Hall, Jon (2)

®4CAMA / ❑ DREDGE & FIIt.L No. 73451
—. A B C D
GENERAL PERMIT Previous permit#
KNew ❑Modification El Complete Reissue ❑Partial Reissue Date previous permit issued
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 % f/. / /.,"
QRules attached.
Applicant Name Project Location: County Vr .
Address
i, I ,
City_''n + �t StateA). ZIP ill
Phone #
( ) / /` E-Mail
Authorized Agent
Affected GW ❑ EW ❑ PTA ❑ ES �NPTS
AEC(s): El OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes / Ino-) PNA yes
Type of Project/ Activity
Pier (dock)length
Fixed Platform(s)
9"
Floating Platform(s)
Finger pler(s)
Groin length
num er
Bulkhegd/' iprap length /`' avg distance offshore
max distance offshore
Basin, channel
cubic yards '
Boat ramp
Boathouse/ Boadift /
Beach Bulldozing /
Other
t -
Shoreline Length --
SAM not sure yes rn
Moratorium: n/a yes
Photos: yes _
Waiver Attached: yes
A building permit may be required by:
( Note Local Planning Jurisdiction) ;
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit'r*
Application Fee(s) Check #
Street Address/ State Road/ Lot #(s) /' ' j
fit,^ i /i
Subdivision 1 V `
City ZIP
Phone # O River Basin
f
Adj. Wtr. Body-f I � l '- : Y: , (nat lman�/unkn)
Closest Maj. Wtr. Body ".
i
(Scale:
See note on back regarding River Basin rules.
(,�i
PermitOffJcer's Printed Name I
i
Signat re
issuing Data Expira— tt�ate

AGENT AUTHORIZATION FORM FOR PERMIT APPLICATIONS
Name of Property Owner Applying for Permit: Mr. Jo i Hall
Mailing address: 105 Knotline Read
Telephone Number:
[phone]
I certify that 1 have authorized Decks N' Docks Construction, Inc, (agent/contractor),
to act on my behalf, for the purpose of applying and obtainir g all CAMA permits
necessary for the proposed development of Bulkhead, Dock, Boat Lift
at my property located at 105 Knotline'Road - Riverbend
This certification is valid through
(Property Owner Information)
ignature�
0A) I
Print or Type Name
2/1/2020 (one year)
_ Owner of property
Title; co. owner or trustee for property
r 19
Date
[phone]
Telephone Number
[e-mail]
(date).
Email Address

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Jon & Brenda Hall 's
(Name of Property Owner)
property located at 105 Knotline Road New Bern, NC 28562
on Channel Run Canal off Main
(Waterbody)
ss, Lot, Block, Road, etc.)
in Craven County/Rivgrbend N.C.
(City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
local igrh
1r-�J I have no objection to this proposal.
—" Please initial one.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must till in description below or attach a site drawing)
128'x4' Vinyl Navy Bulkhead with (2) 15' Vinyl Wingbacks - 4' high tapered to grade
4'x98' Hurricane Reinforced Dock
3'xl5' & 3'x32' Hurricane Reinforced Catwalks
10'x10' Deck Area
15'x34' Boat House Roof
- (2) Anchoring Davits attached to dock'*
- 16,OOOIb. Boat Lift underneath boat house
**See drawing.
** See drawings for construction specifications.
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 15' setback requirement. Please initial one.
A/ I do not wish to waive the 15' setback requirement.
(Property Owner Information)
(Adjacent Property Owner Information)
e
On Authorized Agent form.
wry IA
Signature
Signature*
Jon & Brenda Hall
Kristen Berton
Print or Type Name
Print or Type Name a
1871 Jennifer Lane Unit 204
107 Knotline Road
Malting Address
Mailing Address
Fayetteville, NC 28314
New Bern NC 28562
CiN/State/Zip
City/state2ip ,
(6 0)903/[e-mail]�-i-
Telephone Number/email address
Teleph
ti22�(�
Num
er/emailaddress
2/5/2019
Date
Date*
(Right side neighbor)
Property Address: 105 Knotline Rd.
(Revised Aug. 2014)
*Valid for one calendar year after signature*

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
I hereby certify that I own property adjacent to Jon & Brenda Hall 's
(Name of Property Owner)
property located at 105 Knotline Road New Bern, NC 28562
(Address, Lot, Block, Road, etc.)
on Channel Run Canal off Main Canal in Craven County N.C.
(Waterbody)
Agent's Name #: Jason Hill (contractor)
Agent's phone #: [phone]
(City/Town and/or County)
Mailing Address: 1483 Crump Farm Rd.
New Bern, NC 28562
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
128'x4' Vinyl Navy Bulkhead with (2) 15' Vinyl Wingbacks - 4' high tapered to grade
4'48' Hurricane Reinforced Dock It
T05' & 3'x32' Hurricana Reinforced Catwalks
10'x10' Deck Area
- 15'x34' Boat House Roof
- (2) Anchoring Davits attached to dock
- 16,0001b. Boat Lift undemeath boat house
"See drawing.
" See drawings for construction specifications.
Nyou have objections to what is being propose
(DCM) in writing within 10 days of receipt of
available at http llwww,nccoastalmanaaement.
(Property Owner Information)
On Authorized Agent sheet
Signature
Jon & Brenda Hall
Print or Type Name
1871 Jennifer Lane Unit 204
Mailing Address
Fayetteville, NC 28314
Citylstatalzip
[phone] [e-mail]
Telephone NumberlEmail Address
2/5/2015
bete
Property Address:
105 Knotline Road
notice. Contact information for DCM offices Is
veb/cmistaff-listing orbv callina 1-888.4RCOAST.
Left Neighbor
(Riparian Property Owner information)
signature
Fred & Eleano Jack
Print or Type Name
29 Bradwahl Drive
Veiling
Morristown, NJ 07960
Clty/5tatetZip
0,
Telephone NumberlEmail Address
Date property Address: 103 Knotline Road
(Revised: Aug. 2014)

■_ Complete Items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front If space permits.
1. Article Addressed to: I p \
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Is delivery address different from item 1? ❑ Yet
If YES, enter delivery address below: ❑ No
7014 3490 0002 0397 4933
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Restrioted Delivery
PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt
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Total Postage a Fees
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