86576A - Barnette, Martin & Mary Beth

V
CAMA % DREDGE & FILL } 86 j i f) U B C D
IAM4 E 11 GENERAL PERMIT Previous permit
Date previous permit issued.
"WNew ❑ Modification 1 Complete Reissue � Partial Reissue
As authorized byytrthe
�State of North Carolina. Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I SA NCAC —L ! - � iS�� _ Rules attached. El General Permit Rules available at the following link: wwyr_degnc.ga+tCAMAnt{es
Applicant Name �{� F-�zeZs1 AuttwrizedAgent
Ad dre�D/tJ�/%��_. uiirLG Project Location (County)
City iNd.(/State ZIP n
27�!1?491 1 Street Address/State Road/Lot #(s) _
pherpiir# } L* 50 AMr in —5k wet)
Email IQ 1 DA&k {iL�L1 tpr � VA A, 1 . (' �}� Subdivision
Qinpyw—: ('252) Lf� I City
Affected CW i� EW PTA lJ ES t TS Adj. Wtr. Body ..1,i .�tl._ it ,lt ( i��,(�' '- j saniunic)
AEC(s}: OEA IHA UW SPIMA L i PWS Closest Mai. Wtr. Body _ i_ Ly VI � ._. i.Ly'4.Id _
ORW: yes PNA< es o
Type of Project/ Activity CC A eity U
Vetle,ir +=.„ (Scale:
Shoreline Length`)y
Access Length _.
Pier(dock)length -. _ _ %ViN(„
Fixed Platform(s) �.,.
Floating Platform(s) (' A � i A i /�' •'^""
Finger pier(s)
, v t.�-
Total Platform area
Groin length/# .
gvg
ead ipra ength +�OT��
/`.DCffi4J�j
istanffshore 't ( ;iw
_ y �f
Breakwater/Sill � �, ts'� � r
r r
ax distant length__ ^►
Basin, channel... Ny,+
Cubic yards
Boat ramp
Boathouse/ Boatfift
Beach Bulldozing
�,�,w��� R� pry
Other
o
f t # �(p t l
SAv observed: yes -A
Moratorium: n a yes no Ql.) {
Site Photos: es no
Riparian Waiver Attached- yes (2) � , . {
A building permit/zoning permit maybe required by- (: j�4i�6eLJ VU f/ A !'�
�j�`�,. f� f ' �,+ J L TARIPAM/NEUSE/BUFFER (circle one)
Permit Conditions-_--i-Y�l�...__-�_i'f.=�- f [�� � t�� �� � t v.��Lb}ei„S�'1�3 �'
ioi�'E t� ,[j-7(�,� j{�•( `( (�j� See note on back regarding River Basin rules
�7K3•-4�L _.Lt4l.rtJ.ic1L�`_-t C r /7-y9''�ilS�i�s4LS. t emLkA
fi�See additionat notes/conditions on back
L� `,nlL��wrtt
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT LY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. {Please
Agent Applicant INTED s me Permit Of'fi�i_s PRINTED Name
Signature "Please read compliance state ent an back of permit" �t Signature,
Application Fee(si Check d/fOoney Order issuing f7ale Ez iranon 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.
1. Article
��Addressed to: �^
Gj , G -.
,5-377]
9590 9402 6011 0069 6517 37
2. Article Number (Transfer from service label)
PS Form 3811, July 2015 PSN 7530-02-000-9053
X , /:6 ,Agent
❑ Addressee
y (P 'fled Name) . C. Date of Delivery
%CIiP� T,1V e:S
D. Is delivery address different from item 1? 0 Yes
If YES, enter delivery address below: g No
MAY 2 0 V2
3. Service Type
O priority Mal Express@
❑ Adult Signature
D Registered Mail -
It Signature Restricted Delivery
0 Registered Mad Restricted
Certified WHO
Delivery
❑ Certified Mail Restricted Delivery
❑ Return Receipt for
O Collect on Delivery
Merchandise
I] Collect on Delivery Restricted Delivery ❑ Signature Confirmation-
0 Insured Mail
O Signature Confirmation
O Insured Mail Restricted Delivery
Restricted Delivery
lover $500)
Domestic Return Receipt
S. Postal
Servicer"
ERTIFIED
UD,irnestic
MAIL° RECEIPT
Mail Only
de'i,,Pry'nfor
nation.
visit our website
at www.usn.g
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MAY 2 1 2022
DC -EC

