86403A_Davis, Joel & Miriam_20211115

CAMA ❑ DREDGE & FILL fit} 86403 B C D
Previous permit ' G
11,149,
ENE PERMIT Date previous permit issued
2 � �2
❑ New X Mo Ification ❑ Complete Reissue KPartialReissue
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:
1 SA NCAC A Rules attached. ❑ General Permit Rules available at the following link: www deq.nc.gov/CAMArulgs
Applicant Name <a-eJ �t G_'yt, c*� Authorized Agent
Address y_ d Project Location (County): —&, jam,
City CVQState ZIP Street Address/State Road)Lot #(s)
Phone#(Z�Z — i J 1f i 4*
f t��
Email � 0 Subdivision t{City " . n P
fl
Affected X CW Yd EW PTA ❑ ES ❑ PTS Adj. Wtr Body )14 (_ Y — ( nan/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: ye no PNA: ye no
Access Length
Per dock) length 2q1 x
Fixed Pletfor 2�)L 14
Total Platfor_�rQa
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic,
Boat ramp
SAV observed:
Moratorium: TD.
Site Photos:
Riparian Waiver Attached
L
5' 13'
g^,-N CW-Sty %?
Wwna4s 000
t
01 14 l
TAP
IPAMINEUSE/BUFFER (circle one)
❑ 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)
_ Jatr, ,Y S ortva t-,— k--O-e
X—t ear Ann iciv� tiNTED Name /1 Permit officer's PRINTED Natne ,t ,, a ,
Z2
v,
Application Fee(s)
Check_fJ/Mi 1Order
44�11r
Signature f t 1
Issuing bate Exprr tion to

0 rAO��i C&)r'
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: 3 < Lc- C
Address of Property: ,IAC46 �O Z a 9 0 z 00c, /Pznr 98- 7 3 00 Q ¢3 & 83
Mailing Address of Owner. a,2� 9 JQ4 Al cc. /U—yic -Ve- .771 f.'r
Owner's email:
Agent's Name: "N -r jrn } TN
Owner's Phone#. 3 A f-y7M
Agent Phone#: 5�2]i tr ¢ —M
Agent's Email: NT r� 61mA4A V /h
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.
_7�-- 1 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. 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 i6 from my area of riparian access unless waived by me
(this does not apply to bulkheads or rlprap 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' setbaA
�E' ( -OR- Sig
OR-
Sig of Adjacent Riparian Property Owner RECEIVED
i do not wish to waive the 15' setback requirement (initial the blank)
FEB 1 1 2022
Signature of Adjacent Riparian Property Owner. C
.*Typed/Printed name of ARPO: _ C'ti ZqI s"iy f _I115-A . LrZ� G D�M" "'_�
46Malling Address of ARPO: 04g) Lt— Al "l/iL �l,Lt�, iv C
r t 1•rw- L'a�
XARPO s email: ARPO's Phone#: 61�2) ,32-5—`7� —y
013ate: 1 11 [ /7 02'waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

,)r M 0,6A � t a)i6 H 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 Owneril
Address of Property: Z6 Z. W4711--129 �O46 AQ1 , 4*004/-1J4,7y v >y L. 02 79Ae
Mailing Address of Owner: i" O 'go-)( / ¢6 S' � �✓ /ZLI s/!G NYC-
Owner's email: /NA ,�O jmwd AaE -A3*-Jner's Phone#: C=$'Q Z h /—/ZOO
Agent's Name: f/ / 77,14' Agent Phone#: CZar-4 .1--60 6,3D7
Agent's Email: 6rG V7 "y +'1�'L� �/•C .y Ube G�c'.-r.
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.
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. 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- Hennie Pepler as managing agent for WEPOA
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
JCTyped/Printed name of ARPO: WatersEdge Property Association, Inc.
*Mailing Address of ARPO: P. O. Box 1465, Kitty Hawk, NC 27949
*ARPO's email: [e-mail] ARPO's Phone#: [phone]
4 Date: 14 February 2022 *waiver is valid for up to one year from ARPO's Signature*
REC "
F E B 14 2022
DCM-EC
Revised July 2021

