89207A - Kirby, George & Dixie

❑CAMA ❑ DREDGE & FILL N9 89207 A B C D
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:
I SA NCAC ' t t�Y� z ❑ Rules attached. E] General Permit Rules available at the following link: www.deq.nc.goy&AMArules
Applicant Name t "f� tr <,il� !T L \ t r r, Ste• 1 T U J Authorized Agent 1 tz
Address C., Ciro -1 C`cR-l' / Project Location (County):
City -
State
ZIP J•. 1`%''�-:�
Street Address/State Road/Lot#(s) ?,21
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Phone # ( )
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Email
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Affected ❑ CW
❑ EW ❑ PTA
ES
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AEC(s): ❑ OEA
❑ IHA ❑ uW
❑ SPIMA
❑ PWS
Closest Mal. Wtr. Body
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ORW: yes/no
PNA: yes/froi
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Type of Project/ Activity_ irad C, ,::'
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(Scale: pa-11 )
Shoreline Leneth
Access Length
Pier (dock) length
Fixed Platform(s)
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Finger pler(s)
Total Platform area
■�iliii.1/..
H..
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1�1i�11��
Groin length/#
Avg distance offshore
Max distance/.length
Basin, channel
Cubic �arcls..
ramp Boathouse/ Boatifft
Beach Bulldozing
IN
IN
IBoat
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Elm
MEd:
A building permit/zoning permit maybe required by: (� O 11..'�',1 C'.� V1 s le o f C-
TAR/PAM/NEUSE/BUFFER (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 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 q/Money Order Issuing Date Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: George and Dixie Kirby
Mailing Address: 321 N Dogwood Trail
Southern Shores, NC 27949
Phone Number: 703-835-7835
Email Address:
[e-mail]
I certify that I have authorized Emanuelson and Dad
Agent l Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
with 1-16' return and 1-8' return
at my property located at 321. N Dogwood Trail
in Dare
nty.
construct new 5' tall x 118' long vinyl bulkhead
l 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
permit application.
Property Owner Information:
- i
Signa re
L-tEo t-aQG- Ki t-bu M
Print or Type Name
Title
Date
This certification is valid through

m
(Top portion to be completed by owner of their agent)
Nmna of Pfopeft Owner. George and Dixie Kirby
address of property 321 N Dogwood Tteii Southern Shores ND 27949
w*6AifAddress orowmar. 321 N Dogwood Tfell, Southern Sheres.NO 27949
00,, is arrow gcidrby3t gmaii.cpnt goner's phone#: [phone]
Aesors Narne: Emanualsoin and Dad Agsri phony#.252.261-2212
Aq"s Ernaii
I harahy cerey that 1 ovto prop" adjacent to this above remrerced propany, The aMsriduat OpptyKlg torthis
petrnd hiss dorimbed to me.. as sitaxn on the attactxed d(awing, the davotnpment in" are I)MOO409 A
u i6 f T have objections to tRas preloasal.._..W �.,100 have obodions to this propose)
L °.
ff
you have o tcooiw to what Is WR;ig propo . , YOV must notify errs M.C. DN7> lorr W oestal
afmfagemanf fACM) In wd efng whhin 10 days of raealpf of this no#ea. Cotresporidemit should be
mailed to 401 S. Grffftn St, Sit, 40, Ethrabath City, NO, 278M ACM nipreswitathm can also be
cwtsmad at t2M 204- f, Me response Is obirtsklmd the same ss no ab/octfOn If YOU have been
nutlftcd by Cprtified Malt,
I understand that any proposed pier. dock- mooring p 1mils, boas raftV, weakw'atet, boathouse, IAt, Or
grwn from be sat back a tnudmum distance nce Of i 5' frryrr my a of resew wAfr, uNess wasrsd by tna
(ties does Wet Oppq to buMeads or revatn7enfs), Or you wash to waive a" sOtbwi# - you MWM
the swopriate blank tsol )
100 wish to warwarve sornei#tr of the 16 snttrack
5egnahaa uf,aulacartt Ryoaldan prtti+urtY Owner
-OR-
I do not w sh to waive the IS! "Mack to"f (initial the. rA—,=�-1
Sgnature of Adjacent Rpptu+an property
TypaFlPrintod Pants of ARM
111balking Address of ARP0:
ARMY'a exrtatl M- ARPO'e Phonwy' %`� -•Ly- lfX ,
Date: � � 7d+7.fi 'waivar to valid for rip to one year from ARPO's Signature'
R ievisedMy 2O21

Materials conafsuction & nri SontraeMr
5/22/2024
Kathryn Peters
323 N Dogwood Trail
Southern Shores, NC 27949
Dear Kathryn,
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05/28/2024
We have been contracted by George Kirby to do the following work at 321 N Dogwood Trail, Southern
Shores:
1. Construct 5' tall x 118' long vinyl bulkhead with 1-6' return and 1-15' return
As the adjacent riparian property owner, I am required to notify you of the project in order to give you the
opportunity to comment. Please review the attached sketch for additional information.
We ask that you sign the attached Waiver Form and return it to us as soon as you can. You may scan
and email, fax or simply mail. If you have any questions, please do not hesitate to contact us. Should you
have any objections to the proposed work, you may contact a NC Division of Coastal Management
representative at 252-264-3901, or in writing to 401 S. Griffin St., Ste. 300, Elizabeth City, NC, 27909.
We thank you for your cooperation in this matter.
Sincerely,
Lorelei Barrett
Emanuelson & Dad
i ■ Complete items 1, 2, and 8. 1 LA■ Print your name andaddress on the reverse sa that we can return the card to you.
2- Attach this card to the back of the mailpiece, or on the front if space Dermits.
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321 N Dogwood TRL
Southern Shares INC, 27949
Parcel: 021438000
Pin: 98NO9067586
Owners: Kirby, George Cabal In -
Primary Owner
Kirby, Oizie Lee -Primary Owner
Building Value: $210,500
Land Value. $475.200
Mi.. Value:$28,200
Total Value: $713,900
Tar District: Southern Shores
Subdivision: So/sh Sections ABb
Lot ELK -Sec. Lot: 40 41 Bilk: C Sec: B
Property Use: Residential
Braiding Type: Beach Bon
Year Built: 1985

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