84689C - NC Aquarium at Pine Knoll Shores

�``OA"� , 'CAMA ❑ DREDGE & FILL N . 84689 A B c�
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y GENERAL PERMIT Previous permit
Date previous permit issued
eNew ❑ Modification []Complete Reissue ❑ Partial Reissue
As authorized by the State of No h Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC ��— o `.t - _ ❑ Rules attached. V w
General Permit Rules available at the following link:ww.deg.nc.gov/CAMArules
Applicant Name I Wl` ^f 1 Authorized Agent , .l :
A I!
Add r s Project Location (County): I�
Ciry . ate ZIP _ 1
Street Address/State Road/Lot #(s) t �a//it ✓trj
Phone # ) r �-#
Email Subdivision
City ZIP
5
Affected ❑ CW r W NRTA ❑ ES ❑ PTS Adj. Wtr. Body � �.iC O na an/unk)
AEC(s): OEA IHA ❑ ❑��UW ❑ SPIMA ❑ PWS Closest Maj. Wtc Body
ORVI V aw PNA: yes)0i i
Type of Project/ Activity
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platforms)
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
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed: yes
Moratorium: n/a yes
Site Photos: Yee
Riparian Waiver Attached: /a o
A building perm it/z nng permit mayylbf 1
Permit Conditions �t Q o05( 1d
06
by:
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❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back

p\�F`O""",NckCAMA ElDREDGE & FILL �' � • 8468it A e
y GENERAL PERMIT Previous permit
J' Date previous permit issued
,New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the State of No h Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC07H �t ❑ Rules attached. General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant
City
Phone #
Email
`I ICW ✓/19a Ci-� Authorized Agent
�a
Project Location (County):
e
ZIP Street Address/State Road/Lot #(s)
Subdivision
City ZIP
Affected ❑ CW W A ❑ ES ❑ PTS Adj. Wtr. Body na an/unk)
AEC(s): ❑ OEA IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body a �✓ -
ORA(y j) PNA: yeso
Type of Project/ Activity
c
Sho eline Length
Access Length
Pier(dock)length
Fixed Platform(s)
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
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed: yes
Moratorium: n/a yes
Site Photos: ye
Riparian Waiver Attached: (5/ o
A building permit/zo tfmg permit may r
it PermConditions oo c) ,
by:
gigue
k—
f
C'►,_
L,
(Scale
M
i�
❑ Vf
TAR/PAM/NEUSE/BUFFER (circle one)
See note on back regarding River Basin rules
❑ See additional notes/conditions on back
Initial)
Check #/Money Order

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit' North Carolina Aquarium at Pine Knoll Shores
Mailing Address:
Phone Number:
1 Roosevelt Ave
Pine Knoll Shores 28512
252-247-4003
1�
Email Address: [e-mail], Arthur.mertz@ncaquariums..com
I certify that I have authorized EZ Dock Solutions_ ,
Agent ! Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Addition of 10' x 10' wooden dock
and floating ADA kayak launch system.
at my property located at 1 Roosevelt Blvd., Pine Knoll Shores ,
in Carteret County.
t 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 informatian related to this
permit application
Property 0vuner Information:
Signature
Elizabeth D. Baird
Print or Type Name
Director
Tille
05 /03 12022
Date
This certification is valid through

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)
••• - • •.- �ir
Owner's email:
Agent's Name:E�'K��_
Agent's Email:
Owner's Phone#:
Agent Phone#: Nsm 11(011-k^1-r
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adiacent Property Owne
W1
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.
—4 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 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 dprap 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
Property
e
I do not wish to waive the 15' setback requirement ('tAal the blank)
Signature of Adjacent Riparian Property Owner.
Typed/Printed name of ARPO: r-yk-i t—,
Mailing Address of ARPO: 7C',W cf- P. A •5 . , 1cA rA2dd 06A Ci r • �1���(r�� �l'�i�? t�G �jt'
ARPO's email: CMA ARPO's Phone#:
Date: =-waiver is valid for up to one year from ARPO's Signature*
RECEIVP kevised May 2021
MAY 19, 2022
®Cry-MHD C 1TY

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 •.- • \. ♦�Wr)"_ ram.w M ., ' ►,.
Address of ••- LA-�Or . .
Owner's email:
Agent's Name:anisk &Onb
Agent's Email:
Owner's Phone#:
Agent Phone#: NSAS ` 64A—il_
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
descriotion or drawina. 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 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
OR -
Signature of A 0 cent iparian Property Own r
I do not wish to waive the 15' setback requirement (initial the blank) ,
Signature of Adjacent Riparian Property wner: l.0
Typed/Printed name of ARPO:
Mailing Address of ARPO:
ARPO's emai�J�����`�` ARPO's Phone#:�
Date: �,— *waiver is valid for up to one year from ARPO's Signature*
RECEIVRd 'Revised May 2021
MAY I ? 2022

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