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HomeMy WebLinkAbout85171B - Declisie, Douglas � �S xp44 gvyl0 (7 0`°"'`` CA I1 DREDGE & FILL N9 85171 �� A cc D G E RAL PERMIT Previous permit— Date previous permit issued Al a- Ne !Modification ❑Complete Reissue [J Partial Reissue As authorized by Environmental State of North Carolina.Department of Enviruoental Quality and the C ne oasts'Resources Comrss On in an area of environmental concern pursuant to ISA NCAC '7 em4 /.X.-'D o.-,- -_ _ —1 Rules attached l C1 General Permit Rules available at the following link www_ gnc m.C_At AArrjrles Applicant Name _ l 45 L+.SLrC__- Autlnoroed Agent _. D S r ^Lp�� _.-- Address_ L`V.; Ile _ _ _ Praia'Location((Countyi / r rey", c c 'Q4L_iL '__seat. A/( —ZIP-2-S'57/ Street Addren5t ste Road Lot.e s. W e _.3. -- Phone$t N31'errg 19 2c5 — -_ --- __ - - - - - -- Email DY OYGMVPde I' Mts.L • </s" Subdenson - J CAy D r"':.,C--/__ /7 —BP_Z 8 S 7/ Affected ❑� EW (YIm Des Dn Ad, Wtr Body re•;i lls it- ) AECtt). D OEA C IHA D UV/ ❑SPINA El PINS Closest Mai Wtr Body N''A"-Sr` ORW yeses PNA ON Type of Project/Activity , 46,--1 ^( o" s -4 /..'w,4(L/ /4-0' /, -'/ _ SKI C, sicj f`ew►. / /'3'X/ 3' -. 1to.a//r-,C-f (scale:/.'3o ) Shoreline Length ' eso0 ' ( 'I Access Length_.L��.f- - - --. 1 1� 5YYir C-mirk Pier(dock)length_T / _ _- / �N• Fixed hlatformis)Sl��0 i / b � _���� floating D!atforrtl(s) 7 r Ff�s} / p.e Y/'bk dD-- finger peens) ii J( Total Platform area s� Groin length/a Bulkhead/Reprap length _ ---- AL--_ Avg distance offshore_ t Breakwater/Sill 1I. Max distance!length __ Balm,chorine! i �, l \` Cubic yards Boat ramp_ -_-- — Boathouse aR 413 X/3 'T'b •f•p Beach Bulldozing - t 4:_iQI'5,Giy‘ Other —_ .J..o.- I' SAV observed Yes no �,` [ \! Moratorium n!a yes no 1 � 4. Site Photos yes no D Riparian Waiver Attached yes no (� t A budding permit/zoning permit may be required by At (it _CO_— .._. _ -_ - - 1' � � �T AFL PAMCNFU5E,BUFFER(circle one) Permtt Condsons.- ._V-0 . ti t '-r. t-- i _----/'Vy So 9 _ _ Eli See note on hick regarding Rner Basin rules _— so,additional notes/conditions on back . Ell I AM�AWARE �OF STTAT`UTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT ANT)REVIEWED COMPLIANCE STATEMENT. (Please Initial! .j/� Z-�k� - 0..1�. KeVlY1-ed4., --- _r,CrT4 .\a t%G,i\ ___ - ____ A ---- IYrilM lye r�sl r Il is _ As or A phca IN ED N m� riim. v --____ - — rice[ ' nalune signani Plea read compliance statement on back mil•• it. Application(eels! Check a/Money Order Iswag Date I i6viatior(late • e"a2` ROY COOPER r Governor MICHAEL S. REGAN Secretary Coastal Management • BRAXTON DAVIS ENVIRONMENTAL QUALITY Director BUFFER BUFFER AUTHORIZATION CERTIFICATE FOR PIER AND DOCKING FACILITIES ACCESS WAY A riparian buffer authorization is required for pier and docking facilities access ways through the Tar-Pamlico & Neuse River Riparian buffer per Division of Water Resources (DWR) regulations 15A NCAC 02B.0233 & .0259. The Division of Coastal Management (DCM), through a Memorandum of Understanding with the Division of Water Resources (DWR) has reviewed your project proposal and has determined that the project as proposed complies with the aforementioned regulations. Those activities covered by your Coastal Area Management Act(CAMA) permit have received Buffer Authorization provided the project is constructed in a manner that continues to meet all of the conditions listed below. Failure to comply with this Buffer Authorization may subject the property owner and the party.