Allen, Chester 84400C

°�❑DREDGE & FILL N9 84400 A B �C D
� GENERAL PERMIT Date rSperm``
Date previous permit issued
[�] 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 SA NCAC t, Rules attached. ❑ General Permit Rules available at the following link: wwwdeq nc.gov/CAMArules
Applicant Name Authorized Agent -'�/ l i ( "" -
Address Project Location (County):
City i i State ZIP-'. Street Address/State Road/Lot
Phone#(_�)
Email Subdivision
Affected ❑CW ❑EW ❑PTA
AEC(s): ❑OEA ❑IHA ❑uW
ORW: yes/no PNA: yes/no
Type of Project/ Activity
City
ES ❑ PTS Adj. Wtr. Body
❑ $PIMA ❑ PINS Closest Maj. Wtr. Body
I
r
� 1
ZIP. -
(Scale: j )
Access Length
r
Pier dock length ; "-_... .._..
Fixed Platform(s
11
_
Floating Platform(s) X Y;", l
\`\
Finger pier(s)--
_
_
_
_
_
_
Total Platform area
Groin length/#—
"t�
Bulkhead/ Riprap length . \,Q
i •,
Avg distance offshore .�J�JI/
�t.
rt\
-
"--
' -
j
t
Breakwater/Sill
Max distance/ length -'
f
-------
Basin, channel--
A
—Jrr
Cubic yards
C
0 it
'
(
j
Boat ramp
Boathouse/Boatlift�Y�f�r--
,
Beach Bulldozing
Other—
SAV observed: yes no
Moratorium: n/a yes no
�..
I
I
Site Photos: yes no --
T
�.
t
-
Riparian Waiver Attached: eves no-�
-.�
_..
t_
L_
A building permit/zoning permit may be required by:
Permit Conditions
THIS PROJECT AND
Agent or Applicant PRINTED Name Permit
Signature "Please read compliance statement on back of permit" Sign 4t
1-2s (1-�-
Application Feels) Check #/Money Order Issuing
i
i TAR/PAM/NEUSE/BUFFER(circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
Name
Date

ot0 tt, �CAMA ❑ DREDGE & FILL N° 84400 A B C D
a GENERAL PERMIT Previous permit
3 Date previous permit issued
ONew [-]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 SA NCAC : -J ❑ Rules attached. ❑ General Permit Rules available at the following link: wwwdeq.nc.gov/CAMArules
Applicant Name
Address
City State I ZIP -
Phone #
Email
Authorized
Project Location (County):
Street Address/State Road/Lot #(s)
City
Affected ❑ CW ❑ EW ❑ PTA ES ❑ PTS Adj. Wtr. Body (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑"````SPIMA PWS Closest Maj. Wtc Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
(Scale:
Access Length-
Pier(dock)length
��
-
Fixed Platform(s) `""'� -
(
--
I
T
/
!
Floating Platform(s)
t
�)-
Finger piers)
+
Total Platform area
Groin length/#
Bulkhead/ Riprap length
i
'
Avg distance offshore u l
�t
_._
_
I
_
..
-,:
)
:..,
/ �_ _
,-
_
___i
`
Breakwater/Sill - - -
-
-
Max distance/ length -
Basin, channel
\
-
__I_
Cubic yards
Boat
j4
1
ramp
yi
Boathouse/ Boatlik i,
1
_
f
�y
t
...
1
I
Beach Bulldozing
Other
r
I
_
SAV observed: yes no 'i
r
j—
Moratorium: n/a yes no )-'--
Site Photos: yes no
-'-
_\
/
-
4--
l
RiparianWaiverAttached: yes no,
-_-
A building permit/zon.ing permit may be required by: / TARJPAM/NEUSE/BUFFER (circle one)
Permit Conditions !-\'• ! �/
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THATAPPLYTO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Agent or ApplicanCPRINTED Name Permit Officer's PRINTED Name
i
Signature **Please read compliance statement on back of permit" Sign ture
Imo, 1T1�
Application Feels) Check#/Money Order IssuingDate Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: en III, C,--
Mailing Address:
Phone Number 0 ! L i J !�
Email Address:
I certify that I have authorized
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: nEJ
C(or. 2- la,>1
at my property located at
in 0 6r 4-,ef—4- 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:
Signature
6-1 /e-N
Print or Type Name
Title
—1,Z / J (( / 2.
Date
This certification is valid through I I O
RECEIVED
JAN 2 8 2VZ
DCM-MHO) CITY

