89812A - Scott

()•1J<.OASr-4t~[0CAMA O DREDGE & FILL
~ "' 1 I GENERAL PERMIT
I ~ New D Modification D Complete Reissue D Partial Reissue
~~o~~~!i~ 0_; B C /
Date previous permit issued ____ \.,./ __
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 ( 7 f:-t • I 7 D Rules attached. [!]/General Permit Rules available at the following link: www.deg .nc.gov/CAMArules
Applicant Name ----'Z'=-'""-"'-'-'--'""--.:....:...--=----;c.:...:.....:.... _ __.:.:.._:-'-'L....!.------
Address _~ __ ~~+'-'~--"<-~~~=---------
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City _':2~~~~~~~ --~~-C.~ __ ZIP _~_-,_9 _4_<~4;)
3,
Subdivision ______________________ _
Affected D CW
AEC(s): □ OEA
ORW :ye rf§
~EW
D1HA
Shoreline Length-~~~---
Acce ss Length ___ .,,,_ ___ _
Floating Platform(s) --s-----
Finger pier(s) --~-'--•_.:.;)('---'\'-'-::..>_\ __
Total Platform area ~ (, f t
Groin length/# _______ _
Bulkhead/ Riprap length --+-----
Avg distance offshore _____ _
Breakwater/Sill _______ _
Max distance/ length-----;,----
Bas in, channel-----+----
Cubic yards _____ -+---
/ Boat ramp _________ _
Boathouse~
Beach Bulldozing {
Other _______ \.,._ __ _
SAV observed: yes
Moratorium: ~ yes no
Site Photos: es no
Ripar ian Waiver Attach ed : ye s ~.)
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A bu ilding permit/zoning permit may be required by : ___ n..._~ ~r:,.~IC~~--~=--_,_4_,__-.-_____ _
...J Permit Conditions _____________________________ _ □ TAR/PAM/NEUSE/BUFFER (circle one)
D See note on bac k regarding River Ba sin rules
D See additional no tes/cond itions on back
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial) _-/.:_~·,,,._,_1-f_( ___ _
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Ag ent or Applicant PRINTED Name Permit Officer's PRINTED Name .,,,,. , r r -/r1 /l'"' __ _.,.~--\--'---'---"--''=-.,;;;.:..---------------
Signature **Please read com pliance statement on back of permit**
(X,, ,._ ·-2..\
Application Fee(s) Check #/Money Order Issuing Date
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Penna: _R_a_n_d_o_lp_h_S_co_tt ________ _
Mailing Address: 105 Osprey Lane, Southern Shores N.C., 27949
Phone Number: 7 5 7 -869-5573
Email Address: rscott121@verizon .net
I certify that I have authorized Millstone Marine Construction
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all GAMA permits
necessary for the following proposed development:
Rebuild Jower finger pier and add a boatlift 1
at my property located at 105 Osprey Lane, Southern Shores N.C., 27949
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
perm# application .
Property Owner Information:
~✓&Ji rf_,&IJ}( ·gnature .>-
Randolph Scott
Print or Type Name
Owner
T;tte
3 I 2 I 2023
Date
This certification is valid through 8 / 1 / 2023
RECEIVED
JUN 2 8 2023
DCM-EC
Revised Mar. 2016
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL -RETURN RECEIPT REQUESTED
I hereby certify that I own property adjacent to _R_a_n_d_ol-=--p_h_S_c_o_tt _______ 's
(Name of Property Owner)
property located at 105 Osprey Lane
(Address, Lot, Block, Road, etc.)
on Currituck Sound
(Waterbody)
in Southern Shores ,N.C .
Agent's Name #: Millstone Marine Construction
Agent's phone#: [phone]
(CltyfTown and/or County)
MailingAddress: 201-A Etheridge Road
Manteo N.C. 27954
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 ANO/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
RECEIVED
JUN 2 8 2023
DCM-E C
Rebuild lower finger pier and add a boatlift
If you have objections ro 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 1-88MRCOAST. No
response is considered the same as no objection if you have been notified by Certffled Mail.
Signature I
Randolph Scott
Print or Type Name
105 Osprey Lane
Mailing Address
Southern Shores N.C. 27949
City/State/Zip
1 S 7 B 'b 1; -.5 5 73
Telephone Number
3 -1-l,v (.--_3
Date
Riparian Property Owner Information)
vi-& /
oug Brindley
Print or Type Name
103 Osprey Lane
Mailing Address
Southern Shores N .C . 27949
City/State/Zip
Telephone Number
Date
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U.S . Postal Service '"
CERTIFIED MAIL® RECEIPT
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03 /14 /202 3 117/(13/2023
SE N DER: C0/\1/>LETE ff,,__, Sf:CTION
■ 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 mailplece,
or on the front if space permits.
1. Article Addressed to: D. Is dellvely addr=s different flom item 1?
If YES, enter delivery address below:
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PS Form 3811, July 2020 PSN 7530-02-000-9053 Domestic Return Receipt
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RECEIVED
JUN 2 8 2023
DCM-EC