84951_Pcosin Arts Inc._20211101

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igiCA16HA )14,DREDGE & FILL N9 84951 A Z c D
f. i . - GENERAL PERMIT t '1 SV Previous perm M�c+
t�, Date previous permit issued NV/
-- _. New Modification� ❑ ❑Complete Reissue ❑Partial Reissue
As authorized by the State offVorth Carolina,Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC 81 i4 9 Q[DO ❑Rules attached. ig General Permit Rules available at the following link:wwwdeq.ncgov/CAMArules
Applicant Name 90Lt y t r iPor . .-Yl L• Authorized Agent ill Pit t< Ki 13
Address .t`�.
/� � _
X (A 41 V Project Location(County): '� r'c r<LL..-
Gty �-�r'71IAvyt1:7l Cc State 84 C ZIP StreetAddress/State Road/Lot#(s)
Phone#(Z2.) 3-910- 113 1r I b 1- l }o - r. 0dC-ev- 5$r c
Email Subdivisionsi� g NJ 114
City (. L,.g phff ZIP ,,t 19
Affected ❑CLN NEW ®PTA EgES Km Adj.Wtr.Body S. p llerft if, gI%J man/unk)
AEC(s): OEA ElIHA UW ❑SPIMA PINS Closest Maj.Wtr.Body P'9 befin u,s-,e tel
ORW:yes/no PNA:yes/no
Type of Project/Activity+ ' /(r �' fog' aP etul bens �- a. 0, i rvs t �Se'
�iUa 9,,Ag-A Q�- .- i5.141,3 lk -... (Scale: )
Shoreline Length I -6,
Access Length '''.---.'--- 5 kie�
Pier(dock)length ,/"� C 6
Fixed Piatform(s) r �5 7 � r ;cr
Floating Platform(s) -•� �V'" �� r- e ��
9 ie
Finger pier(s) ` `z ViMIMi r nsc t4 c
� ? 0�� °-s
Total Platform area
Groin length/ff ! ee��"(c � �.��`I. { �s
i `.f•Riprap length E/ / �1 J ✓u ",t�
Avg distance offshore 2.' 4- `'2
1-
Breakwater/Sill I eIct s r,'vc
Max distance/length I 9 ., r'
Basin,channel ' 'Cubic yards "s fU+
Boat ramp d+7 it `s's°k.z S'
Boathouse/Boatlift e S L� `yttE
Beach Bulldozing O =/ , , o °A
Other ° d�r� �t q c l
5AV observed: yes \) l ._ - - '�no 4
ELratheci:
Cl nod Pam? (AT
o ( �A building permit/zoningAy perm4Cfpnay r uire�gby: / y1f1f��1 v1
PermitCrdi/lions b�t�.0 C/(Afk e ✓ (11ftt ti ceeb "Ai 'a�r ❑TAR/PAM/NEUSE/BUFFER(circle one)
t&)L'°`tA) 0+' -fhfey- �Te<I6 ,f hut .if , Ve.,0I See note on back regarding River Basin rules
! 1,� v�ig tl firi $3 o t` '+b i©.c l i're p elt A i N ,,,b
: M See additional notes/conditions on back
I AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPUANCE STATEM NT. (Please Initial)
MO-VSL Kayfevt A 4n kt, k 2
A r ica PRINTED Name rffiseRIName, f
Si "cur ""Plea a compii ce cement on ack of permit"" nature b
J9JO, r01"tr ti , - iDV — i - i ft-av — 20 U.2.
