87084A - Stassie, Herb and Mary

�ted r ]CAMA ❑DREDGE 8t FILL W 87084 °"9? B C "� D/
PreviGENERAL. PERMIT Date devioupermit �/
3 Date previous permit issued _
New ❑Modification ❑Complete Reissue ❑ Partial Reissue
As authorize by the Statea(North Carolina, Depattment of Fnvionmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I SA NCAC _4 µ, 1 W0 Rules attached. ( General Permit Rules available at tire, following link: v<wdkeg_ncgov/CAMAruless
Applicant Name Oe!h ;_hi�irt iwssi Authorized Agent .'S •)(sRe, (1�t_y-,�$�,k t,.A___ �,r k_,e, .y}ru;,,t.�n
Address_ 31 Qle +SR If`1cy e Project Location (County): ��+f.
City 1115 _5 h&Lr� } ---State �" p__..._ 71P cT 1 C? N f; Street Adoress/State Road/Lot #(s) D 0 4� �l v i ja I U 14
Phone #(4tu}P03-�'-� bla
Emafl__Jxy rJ�fr.S•J1C (+'c2U iiCavn Subdivision �ylalo+� Zzc.h .Aoc?A_y.._. ..... ......
city __)._L, __tatV,\... R,Wi 7IP_ 3 qt(g
Affected f.7 CW iIEW
❑ES ❑PTS Adj. Wtr. Body •Cain w
C,f{.t_k_
Ta an/unk)
}My��•,PTA
DEA ..t IHA u UW
AEC(s): ❑ L.
❑ SPIMA ❑ PWS Closest Mai. Wa: Body !� ihttrsc•
r (t. �j r.
ORW: yesr� PNA-yeqffo:o )
Type of Project/Activity C'it
V X iJ� ZoA- vu-c.f er�0,,9 16 X
{ ii Y'Lf_aJQ..&e
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(Scale:N.'TS,)
Shoreline Length
Access Length
Pier (dock) length
✓t
_,,aag��'
Fixed Pladorm(s)
Floating Platformis)
Finger pler(s)
Total Platform area •d5a 'F 1'
v
Groin length/q
Bulkhead/Riprap length
Avg distance ,,,•.,
,hu r6art,-212+:04 csrr
offshore __ _
Breakwater/Sill
Cx,S Y•r (Siciiv+m5 ,t,
....
-Max distance/ length
Basin, channel_
t}/
Cubic yards
r vv"��
Boat ramp._
Xe \T v1
Boathouse/ Boaliift
Beach Buildo:ing
Othe. at XW
/
SAV observed: c-X&s-' no
Moratorium: <:9P yes no
t
t'i 60,ti.S �
Site Photos: no
..,ee�rs�+,-�ri>,
Riparian Waiver Attached: cWno
A building permit/zoning permit maybe required by:
Permit Conditions _
..
AgentLonorr AAppplicant PRINTED Name
Signature "Please read compliance statement on back of nermH"'
Application Feels) Check InMoney Order
Permit
✓k
❑ TAWPAMlNEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please Initial)
13. 13 c, �} f It �
Issuing Date Exptmtl n Date

�AtomrvNkCAMA ❑ DREDGE & FILL N9 87084 6? B C
o
G E N E RAL PERMIT Previous permit
Date previous permit issued
j� 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:
0
15A NCAC 4 14 • Ids ❑ Rules attached. ® General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name Ner 1a ` M !\ S-FQSSi
Address 3fQte
city Finic%6 ra State Iwl� zip ajo4 yB
Phone#(41O) ;rZ3-53btc
Email YVY SArOSS; a Ia c701, CNn'1
Authorized Agent CI -IV/ SI'Ar.G_ C6Y-K 0�0fo j•,..rt
Project Location (County): Ida +C-
Street Address/State Road/Lot #(s) a C 4 l- I3 a V N r. r �,a } 10 14
Subdivision AVala g2r c.h A"rA-x 3 `, 3
city K)1 UVA RAIIS ZIP Q7144%
Affected ❑ CW EW 1�71PTA ❑ ES ❑ PTS Adj. Wtr. Body C� V�Y%11-- CC4u k l�i0-an/unk)
AEC(s): ❑ OEA n IHA n uW ❑ SPIMA ElPWS Closest Mal. Wtr. Body A I r,}l,rvv, r (t Srr., n n
ORW: yes PNA: yes
Type of Project/Activity X IJ lZoo� otrtr 2y4si,q le X IOC t��nnr 12V. fn and
+11, tC4t lour la4*rrv\ (Scale:N,T,S,)
Shoreline Length ,5ro
Access Length
Pier (dock) length ✓\ fD
Fixed Platforms) wl ypf t�
I `t I e k
Floating Platform(s)
Finger pier(s)
Co 111 wn nee _11
� H
Total Platform area �fS'
Groin length/it
Bulkhead/ Riprap length
Avg distance offshore �, ,f}ohhonCt� ILsu(- putt
Breakwater/Sill
Max distance/ length 1 \sue
Ex,'T.ap,les
Basin, channel
�ja y
Cubic yards
Boat ramp ��'► ` \�
Boathouse/Boatlift \
Beach Bulldozing
Othe a Xldr Q0.a�o\.c✓ \s
extsl�nt. P1A}{orml `
SAV observed: C::�D no r
Moratorium: GfL+' yes no r
Site Photon, <=2X7> no
Riparian Waiver Attached: cf�r no
A building permit/zoning permit may be required by: Kill lR\t A kffis
Permit Conditions
AND CONDITIONS
or Applicant PRINTED Name
Permit
illip
v ��0.SStt
s\
sc
l..
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
See additional notes/conditions on back
VENT. (Please Initial)
Signature -*Please read compliance statement on back of permit"
Application Feels) Check q/Money Order
Vla�l3�aor�� Hfltlaoa4
Issuing Date Expiration Date

