87224A - Maso, David and Berle, Sunny

NLICAMA ❑ DREDGE & FILL
GENERAL PERMIT
❑Q •New ❑ Modification []Complete Reissue ❑ Partial Reissue
N9 87224 n_ B C D
Previous permit ' (w • . t
Date previous permit issued '3 1, ,
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 h • 1 I ri C> 0 � ('i� ❑ Rules attached. `� General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name _V CC U �? G f�'f k cd•
Address t!� 01 f Cnwl n t -
City ` .-`rS, i kv<e55tate !••AG ZIP ;L_(ry�cJ
Phone #()?O'-
Email i- Inrlcea
Authorized
In,
Project Location (County): .7 eX C E'- yy
Street Address/State Road/Lot #(s) 1 v o \ i•'. l l rn U <
LoI'tr.
Subdivision 7 0 �- 1 '7_
City tS o ti'{ I'-, L (y-, c{ F• `', ZIP •.{ .,.( `.) 4 9
Affected ❑CW EEW PTA DES ❑' PTS Adj. Wtr. Body e-, t o I ( 1 E:' (c= .F•• t�I(na'man/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj. Wtr. Body C tiY V lk'JL:-L Crr-)u L��[
ORW: yes6) PNN(1.V!)/no
Type of Project/Activity 'Ln1>)c,_1( 2 >( 4 0 kV.tf• 6 r,tT>r �4.v I" VN e-V,Vkr-•rl ,
cttt t 2 (a x 20 nlc,.� nr, i . � (Scale:J=.A0)
Shoreline Length Sr-)
Access Length �'•"""•"
I_-.
__
... _.._-
Pier(dock)length —I,'
Fixed Platform(s) 20 Y- 7_ El
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r—
t! ; ;r
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a
/ r P t�
'_r
A
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I
Floating Platform(s)
Finger pier(s)vy
VC
Total Platform area ' r �•
NN
!
_„_
,.
_'_
_
—
Groin length/#
Bulkhead/ Riprap length
-
--
---
-
--
'
\'
(
t
J
Avg distance offshore O
-
-
-
-
�;
----I
—
—
-
---
—
—
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Breakwater/Sill
Max distance/•length a i t
e
Ero
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—�
K.
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-
t
Basin, channel
__!--
_r
-
�
Cubic yards
Boa[ ramp
Boathouse/Boatlift'_
s
Beach Bulldozingit_
-
—
Other
r
SAV observed: yes
Moratorium: ,• h/a yes no
-
Site Photos: yes no
-.---
-
--
—
-
Riparian Waiver Attached: yes m.
L
A building permit/zoning permit may be required by: _fro n i T { Y:. L' Y- v, Cy Ye Q C
Permit rnnditinna
❑ TAR/PAM/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)
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature *'Please read compliance statement on back of permit"* Signature
Application Fee(s) Check JI/Money Order Issuing Date
Date

AUTHORIZATION TO ACT AS REPRESENTATIVE FORM
Property Legal Description:
DEED BOOK: 2444 PAGE NO: 0001
PARCEL ID: 986714237369
STREET ADRESS: 1 Point Comfort Lane, Southern Shores, NC 27949
Please Print:
Property Owner: David Maso
Property Owner:
The undersigned property 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):
I Point Comfort Lane. Southern Shores, NC 27949
Property Owners Telephone Number: 727-480-3523
We hereby certify that the above information submitted in this application is true and
accurate to the best of our knowledge.
Z�)avz'217ea4te
Authorized Signature and Title Authorized Signature and Title
Date: 02/13/23

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: Davis Maso & Sunny Berle
Address of Property: 1 Point Comfort Lane Southern Shores NC 27949
Mailing Address of Owner: 1 Point Comfort Lane, Southern Shores, NC 27949
Owner's email: [e-mail] Owner's Phone#: [phone]
Agent's Name: Doug Dorman
Agent's Email:
[e-mail]
Agent Phone#: [phone]
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
description or drawing, with dimensions, must be provided with this letter.
I DO NOT have objections to this proposal. I DO have objections to this proposal.
it you have objections to what is being proposed, you must notify the N.G. 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 [phone]. 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 Nprap revetments). (If you wish to waive the setback, you must slan
the appropriate blank below.)
I DO wish to waive somelall of the 15' setback
Signature of Adjacent Riparian Property Owner
III
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner: nJ'
Typed/Printed name of ARPO: Southern Shores Civic Association, Inc.
Mailing Address of ARPO: 5377 Viriginia Dare Trail, Kitty Hawk, NC 27949
ARPO's email:
Date: 02/21 /24
UZ1;L6]I•i21=--�3
'waiver is valid for up to one year from ARPO's Signature'
Revised July 2021

°t°w" WAMA %DREDGE & FILL N9 86278 B C C
GENERAL
Previous permit
W
RAL PERMIT, Date previous permit issued
KNew ❑Modification El Complete Reissue []Partial Reissue
As authorized by theStateof North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC `rf"rtaJ• XV) �� 4ff00_ Rules attached. ❑ General Permit Rules available at the following link: vAvwdeq. gov(CAdWrales
Applicant
City �)a'-uyY1610i State_NQZIP_z .Llq {.—
Phone # (( �4 52i2
Email HAYW.0i7X—p•—wd_ _
.
Affected ❑CW � owt%F7A
AEC(s): ❑0EA ❑IHA ❑LAN
ORW: yes no PNA! es o
Type of Project/ Activity
Access Length
Pier dock) length
Fixed Platform , t
Etuardr, letfennfs)
Finger pier(s)
r
Total Platform area
Groin length/e
ulkhead Riprap length :1
Avg distance offshore _may
RroaLwatadi'll CC''
BasinBas(n, �ch
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed:
Moratorium: n/a
Site Photos:
Riparian Waiver Attached:
A building permit/zoning f
Permit Conditions,_Ey(j
04
yes no
no
e no
yes 10
rmit may be required by:
` �PTS
SPIMA 0 PINS
•Y'
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Jti
e. {, ApJplicant PRINTED Name
'Si tures• se read compl gnaiance statement on back of permit'•
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An. Ii,.Hnn P� Chprk NlMnnpv Ordpr
Authorized Agent VUWi1 V_� t't'sN.fA�LI CY4V1'YB}}Wt�
Project Location (Counry):.__�(L1L��i i t ULtSttt' Nj
n LT-Street AddressJState Rol d(Lot #(s)
Lana,
Subdivision ���l`
City_:Sou.XVtwyi
Adj. Wtr. Body ll fgl I '7z4a4-(_ i,!/� dGZ�nanfunk)
Closest Mal. Win Body
^. 1 Gl 4 �Vu,tTV
5• t
114/i OV"
�J'X 6
�t 20' Xi1 !tY
❑ TAR/PAMINEUSEIBUFFER(circle one)
❑ See note on back regarding River Basin rules
IC� See additional notes/conditions on back
(Please initial)

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