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM MAY 2 7 2022
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERED
DCNi_.EC
I hereby certify that I own property adjacent to �'�t%yCvticv�-�' 's
t( } (Name of Property Owner)
property located at y �Cx 1 v>� t L o-k- k a
(Project Site: Address, Lot, Block, Road, etc.)
on e Lb LA - (vN SVncN-eS N.C.
(Waterbody) (City/Town and/or County)
Agent's Name #:
Agent's phone #:
Mailing Address:
7020 3160 0001 2520 5750
He/She has described to me as shown below the development h o ❑ ©o)
and I have no objections to the proposal. = ' p
• Cj 0 '6 t
-----------------------------------------------------------------------------19
DESCRIPTION AND/OR DRAWING OF PROPOS : ham;
(individual proposing development must fill in description,.yo f
cll� co
ICSO NNMNN�i ,._„�,
3
If you have objections to what is being proposed, you must notify t
(DCM) in writing within 10 days of receipt of this notice. Correspo r "
Griffin St., Ste 300, Elizabeth City, NC, 27909. DCM representatives d
3901. No response is considered the same as no objection if you h
(Property Own::,Information '
Signature
Print or Type Name
Mailing Address
w '�n ScX s ,1�c �7�► `tG
City/State/Zip
as��4y(-s�sti
Telephone Number/Email Address f
Date
imm=
n)
Signature*
VI
Print or Type Name
f.2 � I � ]-�C veA)1,JWd
Mailing Address
City/State/Zip
C qU� -7;t, 33q
Telephone Number/Email Address
:1, 5 - 1-� ?-
Date*
Revised Jan. 2017
*Valid for one calendar year after signature*

V
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
24 Palmetto LN
Southern Shores NC, 27949
Parcel: 022767000
Pin:986719619450
Owners: Barnette, Martin A -Primary
Owner
Barnette, Mary E -Primary Owner
Building Value: $286,400
Land Value: $129,600
Misc Value: $9,200
Total Value: $425,200
Tax District: Southern Shores
Subdivision: So/sh Soundside Blks 175-
176
Lot BLK-Sec: Lot: 12 Blk: 175 Sec:
Property Use: Residential
Building Type: Ranch
Year Built: 1973
2

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NOTES
-PROPERTY IS LOCATED IN A F.I.R.M.
ZONE AE(7')
(SUBJECT TO CHANGE BY F.E.M.A.)
—AREA—19,440sq.fL(COORD)
COVERED AREA—5,623sq.ft.(29%)
—MIN. BUILDING LINES PER CURRENT
ZONING
—DARE CO. PIN# 9867(19) 61 8372
LAGOON
VICINITY MAP
RIP RAP
RIP RAP
3 X5'
NTS
9'
�.....
... - . TIE LINE ONLY
— — — — — — —
— SHORE
CMF N80'39'05'E
119.89'
CMF LINE
1'
PROPOSED 70 L.F. BULK HEAD
AS STAKED BY D.C.M.
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PK NAIL IN
CL O EDP
❑ 12 .
119.83' S80'14'34"W W
PALMETTO LANE
(60'R/W)
ASPHALT ROADWAY
REV. 5/11/22-BULKHEAD
SURVEY FOR: MARTIN A. BARNETTE 8c wife
1, MARTIN BARNETTE CERTIFY THAT UNDER MY
SUPERVISIffid THIS PLAT VAS DRAVN FROM AN MARY E. BARNETTE
ACTUAL FIELD s
�THTT THE RATTHAT
PREc ZIN LOT 12, BLK. 175
THIS . S Ir7� boa " SOUTHERN SHORES
N.C.A.C. Pali.
lI1TNE GISTRATMIY
AS REC.: MB 4 PG 20
Na Drift �, �n� SOUTHERN SHORES ATLANTIC TWSP. DARE CO. N. CAROUNA
/ s SCAB 1 '_ 30' Fa.E NO. 1428 cAm nLE 1428C oArE 31219
MAR PLS �r` (�L f3740
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