Denning, Tracy 84571C

4v MCAMA [IDREDGE & FILL Nd 84571 ^ B O D
e Previous permit
3 GENERAL PERMIT Date previous permit issued
[XNew ❑ 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 (i¢N -Im ❑ Rules attached. 0 General Permit Rules available at the following link: wvedgq.n40&&MArulos
ApplicantName _LKLM VtAJlVkfV Ui
Address —1In 1 M, �I�I,, , 4.
City flCjq ry_State NC ZIP
Phone#(7l.L)
Email
Authorized Agent. Y-t �Ftrz�tVil ON=iX'7 0
Project Location (County): _o bbw
Street Address/State Road/Lot #(s)
Subdivision —'"
City --s1US3X(7� I37}�N
Affected ❑CW MEW 9PTA �WS ❑PTS Adj. Wtr. Body ,�lna an/unxl
AEC(s): ❑OEA ❑INA ❑UW ❑SPIMA ❑PWS Closest Maj. Wtr. Body 1.1/_S�t ` �__)'_LVir_!t _......._._._
ORW: yes/no PNA: yes/no
Type of Project/ Activity J.ro°-I--( /6 6' x 170' PIN- W"T
PCA-fr-YtdifANI TW0 IS' Xf3' 1bATLI t,5 (scaje:1'1,(�`)
Shoreline Length
Access length
Pier (dock) length
Fixed Platforms)
Floating Platforms)
Fingerpier(s)
t ,V4
Total Platform area
Groin length/g
Bulkhead/Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/length
Basin, channel
Cubic yards
Boat ramp
Boathouse oatli 3_
Beach Bulldozing
Other Nip-
SAV observed; yes no
Moratorium: n/a yes no
Site Photos: �yes no
Riparian Waiver Attached: VrYj no
AM
Agent
Sojg vW5 1 161 1 IV
wMvt pENNI ArA
CONDITIONS
STgnatuu •Please read compliance statement on back of permit' Signature
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Application Feels) ,CAI Cckpr{Money Order Issuing Date
5006 1
NO WMv61-
❑ TAR/PAM/NEUSEIBUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please Initial)
Expiration Date

❑DREDGE & FILL N9 84571 A B O D
z
GENERAL PERMIT Previous permit
: 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:
15A NCAC fJ H ❑ Rules attached. General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name TWA 9�e(uM�br�y Authorized Agent ? L �NI% ,,�`r`lM,5-r21x%fDlt%
Address 1109 f l ' QD, Project Location (County): 0y6bo W
City � ,�7�Q,S J?UL1 State K zIP 6(� Street Address/State Road/Lot #(s)
Phone # ( ) 30 — 15I13 >>
Email Subdivision /
City ,t� A-60a zip ? 11(ob
Affected ❑CW MEW UPTA �S ❑PTS Adj. Wtr. Body ��JR'S lfj�8M f1I/� eman/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj. Wen Body W �'(,y I
ORW: yes/no PNA: yes/no
Type of Project/ Activity l OV *
Shoreline Length DI
Access Length
GI
Pier (dock) length "/ X Izii 1
Fixed Platforms) `�X�(Z �-^•��
Floating Platform(s)
Fingerpier(s)
Total Platform area Tf
Groin length/#
Bulkhead/ Riprap length /
Avg distance offshore
Breakwater/Sill /
Max distance/length
Basin, channel
Cubic yards
Boat ramp
Boathouse oatli r 3J '1
Beach Bulldozing
Other _�
SAV observed: yes no S6P-G'VW4
Moratorium: n/a yes no
Site Photos: yes no yv
Riparian Waiver Attached: exilL no
�s (Scale:)
1
�b 4.9 ��-
d*v k..�
10 I N
DENIM4
I AM AWARE OF STATUTES. CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE SL
Agent or Applicant PRINTED Name
6 2N5
No ovell-
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please Initial) IV
(— 1 /
Signature **Please read compliance statement on back of permit** Signature
22,
Application Fee(s) Cf oney Order Issuing Date Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit. Tracy Denning
Mailing Address: _I (Pq 1-1Li l l poi rlf fud
�nPG�(S �PtYI�i�IC )BL11pr)
Phone Number: 919-369-1818
Email Address:
I certify that I have authorized Josh Barber/PFL Construction
Anent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Dock and mooring poles
at my property located at i (p��{I1D Hall Point Road
in Onslow County.
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:
Signature
a W �/Qf1ni�c/
Print or Type Name el
Title
I /
Date
This certification is valid through I I

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIOWWAIVER FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: Tracy Dinnnin9
Address of Property: 169 Hall Point Road
Mailing Address of Owner. 454 Denning Road, Benson NC 27504
Owner's email tdenning@embargmail,com Owner's Phone#: [phone]
Agent's Name Josh BarberlPFL Construction Agent Phone#:[phone]
Agent's Email [e-mail]
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
I hereby certify that 1 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
descriptiondescriptionx drawing,with dimensions must be provided with this letter.
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 Cify, NC 28557. DCM representatives can also bo 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 elan
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 r
Typed/Printed name of ARPO: David & Cynthia Boroughs
j
Mailing Address of ARPO:
ARPO's email:
!- ,�e S LO �ARPO's Phone#: �'lS S�"" ,_36
Date: /(! 0 124_ _ 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; —T y nanning
Address of Property: 169 Hall Point Road
Mailing Address of Owner; 454 Denning Road, Benson NC 27504
Owner's email: [e-mail] Owner's Phone# [phone]
Agent's Name: Josh Barber/PFL Construction Agent Phone8:910-330-5569
Agent's Email: [e-mail]
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adlacont 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. (i
description or drawing, with dimensions, must be Provided with this letter.
y 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 mcelpt 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 N you have been notified by
Certified Mall.
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 elan
the appropriate blank below.)
I DO wish to waive somelali 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 OwnerX
Typed/Printed name of ARPO: William and Deborah Burns y
Mailing Address of ARPO: I Zr AX 161,7t 1?,
ARPO's omaII:G6GPi7S7Z�%r95rMari.CoM ARPO's Phone#: fA-25��-4d l�
Date: 'waiver is valid for up to one year from ARPO's Signature'
Revised May 2021