(contractor) performing the construction and/or land clearing to a civil penalty by DWR of up to$25,000 per day per violation. i. Crossing is Perpendicular: Pier and docking facility access way must cross the 50 ft. riparian buffer perpendicularly(which is defined as between 75 and 105 degrees) unless otherwise approved by DCM. The alignment shall minimize the removal of woody vegetation to the greatest extent practicable. 2. Pervious Materials:.All reasonable measures shall be taken to ensure the access way is made of pervious materials like open-slatted wood or composite, mulch, or grass to meet the intent of the rules to the maximum extent practicable. 3. Access Width:The width of the pier or docking facility access way shall be limited to six (6) feet. 4. Project Drawing:The drawing on the CAMA General Permit is considered the project drawing of your property indicating the relative location of the pier or docking facility and any requested access way.This drawing will be used to aid in compliance and monitoring efforts. o Pre-project site conditions: hP t z S C 5.- /W • By your signature below you agree to be held responsible for meeting all of the conditions listed above and verify that all information provided is complete and accurate. 'IA:DOTAL 6kth Agent or Applicant Printed Na e mit er's Signature Ag n aYCIL Y—egY` Zr Agent or Applicant Signature Issue Date CAMA GENERAL PERMIT it: g5 17/ State of North Carolina I Environmental Quality I Coastal Management Washington Office 1943 Washington Square Mall Washington.NC 27889 1252-946-6481 Wilmington Office 1127 Cardinal Drive Ext.Wilmington,NC 28405-18441 910-796-7215 Morehead Oty Office 1400 Commerce Avenue Morehead City.NC 28557 1252-808-2808 °`(OAS '", f1 yTCAMA DREDGE & FILL N9 85171 A CC1 D a Previous permit GENERAL PERMIT Date previous permit issued /V / rig New ['Modification n Complete Reissue n Partial Reissue 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:yt 0. I 5A NCAC (lam /�D ❑Rules attached. 171 General Permit Rules available at the following link:www.deq.nc.gov/CAMArules Applicant Name .Bret+ i - t, Authorized Agent 7314,4'- Address W iG Project Location(County): 7 ztJ c-e) City Off/1: . State /v ZIP Z11'S7/ Street Address/State Road/Lot#(s) L/9 < liotttJ/eOC Phone#(/r3) a'8 9 2S Email Db err-e'mGtiC l p L ' dam_ Subdivision �— U City 0r- ZIP Z VS-7/ Affected ❑CW EW XI PTA ❑ES ❑PTS Adj.Wtr.Body rr i h C/r A crDW ' `�x./ � na an/unk) AEC(s): GG❑OEA n IHA n UW El SPIMA El PWS Closest Maj.Wtr.Body AAA.-Sde '�?"'4r-"�r� ORW:yes PNA: es o /� Type of Project/C Activity Ay/ s4 ( * - 5 -4 ! a> ' / /�/ '/ s xi C7 Gvewy. 73.X/ -s 1 /, � (Scale://3o ) Shoreline Length cSOO / / Access Length /94f 40, L '5yyk� i-40‘ a�7-t"ea'1L Pier(dock)length 59 / N Fixed Platform(s) 5)6 O / rhY Floating Platform(s) g 1 z p-i • /, P% GY/ ti B-^- +"---ot Finger pier(s) NK iA� Total Platform area j Groin length/if Bulkhead/Riprap length Avg distance offshore Breakwater/Sillil/ VIl Max distance/length ( Basin,channel Cubic yards . . 1ti Boat ramp Boathouse :oatlift 13xi3 TO To Beach Bulldozing L Other 7 e-nti\ V (7 SAV observed: yes no Moratorium: n/a yes no Y ��� Site Photos: yes no Y`A , 1B Riparian Waiver Attached: yes no A building permit/zoning permit may be required by: (7a••-tl --Cu /1 ('�' Permit Conditions A/V ‘ ...-4? 7 t D"✓JE-✓ VL_7 KTAR/P• �:UFFER(circle one) V)_ O(�� 0-� �L,Q_ k Sp ) � RI See note on back regarding River Basin rules \\\ n 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) Ke rif \a L \ Agent or Applicant PRINTED Name Permit ' er's P I TED Signatu **Plea e read compliance statement on back of permit** Signature 1 C d e---- bibs, .R I, ,i,, Z — /.- 1 ✓l _zeLz Application Fee(s) Check S/Money Order Issuing Date Expiration sate V Statement of Compliance and Consistency This permit is subject to compliance with this application and permit conditions. Any violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become 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) prior to undertaking any activities authorized by this permit, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local ordinances, and 2) a written statement from the adjacent riparian property owner(s) has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(s). The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available information and belief, certify that this project is consistent with the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: Tar- Pamlico River Basin Buffer Rules Neuse River Basin Buffer Rules If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of Water Resources. If you have any questions, please contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215). Notes/Additional Permit Conditions: Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized project area and disposed of in an appropriate upland location. - Division of Coastal Management Offices Morehead City Headquarters Washington District 400 Commerce Ave Morehead City, NC 28557 943 Washington Square Mall Washington,NC 27889 252-808-2808/1-888-4RCOAST Fax:252-247-3330 252-946-6481 (Serves:Carteret,Craven—south of the Neuse River,Onslow Fax:252-948-0478 Counties) (Serves: Beaufort,Craven—north of the Neuse River, Hyde, Pamlico, Tyrrell and Washington Counties) Elizabeth City District Wilmington District 401 S.Griffin St.Ste.300 127 Cardinal Drive Ext.Wilmington, NC 28405-3845 Elizabeth City,NC 27909 910-796-7215 252-264-3901 Fax:910-395-3964 (Serves:Bertie,Camden,Chowan,Currituck,Dare,Gates, Hertford, (Serves: Brunswick, New Hanover and Pender Counties) Pasquotank and Perquimans Counties) http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021 40(•°A44kriCAMA DREDGE & FILL No 85171 A (. C D t Previous permit 1 GENERAL PERMIT Date previous permit issued • n New n Modification I I Complete Reissue n Partial Reissue 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 n Rules attached. n General Permit Rules available at the following link:www.deq.nc.gov/CAMArule; Applicant Name Authorized Agent Address ' • Project Location(County): - City State ZIP Street Address/State Road/Lot#(s) Phone#( ) Email Subdivision City ZIP Affected CW 0 EW I I PTA n ES n PTS Adj.Wtr.Body .(nat/man/unk) AEC(s): n OEA ❑IHA 0 UW n SPIMA I I PWS Closest Maj.Wtr.Body ORW:yes/no`' PNA:,yes/no Type of Project/Activity / / (Scale: ) Shoreline Length Access Length L t - - .••- - .r- 1 r,_.}-lam eR�L Pier(dock)length 5 Fixed Platform(s) - I /-----' ! Floating Platform(s) - ! ts:a'l l 4 ' POI' /f- , I i Finger pier(s) ,.;� 'i,i AN 1 Total Platform area 4 Groin length/# ( �' Bulkhead/Riprap length r- L----y Avg distance offshore — - r Breakwater/Sill ! \ + Max distance/length_ — Basin,channel .-_.. ._. _ A.._._.—_'^—i--___. _...._ --_-..__. _-I -_��..-.___ Cubic yards altil - „ , . ? Boat ramp ME Boathouse/Boatlift �,e Beach Bulldozing 4---._ _,�� I 10, fi Jam,` Other Se ,, I i SAV observed: yes no 1; Moratorium: n/a yes no Han1 j I , ht Site Photos: yes no 4_-,i' Riparian Waiver Attached: yes no ��� _ ! ;c, f. { A building permit/zoning permit may be required by: ' - ( TAR/PAM/NEUSE/BUFFER(circle one) Permit Conditions nSee note on back regarding River Basin rules ElSee 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) Agent or Applicant PRINTED Name Permit Officer's PRINTED Name---.. --.