79297A_Callahan, John_20210804

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AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address:
Phone Number:
Email Address:
John Callahan
15 Camellia Drive
Newport News, VA 23602
757-287-4822
johncaIlahan.jc [e-mail]
I certify that I have authorized Affordable Bill'slWilliam Eger
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Remove existing roof and poles over boat lift,
install new pilings and new roof 2 ft higher than existing roof, install new boat lift (no electrical connection included)
at my property located at 167 Nixons Beach Road Edenton NC ,
in Chowan
County.
I 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 Infornnation:
Signature
John Callahan
Print or Type Name
wcv
Title
Date
This certification is valid through 1
Revised Mar. 2016
ve ��

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICAT10NIWAIVER FORM
CERTIFIED MAit_ RETURN RECEIPT REQUESTEQ or HANQ DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner John and Mary Callahan
Address of Property 167 Nixons Beach Road, Edenton NC
Mailing Address of Owner 15 Camellia Drive, Newport News, VA 23602
Owner,S email }ohncaltahan jc@gmad com
Owner's Phone# [phone]
Agent's Name Affordable Bill's(1Nllham Eger Agent Phone# [phone]
Agent's Email [e-mail]
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent 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
descriotson or drawing with dimensions must be provided with this letter
100 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
grow+ must be set back a minimum distance of 15' from my area of npanan access unless waived by me
(this does not apply to bulkheads or nprap revetments) (If you wish to waive the setback.. you must sign
the appropriate blank below )
I DO wish to waive somelall of the 15 setback
-OR-
Signature of Adjacent Riparian Property Owner
I do rW wish to waive the 15 setback requirement (initial the blank)
19 r. 1)
Signature of Adjacent Riparian Property Owner
Typ*WPHnW name of ARPO: tars or Chamblee Simonsen
Mailing Address of ARPO: 2120 Virgina Road, Edenton, NC 27932
ARPW* *mail: Cf- " Qs`"i0`"`ntW WM Cam
ARPO's Phone#: [phone]
Data: •waiver Is valid for up to one year from ARPO's Signature*
Revised May 2021

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N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION[WAIVER FORM
CERTIFIED MAIL...RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner
Address of Property:
John and Mary Ann Callahan
167 Nixons Beach Road, Edenton NC
Mailing Address of Owner 15 Camellia Drive, Newport News, VA 23602
Owner's [e-mail] —Owner's Phone#: [phone]
Agent's Name: Affordable Bill'sUilliam Eger
Agent's Email [e-mail]
Agent Phone#: [phone]
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom Portion to be completed by the Adiacent Property OWD
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. 6
description or drawing, with dimensions, must be provided with 1kisjetter.
X I DO NOT have objections to this proposal, _ I DO have objections to this oroposal.
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 Mad,
WAIVER SECTION
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or
groin must be set backa rninimum distance of 15'from my area of riparian access unless waived by rTle
(this does not apply to bulkheads or riprap revetments). (if you wish to waive the setback, you must sign
the appropriate blank below,)
1 DO wish. to waive somelall of the 15 setback
S
Signature of Adjacent Riparian roperly Owner
-nQ-
Signature of Adjacent Riparian Property Owner
TypedlPrinted name of ARPO: Nixons Beach Home Owners Assn
Mailing Address of ARPO, cio Russell %,!core, 203 Nixons Beach Rd, Edenion, NC 27932
ARPO'semail:?'t
R P phone#: (:t 5- z)
Date; ! / �oz 'waiver is valid for up to one year from ARPO'S Signature*
Revised Kfay 2021

