Heiner, Mike 84101C

CAMA EONEOGE&FILL ABCD
GENEPqL PERMIT Date previous permit issued
I New I Modification ! Complete Reissue E Partial Reissue
As authorized by the State of North Carolina, Depanment of Environmental Quality and the Coastal Resources Commission in an area of environmental concern Pursuant to:
tsANCAc tr Rules attached.
N9 84101
Prenrious permit
General Permh Rules available at the following link: www.dE.nc.8ov/C,AMArules
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Applicant Name
Address
Ciq/
Phone#t t fl
Emdl
Authorized Agent
Proiect Location (County):{:l
State ztP Street Address/State Road/Lot #(s)
Subdivision
City
Affected
AEC(s):
ORW: yes/no
[]cw
Eo*
Ert
Iserua
Inrs
flrws
Adi.Wtr. BodEWPTA
[rxa f]r*
PNA: yes/no
Closest Mal. Wtr. Body
Type of Proiect/ Activity
(Scale:
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+
Shoreline Length
Access Length
Pier (dock) length r tq l'*irl.-fFixed Platform(s)
Floating Platform(s)
ru
Finger pier(s) -* ^ :*iu'
Groin length/#
Bulkhead/ Riprap length
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--t
I-+
*-r*
-i-r-n
t
ry+
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T
I
-_.L---1.*lUK+-J-
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TAvg distance offshore
Breakwater/Sill
Max distance/ length
-
l*+L--f
L,--ltrBasin, channel
Cubic vards
Boat ramp
Boathouse/
Beach Bulldozlng
Other
Permit Conditions
!I WT
fr
L
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SAV observed: yes no
Moratorium: n/a yes no '
Site Photos: yes no .
A building permit/zoning permit may be required by:
[e
*fft*
,r I I
/'f
r+! rnvenmlNEUS?BUFFER (circre one)
! S"" note on back regarding River Basin rules
! S"" additional notes/conditions on back
I AM AWARE OF STATUTES, CRC RUTES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPTIANCE STATEMENT. (Please Ini6al)
Permit Officer's PRINTED Naine
Signature
Agent or Applicant PRINTED Name
qfi
Application Fee(s)Check #/Money Order lssuing Date Expiration Date
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7tD
Total Platform area _
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Signature 'tPlease read compliance statement on back of permit**/q,/e
Statement of Compliance and Consistency
This permit is subject to compliance with this application and permit 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 from the adjacent riparian property owner(s)
has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(s).
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar - Pamlico River Basin Buffer Rules Neuse River Basin Buffer Rules
lf 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. lf you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-795-72L51.
Notes/Additional Permit Conditions:
Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland location.
Division of Coastal Manaeement Offices
Morehead City Headquarters
400 Commerce Ave Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST Fax: [phone]
(Serves: Carteret, Craven - south of the Neuse River, Onslow
Counties)
Elizabeth City District
401S. Griffin St. Ste. 300
Elizabeth City, NC 27909
252-254-390L
(Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford,
Pasquotank and Perquimans Counties)
http ://po rta l. ncde n r.o rgl w eb / cm/dcm-home
Washington District
943 Washington Square Mall Washington, NC 27889
2s2-946-648L
Fax:[phone]
(Serves: Beaufort, Craven - north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext. Wilmington, NC 28405-3845
910-796-7zLs
Fax: [phone]
(Serves: Brunswick, New Hanover and Pender Counties)
Revised 5/01/2021
Ecarrna EoneocE&FILL ABCD
GENER/AL PERMIT Date previous permit issued
! New ! Modification ! Complete Reissue E Partia! Reissue
