86153A_Stoss. Robert & Richard_20211025

GEN ERAL PERMIT Previous permit
`
' Date previous permit issued
J�ew ❑ Modification [:]Complete Reissue ❑ Partial Reissue
As authorized by State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concem pursuant to:
1 SA NCAC ti, I /.`SRv I les attached. General Permit Rules available at the following link: www.deq.nc.gov/CAMArufes
T S ++ Gam' d �7 L Agent rt ��t'd ' 9
Applicant Name ,��ry-� 1 • �Tb S 5 `t` � i « s� Authorized ent t,. t
Address % �' 11 � . 25w.4±_ -S '�' • Project Location (County): __ d►-�� _ _
City &! ��ngrS`ic.State ZIP ZZ3 '­`{ Street Address/StateRoad/Lot #(s)%s'7-
Phone # ("l Q3)
Email _ Subdivision t. n, - S k u re-3
City
�TS Adj. Wtr. Body. k)
Affected rl eW EW PTA t413 pr/5nu
AEC(s): n OEA U IHA 0 uW EISPIMA El PWS Closest Maj. Wtr. Body � �!!� �� G�V S'� . ►!� _.
DRW: yeq no PNA: ye no
ype of Project/ Activity Wvt 4
shoreline Length % 4i
4ccess Length _
Pier (dock) length
Fixed Platform(s)
CIoating Platform(s)
Finger pier(s)
Total Platform area
length/Y
3ulkhea Riprap length 1i40
kvg istance offshore ._
3reakwater/Sill
Max distance/ length
3asin, channel-
-ubic yards
3oat ramp
3oathouse/ Boatlift
3each Bulldozing
ether
tV
V
ILI w
(Scaler '-' Z,:
.,, .V IV W
--- ( 1'
T � ,� I s 4- .II LA t <JJ: !� 1114,-4 to
f� � � to � �/ � d •a.. d � / � t •'1 y. J
I
.5 •4�-'• s
iAV observed: yes no
Moratorium: n/a yes no
iite Photos: yes /no�� �L
iiparian Waiver Attached: yes V
4 building permit/zoning permit m a be required by: Z J �► C -� t .'
'ermit Conditions _6.1 J i (t 1 _I c'- 4-^'k:j%_3ii 1.--- --e e yJ f i ex --
a
TARIPAM/NEUSE/BUFFER (circle one)
See note on back regarding River Basin rules
See additional notes/conditions on back
AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
is M F e —
gent Ap licant PRINTED N Permit O cer's PRINTED Name
IF
ign ture "Please read compliance statement on back of permit" Signat
Ll
.pplication Fee(s) Check3/nnoney Order Issuing Date Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Robert Stoss or Richard Stoss
Mailing Address: 4010 Elllicott Street
Alexandria, VA 22304
Phone Number:
Email Address: [e-mail]
I certify that I have authorized Affordable Bill'sWiilliam 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: Raise existing bulkhead up 3 feet.
at my property located at 50440 Timber Trail, Frisco
in Dare
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 Information:
Signature<--
Print or Type Name
neW'-
Title RECEIVED
Date
O C T 2 5 2021
This certification is valid through ! /
DCM-E

1018/21, 9:55 AM Google Earth
• ,l'Ir� s
Ih P r f �:1s neicb `� P i
httpsJ/earth.google.comhveblsearch/50440+Timber+Trail,+Frisco,+NC/@35.25873432,-75.5963631,-0.04716058a,91.93278319d,35y,179.25761039h:.. 1/1

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: Robert Stoss
Address of Property: 50440 Timber Trail, Frisco 27936
Mailing Address of Owner: 4010 Elllicott Street, Alexandria, VA 22304
Owner's email: [e-mail] Owner's Phone#:
Agent's Name: Affordable Bill's/Witiiam 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
description or drawing with dimensions must be provided with this letter.
X
I DO NOT have objections to this proposal. I DO have objections to this proposal.
to raise the existing bull-h—1 — 1 feet at home a r,0,1d0 Timbi-r Trail Eris— NC
If you have objectfons 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 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' setback
Signature of Adjacent Riparian Property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank) CP
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: Thomas or Carolyn Fal 'owski (50410 Timber Trl)
Mailing Address of ARPO: 602 Morton Ave. Folsom, PA 19033
ARPO's email: [e-mail] ARPO's Phone#: [phone]
Date: 9/19/2021 *waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONfWAIVER 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:
Robert Stoss
50440 Timber Trail, Frisco 27936
Mailing Address of Owner: 4010 Ellllcott Street, Alexandria, VA 22304
Owner's email: [e-mail] Owner's Phone#:
Agent's Name: Affordable Bill's/William 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
description or drawing, with dimensions, must be provided with this letter.
X
I DO NOT have objections to this proposal. I DO have objections to this proposal.
if you have objectlons 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 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' setback
Signature of Adjacent Riparian Property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: Thomas or Carolyn Falkowskl
Mailing Address of ARPO:
602 Morton Ave. Folsom, PA 19033
CF
(50410 Timber Trl)
ARPO's email: [e-mail] ARPO's Phone#: [phone]
Date: 9/19/2021 *waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER 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:
Robert Stoss
50440 Timber Trail, Frisco 27936
Mailing Address of Owner: 4010 Elllicott Street, Alexandria, VA 22304
Owner's email: [e-mail] Owner's Phone#:
Agent's Name: Affordable Bill'sWilliam Eger
Agents Email: [e-mail]
Agent Phone#: [phone]
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
description or drawinc, with dimensions, must be provided with this letter.
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. Grim 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 waived by me
(this does not app to bulkheadspr riprap revetments). (If you wish to waive the setback, you must sign
the appropria e an ow.)
I DO wish to waive some/all of the 15' setback
Signature of Adjacent Riparian Property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the
Signature of Adjacent Riparian Property Owner:
TypedtPrinted name of ARPO: Will or Deirdre Russell ' ' (50452 Timber Trl)
Mailing Address ofl!ARPO: P.O. Box 505, Sciota, PA 18354 /
ARPO's email: W Y ° ` I\ARPO's Phone#: �(o(,�J
Date: Ci *waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

I o

COV1a
CAMA AND DREDGE AND FILL
GENERAL I tAY 1 4 197 017143
PERMIT
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC
Applicant Name Phone Number 'S
Address
City StateZip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION
SKETCH ��
�,
(SCALE: )
Pier (dock) length
Groin length
Plf, r
V
number
Bulkhead length
_�
V,
_
.,.,.. .
max. distance offshore
t
i
Basin, channel dimensions
;,'
0
cubic yards
Boat ramp dimensions
r
�
Other
ILI
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine,
imprisonment or civil action; and may cause the permit to be-
come null and void_
This permit must be on the project site and accessible to the
permit officer when the project is inspected for compliance.
The applicant certifies by signing this permit that 1) this pro-
ject is consistent with the local land use plan and all local
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
objections to the proposed work.
attachments
applicant's signature
permit officer's signature
issuing date expiration date
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee
Management Program.