Application Fee(s) Check q/Money Order Issuing Date Expiration Date
i •

Solcusrailet,K AMA LA,DREDGE & FILL N9 84951 , •• A Z c D
-=f_ ~•° Previous ermit /'Ul4
Z GENERAL PERMIT Date previous permit issued N/lri
>C; a New ❑Modification ❑Complete Reissue ❑Partial Reissue
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: '
I 5A NCAC d 7th I4' it D® ❑Rules attached. kl General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name 'OC_e41 Y1 i'C`rk5 �f • Authorized Agent in ARK Ki
Address
//��I.C` I• S. X ID-Ql D ^^ Project Location(County): 1R.:�Eu®
City C. 1.UIM a�1 Ct, State IJ� d ZIP A5 Street Address/State Road/Lot#(s)'
Phone#(Z51) 1-1�D- A741131 I( f�r�r. . W`ek:e_v- S'�YC
Email Subdivision NJ I i City C1,1urY;b?C4 ZIP A7-C °).-
Affected ❑CW .EW XPTA ri ES Imo PTS Adj.Wtr.Body So-Trey-nD rq' g.0 Vel_ nan/unk)
AEC(s): ❑OEA I I IHA ❑UW ❑SPIMA ❑PWS Closest Maj.Wtr.Body �I�je"1,,,,1 e- Je:4..0 L�
ORW:yes/no PNA:__ yes/no n(� 1� \
Type of Project/Activity 6 U fi / ' oT NrL2� bulls .,� tMa1tj LA .4�r
.Z• i +I-� .. xis4--i 1.5 1it>c� 4NJIt,�. o ������ (Scale: )
Shoreline Length 17 -
i I )€ I a ,
4 i
Access Length .�- �_ I - i
, I �'P� men Ic; tI.i
Pier(dock)length y '
I
i I_ _ e
Fixed Platform(s) 1 'y
r.
Floating Platform(s) V li,
1- Ipr e
Finger pier(s) _)... 6r`' ' - --�- leri&-b."1-;-4t !�3
-
Total Platform area - i .� _. . .�. �`_. I G v. i
Groin length/# �._- f j / 1 - .-- .- j
6111 �";Riprap length t iOg/ i----- - ---•- - -- - j- -- - - - - ���------ ------it_-...._ -l-___
Avg distance offshore Z - - I , • �- , � ( 1 € I
_
Breakwater/Sill .X1�9.$-t-1 i
Max distance/length f
__-AP -_ __.____
Basin,channel -- -yj - __�____ __ f i Y
._ - t- . _-.,- - i--... _
Cubic yards ��-- •-_-_ 2 -Z _�._ 1_. � :�__ .._ 1 �
Boat ramp , =1_ �t I �
S' I► " �` fa--
Boathouse/Boatlift �i _ i I i _ d_ .Ys \Q ,
Beach Bulldozing .' O4 i_H� V `� I �g�
Other -- -
y_ _
I__ 49--)..4.___L-2. _ 1. 5 . kit - __ { i i_ ;SAV observed: yes _ , _ `_--_- :- - i ,
Moratorium: n/a es i " V -�--
Site Photos: _ , 1 - il I. di )rt- - l?��5 �S Q t -
�� pC.o Ih_,- _ � !� t �_
Riparian Waiver Attached: (6esl. i��� �s�x�I /�1 i L 'PYO'? I�' _ 3 1 ((�
A building permit/zoning permW ay r quire ,by: / y'�-L I 1 l _p.0 mi
Permit C editionsiq
"��
u� �eoO ey we 'Ai
n TAR/PAM/NEUSE/BUFFER(circle one)
4)�tertma � D 1 4e '54 lqS kti.tI( h�QL,� , fL19 N n See note on back regarding River Basin rules
VI: 'VRfw�)J6.5 OF 1i I ?osED P1ro,C4 a ee .