Vdi`°"'",';]CAMA El DREDGE & FILL N9 87084 a' B C D
IPrevious permit
,o[
a GENERAL PERMIT Date pre io spermit 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:
I SA NCAC -{ "i• 11..;,-' ❑ Rules attached. R General Permit Rules available at the following link: wwwcIeg.nc.gcv/CAMAruIes
Applicant Name i h P-lr SC, ' I
Address ?Ih! �•i �r .I, i�-
City J:,�-r State A^1.) ZIP :31041t
Phone # ( ) + J, Z _s
Email .IP 001
Authorized Agent - - •
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision h"
City
Affected ❑ CW DEW N PTA ❑ ES ❑ PTS Adj. Wtr. Body ('Jl r 11 Yws �i r' It 4 (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body i5 L 4
ORW: yes/no i PNA: yes/nb-
Type of Project/ Activity �t i x 1 _�. hoy otry
)' .ee r)ia,{{.o.nn 1 (Scale:k:.\.S.)
Access LengthI.
Pier (dock) lengthN
Fixed Platform(s)
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Platform area
length/#
Bulkhead/ Riprap length I
Avg distance offshore
Max distance/ length
channel
Cubic yards
:..
Boathouse/ Boatlift■�
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A building permit/zoning permit maybe required by: '. " 0 A )- ,W'
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.
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
(Please Initial)
Signature "Please read compliance statement on back of permit*'
Signature
Application Feels) Check U/Money Order Issuing Date
Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Herb & Marv.Stassie
Mailing Address:
_ 3106 Saturday Ct
Finksbura. MD 21048
Phone Number:
410-703-5366
Email Address:
msta�[e-mail]
I certify that I have authorized Jillian Clark / Shane Clark Construction
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Construct approximately
12x21 gazebo over the existing platform.
at my property located at 2042 Bay Drive
in Dare
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 Owner Information:
s
Signature
Herb or Mary Stassie
Print or Type Name
Owner
Title
Date
This certification is valid through t /

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: Herbert & Mary Stassie
Address of Property: 2042 Bay Drive Kill Devil Huts NQ 2Z248
Mailing Address of Owner: 3106 Saturday Ct Finksbura, MD 21048
Owner's email: mstassieQaol com Owner's Phone#: [phone]
Agent's Name: Jillian Kalis Agent Phone#: [phone]
Agent's Email: iillian(cpshaneclarkconstruction.com
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 proposedr, you musr norrry mn ,.....-• --�•-•
Management (DCM) In writing within 10 days of receipt of this notice. Correspondence should be
mailed to 401 S. Griffin St., Ste. 300, Elizabeth Chii6 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 Mali.
WAIVER SECTION (Choose only onel
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 nless waived by me
(this does not annly to bulkheads or dDrao revetments). If you wi to waive etback, you must sign
the appropriate blank below.)
I DO wish to waive some/all of the 15' setbac Signature of Adj cent Riparian Properly Owner
-OR-
I DO NOT wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property
Typed/Printed name of ARPO: Frank ° .9usiin Tesoriero
Mailing Address of ARPO: 8303 Gentle Brook Ct LaureL. MD 90723
ARPO's email: ARPO's Phone#:
Date: -waiver Is valid for up to one year from ARPO's Signature"
Revised August 2022

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY RECEIVED
(Top portion to be completed by owner or their agent)
Name of Property Owner: Herbert & Mary St
0 E C 0 7 208
Address of Property: 2042 Bay Drive Kill Devil Hills NC 27948 DGM-EC
Mailing Address of Owner: 3106 Saturday Ct Finksburg, MD 21048
Owner'semail: [e-mail] Owner's Phone#: [phone]
Agent's Name: Jillian Kalis Agent Phone#: [phone]
Agent's Email: Gillian@shaneclarkconstruction com
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
I hereby certify that I own property adjacentto the above referenced property. The individual applying forthis
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.
1/ 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
Managerne rgipf nf thiqot. e. 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 consr ere the same as no objection if you have been
notified by Certified Mail.
WAIVER SECTION (Choose only one)
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
nature ofAdja iparian P erty 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:
Mailing Address of ARPO: 915 Drivers Ln Newport News VA 23602
ARPO's email: 1^0A14 %�S�L' CwX.w � ARPO's Phone#: %s! dr7K 2,J
Date: 1 1 1 (I 1 �3 *waiver is valid for up to one year from ARPO's Signature*
Revised August 2022

RECEIVED
DEC 0 1 2023
Such comments will be considered by the Department in reaching a final decision on then�
application. No comment within 10 days of your receipt of this notice will be considered aDCM-EC
objection. If you have any questions on this project, please call me at 740-359-7132, or e-mail
me at iillian aashaneclarkconstruction com.
Sincerely,

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