll III 111s; 111111111pisig 11211111pi 1111111 a
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(0212M-0-0dion 12 k2 Q2MRIA10 hy ft 6918 at Miami Qvau)
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. 6
descrintion or drawi with dimensions. must be o, i d Vfth thig JQ r yyN
Zo 9k pt) ss; k 61 C_
I DO NOT h a objection g to this proposal, __ I DO have objections to this proposal.
If you gave objections to what is being proposed, you must noiffy- die N.C. DAdslon of Coastal
Management (DCM) In writing within 10 days of receipt of this notice. Conwpondence should be
mailed to 401 S. Gdffln St. Ste. 300, Elizabeth Cilly, NC, 27909. DCU representatives can also be
contacted at (262) 2"3901. No response Is considered the same as no objection if you have been
notiffod by CartMed Mail.
WAIVER SECTION
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift or
groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me
(this does not apply to bulkheads or riprep revetments), (If you wish to waive the setback, you must sign
the appropriate blank below.)
I DO wish to waive sometall of the 15setback C
-OR- *Signsturs n A scent parian Property Owner ;CL607—
I do not wish to waive the I 5'sellback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO, . North Carolina Depatment of Transportation C/O Steve Trowell
Mailing Address of ARPO: 113 Airport Road Suite 100, Edenton, North Carolina 27932
ARPO's email: s Ltrqwe1L@nc"o .9,2y_ ARPO's Phoned:
Rate: At USt18, 2021 _—*waiver Is valid for up to one year from ARPs O'Signature*
Revised May 2021

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