HomeMy WebLinkAbout86944A_Peters, Kathryn_20021118Y
,tt°"% �KCAMA El DREDGE & FILL 9 86944
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o � Previous permit
GENERAL PERMIT Date previous permit issued
New ❑ Modification ❑ Complete Reissue Partial Reissue
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As authorized b�y(the
gState rro}�f NortthllCar olina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC �__!_(erO_L,�.._..-.__ Rules attached General Permit Rules available at the following link: www.dea..n'c.Vy[CAMArugs
Applicant Name 'C L _) ' U�Authorized Agent -h[��. i V Q C j
Address . , . . ...'na L, Project Location (County): , lLrfrr
City f`ita/_��__.___ ZIP � Street Address/State�Rload/Lot #(s)_._,_
Phone # (� ) .. ._"'` z!j 44 i { _�_�....._L{ zT b!
Email ...._....j..aV(��ij(�1.?: �„�A �GL�'4s...W�.z Subdivision
City ... 3.i. l e —Y1 1 �tLL _ ZIP ge4 q
-' Ad Wtr. Body 1 L Y,+U V- -5t �� a an/unk
Affected LJ CWJ�M,EW PTA E5 (� PT5 1 Y )
AEC(s): OEA iHA UW y_', SPIMA 1:1PWS Closest Maj. Wtr. Body —Lw(6 it -La;* - 56-0,eA--
ORW: ye no PNA: ye no'
Type of • . K#15AUNIMI VAallrA111111111111fi I IRS'.T IMAR1� Wt U + VKUN'.`i _.
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Groin length/ff —
Bulkhead/ Riprap length
Boat ramp
Boathouse oatli [VX-1
Beach Bulldozing --..J hpk
Qov f�
SAV observed:
�� � no
Moratorium: '�yes no �-
Site Photos: es no
Riparian Waiver Attached: yes no
A building perrnit/zoning permit may be required by:
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AR/PAM[NEUSE{BUFFER (circle one)
nSee note on back regarding River Basin rules
See additional notes/conditions on back
LA AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT.
(Please Initial) ___-t 11 1• fit
Monica L. M. Small
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Agent Applicant PRINTED N,y/ ne
Permit Officer's PRINTED Na
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Signature ''Please rea ornpliance statement on back of permit"*�
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Signature
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Applicanon Feels;
Check 4/Money Order
Issuing Date
Expiration Date
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Properly Owner Requesting Permit: Kathryn & Hartmut Peters
Mailing Address: 323 N Dogwood trail
ern Snores ,
Phone Number: 252-489-3491
Email Address: hardy@eastcoastsailboats.com
I certify that I have authorized LSI Marine Construction
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Boat Lift and piles
at my property located at 323 N Dogwood trail
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 InImadon:
RECFIVED
1
Signature
O C T 1 1 2022
Kathryn Peters / �V-�- �.' j
Print or Type Name
Owner DCM-EC
Title
7 /30 12022
Date
This certification is valid through !
■ Complete items 1, 2, and 3. A.
■ Print your name and address on the reverse x
so that we can return the card to you.
■ Attach this card to the back of the mailpiece, B.
or on the front if space permits.
1. Article Addressed to: n
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1111 1111111 i11o11111111
9590 9402 6361 0296 8696 31
2. Article Number (Transfer frorn service label)
?0 3160 0001 2519 0537
PS Form S811, July 2020 PSN 7530.02-000-OM
1 ,� • ❑ Agent
Received by (Pdn[ed M mo ` f C. Date of (C
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Is delivery address dif(drsnt from Rem 1? I vin
It YES, enter delivery address below: I(No
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3. Service Type
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❑ Adult signeture
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❑ Adult Signature Restricted d D
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❑ Certfied Mail Restricted Delt ery
❑ WEi &MOndk tAdon7a
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❑ swwker 00MANlarlOn
❑ Collect on Delivery Restict d Delivery
Restncted DMgq
❑ Insurod MaJl
❑ Insuisd Mail Resticted DeRmy
U.S. Postal
Service
CERTIFIED
MAIL
RECEIPT
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.+ 09/26/2022
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Domestic Return Receipt
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■ (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,
orCn the front if space permits.
