8912A - Town of Southern Shores

&ot0 tse L✓1CAMA Lh DREDGE & FILL N9 89126 (A B c
GENERAL PERMIT Previous permit
Date previous permit Issued
NZ/New ❑Modification []Complete Reissue []Partial Reissue
As authorized by the State of North Carolina, Department of Environmental Quality and the Coas I Resources Commission In an area of environmental concern pursuant to:
ISANCAC. 01 A-2.30rn ❑ Rules; General Permit Rules available at the folenving link: vnrvrdeq ncgov/CAMArules
Applicant Name Tn Win b;ers4gg Ys� Fi �: nrr_a __
Address AZnf; W. %J r"+ ni f7nre Tect Ll—
City �s_�.buiN py k s1kia State 0 Ci zip 2'T 9 4 9
Phone #(M) 1-C. t - zJ'At) 4
Email_e-a o ism
Authorized Agent ' �el(LV - I46'rys 4 IIr,4nc,
Project Location (County): D� s
Street Address/State Road/Lot N(s) Tr t m I' I- s r T
ee,
t
Subdivision Co 1� 4 Laiels 1N� I> 6
CIry-tD') C-A 6LArw.-. z I P 2'19 49'
Affected E]CW sgEW APTA PIES 9PTS Adj. Win. Body _jn,ys.J rs_56 me (,C&,Kz .L (nat/dl �qnk)
AEC(s): EJOEA [-]IHA [JUW [_]SPIMA PINS Closest Mal. Wtr. Body Qjlrrt�Uck Scab I,A
ORW: yetfo ) PN , es no
Type ofProJeZt/Activily e-HR1„a/n. r 14 9 01 scLll
(Scale: l : ztil)
Shoreline Length 1 1 i{
Access length I\
Pier (dock)length
Fixed Platformis)
Floating Platform(s)
Finger pler(s)
Total Platform area _
Groin length/R
Bulkhead/ Riprap length
Ave distance offshore
Max distance/
Basin, channel
Cubic yards
'raw ' O{
S J U+k1 -t:.Y h
5 ly or.a-5
\
CULL Y
\2eMoJp,L, \
4ae"el a ss
PROPa6 Ea
6ecba cE \
\ DIE OWL /
.A / r L9
Boathouse/Boallft
�" N d r`•-
/ \
Beach Bulldozing
t Qesaeyn'l
srt
CAI-kVA5T,*C*
4'
1t4o t
Other l'izl U'r
14>' K 96'(IVIdb
cAh[AL
C{'�'i�
o(;1{'(.ssti(JO
{tj C64atz.�- Q
SAV observed:
yes no
�
e�
t)
Site Moratn'a%
Sllc Photos:
Riparian Waiver Attached:
s no sUC-
as no
es no
A building permit/zoning permit maybe required by: Ida,.lia of (;;n4Hls nrw iE'V'n
Permit Conditions
>4c�y . o ()
Applicatio ee(s) Check if/Money Order
Soo li 14'
C Paoal Muwcg'�
GAN v/(SbAc�
CAAAL
*Toll%^ 4
Sou{'Inerh
51yin. rte-S
kuvwtn a
TAR(PAINNEUSUBUFFER (circle one)
See note on back regarding River Basin rules
❑ See additional notes/conditions on back
JD REVIEWED COMPLIANCE
'S/TATE11MENT. (Please Initial) N11
Permit Officer's PRINTED Name
Signature °^
-fll, I? , ti/ram/���
Issuing Date Expl a6ot n date