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: I R Jz% 4 MA it 7 L t'� o r.' f�l cF,1
Address of Property: Z � S PO,.I D Z 9S / 2
Mailing Address of Owner: -_?l 6_ LA•l4Ef�pr'_pR�C_✓..__ —
cNiST£r(. AUIL-) (L c 210, �o
Owner's email: GffRf- RAC�GH_ wner's Phone#: --___
Agent's Name: M i c is
Agent's Email:
Agent Phone#:__21r2 .
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
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 notNy the N.C. D/vlslon of —Co as- fnl
Management (DCM) in writing within to 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.) l ni. L�1u'XORGi+/�t.eti G�N. 4 vep 11 .f tkty-
i ll
I DO wish to waive some/all of the 16' setback
�Gvh`w del O-, t/ i
------ -- .__.__.----------
Signature oi;djacont Riparian Property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property owner_jU-7Gtl�-�_)(20i-�
Typed/Printed name of ARPO: _ �� �Y'AIY�af�l"� Ltiz_11 J_B
Mailing Address ofARPO:J�vv'S��''uu►ricc""vYhfid4(
�� —7—I iRPO' ZS
ARPO's email: �Jl�`>�tivibPclmCu� r �ARPO's Phone#:
Date: I / L5 f ,�2__"walver is valid for up to one year from ARPO's Signature'
Revised July (Z 2C 2
DCM••MH, 1 CITY

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAhLD DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner; C06j'T& ragea- ALLcrJ' 4 &AA Y Al 4aoi ni ov✓ �c � �l tt J
Address of Property: Z j i• Po,D Va%yt /� 7G t1 t�j� F °ruh� i2 4 Z AS/ 2
Mailing Address of Owner: 7J2Su E
cH4STE%:,, ()Uli.d Q.
Owner's small: - ? it I - r4A4- :W4-H , " ner's. Phone#; ul �� • /o , 772
Agent's Name: Mi c K•i P
Agent's Email:
Agent Phone#: 2,U Z. �i ? z• U 4 o Y
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be earn leted by the Adjacent Properly Owner)
I hereby certify that I own properly adjacent to the above referenced properly, 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.
--41 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
rnalled 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 Mall.
WAIVER SECTION
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, Iift, 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 rlprep revetments). (If you wish to waive the setback, you must t sii an
the appropriate blank below.)GMi� ��r,��(� °,QQpp) c,� j ID-ZAAfiro.:c
r ll
I DO wish to waive some/all of the setback rr
Signature of Adjacent Riparian Property Owner
•OR -
I do not wish to waive the 16' sotback roqulrement (Initial the blank)
Signature of Adjacent Rlparl:
Typed/Printed name of ARI
Melling Address of ARPO: b 7 --i' v t °' v,,.. J t`° v, ` �V "' t
IGo to i Lw S'� v ' 1^ o, l ,
ARPO s email: � ARPO s Phone#: C7
Date: r L r 0l U % j "waiver Is valid for up to one year from ARPO's Signature"
� 1 %0,
Revised July 2021
RECEM7D
JAN 2 8 2022
DCM-MHD CITY

