77927A_Boshell, Allan & Phyllis_20201116

A;;/ ;;; DREDGE A FILL 9 7 �'927
GENERAL PERMIT B c D
Previous permit #
WXN Modification __Complete Reissue Partial Reissue 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 I SA NCAC A H , 12oo
Applicant Name Al [&K } - � 5 6.0.5> �,{ Project Location: County les attached.
_ pctr-f
Address Street Address/ State Road/ Lot #(s)
Y1gc
City 11..LbeA,,.tj �1 t1 State N� ZIP
Phone # (, ) L19 —A&I&O E-Mail h o L� Gb q� (, Subdivision
co"
Authorized Agent Lt�•t.__�jY�r�__.��..___�__.__ ._ . City___.�j,i___,►-1�
IXEW PTA _ ES PTS
Affected _� HHF Phone# (_•-- )._ River Basin �d�1�j,1 jL
AEC(s): — lH UBA N/A — "
PWS: Adj. Wtr. Body_' ANA:r__ - _ ..___
ORW: yes / no PNA yes / IS Closest Mal, Wtr. Body ,► (- __. LL ---„_
Type of Project/ Activity l X 1 �:5 t rrt t 1 ' t�%F''d
Pier (dock) length (Scale: N -rry 1
_.� _ ✓
Fixed Platforms) �
Floating Platform(s)
Finger pier(s)_ , .r
_.—
Groin length 0`
number
Bulkhead/ Ripnp length
avg distance offshore —_
max distance offshore (/r
Basin, chancel -A aONP 4 \
/� Q �,
cubic yards - p � _ �" Y %`�`
Boat ramp - . �© 0 tD8dlr is
s
Boathous Uft ` ` y O �a�
- Lti!7C,41L fC 3?
Beach Bulldozing
Other _.. `y, . �✓
Shoreline Length t 1 O�
_ -
SAV: not sure yes
Moratorium: Sa yes no Y
Photos: no O �/ ex l5
Waiver Attached: yesno '
A building permit may be required by: t*')tW-P
( Note Local Planning jurisdiction) — See note on back regarding River Basin rules.
Notes/ Special
��Conditions ffPma
A-
7.42MI&Or Applicant Printed Name - - ale 14A e � f.�
Permit Officers Printed Name
Signature P113ase read compliance statement on back of ermit'" -
p ,;�ly>1 Signature
Application _ �� r�•-a <� }� %'
4 5 Check # Issuing Gate Expiration Date

Lyn Small Inc Marine Construction
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: _Allan Boshell
Mailing Address: 133 Colington Creek Rd, Kill Devil Hills
Phone Number: _252-455-0460
Email Address: [e-mail]
I certify that I have authorized Lyn Small Inc_
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Boatlift & Pilings
at my property located at 133 Colington Creek Rd, KDH
in Dare_County.
I furthermore certify that / 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:
r-fira or i ype Name
Title
—.L—/ Z 21 2© 2&
This certification is valid through _10 / 1 / 2020
Date —
This certification is valid through _12 / 31 / 2020

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner:
Allan Boshell
Address of Property: 133 Colington Creek Drive, Baum Bay, KDH
(Lot or Street #, Street or Road, City & County)
Agent's Name #: Lyn Small, Inc
Agent's phone #:
252.491.8562
Mailing Address: 113 Ballast Rock Dr
Powells Point, NC 27966
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 ' re proposing. A description or drawing with dimensions must be provided with this letter.
I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at http-//www nccoastalmanagemenf net/web/cm/staff-listing or by calling 1-888-4RCOAST.
No response /s considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift 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)
Signature
Allan Boshell
Print or Type Name
133 Colington Creek Drive
Mailing Address
Kill Devil Hills , NC 27948
City/State/Zip
Telephone Number/Email Address
Date
(Riparian Property Owner Information)
Signature
Lawrence & Joanne Diddlemeyer
Print or Type Name
4049 Olde Town Trl
Mailing Address
VA Beach �'A oN,676--
City/State/Zip
Teleyp�hone Num��ber/Email Address
Date 7
(Revised Aug. 2014)

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: Allan Boshell
Address of Property: 133 Colington Creek Drive, Baum Bay, KDH
(Lot or Street #, Street or Road, City & County)
Agent's Name #: Lyn Small, Inc
Agent's phone #:
252.491.8562
Mailing Address: 113 Ballast Rock Dr
Powells Point, NC 27966
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.
I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at http://www.nccoastaimanaoemenLnetlweb/cm/staff-listing orby calling 1-888-4RCOAST.
No response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift 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.)
do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Riparia Property Owner Information)
jUA
Signature tgnattt>�
Allan Boshell Charles & Joanne O'Donnell
Print or Type Name
133 Colington Creek Drive
Mailing Address
Kill Devil Hills , NC 27948
City/State/Zip
Telephone Number/ Email Address
Date
Print or Type Name
8498 Inspiration Ave
Mailing Address
Walkersville, MD 21793
City/State/Zip
Ar-JC411 0 411l a c'l/t 5i -`1 At,1. lct "iJ
Telephone Number/ Email Address
dZ
(Revised Aug. 2014)

This map is prepared
from data used for the
inventory of the real
property for tax
purposes. Primary
133 Colington Creek DR
Kill Devil Hills NC, 27948
Tax District: Kill Devil Hills Out
Subdivision: Colington Creek Estates
Lot BLK-Sec: Lot: 6 Blk: Sec: