89198A - Pirates Cove HOA

®DREDGE & FILL 1VY ES`J 98 /A B,r, C - D&
Previous permit
3 o GE ORAL FERMIT Date previous permit Issued
�Tdew ❑Modification ❑Complete Reissue ❑Partial Reissue
As authorised by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:'
15A NCAC // t"' ❑ Rules attached. M (Geneml Permlt Rules avaifame at thefollming link: w0w.deonc gov/CAMArvles
Applicant Name/ f f•'Ct te-5CD VALrMT"`!';'Authorfzed Agent NC'f'4- F4 aO—iI. E%J i/,.G�•L.^ Y/bi _
Address, LCA t' k:) 's L 01`i vs,- Project Location (County): - D CJ"k-
City r1no.rA T2D State N C-• ZIP % q .s y Street Address/State Road/Lof #(s) A'sI_ 1 a k 4i n"- -{='O A y/
Phone # (=; ]'' .3 -- �L08r ,, o`Z-S !Z 21 . •-f-_ Z r js r
Email vj /e- affGts'si�: 42L� ) 1'tA .S •�L01/Yr CAM SubdivBlon.L! �'�°•S CPdk X
City. ffAC,%4-t.. ZIP Z7
Affected ❑ cw iw ERAm � Q'PTS Adj. Wtr. Body �'..aTn0. i (na an/ k)
AEC(s): ❑OFA ❑INA ❑UW ❑SPIMA ❑PWS Closest Mal. Wtr. Body rCp40.lt C,
ORW: ves/� PNA: yes
type of Project/Activity �A.S4-6-� �1(�
Shoreline Length
Access'Length
Piet (dock)iength '�
1
Fixed Platform(s)
Floating Platform(s)
Finger pler(s) ^
I
Av .`;K.(14
Total Platform area
S-
Groin length/g ♦ 1�7
Bulkhea Rlprap ength ' 72,
-
Avg distance offshore '
axdlstanm ength % r
Basin, channel
i
r
Cubic yards
Boat rampjCf
e
Boathouse/Boatlitt
Beach Bulldozing
Other
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(Seale: fj`a )
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SAV observed: Yes
Moratorium: yes no
site Photos: es no
Riparian Waiver Attached: Yes ©o ..!. t n�:�_i=t_,._l.____��!
A building permil/zoning permit maybe required by: 1s.-3 Au - /it Eke Qh
TAIVPAM/NEUSEIBUFFER (circle one).
Permit Conditions
' ❑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'.PROIECT AND REVIEWED: COMPLIANCE STATEMENT. (Please Initial)
L lr l--Y Ake �j[yn n n... Co r v`a r- --
Age or plic ED Name Perm�ift OfR�cer's PRINTED Name
Slgnatur*'Plleease read compliance statement on back of permit'•,(,/
Application Feels( Check H/Money Order Issuing Date Expiration Date

Adcomty j5CAMA M-DREDGE & FILL
3 GENERAL PERMIT
P iNevv ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
N9 89198 0 B C D
Previous permit
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:
ti
I SA NCAC � i"'' ❑Rules attached. [�C,eneral Permit Rules available at the following link: www.deq.nc.gov/CAfMrules
Applicant
Address Sat ('F"1 A 1" _V t") %/
City A0 A ^TLL2D State �L ZIP Z%
Phone#�3
Email 1_C.izC"i ,QI l�(t�Ts23'C:a 1ii' Ci+fl'�
Authorized Agent //O—� r'I lics 1i l�'Ly..Cc'Z Y/toi
Project Location (County): D
Street Address/State Road/Lot #(s) AA 1
�S 26 Z7 1 221 tZ kr ,
Subdivision 162rt,. S C.°Nk S' /1n0. KEi
City9AGn4-Q_o ZIP Z%
Affected ❑ cW [ITEW ©WA ffM ©'PTS Adj. Wtr. Body Ctxn� u l (na an k)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PINS Closest Maj, Wtr. Body /CpJ
ORW: yes/� PNA: yes
Type of Project/ Activity
Shoreline Length (e ,-I
Access Length "
Pier (dock) length
Fixed Platform(s)
N CAA �
Floating Platform(s) /
Finger pier(s) '1 A% 411 d / 11 1,
Total Platform area
Groin length/#
Bulkhea Riprap ength
e
Avg distance offshore �
Break 11
ax distance eng[h
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
f_xlsTttJG J+�A, 35R2V�NALLc l"D6cte
(j acte
SAV observed: F\ yes no
Moratorium: r�Fi� yes no
Site Photos: yes no
Riparian Waiver Attached: yes ( , t— A building permit/zoning permit may be required by: ! .� n 4 /1'1 O.A+RLq
Permit Conditions
(Scale: fj-U)
P'/
p�yR�rf �
� �7<< 6twC,KN'e`F1A
Lo
2,g I L,4-7_y
❑ 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) K
)i 4AL Ce-rVA,("
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
VL- ifv-pY�r-c.
Signature **Please read compliance statement on back of permit*` si iatu e
Ci oru Y/7� FU/7A r 9�27
Application Feels) Check #/Money Order Issuing Date Expiration Date