rxr See additional notes/conditions on back
I AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEM NT. (Please Initial)
Agent or Applicant PRINTED Name P it ffi er's PRINT ,c, The
Signature**Pleas comp,142ce s atemen� ask of permit*Q®q�� ignature ��
/.�/'�! Y c� �p B oq - Z0 V - 1 — 2D 2.29
Application Fee(s) Check#/Money Order Issuing Date Expiration Date

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
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. If you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
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 Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave Morehead City, NC 28557 943 Washington Square Mall Washington,NC 27889
252-808-2808/1-888-4RCOAST Fax:[phone] 252-946-6481
(Serves:Carteret,Craven—south of the Neuse River,Onslow Fax:[phone]
Counties) (Serves: Beaufort,Craven—north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Elizabeth City District Wilmington District
401 S.Griffin St.Ste.300 127 Cardinal Drive Ext.Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax:[phone]
(Serves: Bertie,Camden,Chowan,Currituck,Dare,Gates, Hertford, (Serves: Brunswick, New Hanover and Pender Counties)
Pasquotank and Perquimans Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

dC°A5r� 11 � ,,: 84951 A
I' 1PAMA ��DREDGE &• FILL N9 C D
" y ' +� ; .. Previous perMit 1\1 Jill
y GENERAL PERMIT Li.- ` E : e
Date previous permit issued rkir/ 1
®New D Modification El Complete Reissue El Partial Reissue
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.r)4 l4 • t I DO ^ , .Rules attached. I I General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name PQQe`b4s 1 r> • it ' "a `t)C . Authorized Agent fl`)Pt a 1 <w` 'Yr(-- " '
Address ``.C--).- 1, t'Z>•X I Q _fl D Project Location(County): y RR/f L i..-- .
City Cr,E 4.uirv'1(
Y)I'G< State !V C..,. ZIP 6 4P� Street Address/State Road/Lot/ #(s)
Phone'#(Z .) '4 �to `-';,. s5 1 t_- I c�r-.i-�. L3 a, e r- Si,rE'_' .'1,-
Email • - Subdivision , 1 ill,
.: .
City f_r i,--t er121 ZIP
"'Affected CW' VI EW ®PTA ; ,]ES , RPTS Adj.Wtr.Body St t4 gQYYfP1 a+4 W-,)• '( Ana man/unk)
AEC(s): 0,OEA OIHA •- IJI'UW : OSPIMA 0PWS Closest Maj.VVtr.Body 41 1,1F°cry,.,i^1,e StC..ktel\`4 ,
., ORW:yes/no. PNA:yes/no'. ' ,.
..
Type of Project/Activity .... , /( --� . i _ c1c• „new t ' ht.rzl` -Q�,.q' C . 0,�ci;r►-, AAriel t,-
.- .,iA)cr S ' tj..)%v.e c° c ` ,.1,' 'ti,x t's, ) 1, , 1--ii� l‹a (-.Q�c1t. (Scale: - )
R ,
Shoreline• Length - i 1 '
' .:,Access Length ,�. I -.mow r
I. i
4,- • iirl — -1,----- -- '
NMI
Pier(dock)length. lintly,„,„„,
Fixed Platforms) ' . . I_ . IIIIII al It III
1111
{
..FloatingPlatform(s) V `" - - ,
Finger pier(s) k• , r .
fM ''INEvirlffizevrargiligssinggifflistila
'Total Platform area � -T
11111111111111111111, �it-. . - �'
Groin length/itt 111 ,
21 ' El imlial II
Bull ea Riprap length !../ lull NiaN i .... 1
• Avg distance offshore i 11111110Piiiikini...,y ;121
Breakwater/Sill / fy
Max distance/length111111111111111111111 ‘S, al III 1111110 h
,. Basin;channel 1q V issiaiii ailsialimmi
,
ii
Cubic yards . .i ;
d
Boat'ramp A
Boathouse/Boatlift K ! \
Beach Bulldozing L , 1 i-c I,
` '''Other , - . .. I
11
SAV observed: yes n4 ;,, ffi r' i:' _ I ag
'
Moratorium: n/a yes ,no i .r • r J./ mi
Site Photos: es n 1
r a -�S v S ,/
Riparian Waiver Attached: es no j f , ` . f I 11':. •_�f r .
