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Home My WebLink About89928A - Goode�CAMA ❑DREDGE & FILL ��N9 89928 A� B C o GENERAL PERMIT Previous permit Date previous permit Issued 4]New ❑Modification ❑Complete Reissue [-]Partial Reissue As authorized by the State Jo�f North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to: I SA #CAC �T t (1' ' ❑Rules attached. GJZh eneral Permit Rules available at the following link: w =,deq nc g2yJCAMArules Applicant Name r% ti,V In Ga o Address litYlill S/ ' c a v KKe City t $ da'dti State 113C ZIP =59 Phone #(' AAA -/[a4b Email i-k4_1 m n is l a GAD r Affected 11cW [EW PPTA ❑ES ❑PTS AEC(s): LIOEA ❑❑❑ IHA luuW ❑SPIMA PWS ORW; yeshfi PNA; yesTno T " /oo�f Project/ Activity y 5 a, f t tY W M Shoreline Length 7 V Access Length Pier (duck) length Fixed Platform(s) Floating Platform(s) Finger pler(s) Total Platform area Groin length/# \ Bulkhead/ Rlprap length _ A IIr " Avg distance offshore I •� 0 �F. Breakwater/Sill � (p Max distance/ length Basin, channel Boat ramp Boathous 1Boatll �2. (0 s:. /2 A Beach Bulldozing SAV observed: yes no 1� J Moratorium: n/ t no Site Photos; noRiparian Waiver Attached:no A building permit/zoning permit may be required by: ' Authorized Agent ` ? L /K A (1 /LA_ Project Location (County): 11) a (*LL StreetAddress/State Road/Lot#(a) 1-0-4- yb s City f%ce']9SI Adj. Won Body C .CJLr\ *— (natf a %nit) Closest Mal. War. Body ct- Y /'l..r (P X- / Lr (a C. f `' �x I s rr n/Cr 4 k c.a/,f w n wi- i 6IL11 X hN TARJPAM/NEUSE/BUFFER (circle 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) ' er y( Monica L. M. Small �Aggent✓o�r'lApplicant PRIINTEEDDr�.a e y'� 1 IIH.A / 1 . 11 1 Signature --Please kold compliance statement on back of perch'. 3 15 7 a, uo Application Feels) Check #/Money Order Permit Officer's PRINTED Name Sign //Zy /Z 3 Issuing Date Expiration Date ❑DREDGE & FILL N° 89928 013 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: I SA NCAC 4 t 12 —'� ❑ Rules attached. '-General Permit Rules available at the following link: www.deq.nc.gov/CAMArules Applicant �'Name r<ed1 n C" G�eda- Authorized Agent /_ � 1 M a A ".A - Address (1 I '/ a Q A o KA: W cL H q7� Project Location (County): °) t-.c�-L u City c. $ Sca State A3C ZIP f-r Ism% Street Address/State Road/Lot #(s) 1-.O + 1 ZD S L C- Phone#( f %2 II(/7-��D y�O 1-7/7 S. .a Oo.n.9a.. 1cJ o.4 Email *� tA.�I`BiR. A {'�'t 0 cc. ta'r Ga M Subdivision 0 iJ y '*G,.d city s Q. 421L `` ZIP 2' 2 3 S y Affected ❑ cW 1%W *PTA❑ ES ❑ Cs PTS Adj. Wtr. Body _4!X-e'1 O-\ /, rt (na nk) AEC(s): �❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body /C o � A m ke- S � � ntl ORW: yes/dot PNA: yes rypFro/f Project/ Activity � 5 -h-, l0 A � p4J L �4-t 2T � a A .� P 1 A Aa O nA- c'- / / u '� /'1 : Lo A Z'g i � ; � � (Scale: ) Shoreline Length Access Length G4 y L �` N Pier (dock) length Fixed Platform(s) Floating Platforms) Finger pier(s) Total Platform area Groin length/# Bulkhead/ Riprap length Avg distance offshore Breakwater/Sill Max distance/ length '- Basin, channel Cubic yards Boat ramp Boathous Boatii /-'Z.*(P /2L to Beach Bulldozing OtherL44- (p 7C� SAV observed: yes no Moratorium: 9yess no Site Photos: yes no Riparian Waiver Attached: es no A building permit/zoning permit may be rec I AM AWARE OF STATUTES or Applicant PRINTED Name by: I to L,4 V CIF7' • All, TEKIS'f'NC,- 6ctc.KlfewD /9 r, A A D vS4 1, V- Signature **Please read compliance statement on back of permit** Application Feels) Check #/Money Order 4cl- F-] ❑ TAR/PAM/NEUSE/BUFFER(circle one) See note on back regarding River Basin rules See additional notes/conditions on back (Please Initial) i, ✓ n n'XrZ C'-4-f-ye-- PermitO.f-�cer PRINTED Name Sign %//2y/23 Issuing Date Expiration Date °"°"" ❑CAMA ❑DREDGE & FILL N° 89928 A B C D Previous permit z GENERAL 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: t I SA NCAC ❑ Rules attached. ❑ -General Permit Rules available at the following link: wwmdeq.nagov/CAMArules Applicant Name Authorized Agent e, r ^ c 1. •:; Address Project Location (County): '� •z. � " City State ZIP Street Address/State Road/Lot #(s) /-• c, •i'. 1, .5 Phone#(.✓r%l) • a(o i Email ""It.