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Home My WebLink About86878A-ShatzerCAMA RE®GE & FILL N9 86878 Qv B C Previous permit GEN L PERMIT Date previous permit issued ______----- �*ew o ication ❑ Complete Reissue []Partial Reissue As authorized by the //SJs,ate oqff __ rohna, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to: I SA NCAC 114 / g^'t-%'� Rules attached. V`6eneral Permit Rules available at the following link �...vd a oov/CAMAr s Applicant Name ft1 C��%}}1..""0-'�/ //� i 5 A Address % �/ f.�1r Wit?/_(O„�/j,�_p� City 1 y-etr/��/ '' ((!! State flC zIPP Phone # (� ).3 t // "T--r- 4 4 Email ist V QIRr -7'-i� Q-JM Ar Affected ®.CW AEC(s): DOEA ORW: yes/no ®EW [&TA U IFIA ElUW Type of Project/ Activity i r . .. `z r PNA:yes/no Authorized Agent '�"/t,n-t't 4., env Project Location (County): StreetAddress/State Road/Lot 4(s) 5 3 8+ / 2- Ff Subdivision City W)C�� fit-- SIP 7�A ES El PTs Adj. Wtr. Body /�O.M. L l to J 4 c.`'A \s.... l:co t nd SPIMA PWS Closest Maj. Wtr. Body f� 447- (Scale: Aft ) Shoreline Length ^' / 50 Access Length _ 3 7-5X a,;V'(j_e`'�j' Pier (dock) length Fixed Platforms) e J Floating Platform(s) '- L Finger Piers) ^ Total Platform area Groln length/# Bulkhead/ Romp length Avg distance offshore Breakwater/Sill Max distance/length �. Basin, channel Cubic yards _ { • i `W, Boat ramp II Boathouse/BoatliR - 4% Beach Bulldozing .tl r Other .- fIt SAV observed: yes no r .Q 1 Moratorium: h/a yes no - ^V Site Photos: yes no Riparian Waiver Attached: es no G A building permit/zoning p\er_mit)m�ayy be required by: Permit Conditions �); n)-ae — l � A�Q1,5 C- -,.,A ILA TARRAM/NEUSE/BUFFER(circle one) See note on back regarding River Basin rules See additional notes/conditions on back Agent or Applicant PRINTED Name Signature •'Please: ad compliance statement onback of permn / 9 Check #/Money Order Application Fee($) ru RtVILWEDCOMPLIANCE STATEMENT. (Please Initial}fr_}��,i 7 o a A ---- -� --' C.o--C'Ja.s— Permrt officer SPRINTED Name 01 Sig a Issuing Date Exptratton Dale ❑DREDGE & FILL ND 86878 A B C D GENERAL PERMIT Previous permit Date previous permit issued New ❑Modification ❑ 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: /, n I SA NCAC r I . ❑ Rules attached. k�' General Permit Rules available at the following link: wwwdeq nc gov/CAMArules Applicant Name I ll i C. J\ r, c:. ' . 7 A r• 1' Y Address % `� `/ L. V A A :: le, L n 9 0 City , �-f e.�s, 'State E. ZIP Phone# ) `-/Cv Email /hf'e/V, -f r; c )r G' Affected QCW EJEW 0PTA ❑ES ❑PTS AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS ORW: yes/no PNA: yes/no Type of Project/ Activity Shoreline Length Access Length Pier (dock) length Fixed Platform(s) Floating Platform(s) Finger pier(s) Total Platform area Groin length/q Bulkhead/ Riprap length Avg distance offshore Breakwater/Sill Max distance/ length Basin, channel Cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing Other SAV observed: yes no Moratorium: n/a yes no Site Photos: yes no Riparian Waiver Attached: yes. no Authorized Agent Project Location (County): Street Address/State Road/Lot #(s) � F Suhdiaicinn ,. / 'f City 11 —) Adj. Wtr. Body r" r ((nat/man/unk) Closest Mal. Wtr. Body (Scale:,[/;_;r ) A building permit/zoning permit may be required by: Permit Conditions �.-�'•i -/.. ❑TAR/PAM/NEUSE/BUFFER (circle one) o i �4 o c) -{. e + ❑ 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 lnitial)Y r Agent or Applicant PRINTED Name Permit Officer's PRINTED Name Signature "'Please read compliance statement on back of permit'* Signature Vl Application Feels) Check q/Money Order Issuing Date Expiration Date I► r PAMLICO SOUND PAMLICO SOUND d' i _ amow< g , L E urE Ngrtws wtwNu sysrunE PROPOSED PLs70RMI ATLANTIC OCEAN \VV8585i" A � N "C „4' ,I,. N/F L" —. PROP DER WILLIAM & LEAH BUTLER 11 ME exsa �� 5+ O_ L b w i PROPOSED WAEKw — X`375 y .. A � N/F v ELIZABETH ALBRIGHT n a wETIANDS I � CAMA GENERAL PERMIT PLAN MICHAEL i,SHATZER 49598 NC 12 HWY BUXTON - DARE COUNTY - NORTH CAROLINA. 