86299A - Buccaneer Village Unit

N° 86299 CA)s c D
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Previous permit
Date Previous permit issued
GENERALPERMIT
J�b[.ew ❑ Modification ❑ Complete Reissue
❑ Partial Reissue
As authorized by theStateof North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
• r 1 (� `tea Rules attached.
General Permit Rules available at the following ink: www dev nc W1C—Ah6nA*
I SA NCAC
Authorized Agent /!i / S
OV
Applicant Name �„ c o, �� o ,t �n i
Address A i )nRt'S D
Project Location (County):
Street Address/State Road/Lot #(s) Ga rtn,n �n IT�tQ�—
/
City Ma ,-+-L s State r C' ZIP i? _g.s `I_
Phone # ta) `{ % 3- 4,S' 6 O
i t a_ e a
Subdivision 8id / (
ErnaOy5kotfan Q Dr�a�—c�\/e• ��^--
a ZIP
City /i'(o�`"
Affected � CW �EW /PTA � c
(u � �'
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Adj. Wtr. Body D a� o J `C— -rCMA na n/unk)
AEC(s): F1OEA OIHA UW SPIMA ❑ PWS
Closest Maj. Wtr. Body a o- " Sol`^ SL
ORW: yescD PNA: yes
Type of Project/ Activity A J 44- 1 2 - X I Kk
e.acl P e'f"� : ^ a ro a a
)
AL t—a s i � Q s ca-r nti� rl A---
(Scale: fiT_S
Shoreline Length-., c%00
s 90ANuK1r
Access Length
Pier (dock) length
Fixed Piatform(s)
Floating Platforms)
Finger piers) ^
Total Platform area
n length/#
8ulkhea Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift r
Beach Bulldozing '
Other
Aw4%,
zg
ti c c C, /I
s , �
AS
SAV observed: yes ® '
Moratorium: yes no .6 �' J
Site Photos: es no
Riparian Waiver Attached: yes C rt s>z ,J
A building permit/zoning permit maybe required by: � t S r` o J4U rt , k,�b
Permit Conditions
l RA4' ZT c a✓E'Md J+
TAR/PAM/NEUSE/BUFFER (ciircle one)
See note on back regarding River Basin rules
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)
Signat 'P a read c nay= �ratQment on back of permit"
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A piication Fee(s) Check k/Money Order
f V a /t n C- �—�f V Qi
Permit Officer's PRINTED Name
Signa
Issuing Date Expiration Date

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This map is prepared
from data used for the
1112 Pirates WAY 1112
Owners: - Tax District: Manteo In
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inventory of the real
property for tax
purposes. Primary
Manteo NC, 27954
Parcel: 025694066
Owner 1 /i Subdivision: Buccaneer Vlg Condo Bld11
4 n ��
C o �Qt^ V ' (� P10
r
information sources such
Pin: 97990648970602
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BuildingValue: $186,400
Lot BLK Sec: Lot: Unit 1112 Blk: Sec:
ri
r
recorded deers, plats,
wills,
wills, and other primary
A
/y /�A Ac,' f.� vv n o
N1�
Land Value: $145,000 Property Use: Residential Condominium
p
Public records should be
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Misc Value: $0 Building Type: Condominium (Flat)
.;It
_
consulted for verification
of the information
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Total Value: $331,400 Year Built: 1995
,
contained in this map.
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DoCubign tnvelope ID GGA55t80-322t-4085-A0t2-1 F 69402F7826
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
I hereby certify that I own property adjacent to Buccaneer Village Unit Owners Assoc.
(Name of Property Owner) APR O
property located at
Buccaneer Unit 11 6 20?z
(Address, Lot, Block, Road, etc.) Df
on Albemarle Sound in Manteo . N.C. CM-. �,N
e
(Waterbody) (City/Town and/or County)
Agent's Name #. Millstone Marine Construction Mailing Address: 201-A Etheridge Road
Agent's phone #[phone] Manteo N.C. 29754
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
-------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
Construct a 20' return to storm damaged bulkhead
N 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 www.nccoastalmangement.net/contact_dcm.htm or by calling 1-888-4RCOAST. No
response is considered the same as no objection if you have been notified by Certified Mail.
p9m"Owner Information) - ipaeie�Qw�nerormation)
}oorwse. Signature
Buccaneer Village Unit Owners Assoc.
Print or Type Name
1 Sailfish Drive
Mailing Address
Manteo N.C. 29754
City/State/Zip
252-473-6800
Telephone Number
4/5/2022
Date
Pirates Cove Homeowners Assoc.
Print or Type Name
1 Sailfish Drive
Mailing Address
Manteo N.C. 29754
City/State/Zip
2 — c/ 7�-
Telephone Number
L(- s""- -�) 2
Date

