87250A - Madden, James and Charlynne

❑CAMA ❑ DREDGE & FILL N® 87250 A B C
R GENERAL 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.gov/CAMArules
Applicant Name
Address
City " State
Phone # ( )
Email
ZIP
Authorized Agent F. wie'+ a; ? r�,1 , r„ L , V> Ci c'[
Project Location (County): C,: I. ff' t Y ,_C i .('
Street Address/State Road/Lot#(s) 1 ?wa
Subdivision
City
r sJ �S) .7
Affected ❑ CW ❑ E W ❑ PTA ❑ ES R. PTS Adj. Wtr. Body i.) i i i .t t + °+C. \ N F_' w !(nat)man/unk)
AEC(s): ❑OEA ❑IHA ❑UW SPIMA ❑PWS Closest Maj. Wtr. Body
ORW: yesJnoi PNA: yes/no
Type of Project/ Activity t mac; t z.f A, i•,. r3
Shoreline Length 1 o 4
Access Length
Pier (dock) length
Fixed Platform(s),
Floating
Finger pier(s)
Total Platform area i
Groin length/q
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill y_ y
Max distance/ length d
Basin, channel 1�
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: t.L C v' t'6' U. e-- C. x.r.)14 xJ
Permit Conditions
(Scale: I' :zc1' )
❑ TARJPAM/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)
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature "Please read compliance statement on back of permit' Signature 9 /
Application Feels) Check tf/Money Order Issuing Date Expiration Date

I -. 1, , ,, i.s i I i 44LA-UWUFACiC32U,16B
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: James and Charlyne Madden
Mailing Address: 132 Londonderry Lane
Williamsburg, VA 23188
Phone Number: 757-897-0217
Email Address: [e-mail]
I certify that I have authorized Emanuelson and Dad
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 104' tong vinyl bulkhead with t-a'
return
at my property located at 106 North River Street Jarvisbur
in Currituck County.
1 furthermore certify that f 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
Signature
James Madden
Print or Type Name
Title
3/16/2C24 1
// Date
This certification is valid through

37�
s.� F
I

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
EC RTIFIEp MAIL RETURN RE�„EIPT REQUESTEDor HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: James and Chariyne Madden
Address of Property: 106 North River St, Jarvisburg NC 27947
Mailing Address of Owner. 132 Londonberry Lane, Williamsburg VA 23188
Owners email itl"i 440gs-L .
Agent's Name: Emanuelson and Dad
Owner's Phonell: 757-897-0217
Agent's Email. [e-mail]
Agent Phone#:[phone]
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
I hereby certify that I own property adjacentio 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
descriotion or drawing with dimensions must be provided with this letter.
mme-arwx�ake ca 4_0 1 DO NOT have objections to this proposal. _ 100 have objections to this proposal.
it you nave objections to writ is Demg proposed, you must noury the N.C. OlVtSlon of Coastal
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
malted to 401 S. Griffin St, Ste, 300, Elizabeth City, Ni 27909. DCM representatives can also be
contacted at [phone]. No response is considered the some 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 16' from my area of riparian access unless waived by me
(this does not apply to bulkheads or dprep revetments). (if you wish to waivee the setback. you must sign
the appropriate blank below.)
I DO wish to waive sometail of the 15' setback
`r.ItiaOuwn a°n""""k° ow' k Signature of Adjacent Riparian Property Owner
-OR-
I do not wish to waive the 1S• setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of'ARPO: l04 666e)
Mailing Address of ARPO:
ARPO'semail: 0�!Il Yfa G.iaL%1't)Ofl CIi((1RPO's Phono#: ���— ,'�•� -i3'
Date: %- 2-2 2y 'waiver is valid for up to one year from ARPO's Signature'
Fill out and sign bottom portion Revised July 2021
t/

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