Lemon, Gina 78333C

WGMA/ O DREDGE & FILL N() 78333 A B / C) D
PERMIT Previous permit#w ❑Modification E)Complete Reissue ❑Partial Reissue Date previous perm t Issued
As authorized by the State of North Carolina, Department of Environmental Quality l a Vv / / ✓�!
and the Coastal Resources Commission In an area of environmental concern pursuant to I SA NCAC
❑R9lesattacped,
Applicant Name' VIG Z �`Project Location: County C�CV f Ci
Address 0 1 J V 1 7 Street Address State Road/ Lot #(s)
City, 1 t F t State,�(�S'ZIP
Phone # (/ ) � —Mail Subdivision / I_/
Authorized Agent c V� �r /11 e1 f ✓ Cityllll `1 A [ f 7 f f f ZIP
C ,W � ❑ PTS Phone # ( )_ er BasinAffecte y
AEC(s)a "" El HHF C IH eA ❑ N/A Adj. Wtr. Body 1 nat'/man lunlm)
❑ PWS
ORW: yes Gv
PNA yes / no Closest Maj. Wtr. Body—
Type of Project/ Activity /
17 rI K a 61
� ro, yl/ ^ %0 V l� (Scale:
Pier (dock)length /1t
Fixed Platform(s) r, - I -I I i Ti i _'^v/" �`�. _ i - J
Floating Platform(s) - ( ��
Finger piers) � ff
Groin length 1-1 � -
Bulkhea8 ra len th j--"
TT
P P 8 qI
v distance offshore
max distance offshore-1
Basin, channel
cubic yards j
Boat ramp
Boathouse/
Beach Bulldozing
Other
Shoreline Length_J_.. f _j ✓ � -� � i .I — -
SAV: not sure yes n I I -- 1
Moratorium: n/a yes n
Photos. 5 e l/
Waiver Attached: yes no__t
A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Special Conditions
�edLJ3Y-<u( i
read compliance statement on bacl<of pet•mit ��
Signature
❑ See note on back regarding River Basin rules.
2�
Check# Issuing Date

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, certifythatthis 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 Resources. Contact the Division of Water Resources 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
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/1-8884RCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -
North of New River Inlet- and Pamlico
Counties)
Elizabeth City District
401 S. Griffin St.
Ste. 300
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 - South of New River Inlet -
and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/ 17

❑DREDGE & FILL N° 78333 A B / C / D
G NERAL PERMIT Previous permit# l/
ew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous perjm/It issued
As authorized by the State of North Carolina, Department of Environmental Quality '�} is[�v
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC , / (((///��` /
/� ❑ R les attached.
Applicant Name /I sl hG , t U Project Location: County
City �� l rr 1j StagZIP LL
Phone # (/ ) %v Mail
Authorized Agent CV -el-11
PTA ��. ElPTS
AffAEected OFA F ❑ IH �O UBA ❑ N/A
❑ PWs:
ORW: yes 6
no PNA yes no )
Type of Project/ Activity 0 �^•(
Street Address/ State Road/ Lot #(s)
Subdivision /
City / it A f ( ZIP !?Z
Phone # Riyer Basin CA y /tom%
Adj. Wtr. Body Z nat man unkn
Closest Maj. Wtr. Body
/2dor(t,
(Scale:
Pier (dock) length (IVLI
Fixed Platform(s) Lt
Floating Platform(s)
Finger pier(s)
Groin length
r
Bulkhead iprap length
vg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp'
Boathouse/ oatlif
y
1 (
_,.
I
.- ..../ ,�I�-, •
h p
k
D
-
I
T
Ll —
�—
- T--�
Beach Bulldozing
Other
Shoreline Length
SAV: not sure yes no
Moratorium: n/a yes n�/��J
Photos: es
Waiver Attached: yes no
A building permit may be required by: C CSee note on back regarding River Basin rules.
( Note Local Planning jurisdiction)
Notes/ Special Conditions • IL / �/� `� (� `�
X Agent or Applicant Printed Name Permit Officer' P
Y'
Sig t Please read compliance statement on back of permit" Signature '
ation Fee(s) Check# Issuing Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address:
Phone Number:
Email Address:
Gina Lemon
6313 Lake Road
Mint Hill NC 28227
704-650-9954
[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:
dock
at my property located at 230 Buster Road
in Carteret County.
Demo, Construct a seawall and a hogslat
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.
Prope Owner Information:
Signature
Gina Lemons
Print or Type Name
Owner
Title
1 I 8 1 2021
Date
This certification is valid through 6�! 81 1 20 2�

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Gina Lemons 's
property located at
230 Buster Road (Name of Property Owner)
(Address, Lot, Block, Road, etc.)
on White Oak in Carteret N.C.
(Waterbody) (Cltyrrown and/or County)
The applicant has described to me, as shown below, the development proposed at the above
I o ti rH
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 /n description below or attach a site drawing)
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.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature
Gina Lemons
Print or Type Name
6313 Lake Road
Mailing Address
Mint Hill NC 28227
Qtyy/state/Zpi'
704-650-9954
Telephone Number/email address
Owner Information)
2ture* or Tvne Name
Telephone Number/i6mail address
Date*
(Revised Aug. 2014)
`Valid for one calendar year after signature*
L"

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Gina Lemons ,s
property located at
230 Buster Road (Name of Property Owner)
(Address, Lot, Block, Road, etc.)
on White Oak 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
Io ation.
I have no objection to this proposal.
I have objections to this proposal.
v DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
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 y{ou 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) (Adjacent Propert Ow r Information)
Date
Name
email address
*Valid for one calendar year after signature*
email address (y
O o `I lr PC.. r f
urn_
(Revised Aug. 2014)