DocuSign Envelope ID: CCA55EBO-322E-40B5-AOE2-FF69402F7826
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
--- I t
Name of Property Owner Requesting Permit: Buccaneer Village Unit Owners Assoc. APB O 6 2UZ
Mailing Address: 1 Sailfish Lane
Manteo N.C. 27954 DCM-EC
Phone Number: 252-473-6800
Email Address: [e-mail]
I certify that I have authorized Millstone Marine Construction, Inc.
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Installing a 20' bulkhead return
at my property located at Buccaneer Unit 11
in Dare 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 Owner Information:
D-S,g-d ey.
®eca,aeeseoraiee
Signature
Bob Kindervater
Print or Type Name
President
Title
/ l4/5/2022
Date
This certification is valid through 7 / 31 / 2022
Revised Mar. 2016

DocuSign
Certificate Of Completion
Envelope id: CCA55EB0322E40B5AOE2FF69402F7826
Status: Completed
Subject: Please DocuSign: BVMA CAMA.pdf
Source Envelope.
Document Pages. 2 Signatures: 2
Envelope Originator:
Certificate Pages: 4 Initials: 0
Renee Parish
AutoNav: Enabled
1 Sailfish Drive
Envelopeld Stamping: Enabled
1 Sailfish Drive
Time Zone: (UTC-08:00) Pacific Time (US 8 Canada)
Manteo, NC 27954
[e-mail]
IP Address:24.241.146.226
Record Tracking
Status. Original
Holder: Renee Parrish
Location: DocuSign
4/5/2022 12:32:33 PM
[e-mail]
Signer Events
Signature
Timestamp
Bob Kindervater
a"'!rw
Sent: 4/5/2022 12:37:40 PM
[e-mail]
Gy y" i'
Viewed: 4/5/2022 12:38:21 PM
Security Level: Email, Account Authentication
D "
Signed: 4/512022 12:39:07 PM
(None)
Signature Adoption: Drawn on Device
Signed by link sent to bob.kindervatert @gmail.com
UsinglP Address:174.206.97.201
Signed using mobile
Electronic Record and Signature Disclosure:
Accepted: 4/5/2022 12:38:21 PM
ID:ae440767-d6db-4891-9f3d-726f0650508c
In Person Signer Events
Signature
Timestamp
Editor Delivery Events
Status
Timestamp
Agent Delivery Events
Status
Timestamp
Intermediary Delivery Events
Status
Timestamp
Certified Delivery Events
Status
Timestamp
Carbon Copy Events
Status
Timestamp
Witness Events
Signature
Timestamp
Notary Events
Signature
Timestamp
Envelope Summary Events
Status
Timestamps
Envelope Sent
Hashed/Encrypted
4/5/2022 12:37:40 PM
Certified Delivered
Security Checked
4/5/2022 12:38:21 PM
Signing Complete
Security Checked
4/5/2022 12:39:07 PM
Completed
Security Checked
4/5/2022 12:39:07 PM
Payment Events
Status
Timestamps
Electronic Record and Signature Disclosure
APR 0 6 2022
IDCM-E

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