Gould, Jamie 87399C

AMA ❑ DREDGE & FILL NY 87399 A B rC)°
oa
J. tE
NERAL PERMIT Previous permit
Date previous permit issued
New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the Statf of North Caroli a, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I SA NCAC q 4 ' 'r� f/i ❑ Rules attached. [VGeneral Permit Rules available at the following link: www.dea nc.sov/CAMArules
State zip �;L
Street Address/State Road/Lot #(s)
Email Subdivision A in ..,_
City
Affected ❑ CW EW [XPTA ❑ ES PTS Adj. Wtr. Body (nat/man/unk)
AEC(s): OEA ❑ IHA ❑ UW SPIMA ❑ PWS Closest Mal. Wtr. Bod\z L ,� 0 .(,= C
ORW: yes/� PNA: yes/ne! )
Type of Project/ Activity_.('L
(Scale: )
Shoreline Length
Access length '—
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger piers)
Total Platform area
Groin length/# ---
Bulkhead/ Riprap length --_—
Avg distance offshore
Breakwater/Sill
Max distance/le th
_
Basin, channel
Cubic yards--
b,
Boat ramp-
Boathouse/ o li
C'
Beach Bulldozingl- "
�iCi1�,!i�147f►'l�y�,Ya(�[�
SAV observed:
Moratorium:
yes no
n/a yes no
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
I C)`Si�MENT. 'Please Initial
Ail
SignaturelPlease read compliance statement on back of permit"
Application Fee(s) Check #/Money Order

giCOAS 1 i'.J e0r, N9 87399 A B 0 D
o� �CAMA ❑DREDGE &FILL
J GENERAL PERMIT �'"'G%�3 Previous permit
2 Date previous permit issued
New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the Sta of North Caro a, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCRules attached. [)(General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
n
Applicant Name Authorized Agent LL
Address Project Location (County):
City c State ZIP Street Address/State Road/Lot #(s)
Phone # J-5);I iVe11-
Email Subdivision
City'rih ZIP _
Affected ❑ CW MEW 1XPTA ❑ ES ❑ PTS Adj. Wtr. Body `�b-(i JU A` (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body N
ORW: yes/ PNA: yes/nC /
Type of Project/ Activity ✓ r
it
(Scale: � )
Shoreline Length
Access Length `
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s) [p
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ len th I 1C)✓" I
Basin, channel
Cubic yards, --
Boat
5ry J�
ramp
Boathouse/ o li `�' I Olt -
Beach Bulldozing' /
1 Q V
Other ` \1
Ild
SAV observed: yes no
Moratorium: n/a yes no
Site Photos:
Riparian Waiver Attache es
LM-
A building permit/zonin ermit may be r q' ufr2`d by:
❑ TAR/PAM/NEUSE/BUFFER (circle one)
Permit Conditions
CL1'1 ❑ See note on back regarding River Basin rules
f �` ! 1i 21G
❑ See additional notes/conditions on back
I AAA AWARE,QF STATUTES„eRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMP ST MENT. Please Initial
Agept or Applicant PRINTED Name
**Ple Signature e read compliance statement on back of permit**
� c.,. L �]1r9
Application Feels) Check #/Money Order
Perm
Sign° re
Issuing Date Expiration Date

Styi,on, Heather M.
From: David Anderson <[e-mail]>
Sent: Tuesday, June 7, 2022 8:50 AM
To: Styron, Heather M.
Subject: [External] 5210 Webb Ct., MHC
Attachments: 2022-06-07_084025.pdf
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
Report Spam.
Good morning, Heather.
Paperwork attached for Mr. Gould at 5210 Webb Ct. for a boat lift.
Let me know if you have any questions or need anything else.
Thanks,
- Ashley
David Anderson
President
EZDock Solutions/Nauti Metal
5568 US-70, Suite C
Newport, NC 28570
Office: 252-773-0793
Cell: 252-764-1234
Fax: [phone]
www.ezdocksolutions.com
www.nautimetal.com
1

Name of Property Owner Requesting Permit:
Mailing Address:
Phone Number:
-5-2—LQ
AIC
Email Address: c i )0
I certify that I have authorized AL2 V W/ 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:
at my property located at
in county.
/ 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,
Signature
C-"
Print or Type Name
Title
Date
This certification is valid through
7

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: ZI-1-A I I -A" _491-V
Address of Property:
Mailing Address of Owner: 52 1,0 r
Owners email: � A6) ,'qu ke�'-,-Owner's P ho n e#:
f 4,LA
Agent's Name:
Agent's Email --
Agent Phone#.
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(t9_0 V ^Upw-volk t1.FVFC-.4.
h - The individual applying for this
hereby certify that I own property adjacent to the above referenced property
permit has described to me, as shown on the attached drawing, the development they are proposing. A
must be provided with this letter.,,e3r,,�pton or with dimensi this proposal1 DO h&P, Qb*V10" to t'n's proposal'
i DO NTI MW Q�Ooflons to . ion of Coagtal
notify the
N,
being proposed, ycorrespondence should be
_CV011, to what notice
�OU have 0 writing within 10 day-s Of receipt of tnis asentatives can also be cOnfactea
(E)CM) in wr IqC 2V557. ACM repro
th,sn,qgglrent ad City, have been notified by
r Comnefc, Ave Morehe considered the same as no objectior) if YOU
nailad to ,
,,t (252) a08-2808- NO response Is
cenified Mail. WAIVER SECTION boathouse, I-Ift, Of
farnp, unless waived b*Y
proposed pier, dock mooring Pilings, boat of riparian 3cc6ss
me
my area setback, VOLJ
that any propri ,e of 15'frOm
to waive the slat.-
miy"irrlum (It you wish
S of r1prap revetments
,,Ust be set ba& must se
-as not appN t. bulkhead
blank below.)
pro rate all of the IS, Sinatusetback
l pp wish to waive some .__ re of Adjacent Riparian P10P11y
g �
-OR- (initial the blank)
the IS' setback r8q"fement
not
doti"Nish to waive
d'acent RiparianProperty ONNner
Signature
i'vt IS
Typed/Printed name of ARPO* Z_'
Mailing
Address Of ARpo. ARP0%phone,"
V ARPO's signatU16*
ARPO's email:email:for up to on,
ear Irom
jsvaiid Revised May 2021
Date'.

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION) AIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their
/agent)
!1
Name of Property Owner: d _ t
Address of Property:
Mailing Address of Owner. / 0
v
Owner's email: kl.g-7 I k-,,. i & oe VOwner's Phone#: J-13e
Agent's Name:
Agent's Email:
Agent Phone#:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adiacent Propen Owner)
(-
/\J
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.
_ Z_ 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 mush 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.
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 SM
the appropriate blank below.)
I DO wish to waive some/all of the 15' setbac
5igr}a ure of A a ent iparian Property Owner
-OR-
(I do not1wish to. waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
//I--� �
Typed/Printed name of ARPO. 4- <f e
<e-Z
Mailing Address of ARPO: _ e�J2- V6 &2 v ~
ARPO's email: 2 e4� ..V. vr.V� ARPO's Phone# -
,
Date: t / �' *waiver is valid for yap to one year from ARPO's Signature*
Revised May 2021

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