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner:
Address of Property.
-fir,
(Lot or Street #, Street Y Road, City & County)
Agent's dame #: �'?� h �,,-�; _ �. _ Mailing Address. �, L, ` � � G. -5 ' -
Agent's phone #- 7;2 3l q—e6 SU '7 t , •r t t 15t C ? 7 `l f a'
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 develoonent
they are proposing. :F _
-ZI have no objections to this proposal. I have objections to this proposal,
If you have objections to what is being proposed, you must nofify the Division of Coastai Management
{QCh j in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at http:rra_ve /lwww.nccoastalmament.netlweblcmistaff listing or by calling 9.888-4RCQAST
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 roust initial the appropriate blank below.)
n,�/ RECEIVED '"`T do wish to waive the'5' setback requirement.
I do not wish to waive the 15' setback requirement.
(;grope Owner Information)
r
nature
Print or Type Name
Malling Address
citylstatelzip
1UN 0 g 2021
{Rip 3rt fro Ov►rner in;t3 Da ion) _
Signature
I
riot or T14pe blame
Maffing Address
n/C y74,
citylstatelzip
Q,1' — Y , i Zq 2 r 30'7 4 �l
Telephone Number / Email Address P`� Telephone Number / i=rnali Address
-Z--z t
Date
7-/
Date
(Revised/bug. 2014)

n
V/
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner:
Address of Property:
(Lot or Street #, Street or Road, city &
Agent's Name #:
Agent's phone #: 7 -z - 561--t `,6?y'�
Mailing Address: j�; i^ Ae lam, '5�
hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit -cs *dsscribeo o me as s�-c°un on the a tachad d-rawing the de� eiopmert
they are proposing.' - - -
X 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 D#vfsion of Coastal Managemeni
(DC" In writing within 10 days of receipt of this notice. Contact information for DOM offices i$
available at.http ;?www.nccoastaimanaoement ,*te:r�rec�lOmIstaff-llsti— orby calling 1-8884RCOAST.
No response Is considered the same as no o ection !f you crave been notif%d by Certified rLfail
WAIVER SECTION
i understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, o li " -
be set back a minimum distance of 15` from my area of riparian access unless waivKt .r=ivE D
you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement. j U N 0 9 2021
X I do riot wish to waive the 15` setback requirement.
DCM-EC
('+operzy Owner Information)
4
nature
1
Print or Type Name
1inQ
Mailing Address
"ify/state f ip
57-- `51'1-5 46'3 1.-5�g t063
Telephone Number/ Email Address
��r'ZIZ1
Dare
(Riparian Pr ocarty owne'
iJnatur2 �_
Thomas Hoggard, BOD President
Print or Type Name
P.O. Box 1465
Mailing Address
Kitty Hawk, NC 27949
civstate/Zip
252-261 1200 / [e-mail]
Telephone Number/Email Address
June 3, 2021
Date
(Revised Aug. 2014)

to
41
.•, T..I��TZ+�� �� TOTAL PROPOSED
...O OPEN WOOD PIERS
AND DECK = 672 SO. FT
CREEKP � .
-�~�--� -� - '�-`-- 90,4 PROPOSED TIE PALE
(TYPICAL)
10,
OT
�• c' d
r
of INSTALL TEMPORARY SILT FENCE
ALONG PROPERTY LINE DURING
poo DEMOLITION AND CONSTRUCTION
(SEE DETAIL THIS SHEET)
A

This map is prepared
from data used for the
inventory of the real
property for tax
purposes. Primary
information sources such
D
as recorded deeds, plats,
wills, and other primary
public records should be
consulted for verification
of the information
contained in this mao.
` _ -I 11.0
266 Watersedge DR
Owners: Davis, Joel N -Primary Owner
Colington NC, 27948
Davis, Mirjam M -Primary Owner
Parcel: 018782049
Building Value: $0
Pin: 987312951254
Land Value: $145,200
Misc Value: $0
Total Value: $145,200
Tax District: Colington
Subdivision: Subdivision - None
Lot BLK-Sec: Lot: Blk: Sec:
Property Use: Vacant Land (Private)
Building Type:
Year Built:

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