DREDGE & FILL N° 89126 0 B C D
GENERAL PERMIT
[✓New
❑Modification []Complete Reissue []Partial Reissue
Previous permit
Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality and the Coas I Resources Commission in an area of environmental concern pursuant to:
15A NCAC 0-1 N .230a ❑ Rules; General Permit Rules available at the following link: www.deo.nc.gov/CAMArules
Applicant Name To WIN D } Sao s4' In_c krtn 43 h a f G �
Address 1; -7K N Vfr. tuts 'DQ.re- Ty,a
City SA rxtn SlwR -State a Ci ZIP 2,-7 �9
Phone # ( .) 2C. t — -7,1.3
Email
Affected ❑CW dEW
AEC(s): ❑ OEA ❑ IHA
ORW: ye no I
Type of Project/ Activity
ZPTA F�ES dP75
❑UW ❑SPIMA ❑PWS
Shoreline Length 1 ii
Access Length
Pier (deck) length \
Fixed Platform s
Floating Platform(s)
Finger pier(s)
Authorized Agent tit ! - tAorv. 4 Ae5.fpc .
Project Location (County): De)X e-,
Street Address/State Road/Lot #(s) Tr 1 K it-; C Trc, L r,A
c Cayalt J-
Subdivision sc. Sit Sou`. a.scci.e IL'6 I-7a -(n�
City C-,no vt S o(cS ZIP 2" 19 45'
Adj. Wtr. Body r cZAsf o=5 � CAL (nat/an)nk)
Closest Maj. Wtr. Body C i Irr i -�v ck s OU 1,.A
2-
(Scale:lr= Z,51)
N W t.
YRoPo6 Ev \ M
\ aECK
Total Platform area
Groin length/# t'ROP 06C3� \, \ Its
Bulkhead/ Riprap length CU t.. 1S
Avg distance offshoret11 \fZE MOva L.
Breakwater/Sill L /
Tows,
n
5 a u{1..cr'ti
/
3
n� I
CAN VA6 16 ACV-
CAFIAL
Nwt_
Max distance/ length N- \ 5j0`O �� I Of
Y
Basin, channel S A." i" 9
Cubic yards �,p yJL CpBrMG.NtrL't 7
Boat ramp
Boathouse/ Boatlift �' ^� 'Ccl t�' / 'To W vL of
Beach Bulldozing CAI, A5'BAGK J'z y'{o \ / 1
Other �,.ilJ�r IZeVno Vrx.l CAtJhL o� {'rM+f✓o ��./ SOUA t.erK
16 go ' (I 4 4a Gam')ltbanx p , S�orC5
SAV observed: yes no ti Q
Moratorium: n a yes no SitPhotos: no
?Ucjv , l,ct_, \ A
e es
Riparian Waiver Attached: yes no
A building permit/zoning permit maybe required by: TO -.I o�r Cin JI'I. r r r
Permit Conditions
RULES AND
PRINTED Name
Signature *'Please read compliance statement on back of permit'*
Applicatio ee(s) Check#/Money Order
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
JD REVIEWED
�COMPLIANCE STATEMENT. (Please Initial)
,irktrL N t+civ,e. t
Permit Officer's PRINTED Name
Signature
.1f,
Issuing Date Ex. lion Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Cliff O , burn
Mailing Address: 5375 N Virginia Dare Trail
Southern Shores, NC 27949
Phone Number: 252-261-2394
Email Address: [e-mail]
I certify that I have authorized Kimley-Horn & Associates
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: replacement of canal culvert with a
cored stab bridge
at my property located at - 50Trinitie Trail at coordinates 36 105182 -75 726521
in DareCounty.
l furthermore certify that l 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:
rgnat re
Cliff Ogburn
Print or Type Name
Town Manager
Title
04/08/2024
Date
This certification is valid through 04/08/2026

