89800A - Madden

#IM[::]New
❑CAA [IDREDGE & FILL VL Nv 89soa A B C DGENERAL PERMIT Previous permit
Date previous permit issued ❑ 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. M General Permit Rules available at the following link: www.deg.nc.gov/CAMArules
Applicant Name 'f::_ yY^�4i y'......5!-, •"!.. s l.�' n,t to !• +u' to dM1.y..K:
Address! VA ZIP
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City State y A. ZIP
Phone#O
Email L,4' i, tA. M
Authorized Agent I) 1 \ k) ,' U:U_2t.F t'7)1 I t
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Project Location (County): I a,-y,Q_
Street Address/State RcALgt#(s) L.'
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Subdivision C U I,w en /A' 0 1v Fi u-v 4-T�uV
City (NO ( A v. CAI CA- ZIP 21 °i 1 d. 6
Affected ❑ cW ❑ EW � PTA ❑ ES ❑ PTS Adj. Wtr. Body C CJl:tr Q A } ti ' :XW %d (nat/ma�rt/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS - Closest Mal. Wtr. Body / 1i.Q.trv. Lf/f��......��
ORW: yes/no _, PNA: yes/0.
Type of Project/ Activity `. /* o v1 I'S 1 ,a Lit G!•--' a-. i 1'�' i it 12.,I V) {) (;) U 4
(Scale: j : )
Access Length
Pier (dock) lengthONE
Fixed Platform(s)
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PallMEN
Floating Platform(s)
raw
s
Finger pler(s)
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Max distance/ lengtl I■■
Cubic yards■■
Boat ramp_i�■■
Bulldozing _1
Other
ME
No
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MCM
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SAV observed: yes no;
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' Site Photos: yes ,
Waiver Attached: yes no
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A building permit/zoning permit may be required by:
Agent or Applicant PRINTED Name
Signature **Please read compliance statement on back of permit**
Application Feels) Check p/Money Order
❑ TAR(PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
ID REVIEWED COMPLIANCE STATEMENT. (Please Initial)
(.:� �.O UIV
Permitofficer's PRINTED me j 1 Signature qq qq q
i9/L1 1,01l✓ ) IC��21
Issuing Date Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address:
Phone Number:
Jerome & Cynthia Madden
1502 Powells Tavern PI
Herndon, VA 20170
Email Address: [e-mail]
I certify that I have authorized Affordable Biil's/William Eger
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: installing 4 pilings and 1-12' x 14'-10k boatlin
at my property located at 427 Colington Dr.
in Dare
County.
/ furthermore certify that l 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:
/ ' ` i%nt
Signature
Jero a or Cynthia Madden
Print or Type Name
Owner
Title
�l 4 1 3
Date
This certification is valid through 9 i0 LI 2!!�o> 3
R E C E VV E.
1 U N 19 2023
®CIO/ -EC

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: Jerome & Cynthia Madden
Address of Property:
427 Colington Drive, Colington, NC 27948
Mailing Address of Owner: 1502 Powells Tavern PI., Herndon, VA 20170
Owner's email: [e-mail] Owner's Phone#:
Agent's Name: Affordable Bill'sNVilliam Eger
Agent's Email: [e-mail]
Agent Phone#:[phone]
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom_oortion 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.
f5.
1 DO NOT have objections to this proposal. I DO have objections to this proposal.
ff you have objections to what is being proposed, you must notify the N.C. Division of r
Management (DCM) in writing within 10 days of receipt of this notice. Correspondenc ould be
mailed to 401 S. Griffin St., Ste. 300, Elizabeth City, NC, 27909. DCM represents ' s can also be
contacted at [phone], No response is considered the same as no ob' on if you have been
notified by Certified Mail.
WAIVER SECTION
I understand that any proposed pier, dock, mooring pilings at ramp, breakwater, boathouse, lift; or
groin must be set back a minimum distance of 15' fro y area of riparian access unless waived by me
(this does not apply to bulkheads or riprap revet is (If ou wish to waive the setback, you must sign
the appropriate blank below.) r j
I DO wish to waive some/all of
Signature or Adjacent Riparian Property Owner
am
I do �ish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner: �t
Typed/Printed name of ARPO: Mark or Becky Anderson (431 Colington Dr)
Mailing Address of ARPO: 7008 Neal Ct. Suffolk, VA 23434
ARPO'semail: .414? '6 —XI jr".i.rJC%i✓IA406r sFi%ne#: 7:7
Date: waiver is valid for up to 4e year from ARPO's Signature*
VRt(r 11av 2021
J U N 1 9 2023
DCM -EC

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: Jerome & Cynthia Madden
Address of Property: 427 Colington Drive, Colington, NC 27948
Mailing Address of Owner: 1502 Powells Tavern PI., Herndon, VA 20170
Owner's email: [e-mail] Owners Phone#:
Agent's Name: Affordable Bill's/VVilliam Eger Agent Phone#: [phone]
Agent's Email: [e-mail]
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
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-
I do not wish to waive the 15' setback requirement (initial the blank) --
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: Paula or David Perales
Mailing Address of ARPO: 425 Colington Dr. Colington, NC 27948
ARPO's email:
Date:
ARPO's Phone#:
waiver is valid for up to one year from ARPO's Signature"
RECE + 7,
j U N 1 9 2023
DC-M-EC
Revised May 2021

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Loeffler, Sarah W
From: Bill Eger <[e-mail]>
Sent: Monday, June 19, 2023 1:47 PM
To: Loeffler, Sarah W
Subject: Re: (External] CAMA permit needed for installing boatlift at 427 Colington Or
CAUTION: External email. Do not click links or open attachments unless verified. Report suspicious emails with the Report Message
button located on your Outlook menu bar on the Home tab.
Hi Sarah,
It will be 12' intothe canal.
Thanks,
Teresa
On Mon, Jun 19, 2023 at 12:37 PM Loeffler, Sarah W <[e-mail]> wrote:
Good afternoon Teresa,
I have taken a quick look at the permit paperwork and scheduled a site visit for Wednesday, June 21" as I will be in
the area. Since the canal narrows, can you please tell me the dimensions of the boat lift waterward? Will it be 12' or 14'
into the canal? It should fit within the ''/. width rule, but I will double check at the field visit. The permit fee for a docking
facility is $200. Please feel free to send in a check at your convenience. I will let you know if I have any additional
questions following my field visit on Wednesday. Thanks!
Sincerely,
Sarah Loeffler
As part of DEQ's phased email update, all Division of Coastal Management emails are now @deg.nc.gov. Please note my new email
address ([e-mail]). Our email addresses may look different, but email performance will not be impacted.
Sarah Loeffler
Field Representative
Division of Coastal Management
401 S. Griffin Street, Suite 300
Elizabeth City, NC 27909

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