trtKi IMW MAIL' MCI UMM RCOk.r-lr 1 M6.144ys o l l-ww
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner: John & Mary Ann Callahan
Address of Property: 167 Nixon's Beach Road, Edenton, NC Chowan Co nN /
(Lot or Street #, Street or Road, City & County)
Agent's Name #: Affordable Bilt's/William Eger Mailing Address: 300 W Albemarle Dr
Agent's phone # [phone] Nags Head NC 27959
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 drawiN the development
they are proposing. A description or drawing with dimensions must be o,aM,ded wdh this -let —ter:
I have no objections to this proposal. Ir-)V I have objections to this proposal.
If you have objections to what is being proposed, you must notitr the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 1367 US
17 South, 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 Cerfified Mail. _
WAIVER SECTION
1 understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift must be set back a
minimum distance of 15' from my area of riparian access unless waived by me. Of you wish to
waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 1 setback requirement.
r�
I do notwish to waive the 15' setback requirement.
4(Property Owner I rm ion
e
John or Mary Ann Callahan
Pr>nt or Type Name
15 Camellia Drive
Mailing Address
Newport News, VA 23602
City/StatelLip
757-287-4822
Telephone Number
Date
(Riparian Pr rty Owner information)
Signature
nil
Lars or Chamblee Simonsen l65 Nixons Beact
Print or Type Name
2120 Vi
Mailing Address
Edenton, NC 27932
CitylStateMp
2q'2-33.3-9
Telephone Number
�Utna. 1 20
Date
edd fry sis ©l l
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CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner
John & Mary Ann Callahan
Address of Property, 167 Nixon's Beach Road, Edenton, NC Chowan County
(Lot or Street #, Street or Road, City & County)
Agent's Name #E: Affordable Bill'sWilliam Eger Mailing Address: 300 W Albemarle Dr
Agent's phone #: [phone] Nags Head, NC 27959
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
(DCA9) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 1367 US
17 South, 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 a pier, dock, mooring pilings, 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)
SignattIfe
John or Mary Ann Callahan
Print or Type Name
15 Camellia Drive
Mailing Address
Newport News, VA 23602
CitylStatel7ip
757-287-4822
Telephone Number
Date
(Riparian Property Owner Information)
-M dia a
Signature
Nixons Beach Horne Owners Assn
Print or Type Name
CIO Russell Moon., 203 blixon's_B ach Rd
Mailing Address
Edenton, NC 27932
City/StatelZip
Telephone Number
L1 _ at .21
Date

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a 167 Nixons Beach Rd
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Cynthia Rountree
From: Chamblee Simonsen <[e-mail]>
Sent: Monday, July 19, 2021 4:37 PM
To: Cynthia Rountree
Subject: [External] Re: objection to proposed replacement at 167 Nixon's Beach Rd.
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
Report Spam.
Hi Ms. Rountree,
Is this for the most recent submitted? Affordable Bills has literally had us do this form 4 times now. They sent the most
recent form last week that Lars filled out and sent back to them today, and then they told us today it was the wrong
form used, and we needed to do it a fourth time, which we have done.
The plan shows that they are leaving essentially a boat slip where the old boat house was and now greatly increasing the
square footage of the pier and doc area. ( a 30'x 12' roof is huge). With the potential for storms in that big (3 miles
wide) water, we are concerned about the added liability of debris with the enlarged structure.
Thank you for your time. Have a great day!
Chamblee Simonsen
Simonsen Law Firm, PC
252-482-2175 phone / text
From: Cynthia Rountree <[e-mail]>
Date: Monday, July 19, 2021 at 4:28 PM
To: Chamblee Simonsen <[e-mail]>
Subject: FW: objection to proposed replacement at 167 Nixon's Beach Rd.
Chamblee,
I am writing in regards to your objection to the proposed pier/boathouse at 167 Nixon's Beach Rd. I need you to provide
me with something in writing as to why you are objecting to the proposed docking facility. Once I receive your reasons
for your objection we can proceed with processing your objection.
Thanks,
Cynthia
epreka AoWif~
Environmental Specialist II
401 S. Griffin St., Suite 300
Elizabeth City, NC 27909
[phone] ext. 234
cyntliia.rountree,'�i;ncdenr.gov