Nichols, Patrick 84116C

CAMA El DREDGE & FILLNI? 4 1 A B
GENERAL PERMIT Previous permit
Date previous permit issued
EZINew ❑ Modification ❑ Complete Reissue D 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 SA NCAC V44 Rules attached. eneral Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name
Address
City
Phone #
Email
ZIP
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
Affected CW +D�IkiA FIES PT5 Adj. Wir. Body afV!
AEC(s): E] OEA IHA 0 UW SPIMA PWS Closest Maj. Wtr. Body
ORW: y , no PNA: ye C/no
Shoreline Length
Access Length
Pier (dock) length
Fixed Platform(s) R
Floating Platform(s)
Finger piers)
Total Platform area
Groin length/# _ _ d
Bulkhead/Riprap length
Avg distance offshore
Breakwater/Sill T a
Max distance/ length _
Basin, channel
Cubic yards-
Boat ramp _
Boathous Boatli
Beach Bulldozing
Other y t�
SAV observed: yes 4t
Moratorium: n/a yes t
Site Photos: Y& n
Riparian Waiver Attached: no
A building permit/zoning permit may be required by: /o t ] Y
Permit Conditions . / I.,
t ` �~ f (Scale jff ;
11 TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
See additional notes/conditions on back

ACAMA ❑ DREDGE & FILL NI? 84116 A B CC
y = GENERAL PERMIT Date Previouspermit
Date previous permit issued
ZINew ❑ 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:
15A NCAC ;'l * ❑ Rules attached. �. General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
e _1 f�
Applicant Name
Address
City 17rO
Phone # (�
Email
r, r f f C-i11PJ1 �2 Authorized Agent
Project Location (County):
State a I ZIP Street Address/State Road/Lot #(s)
Subdivision
City
P
Affected ❑ CW_[VkW aPTA ❑ ES ❑ PTS Adj. Wtr. Body C �/��(�� (�( f—//�—.� (nat/ agr' nk)
AEC(s): ❑ OEA IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: y s/no PNA:t�ye(/no
Typ$jof Project/ Activity P 16100y h-'Ik aiid a( � "�"&
Shoreline Length 901
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore i
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards i
Boat ramp
BoathousC Boatli j-15X
Beach Bulldozing
Other
oc�
0i
I
SAV observed: yes
Moratorium: n/a yes
Site Photos: n
Riparian Waiver Attached: ?jep' no .,
A building permit/zoning permit may be required by:
Permit Conditions . /A
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVI
A)(3 Ll i, iol
k5,1d or Applicant PRINTED Name Permit Officer's
Sig ture **PI e read compliance statement on back of permit** Si a ur
o, o
plication Fee(s) Check 4/Money Order Iss ing Dat
(Scale:�f�'�)
, T:S�
—7---Ppp,
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please Initial)
n

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:
1-1 Tar - Pamlico River Basin Buffer Rules F] 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
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
401 S. Griffin St. Ste. 300
Elizabeth City, NC 27909
252-264-3901
(Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford,
Pasquotank and Perquimans Counties)
Washington District
943 Washington Square Mall Washington, NC 27889
252-946-6481
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
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

AGENT AUTHORIZATION FORM FOR PERMIT APPLICATIONS
Name of Property Owner Applying for Permit: Patrick Nichols
Mailing address: 256 Gatsey Lane
Telephone Number:
Beaufort, NC 28516
[phone]
I certify that I have authorized Riverfront Docks, LLC (agent/contractor),
to act on my behalf, for the purpose of applying and obtaining all CAMA permits
necessary for the proposed development of installing boat lift
at my property located at 256 Gatsey Lane Beaufort, NC 28516
This certification is valid through December 31, 2021 (date).
(Property Owner (Information)
Signature
Patrick Nichols
Print or Type Name
Owner
Title, co. owner or trustee for property
9/7/21
Date
[phone]
Telephone Number
[e-mail]
Email Address

N.C. 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:
Address of Property:
Mailing Address of Owner:
Patrick Nichols
256 Gatsey Lane Beaufort, NC 28516
256 Gatsey Lane Beaufort, NC 28516
Owner's email:[e-mail]'s Phone#: [phone]
Agent's Name: John Gudaitis Agent Phone#: [phone]
Agent's Email
[e-mail]
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adiacent Property Owner)
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 proposing. A
description or drawing with dimensions, must be provided with this letter.
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 (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted
at [phone]. 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 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: Curtis Ringwald
Mailing Address of ARPO: 230 Gatsey Lane Beaufort, NC 28516
ARPO's email: [e-mail] ARPO's Phone#: [phone]
Date: 09/17/2021 *waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