A building permit/zoo,�mying permit may be,require by: ' �/7'�h'T°" l 0 ( "c''{ 1,'}"`,k-k fey ` -' - t
' Permit Conditions}�,,, ' J .0 (A1 IC''f,_,f oc) }'°1 r `�,ii ce e'i p`2-' , ❑TAR/PAM/NEUSE/BUFFER(circle one)
IA)(1.-1 e'(N at,-) o -+ 4e . 'Kt 54A vl j i-J1A\ y 9,1(1 • Vlf/4 ti 0 See note on back regarding River Basin rules ;
ki1i`Ud 4U(2J t1F '22"b o‹ T7 -Pa,i rL
•a°) -47c.�,,�, . _
®See additional notes/conditions on back
IAM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. . (Please Initial)
Agent or Applicant PRINTED Name Pe mitbfficer's PRINT D`rWame / "
Signature**Please Lead compliance statement on back of permit** . Signature 1 t�
r \ .!'4.10a
C� — r
Application Fee(s) Check#/Money Order ' Issuing Date Expiration Date .• • ,

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
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. If you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
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 Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave Morehead City, NC 28557 943 Washington Square Mall Washington, NC 27889
252-808-2808/1-888-4RCOAST Fax:[phone] 252-946-6481
(Serves:Carteret,Craven—south of the Neuse River,Onslow Fax:[phone]
Counties) (Serves: Beaufort,Craven—north of the Neuse River,Hyde, Pamlico,
Tyrrell and Washington Counties)
Elizabeth City District Wilmington District
401 S.Griffin St.Ste.300 127 Cardinal Drive Ext.Wilmington, NC 28405-3845
Elizabeth City,NC 27909 910-796-7215
252-264-3901 Fax:[phone]
(Serves: Bertie,Camden,Chowan,Currituck, Dare,Gates, Hertford, (Serves: Brunswick, New Hanover and Pender Counties)
Pasquotank and Perquimans Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

ooicw`NI LAMA`` ,DREDGE & FILL ' N -84951:: _ A di :C. D•
3 i ,
Previous permit i\:, N
y a GENERAL PERMIT 1, '._. `- Qate previous permit issued ^./r'�':
l
New ❑Modification ['Complete Reissue ❑Partial Reissue - • ,
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:
I 5A NCAC 14 , 1 (L-=°` ❑Rules attached. I I General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name c".' 'i ; ti ^: -:• y I C. Authorized Agent C. i/. K z :r f
Address I>.t`--'- i ..LI X ((. C i Project Location(County): ~Y 1--,T2,i:::,rt_f_...-
City (1r'-:I i A ri ;P,i C.A State. Ni C ZIP . (1, Street Address/State Road/Lot#(s)
Phone#(Z4 ) '4`fI'-- .-'r'�i-- I (_ 't f•)C,, '4,. La- - k'' 1 =,`C"{F_'=_'k" . .
Email Subdivision ) 0(
i
•
City i' i•-,#1,.(/1"4'?Jt�'a ZIP . .79'
Affected ❑CW k EW E PTA I iI Es PTS Adj.Wtr.Body --%f'i..t r.;>--'i'i1 L"rH: - P)\--A—', ( . (naf/man/unk) '
AEC(s): ❑OEA ❑IHA ElUW ❑SPIMA ❑PWS Closest Maj.Wtr.Body r i I VI e-'r- v:.. r'}1 e `•- t=•L0
ORW:yes/no PNA:yes/no
Type of Project/Activity r //1 r 2- r ,,s- ci>,M,w i''3<.,11.c\-.,„.._ ...,, ke.,rim-,, ., ; a• t."
" . a.LA.,64 '.1<; a A w:. 4-kr. . .,X 9.C.i I w K:. n 1(c. -?r,: (Scale; );.".•
Shoreline Length f
Access Length .,' �ammum _ r a
nuanum
Pier(dock)lengthMEI 11�1
Fixed Platform(s) t ioetiammemx1111011
Floating Platform(s) C1101111111111EINESSIIIIIIIIIIIIIIMIIIIIIPRIIIMME1111.11,1111111111111111111
Finger pier(s) \ c r'F '': ,r. , U
a is ".5- LollillialIMICIT '71
Total Platform area I 111111111111111 'l1 11111
I
w �' �
Groin length/# i Bulkhead/,Riprap length • / / 5egginglimmENE is ''
Avg distance offshore �.a 411 r
■ . _
Breakwater/Sill fr
Max distance/length / 111111111111111111immi . •
1111111 ermaraiumusaimmonsimus
Basin,channel i
Cubic yards ��
Boat ramp ' R
Boathouse/Boatlift1 .
