88348C - Hill, Frances

CA O DREDGE & FILL Na 88348 A 8
E RAL PERMIT DatePreviouspousp
Data previous permit issuetl ---
e Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized the N rth Carasna, Department of EnYuonmental Quality and the Caastet Resources Conmucin In an area of envirormmal concern pursuant to:
ISANCAC Rules attached. General Pemnk Wes mliable at the following link: Weecdja1CAMArtilas
Applicem Mra�rn�a i zed Agent
Addreu -�- J / Prof. totadon (Coumy): _
City ,J�r . tata�ziP
Ptgrre #)
Emag�03
Affected []CW W
AEC(s): OEA 11,11A
ORPNA:
Type of Project/ Activity
City 6 U{l
� ES Q PTS Adj. Wer. Body
�SPIMA OPWS' Closest MaJ. We:
Shoreline Length
Ames Length
Pler(dock)length
Fixed Platforms)
�-
j.=l
T�___
-
=•
(j
��
-Tj_-_
1_
-,_`��
Tom_ ==_
v
Floating Platfotm(s),-
-,
-
r
{r
Total Pietformarea
croin ltngth/g
gulkhead/Rlpaplengtn
Avg distance oRshofllt�
F
I
r
l
'
(}-
Breakwater/Sill�
Max distanceVenoe�"��
(
fi-•-{-
_r
iiI-
--}-
-
}}7tt---�
j-•-t.�
111
11
}
_
�.
_
I �_
Basin, channel
`�_
Cublcyasi
Boat mro.__.._..-.1-f
P
3oathouse/ a
t }
_
t i_
—
j
YrIi
I
.-L-
-
�_.It
`-_.f
;each gull
)that
L
W observed; yes o
�
11
NoretoHumn/a Yea n;
;its photos: q
�'
-�
a. #
4
...L_.i
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- .-
4t
T
y
tipaAan Waiver Attached: (5 n
t building pertnittzonin per�Jt may he requ'
'rVit Cogflidons
dhy;
❑
TAIt'P
M/N
2
h
�,�
f''
on
r
Check
A ELiSE/gUFFER(all one)
see note on back regardkigRiver Basin rules
see additional notea/cdMfeore on back
Date

CAMA ❑ DREDGE & FILL N° 88348 A B I
�IENERAL PERMIT Previous permit
Date previous permit issued
Oew ❑ Modification El Complete Reissue ❑ Partial Reissue
As authorized dy the SSttaa�te: North
Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I SA NCAC / �I I' �C1� Rules attached. ElGeneral Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant
ZIP
Phone #
ABfhbYTzedAgent -k a
Project Location (County):
City
Affected ❑ cW W PTA ❑ ES ❑ P75 Adj. Wtr. Body (nat/ n/unk)
AEC(s): ❑ \OEA ❑ I1HA ❑ SPIMA ElPWS Closest Maj. Wtr. Body
ORW: yes/n / PNA: yes/ pp
Type of Project/ Activity X l jt
Shoreline Length_
Access Length
Pier(dock)length
Fixed Platforms)
Floating Platforms) Z
Finger pier(s)�
Total Platform area f
Groin length/# /��
Bulkhead/Riprap length �\\y\'/�
Avg distance offshore
Breakwater/Sill
Max distances J eth .___��
Basin, channel
Cubic yards`
Boat ramp
Boathouse/ atli
Beach Bull zing
Other a Is/
SAV observed: yes
Moratorium: n/a yes Un.
Site Photos:' Riparian Waiver Attached: / Ves)
A building permit/zoning peraiiitt may be requ
Application Feels)
by:
NJ
qP
❑ TARfPAM/NEUSE/BUFFER (circle one)
See note on back regarding River Basin rules
See additional notes/conditions on back

2/3122, 10:26 AM
General CAMA Permit - [e-mail] - Gmail
Ms. Styron,
Please fiord the attached documentation you requested to be considered for a General CAMA Permit to install a boat lift at 322
Old Causeway Rd, Beaufort. The $200 fee will go out with the morning mail.
Thanks for your assistance and consideration. Should you need more information please feel free to reachout.
Sincerely,
Bruce Sherman
508 Bugler Rd
Mt. Juliet, TN 37122
615.504.7118
[e-mail]
RECEIVED
FEB ® $ 2e22
®CNI_MHO CITY
https://mail.google.com/mail/u/0/?tab=rm&ogbl#label/Beaufort%2FBoat+Lift/KtbxLVHSxgBVCWdQpTcFCGMmmhCgnHwIVV 1/1