1. A t01s Addressed to:
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09/26/2022
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❑ Agent
B Received b4rinied Narnej C. Date of
iC1LJLl + � 17S
D. Is dtelhme - addles di nt from Ram 1? ❑ let
If YES, enter delivery address below: VLNo
ling 111 II 1111I1NER 3. Service Type
❑ Adult Signature p Pao I - AAe><r
❑ Adult Signature Restricted Delivery ❑ =9d Melt Restrict
9590 940Z 6361 0296 8696 48 0 � ifed MaMad Restricted Deli
very ❑ signature Confirmation',
❑ Collect on Delivery ❑ Signature Confirmation
2. Article Number (Transfer from dervice hbo ❑ Collect on Delivery Restricted Delivery Restricted Delivery
_ red Mail
7 0 2 0 3160 0001 _2 514 0520 rrrd� i Restrtcted Delivery
PS Form 3B 11, July 2020 PSN 7530.02-000-0053 Domestic Return Receipt
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM -nn ryry
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY c=l.� V
(Top portion to be completed by owner or their agent)
Kathryn & Hartmut Peters 0 C T t) 2022
�
Name of Property Owner:
Address of Property: 323 N Dogwood Trail DCM-EC
Mailing Address of Owner. 323 N Dogwood Trail, Southern Shores, NC 27949
Owner's email:
hardy@eastcoastsailboats.com 252-489-3491
Owner's Phone*
Agent's Name: Scott C SmaIULSI Marine LLC Agent Phone#: 252-473-7695
Agent's Email: Scott@lsimarine.com / monica@lsimarine.com
ADJACENT RIPARIAN PROPERTY OWNER'S CERTiriCATION
(Bottom oortlon 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
descrlptlon or drawing_ with [limancinnc mi —+ k^ ...,... .� _ .
I DO NOT have objections to this proposal. I DO have objections to this proposal.
h' 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 (252) 264-3901. 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
r7:'a
,�;rgnature of Adjacent Riparian Property Owner
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner: l -%.. G--
Typed/Printed name of ARPO: George C Kirby, III & Dire L Kirby
Mailing Address of ARPO: 321 N Dogwood Trail, Southern Shores, NC 27949
ARPO's email: g G 14; oa q wt n, i. CoM ARPO's Phone#:
Date: 1D:!! rA waiver is valid for up to one year from ARPO's Signature*
Revised July 2021
MARINE
construction, LLC
CURRITUCK SOUND
PROPOSED NEW PILES & TIDETAMER 10,000 LB. BOAT LIFT
@ THE EXISTING DOCK
@ 323 N DOGWOOD TRL, SOUTHERN SHORES, NC
FOR KATHRYN & HARTMUT PETERS
�RIPARAIN DRAWING - 1 OF 1 - 9/20/2022 - SCALE 1" = 40'
BY: SCOTT C SMALL OF LSI MARINE CONSTRUCTION LLC
252-473-7695 - SCOTT@LSIMARINE.COM
WWW.LSIMARINE.COM
PROPOSED NEW
12' X 12' BOAT
LIFT W/ 4 NEW
10" X 30' PILES
EXISTING
1
i
BULKHEAD',
& RIP RAP
RECEIVED
0 CT 11 2022
DCM-EC
321 N DOGWOOD TRL
PROPERTY OF:
GEORGE C KIRBY, III
XISTLNG 65' PIER WALKWAY
D 12' X I T PLATFORM &
X I T LOWER LANDING
MNG 14' X 14' LANDWARD DECK
EXISTING
!C r BULKHEAD
& RIP RAP
323 N DOGWOOD TRL
PROPERTY OF: PETERS
PAL
J+,
11
NORTH --
EXISTING HOUSE
325 N DOGWOOD TRL
PROPERTY OF:
JON T SPIVEY -- -
This map is prepared
from data used for the
inventory of the real
property for tax
purposes. Primary
!• information sources such
M as recorded deeds, plats,
wills, and other primary
public records should be
consulted for verification
of the information
contained in this map.
323 N Dogwood TRL
Southern Shores NC, 27949
Parcel: 021439000
Pin: 986809067647
Owners: Peters, Kathryn L A -Primary
Owner
Building Value: $441,900
Land Value: $490,500
Misc Value: $11,300
Total Value: $943,700
Tax District: Southern Shores
Subdivision: So/sh Sections AStb
Lot BLK-Sec: Lot: 42-r Blk: C Sec: B
Property Use: Residential
Building Type: Ranch
Year Built: 1969
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