88354C - Best, Frankie

o�° °"'" ❑CAMA El DREDGE & FILL NI? 883S4 A e, C D
a 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 ❑ Rules attached. , General Permit Rules available at the following link: wwwdeq.nc.yov/CAMArules
Applicant Name Authorized Agent
Address Project Location (County):
City State ZIP Street Address/State Road/Lot #(s)
Phone
Email
Affected ❑CW ❑EW ❑PTA
AEC(s): ❑ OEA ❑ IHA ❑ UW
ORW: yes/no PNA: yes/no
Type of Project/ Activity
Subdivision
City
I
❑ ES ❑ pTS Adj. Wtr. Body (nar/man/unk)
❑ SPIMA ❑ PWS Closest Mal. Wtr. Body
(Scale:/
snoreime Lengun
Access Length
Pier dock length �� Y
(dock) gt +-
Fixed Platforms
1)-
i
-I-
}+
i
f
J
_
ii
I)
-
Floating Platform(s)
1
41
-�
Finger pier(s) I-
Total Platform area
Groin len h/#,
eulkheadtRipraplength
_
'�
-
+-`
A
Avg distance offshore
Breakwater/Sill
Ally
Max distance/ length
Basin, channel
Cubic yards'
Boat ramp... I-('
Boathouse/Boatlift
-
it
Li
4
Beach Bulldozing
Other —
_
t111-
!
-
-
_
_
SAV observed: yes no -
--
I
Moratorium: n/a yes no
Site Photos: yes no
Riparian Waiver Attached: yes no
—
'—
A building permit/zoning permit may be required by:
TAR/PAM/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 THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature**Please read compliance statement on back of permit" Signature
Application Feels) Check N/Money Order Issuing Date Explration Date

#MNew
❑CAMA [IDREDGE & FILL N9 88354 A B C D
Previous permit
GENERAL PERMIT Date previous permit issued
[]Modification ❑Complete Reissue ❑Partial Reissue
As authorized by the State of North Carolina, Department of Environmental Quality and the Cgastal Resources Commission in an area of environmental concern pursuant to:
I SA NCAC ❑ Rules attached. ©. General Permit Rules available at the following link: wwwdet.nc:.gov/CAMArules
Applicant
City State
Phone # (_
Email -- — --
Authorized Agent
Project Location (County):
ZIP Street Address/State Road/Lot#(s)
Subdivisior
City
Affected ❑ CW ❑iEW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
� k 1 (Scale:I )
6noreime Lengin
Access Length
Pier (dock) length■■■■
Platform(s)
■���■■��r
■�
®®.nFixed
ri�.r�Cll■■�L�1q■
Floating Platform(s)■
■■
■
■■■■■■■■■■■�
■■■■■■�■
�C■.
.
■
■
ME
■■■■■Prl�■■■■■.�
ONE
■
ii
��■'�i
INS
i
■r■EON
,a■s■■
©■
In
ME
0
M
'■�
'
':
C
�C:■'ME
::�.�sCME
0
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A building permit/zoning permit may be required by:
Permit Conditions
❑' TAR/PAM/NEUSE/BUFFER (circle one)
-i
❑ See note on back regarding River Basin rules.
❑ See additionJnotes/conditions on back
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature **Please read compliance statement on back of permit** Signature
Application Feels) Check #/Money Order Issuing Date Ezp ration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: F2Pv l ti_ &-s
Mailing Address: `lO P►/QER►OGf< �.AI
LSl(7l.LZSQ02e� !�
Phone Number:
Email Address:
I certify that I have authorized
Agent
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 [Zc)%
i(j�d4e'(Cszo County.
W
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.
Print or Type Name
Title
RECEIVED
1207
Date 0AN 2 4 Z022
DCM-MHD CITY
This certification is valid through I N EFtiJ I1r{ I /

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 Property Owner: T;R"i,� & T
Address of Property: (ZD7 .SWACKLEFOQD S'i OND (:!�A—LY NC
Mailing Address of Owner: \ (O Pi^jeploex 0 c,7nnr-DS$0l0 /,-J c-
Owner's email:
pp Owner's PJhone#:: 119 `Z*$ '9�v
Agent's Name:pwewAti-,E ry /Z. f4fuf4e-6tJ&"r"4Jd114one#: ZSZ-7Z3-3sZ3
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
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.) /__ DO ish to waive som %all f the 15' setback I,)7� / rat JCS`
Signature of Adjacent Riparian Property OwnerT-
-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: :3B ASScZIA'TJ7-5 i DLX,
Mailing Address of ARPO: 1 (- Yr4GlZIU6& W j 6LYSSWO AlC'
ARPO's email:
ARPO's Phone#:?ECEIVED
Date: 1 Z-�Z-Z02 ( *waiver is valid for up to one year from ARPO's Signature*
jq(� V � 2022
Revised u y 021
UL &1_Mhlj) 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: F(4w , BST
Address of Property: %Z07 15UACWZo,RD ST J�W Ci c
Mailing Address of Owner: lk,0 P14ER06B W (56L D-S&M 616
Owner's email: Owner's Phone#: Cllq '2sg 900
Agent's Name: 1)f uf.WAJfi'L-4airJF 4-FiIZ-1YUC41A%�nt Phone#: Z5-2-1Z3 IS�-3
Agent's Email:
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 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 15from 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
115•3:a
I do not wish to waive the 15' setback requirement (initial the blank)
RECEIVED
JAN 2 4 202�
Signature of Adjacent Riparian Property Owner: , crP �CM MHD CITY
Typed/Printed name of ARPO: —1IMt7 &�CK
Mailing Address of ARPO: I Z04 c�UACKL Ft- 13TR J` I fY w4eueAD C- A-r-f
ARPO's email: I\F `� O r v�" ARPO's Phone#:
Date: I �, Z `6 Z 1 waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

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