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HomeMy WebLinkAbout71217_Docking Facility_20181026GENERCAA / ❑ DREDGE & FILL AL MPERMIT CrNew LIModification ❑Complete Reissue ❑Partial Reissue lB C D Previous permit # � Date previous permit issued No71217 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 4 Rules attached. Applicant Name C1Jt,5SciU /rE 4e E54icl7C /71cI4�✓-�7C LkC- Project Location: County Address 2 to I)tllu 126--Z- lDie'( le-- Street Address/ State Road/ Lot #(s) City (--/J0Ll77-)A.! State Ale' ZIP Z7 %>> z Phone # (2�) yf}Z- i5(—E-Mail Authorized Agent Affected ❑ Cw AEC(s): ❑ OEA ❑ PWS: ORW: yes /to) g EW J!(?7 PTA ❑ HHF ❑ IH PNA yes / (2 ❑ ES ❑ PTS ❑ UBA ❑ N/A Subdivision �jc,�, iu City ZIP 27%32 Phone # ( ) SA,t[E River Basin Cthw.41V Adj. Wtr. Body k(1445Cnat )man /unkn) Closest Maj. Wtr. Body/f LP, 6-44"�1 t t� 0 Type of Project/ Activity 1-1'C12 : Lz� r ier dock) length t ixed Platform(s) ■■■■■■■■■■!�!!�■■l�::r�!�■■■■■■■■■■■■■■■■■■ �gytinsflatform(s) Finger pier(s) I b Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshore Basin, channel cubic yards Boat ramp Boathouse/ oatli �2l IZ'�tZ Beach Bulldozing Other Shoreline Length SAV: Qils yes no Moratorium: t11 yes no Photos: f!5p no Waiver Attached: yes A building permit may be required by: ( Note Local Planning Jurisdiction) Notes/ Special Conditions GtL91A-A1, �(��� ❑ See note on back regarding River Basin rules. )( W11-1.1 A M E. CHESSo/✓ Agent ol Applicant Prin Name Signature ee Please read compliance statement on back of permit'* l �`?2" Application Check # L-f'iu t-,(I-14nilf Permit Officer's Printed Name Signature Oc-fZG,ZvIS >5 q. Ve',Zc-IV Issuing Date Expiration Date INC Division of Coastal Mgt, Habitat impact Computer Sheet Applicant: (,(�i�l✓�vl/ISSLIL� Permit#: Date: �L f Z19� Zulu Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement found in your Habitat code sheet. Habitat Name DISTURB TYPE Choose One TOTAL Sq. Ft. (Applied for. Disturbance total includes any anticipated restoration or temp impacts) FINAL Sq. Ft. (Anticipated final disturbance. Excludes any restoration and/or temp impact amount) TOTAL Feet (Applied for. Disturbance total includes any anticipated restoration or temp impacts) FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount Dredge ❑ Fill ❑ Both ❑ Other Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ 252-808-2808 :: 9-M-4RCOAS'f %vkm— � -1g; reAsad: 021b.MI—ID a LIMITED LIABILITY COMPANY ANNUAL 10/2017 NAME OF LIMITED LIABILITY COMPANY: CheSSon Real Estate Properties, LLC SECRETARY OF STATE ID NUMBER: 0623046 STATE OF FORMATION: NC REPORT FOR THE CALENDAR YEAR: 2018 SECTION A: REGISTERED AGENT'S INFORMATION 1. NAME OF REGISTERED AGENT: William E. CheSSon 2. SIGNATURE OF THE NEW REGISTERED AGENT: 3. REGISTERED OFFICE STREET ADDRESS & COUNTY 210 Dundee Dr Edenton, NC 27932 Chowan SOSID: 0623046 Date Filed: 3/19/2018 11:59:00 PM Elaine F. Marshall North Carolina Secretary of State C2018 100 06552 Changes SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT SECTION B: PRINCIPAL OFFICE INFORMATION 1. DESCRIPTION OF NATURE OF BUSINESS: Real Estate 2. PRINCIPAL OFFICE PHONE NUMBER: (252) 482-8756 4. PRINCIPAL OFFICE