Werv, LLC

CAMA / ❑ DREDGE & FILLS 78443 A B C D
GENERAL PERMIT ! Previous permit#
❑ . ew DModiflcation ❑Complete Reissue ❑Partial I eissue Date previous permit issued
n i l
As authorized by the State of North Carolina, Department of EnvirE��iYaenta1eQuality / �/ � ")
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC / ( �•
(T1 Ryles attached.
Applicant Name��-�l i� V� --�-� i` Project Location: County l �( 7 f' I i J/
Address I V7
Citv
Phone # (�)_
Authorized Agent
Affected —CW
AEC(s): ❑OEA
❑ PWS
ORW: yes /(r(o
'-[�]EW TA
❑ HHF IH
PNA yes
Type of Project/ Activity
Pier (dock) length
Fixed Platform(s).���
Floating Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Poprap length_
avg distance offshore
max distance offshon
Basin, channel
Boat ramp
Boathouse/
Beach
Other
Shoreline Length
SAV: not sure yes r-O
.—
Moratorium: n/a yes Photos: yes
Waiver Attached: yes i0
v
A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Special Conditions
Agent or Applicant Printed Name
❑ES ❑PTS
❑ USA ❑ N/A
Street Addre s/ S to load/ o #(s)
)i
_ Subdivision 'l 7
City /�, ;�" (l % zip i
Phone # ( ) - (. i 0RiverBasini r
Adj. Wtr. Body Y (i(<< >i ; < C dnat /man /unkn)~
Closest Mal. Wtr. Body
- /, _
(Scale: )
❑ See note on back regarding River Basin rules.
Permit Officer's Printed( Name /.
Signature *" Please read compliance statement on back of permi
Application Fee(s) - Chec #

01Z'r� Dv�c�-�
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Ter glten k/zfg 1 L
Mailing Address: 1463 Highway 24 East
Newport 98570
Phone Number: 252-247-0494
Email Address: [e-mail]
I certify that I have authorized Harber Marine 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: nAmn and rppdanA with hn�
dock with handrails
at my property located at 1463 Highway 24 Newport NC 28570 Waters Edge RV Park
in Carteret 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:
Signature
Tom Singleton fif I i n ��i r, n ivE�i c L t
Print or Type Name
Owner 17717/y/76�E, a Cltt/ LLC,
Title
/o
Date
This certification is valid through 12 1 31 1 20
Y
RECEIVED
JAN 16 2020
DCM41WD CRY

II!lIJI�II OCI'I i ICUI "0A)'CrV-tl.)CIS--1:1Vr\-`IA-:\-YUI'.)II-
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Tom Singleton Waters Edge - V `L1i ✓2U's
(Name of Property Owner)
property located at 1463 Highway 24 Newport NC 28570
(Address, Lot, Block, Road, etc.)
on Bogue in Carteret
(Waterbody) (City/Town and/or County)
N.C.
The applicant has described to me, as shown below, the development proposed at the above
((�'' % 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)
RECEIVED
JAN 16 2020
WAIVER SECTION DCM.MHD CITY
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 15' setback requirement.
(Property Owner Information)
Sl�l'!an[7"F
Tom Singleton 1 /i:vo,;; lv,
Print or or Type Name
Mailing Ad re
Nawnnri Nr. 98q7Q
Cty/Statep
252-247-0494
Telephone yumber / email address
Dutr
'Valid for one calendar year after signature'
(Adjacent Property Owner Information)
S(�'17 [7It0'P°
Carol Singleton Trustee and Joan Gold Trustee
Print or Type Name
293 Whaley Lane
Mailing Address
Newport N( 28570
City/State2ip
Telephone Number/email address
Dwe`
(Revised Aug. 2014)

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JAN 16 ZON
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Tom Singleton Waters Edge RV Park klklt r/
(Name of Property Owner)
property located at 1463 Highway 24 Newport Nc 28670
(Address, Lot, Block, Road, etc.)
on Bpque in Carteret N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
to
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)
RVc-IVF.D
AW 161020
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.)
l
ZO -J do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement,
(Property Owner
Infoi
/
Signature
Tom Sinaleton_ Ah_2j
Print or Tvoe Name
Mailing Address
Newport NC 28570
Cky/state2ip
252-247-04g4
Telephone Numberl email address
Date
`Valid for one calendar year after signature'
(Adja n Property O ner Information)
G *
slgnat
r:rpnnnr I Pwis - —_
Print or Type Name
1451 Highway 24
Mailing Address
Newport NC 28570
c; sta t ip G � S
Telephone Number/email address
I J/„ Ja ai 4
Date*
(Revised Aug. 2014)