Kroboth, Russell

CAMA /A DREDGE & FILL`'
tENERAL PERMIT
Previous permit#
ew ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and
Natural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant
to 15A NCAC
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��r.Appliqpt Printed Name
r s Sature
Perm,tOffi n
Si nature
Please read compliance stateme tjon ba f permit .
Issuing pate
!ApplicationFee( s��)
"' Check#
Local Planning jurisdiction

Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become
null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The
applicant certifies by signing this permit that 1) prior to undertaking any activities authorized by this permit, the applicant will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
landowner(s) .
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certifythat this project is consistentwith the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar- Pamlico River Basin Buffer Rules Other:
❑ Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the
River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of
Water Quality. Contact the Division of Water Quality at the Washington Regional Office (252-946-6481) or the Wilmington
Regional Office (910-796-7215) for more information on how to complywith these buffer rules.
Division of Coastal Management Offices
Raleigh Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax: [phone]
Morehead City Headquarters.
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888ARCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
Elizabeth City District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 08/09/06

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date
Name of Property Owner Applying for Permit:
au 5-52 �t /(o 6o*
Mailing Address:
J Doe-
I certify that I have authorized (agent) 0 r ` Q10d 1�L7 to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits ngcessary to
install or construct (activity) _Q 0
at (my property located at) l� G rJG�G G\oAe.
This certification is valid thru (date)
LA 0
Property Owner Signature Date
RECEIVED
MAY 112015

Kroboth CAMA permit app site drawing
for 1256 Sea Gate Drive
Lot 126
existing septic UWd
F
existing
house
i�
ar
Propose to add Rip Rap
here at end of boat��
basin along sea wall
Vf
Lot 125
Lot 124
existing dock
3
V
RECEIVED
MAY 1 1 1015
N�.wa-twci�,4�lfY

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby ceitify that I own property adjacent to Russell Kroboth and family s
(Name of Property Owner)
property located at 1256 Sea Gate Drive/ Lot 125, Block K, Sea Gate
(Address, Lot, Block, Road, etc.)
on I.C.W. , in Sea Gate subdivision, Newport iCarteret Co.l, N.C.
(Waterbody) (Citytrown and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
x I have no objection to this proposal.
1 have objections to this proposal_
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill In descriptionbelow. or attach a site dra Whg)
Lot 126
Noah
e
ealstfny
twusa J
'q ""'
i
a
v �
w Propose to add Rip Rap u
here at and of boat--->
basin along sea wall
N
Lot 125
Lot /21
WAIVER SECTION
I understand that a 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. (if you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 16 setback requirement-
1 do not wish to waive the 15' setback requirement.
(property Owner information)
Signature
Russell Kroboth
Print or Type Name
3115 Doe Hill court
Mailing Address
Raleigh, NC 27612
Citylstate/Zip
919-270.9747 rusty0krobeirneractive.com
Telephone Numberl email address
April 30, 201S
taare
'Valid for one calendar year after signature'
(Adjacent
t .
Information) RECEIVED
P y�322RNG-
MaingAd �R. 0 V
citylstataq
Telephone Nu ber/emailaddress
S-h
Hale•
(Revised Aug. 2014)
MAY 1 1 1015

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby ceitify that I own property adjacent to Russell Kroboth and family 's
(Name of Property Owner)
property located at .1256 Sea Gate Drive/ Lot 125, Block K, Sea Gate
(Address, Lot, Block, Road, ate.)
on I.C.W. , in Sea Gate subdivision, Newport 1Carteret Co.l, N.C.
(Waterbody) (Cityfrown and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
x I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill In description below' or attach a site drawing)
j Lot 126 ___
Noah
ea�
a
axlrting
housa
O
a
q
Propose to add Rip Rap
hone at mnA of Host
a
basin along sea wail
N
Lot 125
tat 121
WAIVER SECTION
3
I understand that a 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. (if you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 16 setback requirement.
(Pr perty Owner Information) -
Signature
Russell Kroboth
Print or Type Name
311 S Doe Hill Court
Mailing Address
Raleigh, NC 27612 ..
City/statelzip
919.270.9747 rusty&krobeinteractive cons
Telephone Numberl email address
April 30, 201 S
1)nt
'Valid for one calendar year after signature'
(Adjacent Property Owner Information)
Signatu
Print or Type Name
Ma! ng Addiress
' • c ;7"
Owstatef' Ip
Si -
Telephone Numberl email address
IMtt; *
(Revised Aug. 2014)
RECEIVED
MAY 1 1 1015
4.1t: D4-1VJt1ki b1P4