As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concem pursuant to:
I5A NCAC f] Rules attached. ! Ceneral Permit Rules available at the following link: www.deo.nc.gov/CAMAnrles
N9 84101
Previous permit
Applicant Name
City State ztP
Authorized Agent
Proiect Location (County):
Street Addressfitate Road/Lot #(s)
Subdivision
City
Phone#(-)
7t0
Address
Email
Affected
AEC(s):
ORW: yes/no
lcw Er* I"ro E.t
f] sernna
E"rt
!rws
Adi.Wtr. Bod
Closest Mai. Wtr. BodyOEAtHAuw
PNA: yes/no
Type of Project/ Activity
(Scale: )
Shoreline Length
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/# '
.,
Bulkhead/ Riprap lengh
-
Avg distance offshore _
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
'.*l*-r
Hfr
L__.:--i-L-t
*fi*T
#J
H--Ht-{
*YT1
-J---+---tJ-JJ}:fllFffi
Boat ramp
-
ffi
1.,, r r
J i.l+ {- I.{-"#
J',irl
#{fl*l I I{rit
-L-i { I
.."''"r'.--''"'.{..""."""*#,--H
{iffi*..J-&-r.-J-l-l. l
I l-1;f rr-[i: rT Fi;T;rrrI
,4*"+\}
*J*J*L--I"-J-J
Boathouse/ Boatlift
Beach Bulldozing
Other
f+. lt rl
"+-- { j.rti-i*{"-*!ll
SAV observed:
Moratorium: n/a
Site Photos:
Riparian Waiver Attached
yes no
yes no
yes noyes no
:Ifll
A building permit/zoning permit may be required by: - i ,
Permit Condidons
**YT*
I AM AWARE OF STATUIES, CRC RUTES AND CO EWED COMPLIANCE STATEMENT. (Please lnltial)
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature **Please read compliance statement on back of permit**SiSnature
Application Fee(s)Check #/Money Order lssuing Date Expiration Oate
iard*lI..i.I Iil
rT-1
+#ffi
ffi
l-
+{-
wffi&iFEf rfi
! rnVmmf.rEUsE/BUFFER (circte ore)
! S"" note on back regarding River Basin rules
n See additional notes/conditions on back
Statement of Compliance and Consistency
This permit is subject to compliance with this application and permit 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 from the adjacent riparian property owner(s)
has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(s).
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar - Pamlico River Basin Buffer Rules Neuse River Basin Buffer Rules
lf 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. lf you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (9LO-796-72L5).
Notes/Additional Permit Conditions:
Please ensure all debris associated with the remova! or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland location.
Division of Coastal Manasement Offices
Morehead City Headquarters
400 Commerce Ave Morehead City, NC 28557
252-808 -2808/ 1-888-4 RCOAST Fax : [phone]
(Serves: Carteret, Craven - south of the Neuse River, Onslow
Counties)
Elizabeth City District
401 S. Griffin St. Ste. 300
Elizabeth City, NC 27909
252-264-3907
(Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford,
Pasquotank and Perquimans Counties)
http ://porta l. ncd e n r.o r g/ w eb / cm/d cm-hom e
Washington District
943 Washington Square Mall Washington, NC 27889
252-946-648L
Fax:[phone]
(Serves: Beaufort, Craven - north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext. Wilmington, NC 28405-3845
9t0-796-7275
Fax: [phone]
(Serves: Brunswick, New Hanover and Pender Counties)
Revised 6/01/2021
AGENT AUTHORTZATTON FOR CAMA PERUIT APPLTCAT|ON
Name of Properly Owner Reguesting Permit:MIKE
Mailing Address:402 SEA GATE DRIVE
NEWPORT, NC 28570
Phone Number:919-3694811
Email Address:[e-mail]
lcertify that I have authoriZed DENNIS & SONS MARTNE coNSTRUcTtoN, LLc
Agent I Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
INSTALLATION OF 155'OF BULKHEAD la.x
at my property located s1 402 SEA GATE DRIVE NEWPoRT, NC ,
11 GARTERET
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 agenfs to enter
on the aforementioned lands in connection with evaluating information related to this
permrt application.