+6rlr. a, Subdivision Affected ❑ CW 0 EW ❑ PTA ❑ ES AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ORW: yes/no PNA: yes/no Type of Project/ Activity Shoreline Length Access Length Pier (dock) length Fixed Platform(s) Floating Platforms) 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 A building permit/zoning permit may be required by: Permit Conditions City ❑ pTS Adj. Wtr. Body C - ' (nat/ma�unk) ❑ PWS Closest Mal. Wen Body TAWPAM/NEUSE/BUFFER (circle 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)i` f: Agent or Applicant PRINTED Name Permit Officer's PRINTED Name Signature "Please read compliance statement on back of permit" Signature Application Feels) "1---° Check q/Money Order Issuing Dale Expiration Dale AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: - 1<ctlm 600da Mailing Address: _ '9'7/ 7 S 4AIak r A145 LEAD Ale; - Phone Number: 2$2 ^ 2-( •7 %J� 9Y Email Address: aU UN c G i 01 e G ®/t'1 certify that I have authorized SCOTT C SMALL / LSI MARINE CONSTRUCTION LLC 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 1 NEW 4 PILE LIFT AND 1 NEW PWL at my property located at 4717 S ROANOKE WAY, NAGS HEAD, NC in DARE r County. l 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: Signature /e-g'I / / G OUp)E Print or Type Name Title % 1 to 1 -:a�3 Date This certification is valid through N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONANAIVER FORM CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY (Top portion to be completed by owner or their agent) Name of Property Owner: KEVIN C GOODE Address of Property: 4717 S ROANOKE WAY, NAGS HEAD, NC 27959 Mailing Address of Owner: 4717 S. ROANOKE WAY, NAGS HEAD, NC 27959 Owner's email: OLITBANKSF@AOLROM Owner's Phone#: 252-267-1646 Agent's Name: Scott Small I LSI Marine Conetrucllon, LLC 252-261.1987 ofc 1262473-7695 cell Agent Phone#: Agent's Email: scott@lslmarine.com / manica@lsimarine.com ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (gottom Portion to be completed by the Adjacent Property Owngr) 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 descriDtiorror drowinn with remnnolnne ,*,,,tea t. , .. c' I DO NOT have objections to this proposal. I DO have objections to this proposal. IT you nave objections to what /s 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 Centred 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 -OR- Signature of Adjacent Riparian property Owner 1 do not wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Owner: (12JUQ,-Z1 � t Typed/Printed name of ARPO: WII.LIAM S BIDDLI: & BETTY N HACKNEY- DDLE Mailing Address of ARPO: 4408 CHANDLER DRIVE„ WILSON, NC 27896 Lp ARPO'semail: $ceoA,ey2J�.Qm (,AG AnnRPO'sPhone#: 2,5Z-?DT-$Slty Date: v. y/ L70 2y *waiver Is valid for up to ono year from ARPO's Signature* Revised July 2021 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: KEVIN C Address of Property: 4717 S ROANOKE WAY, NAGS HEAD, NC 27959 Mailing Address of Owner: 4717 S. ROANOKE WAY, NAGS HEAD, NC 27959 Owner's email: OUTBANKSN(a)AOL.COM OWner's Phone#: 252-267-1646 Agent's Name: Scott Small /LSIMarine Constmctlon,LLC Agent Phone#: 252-261.1967 ofe 1252-473-7655 will Agent's Email: scoff@lsimarine.com / monica@lsimarine.com ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion to be eompleted 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 description or drawing with dimensions must be oroyided with this letter. I DO NOT have objections to this proposal. I DO have objections to this proposal. u you have objections to what Is being proposed, you must notify the N.C. - lvisfon of Coastal Management (DCM) In writing within 10 days of receipt of this notice. Correspondence should be mailed to 401 S. Griffin Si 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 Sian the appropriate blank below.) I DO wish to waive some/all of the 15' setback Signature 6f Adjacent Riparian FYoperly Owner -OR- 1 do not wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Owner: _ Typed/Printed name of ARPO: KAREN MAZUKA Mailing Address of ARPO: 4715 S. ROANOKE WAY, NAGS HEAD, NC 27959 ARPO's email: kCthi'il. adry, H,4i7 7.10 ors i7ARPO's Phone#: I0 - 6rye% 7 - O m` it o Ccy yy._ Date: . _. _`waiver Is valid for up to one year from ARPO's Signature" Revised July 2021 Q z k \ _ % < � z $ / � y 0 o O z m « � E $ n � a G f � � S F \ 0 �• R w \ / q u / z ? / \ z = b pg q m < E ® IT h R 4 LL Iw -JZ <— zz // Sw z Iq /m� < n/ 0 « ®� ƒU- a of m !¥ § �§ § # L� k . :\/§z§) «o�� rLm��_ § m \ 0 \ \ § \ [ 2 } $ / ; o m § � ƒ 4717 S Roanoke Way Nags Head, NC 27959 h�N 4=0 Property Tax Tax Land Record Bill Cert. Transfer See Community Info Property Summary Parcel #: 006361000 PIN #:989116936511 Tax District: Nags Head Subdivision: Old Nags Head Cave Sec D Lot BLK-Sec: Lot: 46 Blk: Sec: D Property Use: Residential Building Type: Salt Box Year Built: 1984 PropertyOwnership Tax Owners: Goode, Kevin Clark -Primary Owner Mailing Address: 4717 S Roanoke Way Nags Head, NC 27959 �� d �: ? v ��. � . ,,;` �S � '� ti l' i -: �6�- �, r,. Aj�� . .... . � ) �.\