84626C - Norris, Henry

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❑CAMA ❑ DREDGE & FILL N9 84626 A a c D
GENERAL PERMIT Previous permit
Date previous permit issued
[]Modification []Complete Reissue []Partial Reissue
As authorized by the state orJ f North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I SA NCAC % ❑ Rules attached. �M General Permit Rules available at the following link: wwwdegnc gov/CAMArules
Applicant Name V
Address I I f ��• f
City State
Phone#(�)
Email
City
Affected ❑CW ❑EW ❑PTA ES ❑PTS Ado Wtr. Body611. , (nat/man/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj. Wtr. Body �5:�'' i i/l-:/
ORW: yes/no PNA: yes/no n
Type of Project/ Activity
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(Scalp ev )
Access Length
Pier (dock) length
Fixed Platform(s)
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9AV observedt yes no
Moratorium: n/a yes no
Cite Photos: yes no
Riparian Waiver Attached: yes no
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A building permit/zoning permit may be required by:
Permit Conditions
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
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"
Application Feels) Check #/Money Order
Signature y --7.--�
Issuing bate Expiration Date

Acwr' FCAMA ❑ DREDGE & FILL N9 84626 A s . c D
GENERAL PERMIT Date Previous
3 Date previous permit issued
'EINew ❑ 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:
ISA NCAC ❑Rules attached. \❑ General Permit Rules available at the following link: wwwdeq.nc.gov/CAMArules
Applicant Name Authorized Agent�i 1
Address I Project Location (County): `'
� I
City State ZIP -!' Street Address/State Road/Lot#(s)
Phone # (_ )
Email _ Subdivision
Affected ❑cW ❑EW ❑PTA
AEC(s): ❑IDEA ❑INA ❑UW
ORW: yes/no PNA: yes/no
Type of Project/ Activity
City
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❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
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A building permit/zoning permit may be, required by:
Permit Conditions
i
❑ TARIPAM/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 REVIEWED COMPLIANCE STATEMENT. (Pleaselnitial)
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature •*Please read compliance statement on back of permit** / Signature'
Application Feels) Check M/Money Order Issuing Date Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: A6pa r/�1�/ /'dt is -
Mailing Address: f q3
Phone Number:
S—a7 /fi% L/0,?2
Email Address: pha rnrJ ® AJCed/91r , dkG
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 the following proposed development: - hgtalliolprox 3,101 5ew wal�
Afaw9 ta&';rA o+Canal alA W'iq Qe&tL eat e*;r %G4Na'
at my property located at P jV i g7003 j3z899tv©
in C040-t 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: ' Zl
Signature
��ei2 r ti P, lyQ N!/l i l
Pripft or Type Name
Title It 0oQ
I I-7 y
Date T
This certification is valid through 1 I RECEIVED
MAY I 1 2022
OCM-MHD 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: Ho vt r N �-', u L l � ei /` n l` S'
Address of Property: Pi IV 74/ 70a 3,? 3 ;)R79000
Mailing Address of Owner. /4/,? PIf!` _6'4Ce /2,./. /_4C -28S7/
Owner's email: D/ ,', 4() A/ccU.ne-,or Owners Phone#: 1 ;? G Se 'le),? L
Agent's Name:
Agent's Email:
Agent
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adfacwrt 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 drawmo, with dimensions, must be provided with this letter.
I DO NOT have objections to this proposal. I DO have objections to this proposal.
a you nave opiecoons to wnat is ne+ng proposea, you must nomy we iv.r:. rmnsron or coastar
Management (I)CM) in writing within 10 days of receipt of this notice. Correspondence shouts be
mailed to 400 Commerce Are., Morehead City, NC 28557. DCMrepresentatfves can also be contacted
at [phone] No response is considered the same as no otyectfon if you have been notified by
Cerfffmd Mail.
u _ rtr711
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, ► oaUwuse, 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
X "c� , - �l�Ii
Signature of Adjacent R45arian'Property Owner
-OR-
1 do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: S71-o, 0.(4 24 i � o i, M P tAnII, a Y Zh
Mailing Address of ARPO: / L/8 �9i ,- &,Se Ad .
ARPO's email: ARPO's Phone#:
Date:
'waiver is valid for up to one year from ARPO's Signature*
Revised July 2021
RECEIVED
MAY 1 1 n&
DCM-MHD 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:
Address of Property: �-io
Mailing Address of Owner: 290
Owner's email: rLIMSOwner'sPhone#:3 9, 00
Agent's Name: PC" I o," Agent Phone#: 396 `f S 3'oi300
Agent's Email: b�MS n tnt,,,J . rr, Cv0
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 drawing 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 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
ffm
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 of ARPO: i ` r /e I v L—r vw
ARPO's email: ARPO's Phone#: 336 - 909 01) 0
Date: L12,q 1'L*waiver is valid for up to one year from ARPO's Signature* RECEIVED
Revised May 2021
MAY 1 1 2022
DCM-MHD CITY

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONlWAIVER FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner.
Address of Property:
Mailing Address of Owner: / `y I? acu ad aD�� d all � 6za I �v r? y Ale zF � S-J
Owner's email: �h[t p4�o 9nVE re it E'Phone#: VS2- GS 6 5�0�2
1 pp
Agent's Name: 1)P.n kmcc 4 Agent Phone#: 3A9Y3-936
Agent's Email:
60 "
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
0 � r 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.)
I DO wish to waive some/all of the 15' setback } /� }� j
Signature of Adjacent Rip tan Property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
/�,..-, 4
Typed/Printed name of ARPO: &en H. P-4-nsn.y
Mailing Address of ARPO: g)o S�T�P
\ i
ARPO'semail: jJfAMSu�Lth�U.rtL6hr ARPO'sPhone#: 336CIS3"Y3d0
Date: 24 `waiver is valid for up to one year from ARPO's Signature` RECEIVED
Revised May 2021
MAY 112022
DCM-MHD CITY

payiA
RECEIVED
MAY 11 2022
OCM-MHD CITY

Carteret County GIS Wabsite
Q20/22, 9:07 PM
Carteret County GIS
(1.45A)
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https:l/arcgisweb.carteretcountyne.gov/maps/
(1.06A) 0470
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MAY 11 2022
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RECEIVED
MAY 112022
DCM-MHD CITY

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