86653A - Jackell, James

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A LJ DREDGE &FILL NQ 86653 8 C D
GENERAL PERMIT Previous pem-jt
Date p(mvious permit
New 0 Modffimtim 0 Complete Reissue R patdaj Reissue issue�l
As adiorind by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of envirowental concern pursuant to'
ISA NCAC _.. r714..*, Goo "IF] Rules attached. [Y General Permit Rules available at the bll&-ft fink. MM.dianc.
Ap*antName _s_bIjW&�L30<.Ar_*_t%
Addrm P _j�� e4 k4, j_A
city'. StateGk zip
Phone
Ema#
Authorized Agent
Project Location (county): —9ex-
Street AddressiStirte Raxlflot #(s)
(0
Subdivision QltX cLbee d
city t—zip
Affected CW EW M ❑ ES D PTS Adj_ Wtr Body Ck*L-)a A .. JKA' --Cx Orrta;Vurik)
Wit
OEA 01HA 0 uw FISPIMA F Pws closest Mai. r Body t6enarte
Oftw: yesfigPNA. yes re
TVW0fProject/ AcWwny. QavZ�cA- a
shorerm, Length (Scale: s' = 30')
--T-- 7
Access Length
VVY61
Pier (dock) length
Fbeed Pladorm(s)
t.
Floating Platform(s)
Ise
4 _T_ ;—,; tiuw
Finger piels)
+
Total Platform area 4 i 1 LA
Groin length/#
Bulkheadl Riprap length
v:
Avg distance offshore 4
4-
Breakwater/Sill
17
Max distance/ length 1 1 1
_T
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
r
Beach Butidozing LAA_ I f
T'
Other 'F �
!4
J.
SAV observed: yes
j
I I
Moratorium: I. -1
njo yes no
Site Photos- no 4*­
:Y,
Riparian Waiver Attached:
no
A building Permittzoning Permit may be required by:
Permit Conditions AWN-INELISE/BUFFER (circle on.)
See note on back regarding River Basin rules
F]See additional notes/condMoris on wick
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY To TM PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initiall)
Agent Applicant P icant PRINTED Name
AgrikM:'lease7,.J �;,Pfiance statement on back of permit—
C-0
Application Fee(s) check #/Money Order
C,4'" �G5 Gs
Permit T*fi sPRINTED Narpe
Signat4ike
7/1,4 /;Z;L.. tv_
Issuing Date Expiration Date

-z- �i �-�
,:,Ir:CEIVED
J U L 0 5 2022

Address of Property: /0
Mailing Address of Owner:
Agent's Name
Agent's Email.
N.C.DIVIS|ON OFCOASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION[WAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to becompleted bvomne[O[MleiragenU
Name of Property Owner 0. A
rd
AgentPhone#
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
| 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 (0CM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 401 S. Grififfin St., Ste. 300, Elizabeth City, NC, 27909. DCM representatives can a1sc 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 per, dock, mooring pilings, boat ramp, bneekwoter, 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 tobulkheads orripnaprevetments) (if you wish towaive the setback. you must sign!
the appropriate blank below )
|OOwish knwaive some/all o/the 15' setback
SignatUre of AdjaceoKRipariao Property Owner E»N / 1E0
|dunot wish towaive the 15' setback requirement (initial the blank)
Signature ofAdjacent Riparian Property Owner:
Typed/Printed name ofARPO: Pf Y14
Mailing Address ofARPO:
ARPO'sema|:
~(-, -
� \' _'_"~'
Date: waiver is valid for up to one year from ARPO's Signature*
JU[ 05 2022
Revised July 2021

c_,Pwe,-s5 Rd
.wnt HO
Mailing Address of Owner:
Owner's email: tiycc �, c,s,;\ t�p� 2-7z - Y%fr
--- Owner's Phone#:L•�L -J�(U
Agent's Name:
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. l .. N -fir -3m_me3 73a-k<11
Address of Property:
/`i. 3 . _ _ r"1 IQ, A
Agent Phone#:
Agent's Email:
C �vC
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 propoA
descrotion or drawing with dimensions must be orovided with this letter. sing.
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. Gin 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.)
! DO wish to waive some/all of the 15' s back '
-OR- Signa of Adjacent 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:
Mailing Address of ARPO:
ARPO's email:
Date:
ARPO's Phone#:
*waiver is valid for up to one year from ARPO's Signature*
RECEIVED
J U L 0 5 2022
DCM-EC
Revised July 2021

Cynthia Rountree
From: [e-mail]
Sent: Tuesday, July 5, 2022 9:41 PM
To: Cynthia Rountree
Subject: [External] Re: riparian waiver for James Jackell
Follow Up Flag: Follow up
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Hello,
That is correct, he can place his pier right on the property line. Thank you
-----Original Message -----
From: Cynthia Rountree <[e-mail]>
To: LAURA HOGGARD <[e-mail]>
Sent: Tue, Jul 5, 2022 3:18 pm
Subject: riparian waiver for James Jackell
Ms. Hoggard,
This is Cynthia Rountree with the NC Division of Coastal management and I was just e-mailing to make sure that you are
wanting to waive the 15 foot setback and placing his pier right on the line to the HOA property at Black Beard
Beach. Thank you for assisting me in verification of the documentation needed for Mr. Jackell to move forward with the
replacement of his pier. If you have any questions for me please let me know.
Sincerely,
Cynthia
Cynthia Rountree
Environmental Specialist II
401 S. Griffin St., Suite 300
Elizabeth City, NC 27909
[phone] ext. 234
cynthia.rountreec ncdenr.gov