-._._.._, Signature**Please read compliance statement on back of permit** Signature Application Fee(s) Check ft/Money Order Issuing Date Expiration Date Statement of Compliance and Consistency This permit is subject to compliance with this application and permit conditions. Any violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become 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) prior to undertaking any activities authorized by this permit, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local ordinances, and 2) a written statement from the adjacent riparian property owner(s) has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(s). The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available information and belief, certify that this project is consistent with the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: Tar - Pamlico River Basin Buffer Rules Neuse River Basin Buffer Rules If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of Water Resources. If you have any questions, please contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215). Notes/Additional Permit Conditions: Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized project area and disposed of in an appropriate upland location. Division of Coastal Management Offices Morehead City Headquarters Washington District 400 Commerce Ave Morehead City, NC 28557 943 Washington Square Mall Washington, NC 27889 252-808-2808/1-888-4RCOAST Fax: 252-247-3330 252-946-6481 (Serves: Carteret,Craven—south of the Neuse River,Onslow Fax: 252-948-0478 Counties) (Serves: Beaufort, Craven—north of the Neuse River, Hyde, Pamlico, Tyrrell and Washington Counties) Elizabeth City District Wilmington District 401 S. Griffin St. Ste. 300 127 Cardinal Drive Ext.Wilmington, NC 28405-3845 Elizabeth City, NC 27909 910-796-7215 252-264-3901 Fax: 910-395-3964 (Serves: Bertie, Camden,Chowan,Currituck, Dare,Gates, Hertford, (Serves: Brunswick, New Hanover and Pender Counties) Pasquotank and Perquimans Counties) http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021 le''''-',,,, CAMA _ DREDGE & FILL No 85171 A B C D 1 i i GENERAL PERMIT Previous permit Date previous permit issued New _Modification Complete Reissue Partial Reissue 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 Rules attached. General Permit Rules available at the following link:www.deq.nc.gov/CAMArules Applicant Name Authorized Agent Address Project Location(County): City State ZIP Street Address/State Road/Lot#(s) Phone#( ) Email Subdivision City ZIP Affected , I CW ^EW [ I PTA ES PTS Adj.Wtr.Body (nat/man/unk) AEC(s): 1 OEA IHA UW SPIMA PWS Closest Maj.Wtr.Body ORW:yes/no PNA:yes/no Type of Project/Activity (Scale: ) Shoreline Length Access Length — - t Pier(dock)length 1 Fixed Platform(s) { I r Floating Platform(s) l 1 ir / { • ( f Finger pier(s) j I i h Total Platform area I ' i Groin length/# , t i - Bulkhead/Riprap length --- { I p Avg distance offshore i } — — I j Breakwater/Sill Max distance/length l I I - Basin,channel _ _ I _ Cubic yards j � I Boat ramp i Boathouse/Boatlift J Beach Bulldozing I i Other I I t:. }. f. -I I -I- -t— --- } � SAV observed: yes no j " �` Moratorium: n/a yes no I I �' " , Site Photos: yes no i I + i ' Riparian Waiver Attached: yes no i I A building permit/zoning permit may be required by: Permit Conditions TAR/PAM/NEUSE/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) Agent or Applicant PRINTED Name Permit Officer's PRINTED Name Signature**Please read compliance statement on back of permit** Signature Application Fee(s) Check#/Money Order Issuing Date Expiration Date Statement of Compliance and Consistency This permit is subject to compliance with this application and permit conditions. Any violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become 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) prior to undertaking any activities authorized by this permit, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local ordinances, and 2) a written statement from the adjacent riparian property owner(s) has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(s). The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available information and belief, certify that this project is consistent with the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: Tar - Pamlico River Basin Buffer Rules Neuse River Basin Buffer Rules If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of Water Resources. If you have any questions, please contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215). Notes/Additional Permit Conditions: Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized project area and disposed of in an appropriate upland location. Division of Coastal Management Offices Morehead City Headquarters Washington District 400 Commerce Ave Morehead City, NC 28557 943 Washington Square Mall Washington, NC 27889 252-808-2808/ 1-888-4RCOAST Fax: 252-247-3330 252-946-6481 (Serves: Carteret,Craven—south of the Neuse River, Onslow Fax: 252-948-0478 Counties) (Serves: Beaufort, Craven—north of the Neuse River, Hyde, Pamlico, Tyrrell and Washington Counties) Elizabeth City District Wilmington District 401 S. Griffin St.Ste. 300 127 Cardinal Drive Ext.Wilmington, NC 28405-3845 Elizabeth City, NC 27909 910-796-7215 252-264-3901 Fax:910-395-3964 (Serves: Bertie, Camden, Chowan, Currituck, Dare,Gates, Hertford, (Serves: Brunswick, New Hanover and Pender Counties) Pasquotank and Perquimans Counties) http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021 AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit tou9wg `)ECJS 1L Mailing Address: 1-11°t ilemdao 9 Q O2fe.G-c Ac Phone Number: "t. l3- $20- 29a5- Email Address: etortoRewtockG e se.lie-n I certify that I have authorrzed Bobby Cahoon Construction, 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 in<tn Lt vt•2,,,v Cwwncr€ a• 9: er wf pia 'con * boo+ l:c+ at my property located at `A'-` 1;E ff,) f In ''Aw.Ltca 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 thuher Information: Cre . • �00eg44 r-CDGC.ISig Print or Type Name Title Date This certification is valid through to / I1{ I a a. _e..} sl{ SENDER:COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY • Complete items 1,2,and 3. A• Signature ■ Print your name and address on the reverse ` X (� ❑Agent so that we can return the card to you. - ❑Addressee • Attach this card to the back of the mailpiece, B. eceived by tinted Name) C. Date of livery or on the front If space permits. fo5f i -kne„G1SOn I 1 I/) � 1 1. Article Addressed to: D. Is deirvetyY different from Item 17 d If YES,enter delivery address below 0 No M r. 1114;11-trN W He h d-e rs 03a L;,5C,-fwGod 3fidg2e-..0 . tA) 1(a c.e, IV c a g y(o , IIII I'll111 IIIIIIII I'I II I it I I II I II lit 3. Restricted very o � ed tvery 9590 9402 6524 0346 6361 42 a O nflied Mail estricted Delivery ❑SMae ignature ConfirmationTM 0 Collect on Delvery 0 Signature Confirmation 2. Artich ^iss"i6i•iretnn^a"°r"^'^Avne 0 Collect on Delivery Restricted Delivery Restricted Delivery 7021 1970 0001 1481 6671 tedDelivery PS Form 3811,July 2020 PSN 7530-02-000-9053 Domestic Return Receipt N.C.DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWANER FORM CERTIFIED MAIL•RETURN RECEIPT REQUESTED or HAND DELIVERY (Top portion to be completed by owner or their agent) Name of Property tamer Douglas Delisle, Address of Property: 419 Kershaw Rd., Oriental,,NC _. - MaIMg Address of Owner. 