Beach Bulldozing : . r�
Other
,�' ■
SAV observed: yes R
Moratorium: n/a yes mo:
Site Photos: yes not
Riparian Waiver Attached: psi {"no RI! a
A building permit/zoning3 perm t.may b} requirec�,by: , t J ,,- ' 9 i_ : ; ti
)J''id (,.r'i k+ A , ,'l, g ) V ( i?6 „ / n TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions �_ {}/r s"t,!� g t."
fit�:'�,1 � 9,+.i G i� D4 ( ,()(` ,541.A i Y,'iA 1 I, 'IPA(. i%(,f1{'>•i n See'note on back regarding River Basin rules
y k 1'= ` r j P ` n 0 See additional notes/conditions on back
I AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
r ..
�r i
Agent or Applicant PRINTED Name Permit b fficer's1PRINTEDDName \ ''
i'&1-3Qt6 AI filtA,4,A +1
Signatur�e**Please read compliance statement on-back of permit** Signature / II
Application Fee(s) Check#/Money Order Issuing Date Expiration Date

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
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. If you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
Notes/A .ditional Per it Conditions:
, a 4, / L,.,4 4 �� ?//ace� ?, i je-c3,tsec
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 Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave Morehead City, NC 28557 943 Washington Square Mall Washington, NC 27889
252-808-2808/1-888-4RCOAST Fax:[phone] 252-946-6481
(Serves:Carteret,Craven-south of the Neuse River,Onslow Fax:[phone]
Counties) (Serves: Beaufort,Craven-north of the Neuse River, Hyde,Pamlico,
Tyrrell and Washington Counties)
Elizabeth City District Wilmington District
401 S.Griffin.St.Ste.300 127 Cardinal Drive Ext.Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax:[phone]
(Serves: Bertie,Camden,Chowan,Currituck, Dare,Gates,Hertford, (Serves: Brunswick, New Hanover and Pender Counties)
Pasquotank and Perquimans Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: , Pocosin Arts, Incorporated
Mailing Address: P 0 Box 690
Columbia, NC 27925
Phone Number: 252-796-2787
Email Address: [e-mail]
I certify that I have authorized Mark Kasten
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: New Bulkhead
at my property located at_107 Water Street, Columbia, NC ,
in Tyrrell 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:
NaAitor,e, %uza,
Signature
Marlene True
Print or Type Name
Executive Director
Title
Oct /07 /2021
Date
This certification is valid through I I

, ..
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
pivisiON'oP COASTAL MANAGEMENT •
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER'PORM
Name of Property OWner: Poc-ocostvx tNek 1 t iho 7-
Address of Property: 101 Wc.htei( '‘''..1 Cdlo MVO\ 1 NC-1 -179&c.A1 CO .
(Lot or Street#,.Street Or Road, City&County)
Agents Name it Moor k KAs-VeAn Mailing Address:
IIS 11ki.0)426- W\I Dr NcAP)4 kledi We-
..,:.,
Agent's phone#: 0-52.\) 7 1-2,-
) )
I hereby certify,that I own property.adjacent to the above referenced property. The indiVidual
applying for this permit has described to me as shown on the Attached drawing the development
they are pro oSirig, A description or draWing,With dirtiensibrs, must-beprovided with this letter:
. -
(93//
I have no,objections to this proposal. ';; I have objections to this proposal.
If you have objections to what is being proposed,you must notify the Division of Coastal Management
(DCM) in writing within 10 days of reCeipt of this notice: Contact information for DCM c•ffice.sis
available at I' .:,,7,Afwv).n c c,•:.,- -s-f a 1 m a h a getr)a nr.nee',v6 bit m/staff=I isti n q or by calling 1-80-4RCOAST.
No response is considered the Same'as no objection if you have been notified by Certified Malt
-WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwateri boathouse, or lift must
be set back a minimum distance of 15'from my area of riparian access unless waived by Me. (If
you wish to aive:the setback,you must initial the appropriate blank below.)
