86533A - Chesson, Steven & Tammu

3&.'J "'k ❑CAMA ❑ DREDGE & FILL ��1. N9 86533 a B C
G E N E RAL 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.Rov/CAMArules
Applicant Name _
Address
City
Phone # (_ )
Email
State ZIP
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ uW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity �-
(Scale: 54 ` )
Shoreline Length
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore _
Breakwater/Sill
Max distance/ length _
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed: yes no
Moratorium: n/a yes no
Site Photos: yes no
Riparian Waiver Attached: yes no
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)`
j f A
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

RECEIVED
MAY 2 5 2022
DCM-EC
/ -K ( 4e,,��
ZS�-312 6's
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 ownerr or their agent)
ne�
Name of Property Owner: '
Address of Property: / 55 C lf_ ►,Kc f C�42,'/b 7 Ale
Mailing Address of Owner: e- '41
_--// eo•rt
Owner's email: Swcr7�SSc�I d n� `DaK Owner's Phone#:
Agent's Name:
Agent's Email:
Agent 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 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 15from 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
-OR-
Signature of Adjacent Riparian Property Owner
I do not wish to waive the 15' setback requirement (initial the blank)
J, Signature of Adjacent Riparian Property O/w-ne_r:l,���/U
Typed/Printed name ofARPO: ./VIGLYIc� Ri�NrrG SY3
Mailing Address of ARPO: ��65 �Oz,>" i�ai(� ��t✓JGJ2 Ry�� �1if d�G
ARPO's email: .W t'Oy7GS®Sewt—Se •C--XARPO's Phone#��5�_) -J6?" /6 7Z
Date: f�� %��I �J-��' *waiver is valid for up to one year from ARPO's Signature"
Revised May 2021

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: c 4- / 6 e55
Mailing Address:
Phone Number:
Email Address:-s�/��ss� d��o • own
I certify that I have authorized ,
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: a.num S a.e all 14•rta�
pl j 4"n %42, 4c/ sins p/s�-. �& '' S J .
at my property located at
in OWA1s'I County.
1 furthermore certify that 1 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:
' v Signature /
Print or Type Name
--T Title
o4 1 Z 1� 1 °2f—
Date
This certification is valid through ! 1
C
1-0
MAY 2 5 2022
DCr, -�

N.C. DIVISION OF COASTAL MANAGEMENT A
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONlWAIVER FORM '
-7`1 " r1
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
FZEC -
(Top portion be completed by owner or their agent) MAY 2 5 2022
Name of Property Owner: g''C/V e f�Yh N` -,
Address of Property: -I d S 00 F r� �J DCMµ
Mailing Address of Owner: c
Owner's email: dow-look C&,l Owner's Phone#: ;-62"31 2 "93 014
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. 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
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/
-OR-
Signature of Add Riparian Property Owner
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: (amNAtv
Mailing Address of ARPO: i 2 /,4i C.l'4lol�f ZAp Ce
ARPO's email: ✓c, ,6� rit�(g 60,1yl ARPO's Phone#: 752—
Date: 2,k^2v2 Z *waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

t
55 O/d/ rer' 4E Gl
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RtCEI
MAY 1 5 2022
®CM -EC
915'

m

11 MA / ❑ DREDGE & FILLS 7p� I` r`- I/
ENERAL PERMIT Previous permit # A B C ° _
❑New ❑Modification El Complete Reissue El Partial Reissue Date previous permit issued;
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.
Applicant Name U--, oL'IA7u S n.-� Project Location: County
Address Street Address/ State Road/ Lot #(s)
City State ZIP d2d err
Phone # ( ) E-Mail Subdivision
Authorized Agent City. ZIP
Affected ❑ CW EW ❑ PTA ❑ ES ❑ PTS Phone # ( ) River Basin
❑ OEA HHF IH ❑ USA ❑ WA
AEC(s): Adj. Wtr. Body (nat /man /unkn)
❑ PWS:
ORW: yes / no PNA yes / no Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards_
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
i
Shoreline Length I -
SAV: not sure yes no
Moratorium: n/a yes no l
Photos: yes no i
Waiver Attached: yes no
A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Special Conditions
Agent or Applicant Printed
(Scale: )
❑ See note on back regarding River Basin rules.
Permit Officer's Printed Name
Signature ** Please read compliance statement on back of permit ** Signature
Application Fee(s)
Check # Issuing Date
Expiration Date

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955 Old Ferry Rd
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PU
100 ft