419 Kershaw Rd., Oriental, NC 28571 _ . , Owner's emonrdmdremodelinq@aol.com owner's phone#: 413-888-8925 _ . Ageirt's Name:Bobby Cahoon Construction, Inc. Agent Phoned: 252-249-1617 - Agent's Email: bobbycahoonconstruction@yahoo.com - •• — ADJACENT RIPARIAN PROPERTY OWNER'S CrERTIFICATION— (Bottom Dodgem to be completed by the Adlecent Proaerty Owner); I herebycertify that I own propertyadjacentto the above referenced property.The Individual epplyIng forth's permit has described,to me,S shown on the attached drawing,the development they'are proposing.A delflotilon or drawing.with dimensions,must be provided with this letter. I DO NOT have objection-a tothts proposal. I DO have objections to,thlapropoeal., if you have objections to what Is-being proposed,you must natty the N.C. Division of Coastal Management(DCia)in writing within 10 days of receipt of this notice. Corsespondsnce should be mailed to 400 Commerce Ave:,Mor@head City,NC 28557.DCMreprosentatives can also be contacted at(252).808-2808.No response 1e considered the same as no objection/f you have been notified by Certified Mall. WAIVER SECTION , I understand that any proposed pier,dock,mooring pilings,boat ramp,breakwater,boathouse,lift,or • groin Meet 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 - ether Setback,you piuet''alga the appropriate blank below.) nn I bOwlsh to waive some/all of the 15'setbi . y��C SignalwB of dJa/f cent Ripen perty Owner -OR- I do not wish to waive the 15'setback requirement(In a blank) : _ Signature of Adjacent,Ripadan Owner. /?J ; `•� . i Typed/Printed frame of ARRO: / f�. . PP 11 e�_ / r� Melling Address of ARPO: /A S L/ /5 - n i Ale `y 4'C 2P ARPo's e�nall:/n���Iewe f�/�Jq z 1/1'�1C-Yt,/_r^o arc. Dab: . /I'•/.O ' 2/ *waiver ra valid for up to one year from ARPO•s Signature* Revised.July 2021 N.C.DIVISION OF COASTAL MANAGEMENT . • ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM CERTIFIED MAIL• RETURN RECEIPT REQUESTED or HAND DELIVERY, 1 (Top portion to be completed by owner or their agent) 1 Name of property owner. - Douglas Delisle Address of Property: 419 Kershaw Rd., Oriental, NC _ . . Mailing Address of owner. 419.Kershaw Rd., Oriental, NC 28571 . . . . Owner's email:dmdremodelinq@aol.com Owner's Phone#: 413-888-8925 Agents Name:Bobby-Cahoon Construction, Ihc: Agent Phone* 252-249-1617 Agent's Email: bobbycahoonconstruction@yahoo.com ADJACENT-RIPARIAN PROPERTY OWNER'S CERTIFICATION' (Bottom portion to be comolatad by the Adlacsnt Property Owner) I hereby cerUythat I own property adjacent to the above referenced property.The Individuel applying fdrthle permit has described to me,as shown on the attached drawing,the development theytare proposing.A description or drawing.with dimerisiona,must be provided with this letter. C'1 DO NOT have objections to this proposal. • IDO have obJectlone to thl8 proposal. if you have objections towhat Is being proposed, you must notify the N.C. Division of Coastal Management(DCM)In writing within 10 days of receipt.of thls•notice, Correspondence should bi mailed to 400 CommerceAva„Morehead City,NC28857 DCMrepresentativescad also be contacted at(252)808-2808.No response Is conaldered the sane as no objection If you have been notified by Cwtitied Nall. WAIVER SECTION I understand that any proposed pier,dock,mooring pilings,boat ramp,breakwater,boathouse,lif,or groin must be set back a minimum distance of 15'from my area of riparian access unless"wahied by me (this does not apply to bulkheads or riprap revetments).