'-... A. -...': I do wish to waive the 15' setback requirement. •
I do not wish to waive the 15'setback requitethent.
(Property Owner Information): (Riparian Property Owner Information)
.
S'ignalurg. Signature
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Telephafie Number/Erhail Address Telephone Nurnhe /Email Address
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Date Date
- ('Revised Aug. 2014)
- •
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•
•
MC--DIVISION OF COASTAL MANAGEMENT •
.ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
'CERTIFIED MAIL • RETURN RECEIPT'REQUESTED or HAND DELIVERY
(Top portion to be completed by,owner or their agent)
Name.Of Property Owner. Pocosin Arts-Riverview Event Facility.
Address'of Property: 107 North Water Street Columbia NC
Mailing Address of Owner 201:Main.Street, P 0 Box 690 Columbia, NC.
•
Owner's email: marlenet pocosinarts.orq. Owner's Phone#: [phone] -
Agent's Name: 'Mark A Kasten. Agent Phone#: [phone]
Agent's Email: markaobxerchitects:com
ADJACENT-RIPARIAN PROPERTY'OWNER'S-CERTIFICATION-
(Bottom portion'to be completed by the Adjacent Property Owner)
.l hereby certify that.'own property adjacent to the above-referenced property.The individual applying for this
permit has described,to.me, as'shown on the attached drawing, the development they are proposing, A. •
description or drawing,with dimensions,must be provided with this'letter
d. I-DO NOT have objections to this proposal. I DO have objections to:this proposal.
If you have-objections to what is being proposed,•you must notify the N:C. Division of,Coastal
Management(DCMy in writing within 10 days of receipt this notice. Correspondence should be
mailed to.943 Washington Square Mall, Washington, NC 27889. DCM representatives:can also be'
contacted at(252)946-6481.No response is considered the same as no objection if you have been
notified by Certified.Mail.
WAIVER SECTION
I understand•that any proposed 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
(this does not.apply to'bulkheads or riprap revetments).(If you wish to waive the setback,you must sign,
.the appropriate blank.below.)
I DO wish to waive some/all'of the 15'setback
Signature of Adjacent Riparian Property Owner "
-OR-
I do.not wish to waive the 1,5'setback requirement(initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: ]14(9UI1fl'S 0-• C L-' IC
Mailing Address of ARPO: ( ) , ff.l U�S7, Ca 75'/?
ARPO's-email: ARPO's Phone#:
Date: "waiver is valid for up to one year from ARPO's Signature'`
5l11V ED EOM N 6R.T PI E en r9 I L q'2&Z 1 Revised July 2021

• . .
SENDER:COMPLETE THIS SECTION COMPLETE THiS'SECTION r.:),'DELIVERY : '.SENDER,:COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY -
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Locality. - 'Permit Number
Ocean Hazard Estuarine Shoreline ORW Shoreline 1Public Trust Shoreline - Other
(For official use.only)
GENERAL INFORMATION
LAND_OWNER-MAILING ADDRESS:.
Name_Pocosin Arts Incorporated
Address P 0 Box 690 -
City .Columbia State NC Zip 27925 'Phone [phone]
Email marlene(apocosinarts.org
AUTHORIZED AGENT
Name Mark A.Kasten
Address 118 W.Wood Hill Drive
City Nags Head State NC Zip 27959 Phone [phone]
Email [e-mail]
LOCATION OF PROJECT:(Address,street name and/or directions to site;name of the adjacent waterbody.)
107 North.Water Street(Riverview Event Facility)
Adjacent to Scuppernong River
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.)
Replace Existing Bulkhead
SIZE':OF.LOT/PARCEL: 8,189.45 square feet acres
PROPOSED USE: Residential ❑ (Single-family❑ Multi-family ❑ ) Commercial/Industrial El Other ❑
COMPLETE EITHER(1)OR(2)BELOW.(Contact your Local Permit Officer if you 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-load-bearing attic space)
(2) COASTAL SHORELINE AECs: SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT
UPON SURFACES: 3,241 square feet(includes the area of the foundation 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 Energy,Mineral and Land Resources(DEMLR)?