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: A1;>Rt4Aj�a e gaea-T-eo� �cMo
Mailing Address:
Phone Number:
Email Address:
S % 3. 6 3 3. 3f4. 3
I certify that I have authorized
kge:.. , t:ontractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
at my property located at
in CA-QT EQ t- Y County.
20
I furthermore certify that 1 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:
�—Siiggnature
n/
Print r Type Name
Ot..taE<z
Title
L� t'� / t"q
Date
This certification is valid through I /
RECEIVE[
nSO)
FEB 0 0 )r 2
DCM-Mhf) CITY

AGENT AUTHORIZATION FOR CAM A PERMIT APPLICATION
Name of Property Owner Requesting Permit:¢
Mailing Address: 7 k I 'i;&
_W%L-So�t� WC, Z-7BR3
Phone Number: ZSZ . 3-1 3, 4-4 z3
Email Address:
I certify that I have authorized
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: ZatsT4j_J_/oTO.I o�
r4.t n. 41 S."Q. T�japT. L-\CT \_So\\z'{R CNDr
, CAST S\DC£ OC- P\F
at my property located at
in �'ctizT E mE : 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
Print or Type Name
c7,,J�•►c�.
Title
Date
This certification is valid through I I RECEIVED
FEB 0 E '1'022
DCM-MH[3 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: gs-b c-%SAA,6 ADt;rnA-1&v,eccp,TiApc,,e toaj
Address of Property: 32-Z fl>,a eg�Sgy,/�Y�ts �EA,►tt oerf tt( Z8516
Mailing Address of Owner: 2�13 E tQ �"��2j Arc. Zol
3 9ALc 16t1A 12_�. LSoi4 AI / C,,.r G L 3x -f3
rr. w,-Y1
Owner's email' �� roe ( r,n . /J ate, ( Owner's Phone#: 6 t 3 - to 33 35013
M
Agent's Name: -r-_ �. 1e L Agent Phone#: (o 15. 504 •-T l58
Agent's Email: S1-v-v n .. (p'�) qma+� ev,-rt
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adiaeent 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
rr you nave 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 M 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' setbaclvl /
-OR-
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: 41Z v-5 /—/ 2S71U /<--
Mailing Address of ARPO: /,�1 S=7 13.etaln olLI /&->/% Al/xfprV 7-P, 2733
-7
ARPO's emalL•42QnrU1C1,67 U1cc ��m a/ p, "" one#: $Zoe Xi�z--
Date: ��Zd �L �i *Waiver is valid for up to one year from ARPO's Signature*
RECEIVED
Revised July 2021
FEB 0 F) 2022
DCM-MHD CITY

DocuSign Envelope ID: C04D76CA-A28BA04B-AD7F-72EE711B84EF
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:_Frzaacis J&e�*-Mp-Ta
Address of Property:
Mailing Address of Owner. 31 Rq ry,y �t, l�t LSotit7Alj / Z4 La, E "� � �Lz,--e�z/ 4rv- zo I
vzC-.rr. 3 �3
Owner's email:252 -3`7 3
to �ma� I Owner's Phone#: e, t 3 - to 33 - 3!5q13 ✓ rZ'o wr
Agent's Name: deume t Agent Phone#: (v 15 • Sao •�T i 1 t3
Agent's Email:
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 drawina 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.)
- - - DocuSigned by.
I DO wish to waive some/all of the 15' setback Mark Yost kai'rc qd
d
-OR-
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:
Mark Yost k-„J_
Mark Yost
Mailing Address of ARPU: 2026 St. Andrews Rd
ARPO's email:[e-mail]
Data: 01/20/22
Greensboro, NC 27408
ARPO's Phone#: [phone]
*waiver is valid for up to one year from ARPO's Signature*
RECP'1VED
Revised Julir-PP26 g H22
0CM-MHD CITY

3 ZYJdY 51 P/
!!
- 25�
m
M
k]ot?Ttl
RECEIVED
FEB 0 0 207.2
DCM-MHD CITY

Styron, Heather M.
From: Bruce Sherman <[e-mail]>
Sent: Thursday, February 3, 2022 2:56 PM
To: Styron, Heather M.
Subject: Re: [External] General CAMA Permit
Attachments: CAMA Permit Documents.pdf
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
Report Spam.
Ms. Styron,
Please find the attached documentation you requested to be considered for a General CAMA Permit to install a
boat lift at 322 Old Causeway Rd, Beaufort. The $200 fee will go out with the morning mail.
Thanks for your assistance and consideration. Should you need more information please feel free to reachout.
Sincerely,
Bruce Sherman
508 Bugler Rd
Mt. Juliet, TN 37122
615.504.7118
sherm.tnggmail.com
On Wed, Jan 19, 2022 at 1:24 PM Styron, Heather M. <heather.m.styronkncdenr.gov> wrote:
The fee would be 200 dollars and the check can be made out to NCDEQ.
From: Bruce Sherman [mailto:[e-mail]]
Sent: Tuesday, January 18, 2022 5:25 PM
To: Styron, Heather M. <[e-mail]>
Subject: [External] General CAMA Permit

CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
Report Spam.
Ms. Styron,
I sorry to trouble you, but I must have overlooked what I need on the website. I am looking for the forms and
procedures necessary to obtain a general CAMA permit to add a boat lift to the east end of the pier at 322 Old
Causeway Rd, Beaufort. I would guess that I will also need some form of release from the owners as I am
acting as the 'agent' for this project.
Thanks in advance for your help.
Bruce Sherman
sherm.tn ,gmail.com
615.504.7118

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address:
Z4�3 Ew
�c�ic.,o.1�'I.�a4Qgn�ap \eo�.�e...e�,•-�
EQA�t� �A�Lr ►�.P�. iZOI
� N C,=j C�c,arr.¢,1`L 3�5�73
Phone Number: g 3 . to 3 • 3S� 3
Email Address: pTj'e,-rt 0.n _ Cf v✓to_ c0Y"
I certify that I have authorized
F ge:.. , dontractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: o c-
`PtL%*-lC."S (A-) 4Na 'Son.-c {..ACT, �SON'fNE.a1p CA•S�SNUG Or
at my property located at 2 "4c-
in eaeT�¢�T 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:
qq Signature
PrintOr Type Name
Title
L_I `9/ 1q G.�, �
Date
This certification is valid through I I

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address;
WC- Z"78R3
Phone Number: ZS2. 3't'3. cl4za2
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 th\e following proposed development:
'P1%.%+J,y-L' 4).4."P $ads- �-�CT \souTFt CND EaSc S�oct Oc p�E
at my property located at 3zz. Vin
in 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:
j t
�il[4.'yli (1.
Signature
—r }x'r's /i d if
Print or Type Name
C%vlNtl=e�
Title
UI / Datt
e
This certification is valid through

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: 1-t2,p,aLts A 91 -4-&Z^MA TWaG�c.y.a,-L
Address of Property 3zZ fl>,p eA�ng>eay�.o �Ew t roe�i qZ6S41�
Mailing Address of Owner: 3L�.A�zIGt1�t7.v lLSort't�( /SCE , C4Ln�a�2/P�. Zol
:Sr11S �vcL.rr cc�rit r ZS2.-=T.3- ` 3�3
Owner's email: g� i rno l . /a . ,n, ( O vner's Phone#: 6 t 3 - to 3a 350f3
M
Agent's Name: 1L'32Uc.e.. Agent Phone#:(o1S•SD4.7t115
Agent's Email: S r ,n . 4vt q vv 4_A. , C_v,n
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.
If you have objectlons 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 somelall of the 15' setbac z -- i
r
-OR-
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: N, ✓6
Mailing Address of ARPO: 130L 1pn o,-✓ /c_0 �b;[fwu 1j1S%3-73
ARPO's email:�d2nrU� / sT J�ce ��� 4)L, [.dYa
ARfL3-�t�L-dD��j
Date: 'waiver is valid for up to one year from ARPO's Signature'
Revised July 2021

DocuSign Envelope ID: C04D76CA-A28BA04B-AD7F-72EE711 B84EF
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: E&& . c-%-. A A t7rLtAA �-} 37s.2a�,e Ttal�G�E. t e�, t
Address of Property:
Mailing Address of Owner. jl j7�q�t yt� �13EM�¢�Ln1 nc�l�z/A�s. zoI
Gt Dtt Sati17't�L' /5� a G..
a4,�1\S�vc�-rr cvw+t ' j 25Z-aT3-44Z3
Owners email: a-�krno „ etve tQ 5mom I Owner's Phone#:
r Zc M
Agent's Name: B2uc-L-_ i Agent Phone#: !o t5- SO4 •-T l 1e!>
Agent's Email: SLl2rwi . 4vt q wta r t
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
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 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 sian
the appropriate blank below.)
--DocuSigned by:
I DO wish to waive some/all of the 15' setback Mark Yost �kA& gbsf
-OR-
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:
Mark Yost
Mark Yost
Mailing Address ofARPO: 2026 St. Andrews ad, Greensboro, Nc 27408
ARPO's email:[e-mail]
Date: 01/20/22
ARPO's Phone#: [phone]
*waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

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