■ Complete items 1, 2, and 3. m'
■ Print your name and address on the reverse X
so that we can return the card to you.
■ Attach this card to the back of the mallplece, R.
or on the front if space Permits.
7e�fe��"
50-JwvupkY VW
5o�'b..evn �btov�eS,Ne- Z
II I IIIIII IUI III (II II I II II I I I I I I I II III IIIII III
9590 9402 8740 3310 0796 31
omr-pet Agen
dre
D. Is delivery address of
If YES, enter delivery
Article Number (rronsfer from am/Go label) ID Collect
9589 tjjUd51N?9OjjjGCR715 10
PS Form 3811„ [ hf2P2J0 PSNl VV3WI"53
Y
• • •
f ■ 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 mallplece,
or on the front if space nermits.
')VqV C" * NY1hw C--
Pa
Z 5 W Lav�-
50VA'eyVlL-lam 5,ijC 21
Date of Delivery
it?L7'Ol^s
❑ No
❑ Priority Mall Express®
❑ Registered Matl'e
Itrlcted Delivery O gR
Do Naryaspglateretl Metl Restricted
Icled Delivery ❑ Signature Centra Ilan*
❑ Slgnature Confirmation
Restricted Delivery Restricted Delivery
red Delivery
Domestic Return Receipt
I
Wa—
Is delivery address different from Item 1? U Yei
If YES, enter delivery address below. ❑ No
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 3. Seidull Signature
DRnarryrd ail'- ®
❑ Adult Slgnature ❑ Registered Mail R
❑ Adult signature Reslrlcbtl Delivery O He veryIstered Mall Restrletetl
9590 9402 8740 3310 0796 48 ❑ Carg13 etl Mall Restricted Delivery D Delivery
❑ Collect on Delivery O Signature Confirmation
2. Article Number (Hensler from service label) D Collect on Delivery Restricted Delivery Restricted Delivery
m Insured Mall
9589 0710 5270 0965 9715 03 o'll nestrloted Delivery
PSForm3811,July 2020PSN.?5segg!gQQ90�M1 _tF:,,;:/� f,IIII,ii„I,Rgo19�hc,ryfrftecfkfilt
i t
✓"

w
0
r
;o
a^
go
LrI
I' u^

7/3/24, 8:43 AM
USPS.comO- USPS Tracking® Results
USPS Tracking'
A K? 0 S t l 10 - rwvav-,
Tracking Number:
9589071052700965971497
Copy Add to Informed Delivery (https://informeddelivery.usps.comn
FAQs >
Remove X
Latest Update
Your item was delivered to an individual at the address at 12:46 pm on June 24, 2024 in CALLAO, VA
T
22435.
rD
n
Cr
u,
n
Get More Out of USPS Tracking:
USPS Tracking Plus®
Delivered
Delivered, Left with Individual
CALLAO, VA 22435
June 24, 2024, 12:46 pm
See All Tracking History
What Do USPS Tracking Statuses Mean? (https://faq.usps.com/s/article/Where-is-my-package)
Text & Email Updates u
USPS Tracking Plus@ u
Product Information u
See Less /\
Track Another Package
Enter tracking or barcode numbers
https://tools. usps.comfgo/TrackConflrmAction?gtc_tLabels 1=9589071052700965971497 1 /2

4H
'j
A
((
uJiwi�
1
E
�Fh
W
SIC' kE
99�6 F
8 =•
� �
� it
F
.;
fCa: �
� i iFF ®
u
pk
b�
y
�
r aq
"1 ikl
Y
� 6ao�,e
�1 I
it
,
sdO�tie
Y3^. ai e
1 C �
I
C QI
I
1
C i
A
sd°�we
F
NNA�j�N
b
sao�.e
yF�
s9aq`s
o 4?;
�pppp�e
pig
'EFT wm I
0

t
AA
Impact Site 1
Permanent -No Net Loss Stream
W Impacts: 91 LF (0.034 acres)
Co�-
AGQ
I
Le) jur.
risdictional Streams f ' 0�
Permanent -No Net Loss Stream Impacts
Project Study Area �b- } I Feet
0 20 40
Figure 5: Permit Drawings - Impact Site 1
Kimley »> Horn Structure Replacement of Trinitie Trail Culvert
Southern Shores, Dare County, NC
July 2024
I" Z.k