�1+ Court, El DREDGE & FILL N9 89198 {(;'A;) B C, D;
Iffil 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:
15A NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: www.dea.nc goy/CAMArules
Applicant Name. Authorized Agent I
Address Project Location (County):
City State ZIP Street Address/State Road/Lot #(s)
Phone # O
Email Subdivision
City ZIP
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ pTS Adj. Won Body (nat/man/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
(Scale: /,l I )
Access Length
Pier (dock) length
lop,
Fixed Platform(s)
L4-
1
Floating Platform(s)
11
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11NEE.■.111
IN
■1
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■
1
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11
Total Platform area
®��0�
MEMO
length/#
Bulkhead/ Ritarap length
Other
■
==ONEGroin
ii■ii■■ii
®fin:
Maio
��;M
11
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WOMEN
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1111
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ONE
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SAV observed: yes no
Moratorium: n/a yes no
Site Photos: yes no
Riparian Waiver Attached: yes no
MEN
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pie
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A building permit/zoning permit may be required:
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. (Please Initial)
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature "Please read compliance statement on back of permit*' Signature
Application Feels) Check #/Money Order Issuing Date Expiration Date

RECEIVED
J U L 2 9 2024
w / 4LY RrvP 76, -�>acrtn s e,�e
Av- P2DPW-LES.
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tf�c,R�ro�r �� P�DaCtl� Z�
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CGVN aO,C l Ih�
V2 (� ��q l e 252 - 2 02 - H 16 �
k6t v"le l 10 Q u, Ioo lam, c o�--

RECEIVED
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION JUL 2 9 2924
Name of Property Owner Requesting Permit: Plfatts Cove Hyre outnPFW�A 00
1dailingAddress: I Sallfich orkre
MahIeO NC 27g54
Phone Number: 25 2 " q - 3 - /y Z O
Email Address: jethendge0 pitons aye, (LOVol
I certify that I have authorized ptrry H-al E
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 gpprdimar-ely
12F of rip dap tD water Ilse.
at my property located at 26" Zq Spinnaqr , oanteo Nc ?,jg59
in ,dare 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:
Signature
Sharon ftldridge
Print or Type Name
prape/rN Mav►aaer
le
Date
This certification is valid through / /
Revised Mar. 2016

N.C. DIVISION OF COASTAL MANAGEMENT �El�E-�®,r�®
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM dd.. iV/
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
r(�, i ,; E S G vc (Top portion to be completed by owner or their agent) JUL 2 9 2024
A
SAM4602o ty NEV AvAiTCA DCM-EC
Name of Property Owner: Address of Property: 12. S CNN AVLEV, ✓ 9-. i1lo(,,Tap NC- 2,2954
Mailing Address of Owner: 149 _D(I,. ISLAf)DWA O FL• 93p3&
Owner's email:
Agent's Name: � Mai
Owner's Phone#: 30 -- )9LI-C -5' IS
Agent Phone#: 252- ZOZ - g-76 $
Agent's Email: KbhQ if --2% P 0x,001L C Gvv\
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
I hereby certify at I own property adjacent to the above referenced property. The individual applying for this
permit has d scribed to me, as shown on the attached drawing, the development they are proposing. A
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 w ived Py me
(this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback.
u st si
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback
Signature
wo
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: ,St-M NEK.. AILJ4
Mailing Address of ARPO: PI 1 �2&QMmtZ At-Sy3�2 c
ARPO's email: 5r�� A I LA P15 A ARPO's Phone#: 3 ' S— .39 — d J 1 J
Date: *waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT
T CERTIFIED MAIL N PROPERTY OWNER NOTIFICATION/WAIVER
LIRETURN RECEIPT REQUESTED orIHA DAEDE
C RVERYIRGCEIVED
A - �S C L C (Top portion to be completed by owner or their agent) JUL p g p�{
`1v 2^
Name of Property Owner. r��h (�1 f Gh
Address of Property: I ttOMMUCK 9L Mani o NC 21A54 ®CM-�C
Mailing Address of Owner: same aS above
Owner's email: IMICOM PC18S 16) 9"111 Owner's Phone#:
252- 305 - 558,
Agent's Name: Vtr fib Ital e Agent Phone#: 252 - 101- 91 \o S
Agent's Email: K"alell @ oufl y. com
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom Portion to be completed by the Adiacent 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
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 15from 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' setbac
)-vim s
-OR-
Signature of Adja ent Riparian Property Owner
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: l', i f) 1 f m (o 6 (p—
Mailing Address of ARPO: 1 1�) M M 0 Ci2— 0 l( u C
ARPO'semail: My�>612r'.1-ho 6M(}l,�COARPO'sPhone#:L5�--�02 L3(p8
Date: Q I c3. Q L 03, q- *waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

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