84380C - Horne, Jerry

Otour� C` MA ❑ DREDGE & FILL 9 84380 A a
Previous permit
G RAL PERMIT j
� Date previous permit issued--•�--•-
Idw Modification ❑ Complete Reissue Partial Reissue
As authorized by t N0 Carol apartment of Environmental Quality and the Co I Resources Commission in an area of environmental concern pursuant to:
i SA NCAC ❑ Rules attached. General Permit Rules available at the following link: wwwdwnc s+Qq /C6MJAdlaf
i
AppikAnt Name _ Authorized Agent
Address Project location (County):
City State _ �� ZIP Street Address/State R0840t #(s)
Phone # Yi1
Email _ ___. Subdivi ' n
City �
Affected ❑ CW Nw
TA ❑ ES PTS Adj. Wtr. Body —
AEC(.): ❑OEA IHA SPIMA ❑PWS Closest Mai, Wtr.
ORW: yes/no PNA: yes/no
t
'type of Project/ Activity.
Shoreline length r
Access Length
Pier (dock) length I
Fixed Platform(s) I t
FloatingPlatfurin(s)
Finger pier
{ i N
I i-
Total Platform area
Groin length/1f— -� - tt
! j
Bulkhead/ aiprap length
Avg distance offshore
Breakwater/Sill , s -
Max distance/ length
Basin, channel
}
Cubic yards
Boat ramp
Boathouse/ Boatiift ` 1_ �r_ + yTt it {
Beach Bulldozing aY -� g ;_.s_. _ L_ _. r .._ .._. .. .... �... i... ._. _.
SAV observed: yes Pn,-,i
Moratorium: n/a yesSite Photos:�,.J Riparian Waiver Attached: `.__:.._
A building permit/inning»permit may be required by:
? TAR/PAM/NEUSE/BUFFER (circle ore)
See note on back regarding River Basin rules
�- L❑� See additional notes/conditions on back

Authorized Agent k I
Project Location (County):
Street Address/State Road)
;o1*01OAS ",NcNCAMA ❑ DREDGE & FILL N9 84380A 136 D
GENERAL PERMIT Previous permit
s � Date previous permit issued---r
New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the tatetff No Carolepartment of Environmental Quality and the Coa tal Resources Commission in an area of environmental concern pursuant to:
I SA NCAC �_I� t o ❑ Rules attached. eneral Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant
Address _
City
Phone #�
Email
Affected ❑ CW EW PTA ❑ ES ❑ PTS Adj. Wtr. Body JJLJTVq 0 A1 V (nat/man/unk)
AEC(s): ❑ OEA ?,HA ❑' UW ❑ SPIMA ❑ PWS Closest Maj. Wtr Body
—�7N-- %1'e
ORW: yes/no PNA: yes/no
Type of Project/ Activity
Shoreline Length
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/ff—
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed: yes b
Moratorium: n/a yes o
Site Photos: vas o
A building permit/zoning.permit may be required by
OF STATUTES, CRC RULES AND CONDITIONS
or Adplicant'PRINFED N
t I . — 1 /YY.
idl N A
APPLY TO THIS PROJECT AND R
(Scale/
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
Initial)
,*�*PlWse)pad compliance statement
Order

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:
F-1 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
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 FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Jerry Horne
Mailing Address:
Phone Number:
Email Address:
5209 Dasher Court
Wake Forest NC 27587
certify that I have authorized Chad Howey / 1 ,,, S,," &a-d- -14- r
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
18" Southwest from their current location.
Moving two pilings approximately
at my property located at 112 Bahama Breeze Atlantic Beach, NC ,
in Carteret County.
l furthermore certify that / 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
Jerry Horne
Print or Type Name
Title
12 / 09 / 2021
Date
This certification is valid through I l
V EEcENED
SEC % ® Z0Zl
Demmmvil) C9`TY

r r r
.y
.. ° t 8 � �. �'S�4 f
�- ,
! �.

