Cape Island HOA - VP Don Harter 84578C

N9 84578 A B (D D
aoa�toura AMA ❑ DREDGE & FILL
GENERAL PERMIT
id= [gNew ❑Modification ❑ Complete Reissue ❑Partial
)us permit /
previous permit issued /
As authorized by the State
of North Carolina, Departrnent of Environmental Quality and the Coasta Resources G r i ion In an area of environmental concern pursuant to:
I SA NCAC K, `�� z% ❑Rules attached. General Permit Rules avalhable at the following link: www detyp5,gov/CAMArules
City W7MW AV-1 dNState WC, ZIP _Z 26
Phone # (46) (
Project Locatlon (County):
Subdivision
cityty N.
V
Affected ❑CW [�EW fPTA fS ❑PTS Adj. Wtr. Body OJJA/A(A7t11_4r-rr��"JWl1 na an/unk)
AEC(s): ❑OEA ❑IHA -❑UW �SPIMA ❑PINS Closest Maj. Wtr. Body I�l/A4DT \ irla
OR1 . ye /ntl PNA(ge /no
Type of Project/Activity �2925 a \r)`--SyLv�
(Scale: iVjS )
Shoreline Length 1
Access Length - /ram
(
1
Pler (dock) length 11-�
= (J.
OJT
Fixed Platforms) /
t
I
1
Floating Platform(s)
I ,
r
I
_
Finger pier(s) ---/
Total Platform area _
_ --------
Groin length/# �-
Bulkhead/ Riprap length
Avg distance offshore
-
Breakwater/SIII-
Max distance/ length
-
Basin, channel /4
r-1
Cubicyards
L
Boat ramp Z
Boathoust'(29:0
Beach Bulldozin¢
Other
SAV observed:
Moratorium:
Site Photos:
Riparian Waivf
or
n/a
yes
yes
es
I
no
I a
—a— —
—
1—j-
J
r
—TPTN
I
I
I
I
i 1_
J
J
�--r
T I I
f
1-
,
- _
I--
_�
r i
__
I _
_
j
I
r
I
AWA
FQ
17_
-
1
j
j _ r
i'
I_
,_�
r
k
I
i
-�
read compliance statement on back of permit"
Officer's
\]
❑ TAWPAM/NEUSE/BUFFER(circle one)
❑ See note on back regarding River Basin rules
See addldonal notes/condldons on back
(Pleaselnitial)
Z
Feels) Check#/Money Order

��`°"'"x❑CAMA ❑DREDGE & FILL
GENERAL PERMIT
lew ❑Modification ❑ Complete Reissue []Partial Reissue
N° 84578 A B 0 D
Previous permit
Date previous permit issued /
As authorized byyt�the
,1State of North Carolina, Department of Environmental Quality and the Coast Resources Commission in an area of environmental concern pursuant to:
15A NCAC �• 2000 ❑ Rules attached. General Permit Rules available at the following link: wwwdeq.nc.eov/CAMArules
WC, ZIP
Street Address/State
AEC(s): ❑OEA ❑IHA ❑UW SPIMA ❑PWS Closest Maj. Wtr, Bodyg
ORW(9/no ye /no PNA(De /no (� t ,t
Type of Project/ Activity F-�—�'` 1 4-D V)t> \A `�.c�t7c' t�� f
�L14 I (_Ioe�
(Scale: FJT5 )
Shoreline Length \
Access Length Z 6i e',shank cDmrrtufitJ � 4�i / �t
Pier (dock) length 1-1� — 1�C1!'t'G.tl Do,S dWj OL
Fixed Platform(s) � j j j� �
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathous oa
Beach Bulldozin
Other �'7�t p
SAV observed:
Moratorium: n/a
Site Photos:
Riparian Waivgr Att;
A building pen
yes
yes o
no
es no -Prbpel V Ulvtvri
mit may be required by: )
or Applicant PRINTED Name
P/ L-
Officer's
sou r
CV.Jaivedz
TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
See additional notes/conditions on back
(Please
Signature "Please read compliance statement on back of permit"
�71�D �2(030
Application Fee(s) Check #/Money Order
Date
Z

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: Cape Island HOA
Address of Property: SCt I I V I P V.) i)Y1 Jt?
Mailing Address of Owner: SIB elf Oyiew ionve r wii� T-AC ga{Lw o
Owner's email: ACAVV) lt' JI Y1rrt I tl�' Owners Phone#: CI10- 3wl� %tv 11
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 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.
It 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 rave ants). (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 I /
Signal Adjacent Riparian Property Owner
-O R-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Ownerrtt:
Typed/Printed name of ARPO: (ID-, I? i
Mailing Address ofARPO: 17.1i.Vinx Z120 V.Inieru)lle, NG 2Tll
ARPO's email: hcoblera mc.c,^m ARPO's Phone#:
Date: I I I "waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Cape Island HOA- VP Don Harte
Mailing Address:
Phone Number:
Email Address:
I certify that I have authorized 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: Installing a boat lift at the HOA Dock
for Warren Dabbs
at my property located at Cape Island HOA Dock (Sailview Drive)
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:
(1 Signature
f�isl�Andersen
Print or Type Name
\) h
Title
02 128 0022
Date
This certification is valid through I

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED Mnll,__Rr TURN RECEIPT REQDESTEDn_HANOD 01't I^ERY
(Top portion to be Completer) by nwnf.r or their agent]
Name of Property Ov.ner Cape Island HOA
Address Of Properly __�j I..IPr
Milling Address of Owner — QG, �t.iv1Or
Owner _r _.
Owner s email. _L a_kkv)a. 5iWitirtwk . w •1 ,_..
Agent sNamn JiOsh l'iXN4 PI , Lu..it
Agents Email pRrnarint,,i,L.,.Ii
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
I Bottom oorlion to be completed by the Adiacenl Property Owner,
i r, •e I) e,,. 1,a,, .
T 1 ,
X A 100 NOT have ob{ect,ons In the pmpotal _ 1 01
if you have -objections to what is �being proposed, you must notily The N C Division of Cnactal
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 call also be contacted
of [phone]. No response is considered the same as no objection d you have been notified by
Certified Mail.
WAIVER SECTION
understand that any proposed pi„ r. dorynu; v,r 1 n p, .',: .n ,a,u. h..,.iba. In.• t, r
groin must be set back a minimurn dzetanee of 15 i•r.m I: y aRsi I I I,pdr e ,,,, ,.•,, ,., . , . .
(this does not apply to bulkheads nl „rr:ro Ir.,,.1•r, If :, •I ,o .:, .. ...,. must ssln
the appropriate blank below I
I DO wish to waive somegall of the 'S "-'I i ,
X
OR
I do not wish to wave the 15' mdhark nrgwr..,., ,,. r „..
Signature of Adjacent Riparian Prvr)v,,v 0:. ,,,.. ,
TypedlPrinted name of ARPO:._�G(,` _1.[�_AAct n-tw4h
Mailing Address of ARPO: 32� r2t_jJer�_ CA-C- Or
ARPO'1s 1emnil: _ ARPO s Phone#.
Date: _-waiver Is valid for up to one year from ARPO's Sionaturr'