N.C. 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: Patrick Nichols
Address of Property: 256 Gatse Lane Beaufort, NC 28516
Mailing Address of Owner: 256 Gatsey Lane Beaufort, NC 28516
Owner's email:[e-mail]'s Phone#: _ [phone]
Agent's Name: John Gudaitis Agent Phone#: [phone]
Agent's Email: salescriverfrontdocks.com
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be com lgted b the Adjacent Property Owner
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 proposing. A
I DO NOT have objections to this proposal. 100 have objections to this proposal.
if you have objections to what is being! proposed, you must notify the N.C. Division of Coastal
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted
at [phone]. 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 t lI, ve the setback, you must sign
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback
-OR-
Signature o)1A6Ja8e'hf-RrpaMqP1ropbfiy Owner
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: l i
Mailing Address of ARPO:
� a
ARPO's email; _ & . PO's Phone#: /
Date; s *waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

ADJACENT N.C' DIVISION OF COASTAL MANAGEMENT
RIPARIAN PROPERTY OWNER NOTIFICATIONtWAIVER FORM
CERTIFIEp M iL • RETURN EGEIPT RE UESTEO ar_eHAN l DELI.�C9—RY
(Top portion to be completed by owner or their agent)
Name of Property Owner:
Address of Property: 256 Gatsj Lane Beaufort, NC 28516 -
Mailing Address of Owner 256 Gatsey Lane Beaufort NC 28516
.,..... _.,.r.._.
Owner's eniail:patrickm. boilermakerc ahoo conx)wner's Phone#: __ .,_.R(207) 831 4094
Agent's Name: Johrt Gudaitls Agent Phone# [phone]t7 __
Agent's Email: salOSeriverfrontdocks.com --
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom noriian to 4e camp eted b the Adjacent Propertv C1wn r
I hereby certify that I own property adjacent to the above referenced property. The 'individual applying for this
pA
permit has described to me as shown on the attached drawing, the development they are Proposing --
descrig/tiart� or draw ,kith provided with this letter.
I DO NOT have objections to this proposal t DO have objections to this proposal'
_...........-a sa i t
ifflU _...-,_._,. ._._ ,.-. „... -. ,,...o....._.,
y have objections to what is being proposed, you must notify the iY.G: Division flf
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted
at [phone]. No response is considered the same as no objection if you have been notfrled 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 mmg sites►
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback
Signature of Adjacent Riparian Pr erty Owner
-OR-
t do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:—i____...._..
Typed/Printed name of ARPO: U P A IZA \lC-O Kn _
Mailing Address ofpp ARPO; ._.,.�.
_.
ARPO's email: ^tt# r 4�I,L ARPO's Phone#:
..
Date: 2 - - *waiver is valid for up to one year from ARPO's Signature'
Revised May 2021

N.C. 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:
Patrick Nichols
Address of Property: 256 Gatsey Lane Beaufort, NC 28516
Mailing Address of Owner: 256 Gatsey Lane Beaufort, NC 28516
Owner's email:[e-mail]'s Phone#: [phone]
Agent's Name: John Gudaitis
Agent's Email: [e-mail]
Agent Phone#: [phone]
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
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 proposing. A
description or drawing with dimensions must be provided with this letter.
X 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 (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted
at [phone]. 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 15from 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
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO:
Mailing Address of ARPO:
ARPO's email:
ARPO's Phone#:
ME
Date: *waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

