86209A - Rangeley, John

CAMA ►, ( DREDGE& FILL
GENERAL PERMIT
1L1 Previous permit
Date previous permit issued
New ❑ Modification 1-1 Complete Reissue ❑ 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 to:
ISA NCAC ___ I"t ' Rules attached. General Permit Rules available at the fallowing link: www.deci.nc govjCAMAndes
Applicant Name J #6 V-x it G t Authorized Agent 11
Address ,. . �° �V t ) LA � _�� Project Location (County)
City (S to �� �ZIP � �4 t � Street Address/State Road/Lot #(s) L4t �'6
Phone # (20, toy — [� . Its+° ' bi oo`- # *- l
Email ?C / r a+"6 . C Wt Subdivision
City ZIPy 2#
Ad' Wtr: Bod ��� {. ✓f� (na m��unk)
Affected � cW 5Ew PTA �ES PTS t y
AEC(s): OEA F1 lHA UW +'� SPIMA PWS Closest Mai, Wtr, Body
ORW: ye no RNA es no 5wL
Type of Project/_Activity C6 A,° Ct of l "i-4A
i r C2n€ t' f,+P ice/ (Scale:
Shoreline Length 41
Access Length
Pier (dock) length
Fixed Platform(s),
Floating Platforms)
Finger pier(s)
Total Platform area
Groin length/#t _
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sitt
Max distance/ length J
_�_
Basin, channel _
Cubic yards
Boat ramp r
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed: yes no
Moratorium; rs/a yes no
Site Photos: s no
Riparian Waiver Attached: fi"e-L no
A building permit/zoning pAm may be required by:
Permit Conditions__...[.;,,ZE......_)l.S...__�_�',,'
CcA--,-_be rLD W ifug+'' w�c�-+�_!_ _'._�'"''he�___.tooct.ky'A,r+in......
I AM AWARE OF STATUTES. CRC RULES AND
Agent lI NTED Name
Signature ' `Please reac%Eomplia nce statement on ° back of permit'`
kt
1j t
Application Fee(s) Check #/Money Order
F] TAWPAM/NEUSE/BUFFER (circle one)
See note on back regarding River Basin rules
nSee additional notes/conditions on back
(Please Initial)
WE
Permit Officer', PRI TED Na
SignaturQ j �}
Issuing ate Exp+ ation Ate

11 /1 8/2 1. 8:29 AM
IMG_1008.jpg
— A
Name of Property Owner Requesting Permit John Rangeley
Mailing Address, 161 Holly Trail
,Southern Shores, NC 27949
Phone Number: a /
Email Address: obX208@gmail com
certify that I have authorized Affordable Bill's/Williarn Eger
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all LAMA permits
necessary for the following Proposed development- Install a 20 x 20 ramp and remove
existing boatlift
at m,,/ Property located at 161 Holly Trail, Southern Shores
in Dare ---.County,
1 furthermore certify tf�at I am authorized to grant and do �n fact grant permission to
DIVIsion Of Coastal Managetnent staff, the Local Permit Officer and their agents to enter
On the afOren7enfibned lands in connection with evaluati,19 Information related to this
Permit application
Property Owner Information:
https://mail.google.com/mail/u/O/#search/obx2O8%40gmaii.com/FMfr-gzGlksFnlbJQCmVLmKhrLbQBxGCM?projector=1&messagePartld=O.1

Affordable Bill's
300 W Albemarle Drive
Nags Head, NC 27959
252-489-9555
affordablebills(&amail.com
November 15, 2021
Jeffrey & Denise Frye
1 Birch Lane
Southern Shores, NC 27949
We are going to be installing a 20' x 20' concrete ramp at the north end of the canal
access and removing the lift that is in existence for John Rangley at 161 Holly Trail,
Southern Shores. The ramp will be constructed on land and then slid in place and
anchored.
I am attaching the Adjacent Riparian Property Owner Notification/Waiver form from
CAMA that will need to be signed and returned either via email or regular mail.
If you have any questions or concerns you can contact me, Bill Eger at 252-489-9555 or
by email at [e-mail].
Thank you,
Bill Eger