25' 0' 50' 100' 150' A7Z,4N7/C ENV/RONX-NTAL CONSULTANTS, LZC GRAPHIC SCALE 1"= 50' P.O. 90X J266, K/7/Y NAN'K, NC 17949 (151)261-7707, e-mo// doagdaeo#gmoi/Com RLE: SHATZER 2023 DATE, 01/30/23 REASED: AUTHORIZATION TO ACT AS REPRESENTATIVE FORM Property Legal Description: DEED BOOK: 2505 PAGE NO: 0683 STREET ADRESS: 49598 NC 12 Hwy, Buxton NC 27920 Please Print: Property Owner: Michael Shatzer Property Owner: The undersigned properly owners of the above noted property, so hereby authorize 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): 104 W. Al2oIIo Lane Milton DE 19968 Property Owners Telephone Number: 302-344-5546 We hereby certify that the above information submitted in this application is true and accurate to the best of our knowledge. K 5k�: Aut roriz gnature and Title Authorized Signature and Title DatJ: 3 1 -2 c)ZZ Date: a Complete hems 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 mailpiec% or on the front if space permits. 1. Article Addressed to: pv '67dre-' -39 r-)zI56 s, A-j c �y IIIIIIIIIIIIillllll lilllllllilllilll IIIIIIIIII 9590 9402 7859 2234 0540 52 022 0410 0000 5531 0301 l PS Form 3811, July 2020 P8N 753o-02-M-9053 t ■ Complete items 1, 2, and 3. ■ Print your name and address on the reverse so that we can return the card to you. s Attach this card to the back of the mailpieoe, or on the front If specs permits, fl/A;�zrG^T 1111III11111 111111111Ni111111111111111111 9590 9402 7859 2234 0540 45 2, Article Numberprensrerr(c!n wry-av aewi 7022 0410 0000 5531 0318 PS Form 3811, July 2020 PSN 7630-02-000-9053 i, ❑ Agent isY iv ry It eddre VI �ory o "s be a ❑ No 2023 \ - ' ❑ Priority Mail E-Prevrill ❑ Registered Mail- tdeted DelMmy 0 Registered Mail Restricted oted DsIN" ary ❑ 8ignatwe Confirmation 0 signature conriooadon at Restricted Delivery flBSMcted DeMery led DelWery Domestic Return If YES, enter delivery alas belovp6 C3 N9' Service Type 0 Priority Mall Express® Wua Signature Well Signature 1101 etl DoOvan' CI Registered Maliru 0 Heat Cored Mail Relitrated ;ertikd Mall® Mail Restricted Delivery DD�� ry 0 Signature Coimrnarpn^' 'Wood Colkcl on Delivery Collect on Delivery Restricted Delivery 0 Signature CanrymatIon Restricted Degvery Insured Mail Insured Malt Restricted Delivery $5001 -- Domestic Return Receipt USPS.com;rz�, - USPS Tracking'c Results USPS Tracking® 0 � � r sl� iki--- littps://tools.usps.com/go/TrackConfirmActioii?tRet=fullpage&-tLc=... FAQs > Tracking Number: 70220410000055310318 Copy Add to Informed Delivery (https://informeddelivery.usps.com/) Latest Update Your item was picked up at the post office at 3:26 pm on February 3, 2023 in BUXTON, NC 27920 Get More Out of USPS Tracking: USPS Tracking Plus® Delivered Delivered, Individual Picked Up at Post Office BUXTON, NC 27920 February 3, 2023, 3:26 pm See All Tracking History Text & Email Updates USPS Tracking Plus(D Product Information Track Another Package Enter tracking or barcode numbers See Less ^ Need More Help? Contact USPS Tracking support for further assistance. FAQs Remove X v v u D loft 2117/2023. 12:49 PM N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONiWAIVER FORM CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY (Top portion to be completed by owner or their agent) Name of Property Owner: Micheal Shatzer Address of Property: 49598 NC 12 Hwy, Buxton, NC 27920 Mailing Address of Owner: 104 W. Apollo Lane Miton, DE 19968 Owner's email: mrelectriclicONmail.com Owner's Phone#: 302-344-5546 Agent's Name: Doug Dorman Agent Phone#: 252-599-2603 Agent's Email: dougdaec@gmail.com 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 desc/ription or drawing._ with dimensions must be provided with this letter. PJ/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 or coastal Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 401 S. Grim 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 N you have been notified by Certified Mail. WAIVER SECTION (Choose onto one) 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 -OR- I DO NOT wish to waive the 15' setback requirement (initial the blank) '" Signature of Adjacent Riparian Property Owner: Typed/Pr(nted name of ARPO: William & Leah E Mailing Address of ARPO: PO BOX iii,,, �qtt\' I• v�• �t Oe ARPO's email:k�@ P..I'it a (jARPo's Phone#: A6;) 9 5 - 5 Date: __•waiver is valid for up to one year from ARPO's Signature" Revised August 2022 / \ i�°�, _ t 'ir:. _. ryfi '� 4 h Tk Yrv£ I. y M1% - of l ! lY e Y v5 a� Tn f. C it4 zr� t ff! }.. u �q r k