Property Owner
Q{M,
Gounty
/il!frT'**Hn,il'e.r
Print or Type Name
ovne{
Title
z/
Date
6
This certification is valid through 12 31 2421
N.C. DIVISION OF COASTAL MANAGEMENT
ADJAC ENT RIPARIAN PROPERTY OWN ER NOTIFICATION/WAIVER FORM
CERTIFI ED MAIL RETURN REC REQUESTED oT HAND DELIVERY
(Top portion to be completed by owner or their agent)
€Name of Property Owner:
Address of Property
Mailing Address of Owner:,*)rn( tl.\ olnvp
owneds emair: EtlS '(F@6' ttt,CAq owner's phone#: 0iq -?Aq - UBt t
Agent's Name: DENNIS & SONS MARINE CONSTRUCTTON, LLC
Agent Phone: [phone]
Agent's Email: DSMCLLC@GMAI L.COM
NC vo
ADJACENT RIPARIAN PROPERW OWNER'S CERTIFTCATTON
(Boftom portion to be comoleted by the Adjacent Property Owner)
I hereby certify that I own properg adjacent to the above referenced
permit has described to me, as shown on the attached drawing,
i properg. The individuatapplying forthis
the development they are proposing. A
I DO NOT have objections to this proposal._ I DO have objections to this proposal.
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence shoutd be
mailed to 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted
at [phone]. A/o response is considered the same as no objection if you have been notified by
Ceftified Mail.
WAIVER SECTION
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or
groin must be set back a minlmum distance of 15' from my area of riparian access unless waived by me
(this does not apply to bulkheads or riprap revetments). (lf you wish to waive the setback, you must sign
the appropriate blank below.) r\
I DO wish to waive some/all of the 15' setback
Signature of Adjacent Riparian
-oR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO:1-//
Owner
ARPO's Phone#:fo ( *(1 'lc2G
Mailing Address of ARPO:
ARPO's emai!:
up to one year from ARPO's Signature*oate:\'L- ?\*waiver is valid for
Revrsed May 2021
N,G. DIVISION OF GOASTAL iiANAGEilIENT
ADJACENT RIPARIAN PROPERW OYV]TER NOTIFICATION/WAIVER FORM
CERTIFIEP_MAIL ' RETURN RECEIP'T REQUESTED or HAND DELIVERY
(Top portion to be completed by owqer or their agent)
owner l{},olorl * l,^,ln ile,, nsrName of Proper$
Address of Property:{o €A.W ,f ,f - M51o
Mailing Address of Owner:
owners email: EKS mi le g. t',ro'l -*'**^,er's phone#, il{' 34'i#//
Agent's Narne: DENNIS & SONS MARINE CONSTRUCTION, LLC
Agent Phone: [phone]%2
Agents Email: [e-mail]
ADJACENT RIPARIAN PROPERW OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adieqent Property Owner)
t hereby cer$ry that I ovun property adjacentto the above reierenced properly. The individual applying for this
permit has described to me, as shown on the attached drawing, the development they are proposing. A
I DO NOT have objections to this proposal._ I DO have objections to this proposal
llanagement (DCrl) in wriling wlfrfin 1A days of recelff of ffir.s notice. Correspondence should be
malled to 10O Commerce Ave., torehead Ctty, NC 2E557. DC/trf rcpresentafrves can also be contacted
at (252) 8AE-2808. Alo response Is considered frrc sr,me as ro objectlon it you have been notifid by
Cefttfied Nail.
WAIVER SECTION
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or
groin must be set back a rninimum distance of 15' from my area of riparian access unless waived by me
(this does not appty to bulkheads or riprap rerretments). (lf you wish to waive the setback, you must sign
the appropriate blank below.)
I DO wish to waive some/allof the 15'setback
Signature of Adjacent Property
-oR-
I do notwish to waive the 15'setback requirement (initial the
Signature of Adjacent Riparfan
Typed/Printed name of e r
illailing Address of f-<f
Phone#:
j
)t"
4
re*Date:*waiver is valid for up to one yearfrom ARPO's
Revrsed May 2021
}I
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