86360A_Smith, III, Chester_20220407

, �Cust, CAMA ❑ DREDGE & FILL N° 86360 013 C D
a Previous permit
GENERAL PERMIT
Date previous permit issued
;,New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the State of North fCarolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
1 SA NCARules attached. �4% General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name %.eM=?'T'GV ✓Y'V%A-T -% JJjL
Address 15 C) I "AA- /V UUry, J�
City K-h R L `, State NC L zip '
Phone # (2�i �� 6, LT — LI 3q 1 . .
Email 1 0 �dMr�G�.. b�ctsl�u@ Qoll. Cow,.
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s) I ` vi no uyi
Lot 41 G
Subdivision
City Co li v%A-Iov, ZIP
Affected ❑ CW KEW JK PTA ❑ ES ❑ PTS Adj. Wtr. Body C_uiNat f4natt(0nk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body o a^64e
ORW: yes/0 PNA: yes/0 Type of Project/ Activity Ca A 5Aj(LC 0L CL- I Z, i )k ' i R o 1 1 4
Shoreline Length
50 (Scale: �� )
Access Length
Pier (dock) length
Fixed Platform(s) I`
FloatingPlatform(s) '�i L1LL� r
Finger pier(s)
�'1 + '1 l � � % � �xis�i►x�
Total Platform area buw�
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore d v CX- ot
Breakwater/Sill �t
Max distance/ length _ � .Basin, channel (,=� V►{�
Cubic yards �� v
Boat ramp ✓��
Boathous Boatlift
caA L
ti
SAV observed: yes no
Moratorium: yes no
Site Photos: es C5
Q � v
Riparian Waiver Attached: yes
A building permit/zoning permit may be required by: DaeeC©
Permit ConditionsN CAC is C P1• ❑ TAR/PAM/NEUSE/BUFFER (circle one)
dQ j/1See note on back regarding River Basin rules
4 Dceti
5� ❑ See additional notes/conditions on back
Q
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Agent plicant INTED Name
' Cti2
Si nature "Please read compliance statement on back of permit"
w200. oo W
Application Feels) Check #/Money Order
Permit O 'cer's PRINTED Na
Signature
44 2,o22 Ala-/:00a.
Issuing Date Expiration Date

1
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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: l ���/�; 1;�d 44//
Mailing Address of Owner./�5G/ #1A//I Zr )eM G,.
Owner's email: ,o Owners Phone#:
Agent's Name: Agent Phone#:
Agent's Email:
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. 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 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) APR 0 7 2022
Signature of Adjacent Riparian Property Owner: 1,7 LVD CM E "
Typed/Printed name of ARPO: � i � ee S11 //l/�' / , ! Q
Mailing Address of ARPO: Re) • &X /\Li/7. /y 7 l
ARPO's email: ARPO's Phone#: C
Date: ,waiver is valid for up to one year from ARPO's Signature*
t Z 'y v Revised May 2021
C,p 4?c
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N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: 0� kr Al. d
Address of Property:
Mailing Address of Owner: ,Zt ,, ��li,
Owner's email: M. e► Owner's Phone#: �-5o�
Agent's Name:
Agent's Email:
Agent Phone#:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adiacent 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
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 /
-F-''-�IEI of ED
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: 'J
Typed/Printed name of ARPO:
h
APR 0 1 2022
DCM—EC
Mailing Address of ARPO:
ARPO's email: ARPO's Phone#: ry —Y't 7 7
Date: ;waiver is valid for up to one year from ARPO's Signature*
-7� .
Revised May 2021
12,1
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APR 0 7 2M
DC -EC
17

1s
This map is prepared
from data used for the
inventory of the real
property for tax
purposes. Primary
information sources such
'Dof
as recorded deeds, plats,
wills, and other primary
public records should be
consulted for verification
the information
contained in this map.
1329 Colington RD
Colington NC, 27948
Parcel: 018752000
Pin: 987420808670
Owners: Smith, Chester W lii -Primary
Owner
Building Value: $0
Land Value: $36,300
Misc Value: $6,700
Total Value: $43,000
w
Tax District: Colington
Subdivision: R D Owens
Lot BLK-Sec: Lot: 9 Blk: Sec:
Property Use: Secondary Improvement
Building Type:
Year Built: