84544C - Sides, Johnny

[xJCAMA ❑DREFE
E &FILL N° 84544 A s O D
GEN ,� RMIT Previous permit
Date previous permit issuedewodifi tidComplete Reissue ❑ Partial Reissue
As authorized byythe State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I5A NCAC (A t( . I? ?A) ❑ Rules attached. 1.9 General Permit Rules available at�the
�following link: wvm dea.nc.etWCAMArulef
Applicant Name
IJ/C/l N�1N4 U)��'js Authorized Agent r�",1C21V 10N
Address _bil - Project Location (County): "(S L&L-J _
City tS�('i�(YII-_,_ State.... �V � ZIP _o��o_ Street Address/State Road/Lot #(s)
Phone#(3�)-tt[�-, 0711
Email Subdivision ,
City �13 fi3 C ZIP '!
Affected ❑CW [Y►Ew MPTA ❑ES ❑PTS Adj. Wtr. Bodyr/r � SO A)J) &madunk)
AEC(s)::rr ❑OEA UU1t
HA UW ❑SPIMA PINS Closest Mal. Win Body /Vv
ORW;ryesyno PNA:5yno
Type of Project/Activity _ fY��l T1 VA QIF ) 3 Yt I b' f/U FT ro f$11 NG Dt.�k/4ti
kA61LIT4 _ (Scale: ml1 )
Shoreline Length Iii
11
411
PI ke,
D
tsk,%Zli
Access Length
Pier (dock) length
Fixed Platform(s) �
Floating Platform(s)_/
7/
Finger pier(s) Z
Total Platform area /
Groin length/d /
Bulkhead/ Rlprap length
Avg distance offshore
Breakwater/Sill /
Max distance/length
Basin, channel
Cubic yards
Boat ramp /
Boathouse oath L-11!433
Beach Bu1 t ng
Other _,,�
SAVobserved: yes Moratorium:
r'u, Moratorium: n/a yes zno J��
Site Photos: yes � l
Riparian Waiver Attached: rP itmay
1 Li o
A building permit/zooming permit maay,'bAe required I
]1.1 Permit Conditions _7..m IT
Ho1,tz s )
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xxit/R toil"
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IV ow Zq opm
S)Oc3 2� osPe� `0aN(-'
TAR/PAM/NEUSE/BUFFER (circle one)
See note on back regarding River Basin rules
See additional notes/conditions on back
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REV#EWED COMPLIANCE STATEMENT. (Please Initial) —i
M/ '40(00('(100
Agent or AEjAynt PRINTED Name
Sign —�iPlease read compliance statement on back of permit*
r
Application Feels) e�II oney Order
Permit OI r is PRINTED Nam
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Signature O
� / �Z
Issuin—ag [D Expiration Date

AMA ❑ DREDGE & FILL N9 84544 A B 9 D
GEN �ERMIT Previous permit
9 l Date previous permit issued
New odifi tidn ❑ Complete Reissue ❑ Partial Reissue
As authorized
rbyyrthe State ofNorthCarolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
�T� 15A NCAC I �)`r(( . ( 2,o1 ❑ Rules attached. ® General Permit Rules available at the following link: www.deq.nc.goy/CAMAruIes
Applicant Name . Y l�(Yyyl AippNy �) �i�>5 Authorized Agent t" & uApl s y— I W
Address � 2I l/J�W`i`I t7�- - Project Location (County): CrJO ibw
City IVCLC k �1 �/1"(L- State /V L ZIP Street Address/State Road/Lot #(s)
Phone # (3>36) �f(j�0711
/
Email Subdivision
City rJ 1 PJ ` ZIP
Affected ❑ CW �EW gPTA ❑ ES ❑ PTS Adj. Won Body SjvN�P Say &man/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj. Wtr. Body_�)YI h/Vy
ORWO es no PNA:5yno
Type of Project/ Activity AVVI Tl PA) o • { (3 X �3 ff1J C T TO /W FBI S C f A)6 P&—k /
MGM (Scale: MIS )
Shoreline Length �r Pi I�
Access Length��17.
Pier (dock) length
Fixed Platform(s)4LIeN
Floating Platform(s)
Finger pier(s) Z' p
Total Platform area
Groin length/tt /
Bulkhead/ Riprap length A.
I
Avg distance offshore , J.
Breakwater/Sill / 4.1
Max distance/ length
Basin, channel
1
Cubicyards
Boat ramp /
Boathouse oatli 3' 3
Beach Bu zing
Other
SAV observed: yes ft\ L > I� 21
Moratorium: n/a yes V
Site Photos: yes
Riparian Waiver Attached: es o A//✓
A building permit/zoning permit may be re N w '"'
r ( � i nn � TAR/PAM/NEUSE/BUFFER (circle one)
Permit Conditions VL
ElSee note on back regarding River Basin rules
❑ See additional notes/conditions on back
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
erg a(d6 'uVi )
Agent or Applicant PRINTED Name
SignatuxPlease read compliance statement on back of permit"
20L
26
Application Feels) eck# oney Order
Permit O is PRIN ED Nam
�9%, 61��
Signaturr�� I � / oz:::
Issuing D t / IExpiration Date

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AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Johnny Sides
Mailing Address: 27 Osprey Drive, NTB NC 28460
Phone Number: 336-462-0727
Email Address:
I certify that I have authorized Josh Barber/PFL Construction
Agent! Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
Install a boat lift
at my property located at 27 Osprey Drive, NTB NC 28460
in Onslow County.
/ 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:
Sigy ature
Print or:type Name
Title
Date
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: Johnny Sides
Address of Property: 27 Osprey Drive, NTB NC 28460
Mailing Address of Owner:
Owner's email: Owner's Phone#: [phone]
Agent's Name: Josh Barber/PFL Construction 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
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 wilting 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) J F I
Signature of Adjacent Riparian Property OwnerI
Typed/Printed name of ARPO: -Joc, is VlE}z JDf HOL�IfJ iz Si ��L
Mailing Address ofARPO: �It{ KINiz (�tLrlpP_b Or dous& "Utu, 1Ji
ARPO's email: kll(tA�1Z 6 (iM` ARPO's Phone#:
Date: "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 NOTIFICQTIONANAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner. Johnny Sides
Address of Property: 27 Osprey Drive, NTB NC 28460
Mailing Address of Owner: 1 n�) (D I- i i S P '(i (( W i nch)n 3G(P.i n 1"1 Q 1
Owner's email: Owner's Phone#: [phone]
Agent's Name: Josh Barber/PFL Construction Agent Phone#; 910-330-5569
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 I own property adjacent to the above referenced property. The individual applying forthis
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 notify the N.C. Division of Coastal
Management (DCMj 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 noted 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
XSignature of Adjacent Ripan n 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:
Mailing Address ofARPO: 77Z QoVnn Sw-\SP (�Y`• �%l�`'( ,nt(G 7���5
ARPO's email: �� (In 1 ,Iv m ARPO's Phone#: _ q ' (noco'� (7
Date: 0 2 1J �a 2waiver is valid for up to one year from ARPO's Signature•
Revised May 2021

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APR 1' 1 2022 Fazro)
®CM-MHD CITY

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APR 11 2022
DCm-MHD CITY