86278A - Maso, David & Berle, Sunny

AMA X DRE®GE & FILL N) 86278 B C D
Previous permit
(GENERAL PERMUT Date previous permit issued
'New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the S,,r<-{�te of North Carolina, Department of
Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I SA NCAC J
f �f ` • `+� 41 r = . Rules attached. General Permit Rules available at the following link: w%vw.deo.nc. ov CAfl rules
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ApplicantName(.c� yY1�r7y_g� .1'.iN11��`^ss.� �- AuthorizedAgent_-Ql(�Vyyty$
Address Pv 1 yy C'�vtti ; ClV ��y . __''I Project Location (County): IFF E
City' V L1 �7° 11;iState ._ NQ—ZIP--�__j� itStreet ,�iAddress/State (Roadg 77/Lot #(s)
Phone # (Z�t.T7 4 rJ — -- ��^ P L
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Email_aaAJ1 V Subdivisioonn, __ ,
City—�1lc�idXL/tY(i'�1iiy�`ZIP '2"t'L4 _
SWL 'fQGj� C Ili .1� na an/unk)
Affected L CW � PTA � p75 Adj. Wtr Body �.,,����
AEC(s): ❑ OEA 0 IHA n UW SPIMA PWS Closest Mai. Wtr. Body C6WV 1
ORW: yes no PNA: es -
Type of Project/ Activity
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Shoreline Length f 22 1
Access Length
Pier dock) length 1 K tat ��_+_- ._
Fixed Platformis 7C l01
Finger pier(s)
Total Platform area V�
Groin length/tt
ulkhead Riprap length 12 _
Avg distance offshore_____
Breakwater/Sill
wlax dirt nce length_
Basin, channel
Cubic yards _
Boat ramp
Boathouse/ Boatlih ._
Beach Bulldozing
Other.---- —
SAV observed: yes
Moratorium: n/a yes no
Site Photos: y`e no
Riparian Waiver Attached: yes ID
A building permit/zoning permit may be required by:
Permit Conditions
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TAR/PAM/NEUSE/BUFFER (circle one)
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See additional notes/conditions on back
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT.. (Please Initial)y
ren Applicant PRINTED Name Permi�Pff cer's PR(iTEDN
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Signature:ase read compliance statement on back of permit* Signature
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Application Fee(s) Check I!/Money Order issuing Expiration Date

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SOUTHERN SHORES
CIVIC ASSOC., INC
EDGE OF WATER
AS' SVRfrPYEP-OW
7/20 021 J
BULKHEAD & PIER PLAN
DAVID MASO
1 POINT COMFORT LANE
SOUTHERN SHORES - DARE COUNTY - NORTH CAROLINA
zo' o' ao ao' 120 ATLANTIC EM//RONAIENTAL CONSU bWNTS, LLC
GRAPHIC SCALE 1 "= ao' P.O. BOX .i166, KITTY A64W, N.C. 27940
(152)26I-7707, a moil dongdl7ft*moAlcom
FILE MASO DATE: 02/03/22 REVISED:

AUTHORIZATION TO ACT AS REPRESENTATIVE FORM
Property Legal Description:
DEED BOOK: 2444 PAGE NO: 0001
PARCEL ID: 986714237369
STREET ADRESS: 1 Point Comfort Lane, Southern Shores, NC 27949
Please Print:
Property Owner: David Maso
Property Owner: Sunny Berle
The undersigned property owners of the above noted property, so hereby authorize
MAR 0 3 2022
DCM-EC
Doug Dorman ____,of Atlantic Environmental Consultants, LLC to,
(Contractor/Agent) (Name of consulting firm)
1. Act on my behalf and take all actions necessary for the processing, issuance and
acceptance of permits and/or certifications and any all standard and special
conditions attached.
2. Enter the property to obtain site information including inspections with regulatory
agencies (Dare County, North Carolina Department of Environmental Quality,
U.S. Army Corps of Engineers, etc.) for the purpose of obtaining permits and/or
certifications.
Property Owners Address (if different than property above):
1 Point Comfort Lane Southern Shores NC 27949
Property Owners Telephone Number: 727480-3523
We hereby certify that the above information submitted in this application is true and
accurate to the best of our knowledge.
Authorized Si a and Title
Date: 3 d
--
thorized Signature and Title
Date:

■ 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.
I. Article Addressed to:
3 -27 11n l 09RZ f-W , A/00r,,4
1Ti Try /749W AIC_
' II I IIIIII IIII 11111111 11111111 III I I I I III III
9590 9402 6361 0296 8676 68
?. Article Number (rransfer from service label)
'020 3160 0001 2523 5184
's Form 3811, July 2020 PSN 7530-02-000-9053
U
by
❑ Agent
❑ Addressei
c.at/%e% D/o -
D. Is delivery address differentTrom item 1? u Ye:
If YES, enter delivery address below: ❑ No
RIECE ,/ �
MAR 0 3 2022
3. Service Type ❑ I ority Mall Express®
❑ Adult Signature Sy n istered Ma ITM
❑ Adult Signature R�tritt�d bAlWdiy - ��7a�istered Mail Restrict,
�ertifled Mall® f Delivery
❑ Certifled Mall Restricted Delivery ❑ Signature ConfinnationT'
❑ Collect on Delivery ❑ Signature Confirmation
❑ Collect on Delivery Restricted Delivery Restricted Delivery
Insured Mail
Insured Mail Restricted Delivery
_ (over $500)
Domestic Return Receipt