YES NO X ,
If yes,list the total built upon area/impervious 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 LAMA
minor development-permit;,including,but not limited to:Drinking Water Well,Septic Tank(Or other sanitary waste
• treatnientsystem),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 OF OWNERSHIP:
I,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 person
listed as landowner on this application has a significant interest in the real property described therein.This interest can be
described as:(check one) •
•X an owner or record,title, Title is vested-in name of Pocosin Arts,Incorporated, see Deed Book 246 page
644 in the . Tyrrell . County Registry of Deeds. -
an owner by virtue of inheritance.Applicant is an heir to the estate of
;probate was in County:
if other interest,such as written contract or lease;explain below or use a separate sheet&attach to this application.
NOTIFICATION OF ADJACENT RIPARIAN 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 develop this property and to apply for a CAMA permit
(Name) (Address)
(1) Clancey-Holdings,LLC 103 W.Franklin Street,Louisburg,NC 27549:
(2) Town of Columbia P O Box 361,Columbia,NC 27925
(3)
(4)
ACKNOWLEDGEMENTS:
I;the undersigned;_acknowledge•that the land owner is aware that 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 floodproofmg 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 7th day of September,2021
Mark A.Kasten;MA LEER PA
Landowner.or person authorized to act as'his/her agent for purpose of filing,a.CAMA permit application
This application includes:general information(this form),a site drawing as described on the.back of this.application, the
ownership statement the Ocean Hazard AEC Notice-where necessary, a check for$100:00 made payable to the locality, and
any information as may be provided orally by the applicant. The details of the application as described by these sources are
incorporated without reference in any permit-which may be issued.Deviation from these details will constitute a violation of
any permit.Any person developing in an AEC without permit is subject to civil;criminal and administrative action.

TEMPORARY CONSTRUCTION SIGN FOR
RURAL DEVELOPMENT PROJECTS
Recommended Fonts: Helvetica or Arial
r 1—L-- White Background
► POCOSIN ARTS
School of Fine Craft
POCOS I N ARTS
7 ►1 Marlene True, Executive Director
201 Main Street, Columbia, North Carolina 27925
1 �
1-- ca hoon+kasten
ARCHITECTS MPAT-`
1 �
.= A.R. C'H E S S O N ==TheNicholson Foundation=
CONSTRUCTION CO.-, INC.
1—- -—_ Changing Systems,Changing Lives
Since 1901 �fA
Black SouthernHank
Lettering
USDA Rural Development , RDSignat re
288)
U.S. DEPARTMENT OF AGRICULTURE (Blue,
Financed by United States
Department of Agriculture
(USDA) Rural Development Lettering
(Blue,PMS 288)
Joseph R. Biden, President of the United States
Thomas J.Vilsack Secretary of Agriculture , Black Lettering
USDA is an equal opportunity provider, employer, and lender. 4
SIGN DIMENSIONS :1200 mm x 1800 mm x 19 mm(approx.4'x 6'x 3/a")
PLYWOOD PANEL(APA RATED A-B GRADE-EXTERIOR)

RD Instruction 1942-A
Guide 18
Page 7
14. Certificate of Owner's Attorney.
I, the undersigned, 1.1"Aqinbc• 4404. , the duly authorized and
acting legal representative of ?OCcWt4 fArRtS -S1At,prc-forme
, do hereby certify as follows
I have examined the attached contract(s) and performance and payment
bond(s) and the manner of execution thereof, and I am of the opinion that each
of the aforesaid agreements are adequate and have has been duly executed by
the proper parties thereto acting through their duly authorized
representatives; that said representatives have full power and authority to
execute said agreements on behalf of the respective parties named thereon; and
that the foregoing 'agreements constitute valid and legally binding obligations
upon the parties executing the same in accordance with terms, conditions, and
provisions thereof.
Date: W
NOTE: Delete phrase "performance and payment bonds" when not applicable.
•
I l
•
(2-19-86) PN 998

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