LR Ii OW14ER IATI-MEN1
i hereby certify that ! Own D'operty ad acewt to �t rry f.t tsi ;s
(Name of Property Owner)
Property iocaterf at 1 if
(Address, Lot. Block; Road etc )
Allaritic: Beach
(Waterbody) (City/Town and/or County)
The app!ic;arii has desc;rlbed i['; me, as showr, below; the developplent puposer,'it the Ibove:
ioCatiol i
have no objection to this proposal -
I have objections tt, tr7is nroposr3l
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
fMdividual proposing development roust fill in desr;ription below Cat attacii a site drawiriq
�k`
Vi �\ 1
WAI-VER SECTION
I understand that a pier, dock, mooring pilings, boat ramp breakwater boathouse, lift or groin
must be set back a minirnun) distance of 15from my area of riparian access uniess usaived by
rn- Of you wish to waive the setback, you must initial the appropriate blank below)
� x i do wish to '"aive, the 15' Setback rt quirernent
I do not wish to waive the i 5 setback requirement
(Property Owner Information) lAdjap;er►( Propprty Owns r Information)
N; Oil
! i
Print UT Ty/?C' Nam,,
Mailirio Addrps
L o .
Crt yiState�i'rp � ,
North Caroiwo N( ; 5d
Telephone Numn ,, i r�n,ar,` annrr ;; Y / 7Oki
Owe
'Valid for one calendar year ahor s;gnawre'

hereby certify that I overt property adjacent to _ grr F rr ....___ . � �_. � . � . _
(Name of Property Owner)
property located at .uu:__1JZJJgh_M�,�
�y a+s i� ($gyp (Address, t, g Block, Road, �^ y,, etc.) _ p # f'R
'id£ f � FI F d t i.s- g t 3 Y.L.d
( air y) it+yfTown and/or County)
The applicant nam described to me, as shown below, the development proposed at the above
location.
-x _._ I have no objection to this proposal.
I have jection to this proposal..
DESCRIPTION ANDIOR DRAWINGPROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
WAIVER 1
I understand that a pier dock, rrooring pilings, brat ramp, brookwater, boathouse, i t, or r~oirr
must be set back a minimum um distance of 15' from my area of riparian mesa untess waived by
me, (if you ';dish to waive the setback, you must initial the appropriate blank 1Ow
__...._....
1 do wish try waive the ' ° e t a aqL re, nt.
_-- I do not wish to waive the ' aethha re-q it ment.
(Property Owner information) ( aarrt Proper
tv Wner Information)
r )
� 1 p l
F rif it or Type Vatne
T,�tlirte� AddieSs
ityl,ratv'1
tr f t arra ¢ trr r / entail address
h2,!9!202,1
� 3t�te
"Valid fog, w{e cafe der Year after signature'
gg ,
.d f
�'' i " �.,....,.. >c -_...........gym..,
�n
-Ate1

A
RIE .L1E,_,A_NJLRf 'E�MF T _1k
he cenify that I own property adjacent to _e,�WIQ L-n 0 -------
(Name of Property Owner')
property locatedal
(Address, Lot, Block, Road, etc.)
in __,Atlanfic Beach N
(Waterbodv) own as dfor County)
The applicant has described to me, as shown below, the development proposed at the above
location
1 have no abjection to this proposal.
I have objections to this proposal,
DESCRIPTION AND,"OR DRY WING OF PROPOSED DEVELOPMENT
J,
Mdevi-010V diovelopment inust fiff J`n beiow or '�mlladh k5 Site drav"M
J W
WAIVER SECTION
I undeistand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groirl,
r I ust be se back a minirrium distance of 15' frond my area of riparian access unless waived by
Me (if YOU wish to waive the setback, you must initial the appropriate blank below.)
_X_ ­­. i do wish to waive the 115'setback requirement.
i do not wish to waive the 15'setback requirement.
(Property Owner infortnation)
S
krry
Prini or Type Narne
Mading Address
Cit vlstatelzip'
North C.arolina NC 27587
address
'Valid for one calendar yea, after signature`
(Adj�g-ent Property, Owner Information)
Ad-'
RECEIVED
(RovisedAug 20-14�
DEC 2 0 20'(),41
DCM-MHri 07-v

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Jerry Horner S
(Name of Property Owner)
property located at 112 Bahama Breeze
(Address, Lot, Block, Road, etc.)
on Intercoastal Waterway , in Atlantic Beach N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
X I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must rill 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 you wish to waive the setback, you must initial the appropriate blank below.)
x I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacept Property Owner Information)
Si atur
Jerry Horne
T
Print or Type Name
5209 Dasher Court
Mailing Address
Wake Forest
City/State/Zip
North Carolina NC 27587
Telephone Number/email address
Date
or l y C mvMk v
gFressJv� b If 06 � U.4."
®1FAUM
Telephone Number/email address
Date *
(Revise Aug.)
*Valid for one calendar year after signature*
DEC 2 0 ?021
0CMF• IHD �� TY