87397C - Shipp, Bud

°E`°"S'41%'NCAMA ❑ DREDGE & FILL �° 87397 A B C� D
GENERALPERMIT Date previous Previous Ipermit issued 9s
)(New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the StateofNjoort arolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC � ' t�`�/ ❑ Rules attached. X General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name Authorized Agen '
Address 0 Project Location (County):
City S ate ZIP Street Address/Stage # s)
Phone # ( — (� r� [ \oad/Lot h A
Email Subdi' ion
Cityl r. ZIP
Affected CW EW PTA
AEC(s): OEA �IHA uW
ORW Aeso PNA: yes/ o >
Type of Project/ Activity
Shoreline Length I IVi
Access Length _y��%Q•J �'I ►!vt/
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
Boathous B tlift
Beach Bulldozm
Other
SAV observed: yes
Moratorium: n/a yes toSite Photos: ey�e,
Riparian Waiver Attached: 6 no
A building permit/zoning per` it
may �be�re�q$uirred by:
P�rmit Conditions Q1.�^ tl /1dYlK
_1 —
W-40i -1 X ('W
I AM AWARE —OF STATUT S, C C R
Agent of $ppliFA PRINTED ame
❑ ES ❑ PTS
❑ SPIMA ❑ PWS
AND CONDITIONS THAT
I
Adj. Wtr. Body
Closest Maj. Wtr. Body
YX3
(Scale:�'-qQ
r
_5,X ibq "b
V V / V
TO THIS PROJECT AND REVIEWED
T" JV514('(& ovo
AR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
Sig tune **PI compliance statement on back of pe 194
Application Fees) Neckr Money Order
Date

AGENT AUTHORIZATION FOR LAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: a t/401
Mailing Address:'°wN�°i
�S�v►t-�S �'U � �
Phone dumber:
Email Address:cu.l.�ie,�
I certify that I have authorized C3 Scott, Inc
}
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 30A -<;1a,,Idy'ie-oa -bw- f
in ea,k.-c% County.
I 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.
Property Owner Information:
' "- toriature
Print orpe Name
we -
Title
/ q i a
Date
This certification is valid through `,
4 aoa
*-/5ua
y f90X RECEIVED
MAY 2 0 2022
®CM-MHD CITY

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: 6U a
Address of Property: . ? ? � ('4, tr j (#*A.4t4
(Lot or Street #, Street or Road, City & County)
Agent's Name #:/ Mailing Address
Agent's phone #:70-
a
f" 4
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 have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 90 days of receipt of this notice. Contact information for DCM offices is
availableathttp://www.nccoastaimanagement.netlweb/cm/staff-listing or by calling 9-888-4RCOAST.
No response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift 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 blank below.)
I� I do wish to waive the 15' setback requirement.
1 do not wish to waive the 15' setback requirement.
(Property w f6mation)
tgnature
Print or Type Name
(Riparian Property Owner Information)
,�; z � G��
Signature
- lfkl�bn 2��
Print or Type Name
Mailing Address Mailing Address
�5wcuy,66rli) (
City/State/Zip City/State/Zip
Telephone Number/ Email Address Telephone Number/ Email Address ----RECEIVED
/// /,)? ��2— MAY 2 4 2022
Date Date
(ReviseftM 2
kf& SIT

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 's
(Nam of Property Owner
property located at �p� L�uf✓r� ,d am �;u ,v�j r✓_e / e ,C
(Address, Lot, Block, Road, etc.)
on in Z;me ex-1-6—e-7` - �,✓n�e•��Lc . N.C.
(Waterbody) --I (City/Town and/or County)
Initial The applicant has described to me, as shown below, the development proposed at the above
location.
Here onlocation.
I have no objection to this proposal.
one of "
these I have objections to this proposal.
lines
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
Sew 44W Al e<
WAIVER SECTION
I understand that a 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
Initial me. (If you wish to waive the setback, you must initial the appropriate blank below.)
Here on I do wish to waive the 15' setback requirement.
one of
these I do not wish to waive the 15' setback requirement.
lines
(Property Owner Information) (Adjacent Property Owner Information)
n,
SI na, e
c d 11l e
Print or Type Name
Mailing Address /
City/State2p t/ f
Telephone Number / email address
r !I=1 -.--
Dal(
*Valid for one calendar year after signature`
t f\ti"v: c-k 1
si ncIture _
dvo D.
Prin or Type�ame
1) G 4 Sc;t.���e:1
Mailing Address ` c
City/Sta>fe0p f `
a.. ?i`-.-_?�;,iY1�il �C
Telephone Number / email address
RECEIVED
(Revised Aug. 2014)
MAY 2 Q 2022
DCIVI-CI HD CITY

Drawing Prepared By: C3 Scott, Inc
Date: 4/20/22
Scale: 1 ": 20'
Property Address
302 Soundview Drive
Cape Carteret, NC 28584
Property Owner:
Bud Shipp
Proposed Work:
-Construct a new 5'x88'
walkway with a 13'x25'
platform with hog slat decking
-Install four 10" piles to
support a new 10,000 lb. boat
lift
� m i
v
0
"0
cD
r
a
304 Soundview Drive �Do�phin Street