STREET ADDRESS & COUNTY 210 Dundee Dr Edenton, NC 27932 Chowan 4. REGISTERED OFFICE MAILING ADDRESS 210 Dundee Dr Edenton, NC 27932 Chowan 3. PRINCIPAL OFFICE EMAII Privacy Redaction 5. PRINCIPAL OFFICE MAILING ADDRESS O 210 Dundee Dr Edenton, NC 27932 Chowan 6. Select one of the following if applicable. (Optional see instructions) ❑ The company is a veteran -owned small business ❑ The company is a service -disabled veteran -owned small business SECTION C: COMPANY OFFICIALS (Enter additional company officials in Section E.) NAME: inn H CheSSon TITLE. Manager ADDRESS: 210 Dundee Dr Edenton, NC 27932 Chowan NAME: William E. CheSSon TITLE: Manager ADDRESS: 210 Dundee Dr Edenton, NC 27932 Chowan NAME: TITLE: ADDRESS. - SECTION D: CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a person/business entity. h� 57 �� 3i� SIGNATURE DATE Form must be signed by a Company Official listed under Section C of This form. William E Chesson Manager Print or Type Name of Company Official Print or Type Title of Company Official SUBMIT THIS ANNUAL REPORT WITH THE REQUIRED FILING FEE OF $200 MAIL TO: Secretary of State, Business Registration Division, Post Office Box 29525, Raleigh, NC 27626-0525 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to ",'N RSA L Es?ATE PRoPERTILS LLL 's (Name of Property Owner) property located at (Address, Lot, Block, Load, etc.) on A49EMARi-E in N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) SEE �►-rrAcHE,� WAIVER SECTION I understand that a 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. (If you wish to waive the setback, you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) (Adjacent Pr p pe n Ilion) 'H�'S�r. KEA ES7'A'E PRoPERTiFS, �L.6 Y: /%i/,g�L 7 M�FA Signature Signatu e* vv/"/AM E. GHrYSoN , 111ANAiSLE Sc f �KEI f Print or Type Name Print or Type Name ;L l0 /JGf NG EE QR iVE AG 6 colB& N 609KT Mailing Address Mailing Address 27932 t-hcAfTaN , A16 27932- City/State/Zip City/StatelZip / .Z52-337- y8/z WecxPssorve<)Mar�•car-t Ag,�-331-3091 sorer"9Afo�✓PCo0 N f'lr Cana. Telephone Number / email address Telep ne u er / e 1 ddress Y/z7�;;o l Date Date (Revised Aug. 2014) "Valid for one calendar year after signature' ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to -'NESSdN REAL ESTATE PRoPEKT/E"S LLG 's (Name of Property Owner) property located at /oy GoAgiN CouRT < G 7 # y (Address, Lot, Block, Fkoad, etc.) on Aa 9:mAR�E SoUr!b , in N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) SEE A-rrAcHF-b WAIVER SECTION I understand that a 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. (If you wish to waive the setback, you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) cHESSa/v RA ESTATE PROPERTIES , 11 L Signature wi�clA>'-t E. �1��"SSoN , riAn�AC�ER Print or Type Name to naP-1hEr_ DRIVE Mailing Address E�Er� rn>✓yt, 2793�- City/State/Zip ,ZE2-337- 1/5?/2 wecXeSSorv(2119Marl.crt Telephone Number/email address y12-7 %zo g Date 75e=nformation) Signature * S/N1::1N k- hlCN ,;-nL Print or Type Name / ;: kBl r. cowA-T Mailing Address ,AENTOIV . NC- R 793� CityCity/S ,LL 337- ggy6 i/MONC fAct roe. n�ef Telephone Nymberl email address .2-? 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