SITE DRAWING/APPLICATION CHECKLIST
Please make sure your site drawing includes the following information required for a CAMA minor development permit.
The Local Permit Officer will help you, if requested.
PHYSICAL DIMENSIONS
Label roads
—� Label highways right-of-ways
Label local setback lines
-Q Label any and all structures and driveways currently existing on property
_%J Label adjacent waterbody
PHYSICAL CIL4R4,CTERISTICS
_ Draw and label normal high water line (contact LPO for assistance)
- L Draw location of on -site wastewater system
If you will be working in the ocean hazard area:
Draw and label dune ridges (include spot elevations)
_ Draw and label toe of dunes
_ Identify and locate first line of stable vegetation (contact LPO for assistance)
Draw and label erosion setback line (contact LPO for assistance)
_ Draw and label topographical features (optional)
If you will be working in a coastal shoreline area
Show the roof overhang as a dotted line around the structure
_ Draw and label landward limit of AEC
_ Draw and label all wetland lines (contact LPO for assistance)
a _ Draw and label the 30-foot buffer line
DEVELOPMENT PLANS
Draw and label all proposed structures
_ Draw and label areas that will be disturbed andlor landscaped
_ Note size of piling and depth to be placed in ground
Draw and label all areas to be paved or graveled
:siShow all areas to be disturbed
_ Show landscaping
NOTE TO APPLICANT
Ilave you:
• completed all blanks and/or indicated if not applicable?
• notified and listed adjacent property owners?
• included your site drawing?
• signed and dated the application?
• enclosed the $100.00 fee?
• completed an AEC Hazard Notice, if necessary? (Must be signed by the property owner)
y.
APPLICATION FOR
CAMA MINOR ,
z
DEVELOPMENT...,
PERMIT
In 1974, the North Carolina General Assembly passed the Coastal Area ManagementAct
(CAMA) and set the stage for guiding development in fragile and productive areas that
t
border the state's sounds and oceanfront. Along with requiring special are by those who
build and develop, the General Assembly directed the Coastal Resources Commission
(CRC) to implement clear regulations that minimize the burden on the applicant.
Thls application fora minor development permit under CAMA Is part of the -
Commission's effort to mat the spirit and intent of the General Assembly. It has been
designed to be straightforward and require no more time or effort than necessary from
the applicant. Please go over this folder with the Local Permit Officer (LPO) for the
locality in which you plan to build to be certain that you understand what information he
p
or she needs before you apply.
r
Under CAMA regulations, the minor permit is to be issued within 25 days once a
^�
complete application is in hand. Often less time is needed if the project is simple. The
process generally takes about 18 days. You an speed the approval process by making
certain that yourapplication is complete and signed, that your drawing mats flit
specifications given inside and that your application fee is attached.
Other permits art sometimes required for development in the coastal area. While these
are not CAMA-related, we urge you to check with the Local Permit Officer to determine
which of these you may need. A list is included on page two of this folder.
We appreciate your cooperation with the North Carolina Coastal Management Program
and yourwillinguess to build in a way that protects the resources of our beautiful and
productive coast.
Coastal Resources Commission
Division of Coastal Management
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DCM Form E81952-201N9naed April 2010
_

