84412C - Alternative Ending, LLC

^`NQCAMA ❑ DREDGE & FILL No 84412 A B C D
3 Previous permit
GENERAL PERMIT
Date previous permit issued
IN 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:
15A NCAC (f l H ' 2-000 ❑ Rules attached. U( I General Permit Rules available at the following link: wwwdet.nc.Pcv/CAMArules
Applicant Name (:fi- lv!='!Vi; /° 7 I ' :�1Ja �.L! ! �. "
II
Address _;;i Y, �'v'l1�'�L) d)n- J
City �f i �i' !. 1^i %Sri! state ZIP
Phone#(!Lf,'
Email
Authorized
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
Affected 0 CW r\. EW i. PTA Q ES ❑ PTS Adj. Wtr. Body
AEC s: OEA IHA UW SPIMA PWS l�
() ❑ ❑ ❑ ❑ ❑ Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
(Scale: V*TS )
Shnrnlina I nnth
Access Length
MEN
Pier (dock) length
Fixed Platform(s)..
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Platform area
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iAV observed: yes■H�
Moratorium: n/a yes Onoo
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Cite Photos: yes
to .1 Waiver ,.. .-.. :.
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
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" Signature
Application Feels) Check p/Money Order Issuing Date Expiration Date

#F-�New
❑CAMA ❑ DREDGE & FILL N9 84412 A B C o
Previous permit
GENERAL PERMIT
Date previous permit issued
❑ 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. 0 General Permit Rules available at the following link: www deq nc gov/CAMArules
Applicant Name
Address
Citv
Phone #
Email
State ZIP
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City_
Affected ❑ CW ❑ EW ❑ PTA 0 ES ❑ PTS Adj. Wtr. Body (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wt, Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
(Scale:. , )
Access Length
Pier (dock) length
Fixed Platform(s)
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Platform area
Bulkhead/ Rlprap length
Avg distance offshore
Max distance/ length
Basin, channel Cubicyards99�
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SAV observed: yes no
Moratorium: n/a yes no
Site Photos: yes no
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A building permit/zoning permit may be required
Permit Conditions
❑ 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 CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: �l\.11����Ae
Ay'%, /
Mailing Address: 40q Ch�r,uNe ff I to?L-J� ,
Phone Number:
z'�15-911
91e,?, 3VO- o 6 17 0
Email Address: yu 7 cA 4), /k. "J ei-
I certify that I have authorized 7FIpby J�r • 9 �+ ,
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
V l /
necessary for the following proposed development: //ocet 200 �eU )6X j'L roe
7 0061 Sor�n�
at my property located at %O©$
in C-Ar�jre County.
1 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 ormation:
T1 Signature
Print or T} oe Name
Title
/ 9 / 2 2_
Date
This certification is valid through -�/ !d / 20
,Alo cUec'�-
RECEIVED
JUN 10 2022
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: t'0US X
Address of Property: 7004
Mailing Address of Owner. Lboy covwkr Cj b J�c�s��•�4 �%�-
Owner's email: W K^w1 r.(W e� )*tLc (`1&ner's Phone#: I I °
-- au�D / 1 � - entPhone#: vo —
— -Ageht s Name. � 9, Agent
Agents Email: ' '&-
(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
ICA). I DO NOT have objections to this proposal. I DO have objections to this proposal.
Ifyouhave obi jecfions 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
Signature of Adjacent Rrparian Property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO:. ei� 'C.-
Mailing Address of ARPO:
ARPO's email �� /ram �f f ¢7 6ARPO's Phone#:
Date: Z7 ZDLv 'waiver is valid for up to one year from ARPO's Signature'
RFCFIUFD Revised May2021
JUN 10 2022
DCM-MHD CITY

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTED or NAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner:
Address of Property:
27 n(_ r . �.. L _ ,. �f9t k-1 01". �(e f�C
Mailing Address of Owner. v.
Owner's email: Ot;i-6bD(Gl•e rrr- - -(tin. Owner's Phone#: b �S 6-77-
Agent's Name: L�, 9 I / Agent Phone#: % �0 55y y J
Agent's Email: 6 i
(Bottom portion to be completed II the Adjacent Proaerty 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
I DO NOT have objections to this proposal. I DO have objections to this proposal.
If you have objections to what fs being proposed, you must notify the N.C. Divislon of Coastal
Management (DCM) in writing within fo 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' setbacl �-
Signa ura of Adjac arian Property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
TypedlPrinted name of ARPO:
Mailing Address of ARPO:
ARPO's emaiPIP
)A II Phone#:(I/()
Date: G ZG 2v -waiver is valid for up to one year from ARPO's Signature'
RECEIVED Revised May2021
JUN 10 2022
DClurAAHD CITY

IS
1

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: /-rraoq r4a ��esoro
' Mailing Address: i G r1�N�e 1 �r'7 _✓�-t'
Imp.'e3jd, 6 SC4C WC
Phone Number: �l® 6 ✓© �g ��
Email Address:
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: �liyc k---, a)�-- -1 oo g
r�l,��Fmf J kke i�L
at my property located at flfi S Sou�j ��
in T er County.
1 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
rac
or Type Name
Title
Ilal �2
ate
This certification is valid through _�I l l 2Z
[�!