N.C.0IVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER N0TIFICATOPJ8WAh/ER FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTPQ or HAND DELIVERY
(Top portion tohecompleted bwowner o[their agent)
Name ofProperty OwnerJohn Rangeley
Address u/Property: 161 Holly Trail, Southern Shores, NC27849
Mailing Address ufOwner: 161 Holly Trail, Southern Shores. NC 27949
Owner's email: obx2O8@grnai|'corn Owmer'mphonm#:
Agent's Name. Affordable Bi||'a/VWUio/nEger Agent phone#:282-488-S555
Agont'mEmai|. affordable hiU�� �grnaU, corn
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
�Bottom portion to be completed by the Adjac2nt Property Owner)
I hereby certify that I own property adjacent to the above referenced property. The individual applyingfor this
permit has described to me, as shown on the attached drowing, the development they are proposing. A
description or drawing, with dimensions, must be Drovided with thi's letter.
l —
|DONOT have objections hothis proposal. |OOhave objections bothis proposal,
�r/l 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 if you have been
notified by Certified Mail.
WAIVER SECT ION
| understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse. lift, or
groin Must be set back a minimum distance of 15'frorn my area of riparian access unless waived by me
(this does not apply tobu�heodeorhpropnsvemen�).(�you vviehtowa�ethe setback, you must sign
--`
the appropriate blank below.)
iDQwish towaive some/all o(the 15'
-OR- Signature of Adjacent Riparian Property Owner
/do not wish towaive the 15'yetxackrequiroment (initial the blank)
Signature ofAdjacent Riparian Property Own
Typed/Printed name of ARPO'
I Birch Lane, Southern Shores, NC 27949
Mailing Address of ARP
ARPD'samail: 4R9Q's Phume#:
Revised May 2021

Affordable Bill's
300 W Albemarle Drive
Nags Head, NC 27959
252-489-9555
affordablebillsa,gmail.corn
November 15, 2021
Michael Milteer & Courtney Snearer
159 Holly Trail
Southern Shores, NC 27949
We are going to be installing a 20' x 20' concrete ramp at the north end of the canal
access and removing the lift that is in existence for John Rangley at 161 Holly Trail,
Southern Shores. The ramp will be constructed on land and then slid in place and
anchored.
I am attaching the Adjacent Riparian Property Owner Notification/Waiver form from
CAMA that will need to be signed and returned either via email or regular mail.
If you have any questions or concerns you can contact me, Bill Eger at 252-489-9555 or
by email at [e-mail].
Thank you,
Bill Eger

dotloop signature verification:
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: John Rangeley
Address of Property:
161 Holly Trail, Southern Shores, NC 27949
Mailing Address of Owner:
161 Holly Trail, Southern Shores, NC 27949
Owner's email: [e-mail]
Owner's Phone#:
Agent's Name: Affordable Bill's/VVilliam Eger Agent Phone#: [phone]
Agent's Email:
[e-mail]
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
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.
® 1 DO NOT have objections to this proposal. I DO have objections to this 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 if you have been
notified by Certified 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 riprap revetments). (If you wish to waive the setback, you must sign
the appropriate blank below.)
I DO wish to waive some/all of the 15' setbackdotloop verified
12/0
1
/27 72:49 PM EST
A0Z0-SWAN-ERJZ-4VJP
Signature of AdjacentRiparian ropey wner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
dotloop verified
12/01/27 7:02 PM EST
Signature of Adjacent Riparian Property Owner: JPC7-GTCFX1«-0GFE
Typed/Printed name of ARPO: Michael Milteer or Courtney Snearer
(159 Holly Trail)
Mailing Address of ARPO: 36 Fox Grape Lane, Southern Shores,NC 27949
ARPO's email:
ARPO's Phone#:
Date: *waiver is valid for up to one year from ARPO's Signature"
Revised May 2021

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A.
This map is prepared 161 Holly TRL
from data used for the
inventory of the real Southern Shores NC, 27949
property for tax Parcel: 021749000
purposes. Primary
X"n information sources such Pin: 986818209164
. as recorded deeds, plats,
wills, and other primary
public records should be
consulted for verification
of the information
contained in this map.
I*
Owners: Rangeley, John -Primary
Owner
Building Value: $216,000
Land Value: $189,200
Misc Value: $10,800
Total Value: $416,000
4 lop
Av�
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Tax District: Southern Shores
Subdivision: So/sh Soundside Blk 105
Lot BLK-Sec: Lot: 22 Blk: 105 Sec:
Property Use: Residential
Building Type: Traditional
Year Built: 1982
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