89045A - Moore, Patrick and Deborah

SEfNew
❑CAMA [IDREDGE & FILL N° 89045 A B C D
Previous permitGENERAL PERMIT Date previous permit issued
❑ 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 ,) -111 I 'L. C,) r) ❑ Rules attached. E General Permit Rules available at the following link: wwwdeq nc eov/CAMArules
Applicant Name 11Cr"I rk 4 1 ('. bo ( r,.A A oe.,rt
Address 1-�3 Cn i) r("
City i? 4: r; r- t, J vt State )'} 1 J ZIP 12_ 1 I Y, 1
Phone #(44 ")) 79-1 1--$42_
Email JWztT iC lv� v r, e-c P_ I& UG. (: r,rn
Authorized Agent t.. 1 ' e• I -i r,'• f'' -L) a. 1
Project Location (County): C, I r r t i'rl C>•:_
Street Address/State Road/Lot #(s) c•:4< ?
Subdivision Ntrn )i c C ,-� v c-z h � e ('1. `-:
City
,2 -7
Affected ❑CW dEW `?PTA qES [DPTS Adj. Wtr. Body (r UY rt{I )r �man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body Coy r I -C-r k C v
ORW: yes4o� PNA: yes 'n5
Type of Project/ Activity '"r IA °' .� r ` E <
�rLc a X ,G, D C•l C/ci- ec�
T'
1'21k 17r Cr ),.✓ram.-� -.i s"1" L2S'Yri r Ge.1^r-� ^4��I�!i. 4- Ir"J(Scale:]r-y,G j
r
Shoreline Length S , '
Access Length (I r I tL 15
I
Pier (dock) length
Fixed Platform(s) 1 7. Y- l"?-
�f
—
'
C-
Cw
ZIS
-
c
�5
-
-A x
-
—a•—
,X
_-
�_
Floating Platform(s)i
/
L
Pler Finger s
g
Total Platform area
4-4
Groin length/#
k
I
�v
I
�
}
---
BulkheadraP length
Avg distance offsho
Breakwater/Sill-
�
J
Max distance/ length •°i-CJ7
M{
-'
_
_
Basin, channel
-
-
C
—
c .e
_
e ht
u
CubicCV
y ards
2
21
`
-
-
-
e� es
¢
F
_:
-
Boat ramp \
t
Boathouse/ BoatliR
Beach Bulldozing
C
:
V is
Other.
I
CV
-I,_
T
SAV observed: yes
g
C Y
SitePhotos:
Si
Waiver Attached: V, A�,l
�G�
zlC
`
i
1
A building permit/zoning permit may be required by: C tA- Y r : f tA. i (<_ (". rJ a r.
Permit Conditions
❑ 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.
I c,
Agent or Applicant PRINTED Name t Permit Officer's PRINTEDName
(Please Initial) l , ?
Signature "Please read compliance statement on back of permit" Signature
Application Feels) Check#/Money Order Issuing Date
Expiration Date

UocuSign Envelope ID: 5771936B-8B47-4061-932E-53DOEI-E376BA
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Patrick and Deborah Moore
Mailing Address: 15 Glenberry Ct
Phoenix, MD 21131
Phone Number: 443-797-7342
Email Address:
[e-mail]
I certify that I have authorized Emanuelson and Dad
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: 5' wide x 395' long pier with 12'x12' platform on end,
4' wide wrap around lower platform, and 12'x12' hip roof covering over platform.
at my property located at 882 Sea Ridge Dr, Corolla
in Currituck County.
I furthermore certify that 1 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:
(/JD4lA(w_.51,,.,d by:(j�r�,I�
Signature
Pat Moore
Print or Type Name
Title
1/2/202/ I
Date
This certification is valid through I I

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: Patrick and Deborah Moore
Address of Property: 882 Sea Ridge Dr, Corolla NC 27927
Mailing Address of Owner: 15 Glenberry Ct, Phoenix MD 21131
Owners email: p0tn0kmoare7@y8hW,mm Owner's Phone#: [phone]
Agent's Name: Emanuelson and Dad Agent Phone#: [phone]
Agent's Email: [e-mail]
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom Portion to be completed by the Adjacent Property Ownerl
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
Initial appropriate ManxIZ 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 most 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 [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 16 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 &4
Ini[iaVaign appmpnablank
R- -OR-
Signature of Adjacent Riparian Property Owner
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property
Owners ^ , I ' t' j
Typed/Printed name of ARPO: "96 ! (l � - � �,�,t-t
Mailing Address of ARPO: J5 � l ,t,..,.�t�fYyCjitr `C (&n 1'� 1 1
ARPO's email: M.i(l-' ()U1 !W `iCRPO's Phone#: kU My 52 7
ate: waiver is valid for up to one year from ARPO's Signature* /
Revised July 2021
Fill out and sign bottom portion

