88412C - Laine, Allison & Will

e°F`0Ar'q c❑CAMA ❑ DREDGE & FILL N9 88412 A B C ` D
Previous y = GENERAL PERMIT
ermit
❑New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
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: www.deq.nc.gov/CAMArules
Applicant Name Authorized Agent
Address Project Location (County):
City State ZIP Street Address/State Road/Lot #(s)
Phone # ( )
Email
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑ IDEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS
ORW: yes/no PNA: yes/no
Type of Project/ Activity
Shoreline 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 no Vi
Moratorium: n/a yes no
Site Photos: yes no '
Riparian Waiver Attached: yes no'
A building permit/zoning permit may be rE
Permit Conditions
I AM AWARE OF STATUTES. CRC RULES AND CON
Agent or Applicant PRINTED Name
Subdivision
City
Adj. Wtr. Body
Closest Maj. Wtr. Body
nat/man/unk)
(Scale: . } j )
❑ TAR/PAM/NEUSE/BUFFER (circle one)
ElSee note on back regarding River Basin rules
ElSee additional notes/conditions on back
THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Permit Officer's PRINTED Name
Signature "Please read compliance statement on back of permit"
Application Fee(s) Check #/Money Order
Signature
Issuing Date Expiration Date

1*°jCOA 4, ❑CAMA ❑ DREDGE & FILL N9 88412 A B C
y GPrevious permit
GENERAL 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:
I SA NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name _
Address
City
Phone # (_.)
Email
State ZIP
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
Affected ❑ CW ❑ EW ❑ 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
Shoreline 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 no
Moratorium: n/a yes no '
Site Photos: yes no
Riparian Waiver Attached: yes no
A building permit/zoning permit may be required by:
Permit Conditions
(Scale: )
❑ 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 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
Issuing Date Expiration Date

AGENT AUTHORIZATION FOR LAMA PERMIT APPLICATION
Allison & Will Laine
Name of Property Owner Requesting Permit: 327 Hickory Knl
Mailing Address: Hubert 23539
Phone Number:
Email Address:
I certify that I have authorized
3365541049
Awlaine4fgmail.com
avidwar s
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Seadoo lift
is ory Nni,
at my property located at
in OnSIOWounty.
/ 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 relatPri rr,
permit application.
Property Owner Information:
Signature
■ / A A ■-
t or Type Mme
Title
4./ 11. / 22
Date
This certification is valid through
Ma
.)L"
,'ijL' t� @
END Of MAO

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to A111-son-s'VL1
_ _ , k , , • (Name of Property Owner)
properly located at
�'V)
Address, Lot, Block, Road, et .)
on in E i. e r r , N C.
('Waterbody) (City/Town and/or County)
The appli ant has described to me, as shown below, the development proposed at the above
locatio
I have no objection to this proposal
- Lha e-objections.to this proposal
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
�I
\ C n a WAIVER SECTION -
I understand that a pier, dock, mooring pilings, breakwater, boathouse lift, or groin must be set
back a minimum distance of 15' from my area of riparian access unless waived by me. (If you
wish to waive the setback, you must initial the appropriate blark below)
I do wish to waive the 15' setback requirement
I do not wish to waive the 15' setback requirement.
perty Owner Inflirmation)
Sigrr�,ature �
Print or TVPe Name `I
i
37 rnr
Mailing Address
}, I Pr
City/State/zip o
TeleJpho e Number
nrd ��Z -
(Adjacent Property Owner Information)
?S?vraaltu ,
� (� 1'C,S U nu S
Print or Type Name
,�? u�i ► Goo e,� Mailing Address
Address
tti I9 e r T- fJc 2 X f iat
City/state/Zip
1/0
Telephone Number
(Revised 611812012)
RECEIVED
APR 2 2027-
1)(;M-MHD CITY