6
R
RECEIVE® C.
T—
JAN 28 M2
OGM-MHO CITY
'
r l
C\,

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: L kPs�r��
Mailing Address:
Phone Number:
Email Address:
I certify that I have authorized
J �I o-k-� r �eaL
gI � 21 D --7301
fl
/ Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: ,1eJ Ser Jn l l ploe+"!e
cdotk L 22 loelk 1,f15
2 n
at my property located at JS Y,/( Dr -
in 4 County.
1 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:
l—� i
Signa ure
I^es&- 1IeN
Print or Type Name
Title
t2 l v� I 2-1
Date
This certification is valid through -I - I 0 ( / 22-
(A/° `kk`�
RECEIVED
JAN 2 8 2022
DCM-MHD CITY

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: alk R6Sea Ad& 4 MAii i 41 irZie ni o a' l" t ail 40
Address of Property: Z 1-C Por' D t7Ri✓£ A 7LA,4-rJ G $ Eacs jr n. C Z E i 2
Mailing Address of Owner: iii 6 LF4KES to�� D2Su£
cMtSTEA. ALOE,-) 2Rrv�
Owner's email: G6f-1LALFr4H_ciUwner'sPhone#: 11ff,2/0•?c0l
Agent's Name: M i c w p
Agent's Email:
Agent Phone#: 2f 2. N 2 2. O y 03
Al- k e e
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
I DO NOT have objections to this proposal. I DO have objections to this proposal.
If you have objections to what is being proposedr, you must nomy the ry.te. urvisron or L.oasrar
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 some 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 rlprap revetments). (If you wish to waive the setback, you must sign
the appropriate blank below.) l P+ A pa) II f� j `�, , 6W
1 DO wish to waive some/all of the 15' setback 'AI 1-5L—
D
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
q 4W
�furr
Typed/Printed name of ARPO: 06(fS� G . Q11MU',
SUSCit1
S.
HE Q ✓n` �
Mailing Address of ARPO: U 5�lvrbri dq 7ri S l\a li, ll -
CIV 9
ARPO's email: Su`� w bPclmc (lJ71J � ARPO's Phone#: Z`' X- y3`i - 6533
Date: -�y—Y�"waiver Is valid for up to one year from ARPO's Signature* RECEIVIED
Revised Jul 0 8 2[,'?2
DCM-MHL) CITY

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Properly Owner: iVl �i�dfd2 63& 0 ALWd 4 WAIt Y 1 64,90d Al ow J-t, t /0144F�
Address of Property: 2.1-C Va"rVf, r4G Z8S!2
Mailing Address of Owner: Yl h LAGCtrf 1 or' � D2 fl/ E
cllwrf.4„ f-yt.(`ti.r.a (L
Owner's email: GtYf41—fZ/>G��Gtf4c��wner'sPhone#: 51I•2-1n°I
Agent's Name: cl4-( Pe. r4d
Agent's Email:
Agent Phone#: 23Z- 44 2 z. 0 N 05
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adiacent Proaartm 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 cilmensions must be Provided with this letter.
—4 1 DO NOT have objections to this proposal. I DO have objections to this proposal.
If you have objections to what is being proposed, you musr noury me W.c. rrrwsron ur waacar
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 some 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 t slyn
the appropriate blank below.) 1 �afM -(tft(,rp< cl� rM Inc I S
1 DO wish to waive some/all of the 15' setback
Signature of Adjacent Riparian Property Owner 1 l ZJ 1707, L
-OR-
I do not wish to waive the 15' setback requirement (Initial the blank)
Signature of Adjacent Riparian F
Typed/Printed name of ARPO:
Mailing Address of ARPO: 6
Owner:
ARPO'semalll: tLOu�tcv54l"Sr^6rt'�'oARPO'sPhono#:
Date: t 1' t t 0 j L)-L) °waiver Is valid for up to one year from ARPO's Signature"
Revised July 2021
RECEIVED
JAN 2 8 2022
DCM-MHD CITY

RECEIVED c.
T--
JAN 2 8 2022
DCM-MHU3 CITY
�,