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16,000lb
Boat Lift
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Patrick Nichols
256 Gatsey Lane
Beaufort, NC 28516
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3614 Old Cherry Point Road
New Bern, NC 28560
[phone]
RiverfrontDocks.com
EXISTING, DOCK
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FOR REGISTRATION REGISTER OF DEEDS
Karen S. Hardesty
Carteret County, NC
August 11, 2021 2:39:56 PM
DEED # Pages: 3
Fee:$26.00 NC Revenue Stamp:$1,020.00
FILE # 1734151
Prepared by: Debra Whaley, Attorney at Law 301 Commerce Avenue, Ste. 102, Morehead City, NC 28557
Return to: Julie Wickizer, Attorney at Law
Parcel t#: 649003347969000 & one-half undivided interest in 649001363603000
Stamps: $1,020.00
NORTH CAROLINA GENERAL WARRANTY DEED
This Deed made this the 29 day of July, 2021, by and between:
LeRoy B. McIntosh, III, unmarried
191 Old Stanton Rd., Beaufort NC 28516
(hereinafter referred to as Grantor);
and
Patrick Francis Nichols and spouse Michelle Diane Koons,
(hereinAfler referred to as Grantee).
The designation Grantor and Grantee as used herein shall include said parties, their heirs,
successors, and assigns, and shall include singular, plural, masculine, feminine, or neuter as
required by context.
WITNESSETH:
That Grantor, for valuable consideration paid by the Grantee, the receipt of which is
hereby acknowledged, has and by these presents does grant, bargain, sell and convey unto the
Grantee in fee simple, all that certain lot or parcel of land situated in Carteret County, North
Carolina, and more particularly described as:
(SEE ATTACHED "EXHIBIT A")
Being the same property previously conveyed in Book 1582, Page 173
This conveyance k is or _ is not the primary residence of the Grantors.
submitted electronically by "Julie G. Wickizer, PLLC"
in compliance with North Carolina statutes governing recordable documents
and the terms of the submitter agreement with the Carteret county Register of Deeds.

1734151
TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and
appurtenances thereto belonging to the Grantee in fee simple.
AND the Grantor covenants with the Grantee, that Grantor is seized of the premises in
fee simple, has the right to convey the same in fee simple, that title is marketable and free and
clear of all encumbrances, and that Grantor will warrant and defend the title against the lawful
claims of all persons whomsoever except for the exceptions hereinafter stated: Any restrictions,
covenants, or easements of record.
IN WITNESS WHEREOF, the Grantor has caused this instrument to be signed in their
names, the day and year first above written.
1
/%
LeRoy A. McIntosh, III
STATE OF__[�' C
COUNTY OF_.( (A tI���
(SEAL)
I, � t L Vj< h L-,e r44- , a Notary Public of the aforesaid County
and State do hereby certify that LeRoy B. McIntosh, III personally came before me this day and
acknowledged the due execution of the foregoing instrument for the purposes therein expressed.
Witness my hand and seal this day of �t t t , 2021.
My commission Expires: � G.' 1
!r
Notary Public / L,
Print Name:/�1L �15 t 1 / �an'Cy%�
(SEAL) C;

1734151
EXHIBIT A
PARCELI:
Being all of Lot 64, Phase III -A, Stanton Landing Subdivision, per recorded map thereof
in Map Book 30, Page 661, Carteret County Registry.
Also conveyed hereby are all easements and benefits related thereto which were dedicated
by instrument entitled "Dedication of Easement (Bio-C Five)", providing for wastewater
disposal as recorded in Book 1094, Page 471, Carteret County Registry. The easements
and benefits conveyed hereby are subject to all of the obligations set forth in such
referenced instrument.
This conveyance of Parcel 1, is also subject to Restrictive Covenants of record in Book
969, Page 93, Carteret County Registry, as amended by instrument entitled "First
Amendment to Declaration of Covenants, Conditions, Easements, Restrictions, Charges,
Liens and Reservations -Stanton Landing", and recorded in Book 1083, Page 278,
Carteret County Registry; and as amended by instrument entitled "Second Amendment to
Declaration of Covenants....." recorded in Book 1094, Page 470, Carteret County
Registry.
PARCEL 2:
Being a one-half undivided interest in Lot 7, Block C, Section III, Sea Gate Subdivision,
in accordance with the recorded plat thereof in Map Book 11, Page 22, Carteret County
Registry. This conveyance is subject to the terms, conditions, rights and obligations as set
forth in that instrument entitled "Second Amendment to Declaration of Covenant,
Conditions, Easements, Restrictions, Charges, Liens, and Reservations -Stanton Landing",
which is recorded in Book 1094, Page 470, Carteret County Registry, and specifically,
the "Supplemental Declaration", pertaining to "Dock Lots", which appears therein.
Pursuant to said Supplemental Declaration, the Grantee here is hereby assigned exclusive
possessory rights in "Boat Slip B", appurtenant to said Lot 7.