(If you wish to waive the setback,you Oust sign the appropriate blank below.) I pp Mph to waivA"someJail of the 15'setback • Signature of Adjacent Riparian Property Owner" -OR- f I do not wish to waive the 15'setback requirement(Initial the.blank�rY Signature of Adjacent Riparian Property Owner Typsd1Pdnted name Of ARPO: �0 by li Sppa -t/r I(u • r Mailing AddreisofARP0:y09/Casbulo e) OMer(lgt. WC:a4S7/ ARPO'e entail: ARPO'a Phone*a1/9=0A3O1 -: Date: /+� Z 0-t'74 'waiver.ls wild for up to'one year from ARPO's Ignatuar '' Revised Juty 2021 DOUGLAS DELISLE 419 KERSHAW ROAD ORIENTAL, NC DESCRIPTION We propose to install a new concrete 5' wide x 150' long walkway with a 5'wide x 10' long stepdown platform on the right side. We,propose to install a new boat lift. This will include the installation of four(4) new 35' long pilings. Drawing by Bobby Cahoon Construction for: • Douglas Delisle 419 Kershaw Rd. Oriental Proposed New Concrete Dock 5' x 10' • Step Down ♦ ,� ,S ',‘ % ,'" • Existing Mooring pili:. to remain in place ;VV. ISI 10,000#Boat Lift 1 10 95 w!4-10"x 35'Pilings X Marsh LiPO i • ‘ 1117, . ,. , 4111,.) 0 ' ,‘,. 4f r . ,, 5' x 100' Walkway over Marsh 5' x 5. Walkway \ r. .-1; a a • 0 • C • • X= PIA to be 3' above deck i is i •, This drawing is the sole property of 't=� -4..-1,' Bobby Cahoon Construction Inc. and is not intended for use by any other entity. PAMLICO COUNTY 2022 REQUESTED BY PMLAURENM RUN 10/07/21 TIME 8:38:35 PAGE 1 SOUTH 0K1SLE GS M ET UX 1KERSHAWGRD 6488408407000 DOUGLAS M ET UX PARCEL: 108-38-1 MB 8-3/PCA 93-7 PCA 137-8 419 KERSHAW RD 419 0013081 ORIENTAL NC 28571 ORIENTAL NC 28571 419 KERSHAW RD Current ID#: 27052 Jan.1 ID#: 27052 128,706 Bldg No. 1 Exemption Code: LAND VALUE Appraiser: MIC SUM LND ACRES: 3.320 MISC VALUE 11,809 Appr Date: 2/23/2018 DEED ACRES: 3.320 BLDG VALUE 166,204 Imp Desc : 01 RES-SINGLE FAMILY MAP ACRES: 3.117 IMP VALUE 178,013 Grade C+ AVERAGE QUALITY TOTAL VALUE 306,719 Act Yr Bt: 1999 VALUED BY RCNLD METHOD Effect Yr: PRIOR YEAR 306,719 Stories : 1.00 APPRAISER MIC Bedrooms : 3 Bed 8 APPR DATE 9/27/2019 Bathrooms: 1/2 Baths: 2 USE CODE 1 PAVED WALL WALL 02 BRICK VENEERING DISTRICT 106 SOUTH EAST - FIRE FLR COVER 01 CARPET NBHD 2000 FLR COVER 02 VINYL PARCEL EXEMPTION CODE FOUNDATION BR BRICK FINISHED AREA 2,310.00 FUEL E ELECTRIC RCN 181,050 HEAT & AIR 03 ELECTRIC BASEBOARD QG RCN 195,534 HEAT & AIR 18 NO AIR DEPR AV 15.00 29,330 INT FINISH 01 DRY WALL ADD PHYS DEPR PLUMBING F 2 HALF BATH FUNC OBS ROOF COVER 01 COMPOSITE SHINGLE ECON OBS ROOF TYPE 02 HIP LOCAT OBS BUILDING 166,204 PROPERTY NOTES: BOOK PAGE DATE QS SALES PRICE 000679 000420 4/16/2021 380,000 DEED TYPE: WD 000565 000442 3/16/2012 320,000 DEED TYPE: WD PERMIT NO TYPE DATE AMOUNT BLDG CODE DESC UNITS EYB DT PCT ADD.DEPR PCT VALUE EXEMPTION MODS 101 22 PIER 126 X 6 756.00 D1 50.00 10,660 102 30 CONCRETE SLAB 24 X 22 528.00 D1 50.00 832 103 9 SHED-STORAGE 10 X 12 120.00 D2 75.00 317 • .00 REC LUSE DESC EXEMPT FRONTAGE DEPTH UNITS ACRES PRICE ADJUSTMENTS VALUE 1 AC 16 WF LOT BLDG SITE 1.000 1.000 80,000.00 SZ 80,000 2 AC 18 WF ACREAGES 1.000 1.000 60,000.00 LO SZ 48,600 3 AC 21 MARSH 1.320 1.320 50.00 SZ 106 108-38-1 419 KERSHAW RD PAMLICO COUNTY 2022 I08-38-1 PAGE 2 + 17 + -23 + 19 - + 1 1 1 4 4 1 4 • 4 +D 17 + + 19 E+ + 14----2 . • • 2 2 4 8 • • +A----14----+ : 2 +----59--+-+ + - C B 6 6 : +---11=--+ 2. 2 9 9 • • + 23 + B= AC 100 ATTACHED FIN GARAGE C= AC 106 OPEN MASONRY PORCH D= AC 120 TERRACE • E= AC 120 TERRACE A= MA 01 RES-SNG FAMILY PAMLICO COUNTY LAND RECORDS'•PROPERTY RECORD CARD l( js',- .7 4 ;' • .ri. -1.,.:, .• . ` r, 1 It 4b:. ' ' :,,, -, : i 12 it • '. * ;$' s' 7 / • . ; � . '4J <fr. .„ /, ii Web Map MAPID:I08-38-1 OWNER_ADDR 419 KERSHAW DEED_A ES:3.3 4 i~j(r1 r`,ti CAI-ACRES:3.1 1745859 RD DEEDBOOK:000679 r ACRES:3.32 OWNER_Crrr:ORIENTAL DEEDPAOE:420 OWNER.NAME:DELISLE OWNER_STATE:NC SALEDATE:4/16/2021 Scale— 1: 2400 •i filiaili v... - DOUGLAS MET UX OWNER z>P:28571 • (.�11K1-i- OWNER_NAME2:DELISLE SITUS_ADDR:419 KERSHAW Not intended for legal use.