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: Davis Maso & Sunny Berle
Address of Property: 1 Point Comfort Lane Southern Shores NC 27949
Mailing Address of Owner: 1 Point Comfort Lane, Southern Shores, NC 27949
Owner's email: [e-mail] Owner's Phone#:
Agent's Name: Doug Dorman
Agent's Email:
[e-mail]
727-480-3523
Agent Phone#: [phone]
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
I 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' setback
Signature of Adjacent Riparian Property Owner
-O R-
I do not wish to waive the 15' setback requirement (initial the blank) ��� RIE
't,f °.✓
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: Southern Shores Civic Association, Inc.
Mailing Address of ALRPO: 5377 Viriginia Dare Trail, Kitty Hawk, NC 27949
ARPO's email: &L.173tO 41mil- • (e.r ARPO's Phone#: '703 ,5-( / 1- 6
Date: 02/03/22
*waiver is valid for up to one year from ARPO's Signature*
MAR 0 3 NZZ
DWI-- .�
Revised July 2021

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Imagery Date: 3/24/2017 lat 36.106249" Inn-75.74111S4" c4rr lii ft -eve .

1. PROPERTY ADDRESS: 1 POINT COMFORT LANE
2. PARCEL: 022612000, PIN: 986714237369
3. LOT ZONING: RS-1 (SINGLE-FAMILY RESIDENTIAL)
4. AREA = 28,792t sq. ft. = 0.661 acres
5. AREA CALCULATED BY COORDINATE METHOD.
6. THIS SURVEY WAS PERFORMED WITHOUT THE
BENEFIT OF A TITLE COMMITMENT.
7. THIS PARCEL MAY BE SUBJECT TO EASEMENTS
NOT SHOWN HEREON.
8. SETBACKS AS PER TOWN OF SOUTHERN SHORES
CURRENT CODE AND MUST BE VERIFIED. SURVEYOR
MAKES NO CERTIFICATION AS TO SETBACKS.
VICINITY MAP 9. LOT MAY BE IN AN AREA OF ENVIRONMENTAL CONCERN.
N.T.S. INDIVIDUAL PERMITS MAY BE REQUIRED.
10 SUBDIVISION AS RECORDED IN PC "A" SL 111 D C R
CURVE TABLE
11. PROPERTY IS LOCATED IN F.I.R.M. ZONES AS SHOWN,
MAP NO. 3720986700K, DATED JUNE 19. 2020.
USE OF LAND WITHIN THE FLOODWAY OR FLOODPLAIN
AND FLOOD ZONES SUBJECT TO CHANGE BY FEMA.
CURVE
I RADIUSI
LENGTH
CHD. BEARING
CHD. LENGTH
C1
50.00'
S1.86'
S69'48'20"E
49.57'
C2
50.00
76.53
NO3-45.22"E
69.27'
N/F
N 85°03'01" W 121.05'
SOUTHERN SHORES
I C1WC ASSOC., INC
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LEGEND:
p - EXISTING CONCRETE MONUMENT
QQ - EXISTING IRON ROD
0 - CALCULATED POINT
COP - EDGE OF PAVEMENT
R/W — RIGHT OF WAY
M.B.L. — MINIMUM BUILDING LINE
D.C.R. - DARE COUNTY REGISTRY
STY. - STORY
SFD - SINGLE FAMILY DWELLING
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(60' PRI VA T£ R/W)
I, CARLOS F. GOMEZ CERTIFY THAT THIS
MAP WAS DRg1�f11kJIDQR/f�.Y SUPERVISION
FROM AN A� AL SiDIAZY IAADE UNDER MY
NOT AC3i1 1'?5URVEYE0x74 VVN AS
BROKEN- E NF-ORMATION
FOUND-7N
STI R AN�THAT THIS
MAP %"S
T .HE $ECORDED.
THE II
S ISp TOOQO+ BY LAT
& DEP.
SEAL THIS
10TH DA
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9'1 N
SOUTHER SHORES
' C114C ASSOC., INC
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MAR I 0 3 2022
WALL 1 40 20 0 40
inch = 40 It.
�( GRAPHIC SCALE
PHYSICAL LOT SURVEY FOR:
DAVID ANTHONY MASO and
SUNNY LIBERTY BERLE
LOT 17, BLOCK 128
SOUTHERN SHORES
SOUTHERN SHORES
113 76 ATLANTIC TWSP. I DARE COUNTY I NORTH CAROLINA
Civil, Structural, Surveying &
Site Development
Coas al C-0836 4425 N. Box 11N HWY.
P.O. Box 29
ENGINEERING & SURVEYING, INC. Kitty Hork, N.C. 27949
(2521-261-4151
-EC

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
contained in this map.
1 Point Comfort LN
Southern Shores NC, 27949
Parcel: 022612000
Pin: 986714237369
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Owners: Maso, David Anthony -
Primary Owner
Berle, Sunny Liberty -Primary Owner
Building Value: $175,400
Land Value: $336,500
Misc Value: $4,300
Total Value: $516,200
Tax District: Southern Shores
Subdivision: So/sh Blk 128
Lot BLK-Sec: Lot: 17 Blk: 128 Sec:
Property Use: Residential
Building Type: Traditional
Year Built: 1979

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