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: Patrick and Deborah Moore
Address of Property: 8$2 Sea Ridge Dr, Corolla NC 27927
Mailing Address of Owner: 15 Glenberry Ct, Phoenix MD 21131
Owner's email: P"Ckntoore7 [e-mail] Owner's Phone#: [phone]
Agent's Name: Emanuelson and Dad Agent Phone#:[phone]
Agent's Email: emanueison6705Qoutiook.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
description or drawing, with dimensions must be provided with this letter.
Initial appropriate banker 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 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 riprap revetments). (If you wish to waive the setback, you must sign
the appropriate blank below.)
100 wish to waive somelall of the 15' setback
Initialisign appropriate blank
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/Printed name of ARPO: i.) E I V1 e r a�, c�A L k i
Mailing Address of ARPO: c"_ GL R, t d e v. C o rot (CA �jC 7� 11
ARPO's email: wvAlj.ARPO's Phone#: L's 1 - ` c l t-t-t-t ?l
Date: 2 `� n`�r 'waiver is valid for up to one year from ARPO's Signature*
Fill out and sign bottom portion Revised July 2021

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL RETURN RECEIPT R�t�UESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: Patrick and Deborah Moore
Address of Property: 882 Sea Ridge Dr, Corolla NC 27927
Mailing Address of Owner: 15 Glenberry Ct, Phoenix MD 21131
Owners email: pa(nO"m ,O@yaho =.
Agent's Name: Emanueison and Dad
Owner's Phone#: [phone]
Agent Phone#:[phone]
Agent's Email: [e-mail]
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent ProoetU 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
descriptio•^n or drawing with dimensions must be provided with this letter.
lifts app�rfav3 Wnk /rli/I DO NOT have objections to this proposal. 100 have objections to this proposal.
if you have objections to what is being proposed, you must nonry me mu. urvrsion or c,oasra+
Management (I)CM) 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
1 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 sion
the appropriate blank below.)
I DO wish to waive somelall of the 15' setbac
"'"'at��sgfl °n °p" aany Signature of Adjacent R106A Property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Ow
Typed/Printed name ofARPO: Midwei A ��tj-2e
Mailing Address of MS`A�RPO: ! cf �i i%)G'w, CGi7�/%li4,W �7ga7
ARPO'semail• Kl& A%/XLSe�y'01/A pRPO'sPhone#:`-1%�/s
Date: 0,500g? *waiver is valid for up to one year from ARPO's Signature`
Revised July 2021
Fill out and sign bottom portion

a
x
N
E
�
N
h
m o
o
0
�
o
T
f0
2
a
0n
LL
Z�
O
O
Q
0
A
h
h
cL
r
N
O
O
�
O
O
O y O
�i
T
ro
ro
oq
d
w
0
o
a
ti
N
T
O
U
U_
U y
T
W
o ro
xr
Q
v
y�
U
o
g
94
g
a C4
'-
N
- 0 C)
y1"
W C
o y
v C
7 N
e�

CONSTRUCTION
ENGINEERING
SERVICES, INC.
P.O. Box 665, Manteo, NC 27954
[phone]
FAX [phone]
JOB_Mao�a h {3 w1y
&8m2 �cA ' oc E Va1vG _
SHEET NO,
_----- _. OF___.-
CALCULATED BY_.-H G
DATE
CHECKED BY__
DATE ....-.__
SCALE
f 1 i
----- ORNAMENTALCUPOLACENTEREDON ROOF
12 1?
_..— ....... Z"X$" P.T. KAFTkiR 0 16" au
51
2"xl(Y' P.T. HIP
o (I li FI II Ii IL iJ7
�
\
- A.-2 - 2"A2" P.T. GIRDER !
t l f \-5V DIA. GALY. DOLTS
f ZV.'P.T. TIES NAIL TO
4`--IY' BUTT DIA P.T. 1 INSIDE FACE OF GIRDER
TIMBER PILE -1P AND EACH RAFTER.
MIN. EMBEDMENT {-AGE w((3)&i NAILS
Tp_ INTO EACH MEFIBER
I
f
TOPOF
N.W.L.
0
SEAL p
TYPICAL SECTION OF PLATFORM tZ00F y 2046
SCALE: 30„_1;-9„ �9+Q IN-��'.�4R':
�AY'Od� 14 ,e}

J \
t
.K
f[
J
-
F
_
f !�,
h
Vy
r
l
a