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Locality- Pemrit Number
Ocean EstuarineShorelincv~^ ORWShorelinc'' PublicTmstShorelme Other
(Fora,are anly)
GENERAL DNFORI
LAND OWNER
Name Russell Kroboth
Address 3115 Doe Hill Court
City Raleigh State NC Zip 27612 Phone [phone]
Email [e-mail]
AUTHORIZED AGENT
Name John Brooks, Cape Lookout Marine
Address
City Harkers Island State NC
Email none
Zip Phone [phone]
LOCATION OF PROJECT: (Address, street name and/or directions to site. if not oceanfront, what is the name of the
adjacent w•aterbody.)1256 Sea Gate Drive
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) Add rip. rap to Seawall
SIZE OF LOT/PARCEL: square feet 0•5 acres
PROPOSED USE: Residential 0 (Single-family ❑ Multi -family ) Commercial/Industrial Other
COMPLETE EITHER (1) OR (2) BELOW (Cantact)vur Local Permit Ojker iIfyou are not sure which AEC applies
to your property):
(1) OCEAN HAZARD AECs: TOTAL FLOOR AREA OF PROPOSED STRUCTURE: square feet (includes
air conditioned living space, parking elevated above ground level, non -conditioned space elevated above ground level but
excluding non -toad -bearing attic space)
(2) COASTAL SHORELINE AECs: SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT
UPON SURFACES: _ square feet (includes the area of the rooUdrip line of all buildings, driveways, covered decks,
concrete or masonry patios, etc. that are within the applicable AEC. Attach your calculations with the project drawing.)
STATE STORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to a State Stormwater
Management Permit issued by the NC Division of Water Quality?
YES= NC
if yes, list the total built upon arealimptxvious surface allowed for your lot or parcel: square feet
OTHER PERMITS MAY BE REQUIRED: The activity you are planning may require permits other than the CAMA
minor development permit, including, but not limited to: Drinking Water Well, Septic Tank (or other sanitary waste
treatment system), Building, Electrical, Plumbing, Heating and Air Conditioning, Insulation and Energy Conservation, FIA
Certification, Sand Dune. Sediment Control, Subdivision Approval, Mobile Home Park Approval, Highway Connection, and
others. Check with your Local Permit Officer for more information.
STATEMENT OFOWNERSHIP: y
1, the undersigned, an applicant for a CAMA minor development permit, being either the owner of property in an AEC or a
person authorized to act as an agent for purposes of applying for a CAMA minor development permit, certify that the irerson
listed as landowner on this application has a significant interest in the real property described therein. This interest can be
described as: (check onel 1
Lr b'm owner or record title. Title is vested in Lot 125 Block K, Sea Gate , see Decd Book 8
page 90 in the Carteret County Registry of Deeds. -
Qan owner by virtue of inheritance. Applicant is an heir to the estate of
probate was in County.
Df other interest, such as written contract or lease, explain below or use a separate sheet & attach to this application.
NOTIFICATION OFADJACENT PROPERTY OWNERS:
I furthermore certify that the following persons are owners of properties adjoining this property. I affirm that I have given
ACTUAL NOTICE to each of them concerning my intent to dc�vlop this property and to apply for a CAMA permit.
(Name) r (Address)
(1) Larry Barbour, 4457 NC HWY 210, Smithfield, NC 27577
(2) Dorothy Day, 226 Drake Landing, New Bern, NC 26560
(3)
(4)
AC"OWLEDGEMENTS:
1, the undersigned, acknowledge that the land owner is awarethat the proposed development is planned for an area which
may be susceptible to erosion and'or flooding. I acknowledge that the Local Permit Officer has explained to me the particu-
lar hazard problems associated with this lot. This explanation was accompanied by recommendations concerning stabiliza-
tion and floodproofing techniques.
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.
This the 30th day of April .20 15
as hisiher agent for purpose of filing a CAMA permit application
This appheadon include- general information (this farm), a site drawing as described on the back of this application, the
ownership statement, the (bean Hazzard AE (' hbtice where necessary, a check for S100.00 made payable to Cite locality, and
ant• information as may be provided orally by the applicant 71te details ofthe applicatiarr at described by these sources arc
incorporated without mfereme in any permit which may be issued Deviation from these details will constitute a violation of
anypermu. Anv person developing in an AfiC without permit is subject to civil, criminal and administrative action.