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
1
I hereby certify that I own property adjacent to { � I`; F ` 1' ', r} ";.. 's
(Name of Property Owner)
properly located at 3� �' i "'. � ;7
ti y Address, Lot, Block, Road, eta.)
on ; ,k e) °;1` : S in k lal 1 C r i N.C.
1Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
NZ I have no objection to this proposal,
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill In description below or attach a site drawing)
e
AAD
.,A
ftt
f.
r
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse lift, or groin must be set
back a minimum distance of 15' from my area of riparian access unless waived by me (If you
wish to waive the setback, you must initial the appropriate black below )
I do wish to waive the 15' setback requirement.
�� i do not wish to waive the 15' setback requirement.
petty O' ner IInf rmation)
Signalui ei
Pnnt or Ty q Name II
,rA�►rbnq Address ;
C,t y.�5tat eiZrp
Tetepho e NurnbOr
ont Property Owner Information)
M
Or
N aitrrIgddrass '
a ^ s,_1/z5zv
Cit / tate2, �
Telephone N ►►roof
Dare
(RPVfSvd E/' 8/201 _� )
RECEIVED
�\PR 20t2
DG4 A_h VID CITY

DAVID PAUL EDWARDS JR
259 OLD HIGHWAY
SWANSBORO, NC 28584 COUNTY: CARTERET
HOME: CELL: 252-732-5664 WORK:
D.L./STA__TE ID m 28812674 STATE: NC EXP. DATE: 2/19/29
D.O.B.: 02/19/84
OVERDRIVE INDUSTRIES
490 OLD WILSON RD
WENDELL, NC 27591
919-60$-1381
SALESPERSON:
VEHICLE INFORMATION:
YEAR: 2005 COLOR 1: WHITE VIN: 3FRNF65E75V202377 STOCK: 10364
MAKE: FORD COLOR 2: STYLE: SUPER DUTY CYL: 6
MODEL: F650 BODY: DUMP MILEAGE: EXEMPT TRANS: AUTO
TRADE-IN INFORMATION:
YEAR: COLOR:
MAKE: MILEAGE:
MODEL: BODY:
VIN:
BALANCE OWED TO:
BALANCE OWED: $ 0.00 GOOD THROUGH:
ALLOWANCE: $ 0.00 QUOTED BY:
SETTLEMENT
VEHICLE PRICE
23,201.00
Dealer Service Fee:
299.00
SUBTOTAL
23,500.00
Highway Use Tax:
N/A
Property Tax:
N/A
Title Fee:
0.00
Registration Fee:
N/A
Plate Fee:
N/A
INSURANCE INFORMATION:
COMPANY: Progressive
AGENT:
PHONE: POLICY M 03423778
Payoff on Trade-in:
N/A
LIEN HOLDER INFORMATION:
COMPANY:
STREET:
CITY, STATE, ZIP:
RE54ARKS:
TOTAL DUE
2500.00
l=
LLi
in:
TRADE-IN ALLOWANCE
N/A
DEPOSIT
N/A
WARRANTY DISCLAIMER:
Unless Seller provides a written warranty, or enters into a service contract
within 90 days from the date of this contract, this vehicle is being sold
"AS IS — WITH ALL FAULTS" and Seller makes no warranties, express or
implied, on the vehicle, and there will be no implied warranties of
merchantability or of fitness for a particular purpose. This disclaimer does
not affect any warranties by the vehicle manufacturer. Seller neither assumes nor
authorizes any other person to assume for it any liability in connection with the
sale of the vehicle and the related products and services.
DOWN PAYMENT
23,500.00
TOTAL CREDIT
23,500.00
® Cash ❑ Finance BALANCE DUE
0.00
ff financed, please see your installment sales contract for information
I about finance charge, insurance, and terms of payment (other than cash).
CONTRACTUAL DISCLOSURE STATEMENT (USED VEHICLES ONLY) The information you see on the window form for this vehicle is part of this
contract. Information on the window form overrides any contrary provisions in the contract of sale. Spanish Translation: Guia para compradores
de vehiculos usados. La informaci6n que ve en el formulario de la ventanilla para este vehiculo forma parte del presente contrato. La informaci6n
del formulario de la ventanilla deja sin efecto toda disposici6n en contrario contenida en e► contrato de venta.
Buyer hereby declares that they are of legal age to transact business and that no untair inducement has oeen maae Dy oener. I nis ayieumk-i u
and the related documents that Buyer signs contemporaneously with this agreement, including any retail 'installment contract, contain the
entire agreement between Buyer and Seller and cancels and supersedes any prior agreement including oral agreements relating to the sale of
the motor vehicle.
X 1 /13122 X r (.. �� /• ' Y/13/22 X N/A
Acc d by Authorized Representative of Seller Date Buyer ` - Date Co-BuyerVED Date
Z-NC-BOS rev. 03/21 ©2021 Frazer Computing, LLC
APR 2 8 2022
DCM- AHD OP"