88520C - Lee, Numa

,j`°ASTA,%[ICAMA ❑ DREDGE & FILL N9 88520 A B C . D
2 = Previous permit
Date previous permit issued
GENERAL PERMIT
❑ 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 ❑Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name
Address
City State ZIP
Phone # (_ )
Email
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtc 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 r
(Sca
Shoreline Length c
1 i j i
Access Length - — -- — �_ .. , -.. ] - _....... ......
.— -- -
�-- I i
Pier (dock) length j ] vi
FixedPlatform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/# r
Bulkhead/ Riprap length i,,'F,
Avg distance offshore /
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other i
SAV observed: yes no >, I
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
t :{�
❑ 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
Signature "Please read compliance statement on back of permit"
Permit Officer's PRINTED Name
Signature
Application Fee(s)
Check #/Money Order Issuing Date
Expiration Date

1*1CO 41&EICAMA ElDREDGE & FILL N9 88520 A B C D
Previous permit
y 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:
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 Subdivision
City ZIP
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
f
Pier (dock) length + f
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: yes
Riparian Waiver Attached: yes
A building permit/zoning permit may
Permit Conditions
(Scale: I)
u IAK/YA[-1/IVtUbt/[5Urrtm kclrcle 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)
Signature
Check #/Money Order Issuing Date
Expiration Date

BROWNS
A�A'q� NARKS 1$LAN01
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DISTANCT
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AREA
BY COORDINAMS
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0.67 AC+/ —
REFERENCES
DEED BOOK 1742 PACE 373
Af4P BOOK 33 PACE 629
SITE .DATA
UNZONF,D
AfINIAfUAf BUJLDING SETBACKS
401
FRONT - 20'
SIDE - 10'
REAR - 30'
PLANNED IAfPERV106rS' AREA
17 z
4,953 ,SF+/- = 0.17X
l
/, STEVEN D. POWERS; CERT/FY THAT TNIS SURVEY IS OF AN EXISTING PARCEL OF LAND,
57EVEN D. POWERS. CERTIFY THAT
MADE UNDER MY SUPERVISION (DEED
THIS PLAT WAS DRAWN UNDER MY SUPERVISION!, FROM AN ACTUAL SURVEY
D£SCRIPT/ON RECORO£D IN BOOK L71y.Z'A0E -5�$ 79AT TN£ BOUNDARIES
/ NOT SURVEYED ARE' CLEARLY /C AS DRAWN FROM INFORMATION FOUND /N BOOK - j,7,PAGE ��4t
ANAT THE RAT/ OF PREC/ N C CIAgTEO /S I:-j � INAT THIS PLAT' WAS NOT PREPARED /N
ACCORDANCE 7.H G,$ %-
AS
LICENSF N B R /S
ENDED Bft�AjUUSE�� PLAT SIZE. WITNESS MY OR7GI,ViY S/GNA7URE.
DAY OF L
_/�TCL._,A.O., 20
I 97EVEN D, POWERS
T/�—=�
PTH CARRJNAL LAND SURVEYOR g CA12
NORTH CAROLINA LICENSE N L-2994 /4 Q'��oa�ss/O a.L��
60 0 _ 60 120 180
GRAPHIC SCALE - FEET
cJTE PLAN FOR
I_J 0 T 1
)VINOR FOUR LOT SUBDIVISION FOR JEANNE D, HUNTLEY
TOWNSHIP: HARR6WS JSLA&O COUNTY: CARTERET STATE: NORTH CAROLINA
OW.NER:_vUjVA RAYLEE & PINBORAH MAR& ROAMSON DATE: 4/29 2022
_
SCALE: 1"= 60'
ADDRESS: 1320 &MM)_ROAD PROJFM 22013
JOB: 22013
_ _
h'ARATRS ISLAND NC 26631 TAX .FARCE _; 733,519713308000
PHONF':� BUILDER_ : SYTYR AfcGEE 25P-726-5543 FLOOD 'TONE: AAA(,rl, 7) 32707336✓ 7/18/2003
STEVEN D. POWERS PLS L-2994
PHONE: [phone]` 123 HONEYSUCKLE LANE, HARKERS ISLAND NC 28531 ATLANTIC.SURVEYSOYAHOO.COM

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GLOUCESTER P.O.
310 PIGOTT RD
GLWCESTER kC 28528
USPS 363672U676
1-800-275-8777
28528003
Term ID: 003
Clerk ID: 000001
VISA CHI)
TOTAL: $16.32
05/24/22 15:09:50
Inv #: 000002 Appr Code: 0660BG
Receipt #: 00000343
All S/lls Final OR Staaos and Poste a•
Refunds for Guaranteed Sereicas
VISA CREDIT
AD: AGOOODO0031010
AC: A2 98 13 C1 2A OA A6 93
CVR: 5E 00 00
IAD: 06010A03AOA000
TVR: 80 00 00 80 00
TSI: 68 00
CUSTOMER COPY
Order Stannc at USPS.conlshop or call
1-t8-Slan4i, Co to
USPS.coalc0 lunldp to orint swPoinp
labels with postage. For other info call
1•t00•ASB-USPS.

Name of Property Owner Requesting Permit: l)
Mailing Address: A i4
3
Phone Number: S 'i ' _ f z0 0
Email Address: C�e t() . 1 �J L
I certify that I have authorized
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all LAMA permits
necessary for the following proposed development: d�'
d)- V1 64 0L.1 C. )X
at my property located at ) '2-E % -� �;%I���� 12 14, T
in (Le--2:z--kZL J County.
l 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 information related to this
permit application.
Property Owner Information:
Sig 'atut-0 �
Print r ype Name
T'le
Date
Thi3 certification is valid through A----1 e- _I -Zc?L.J
C � C w 0 21` , 'I- 5
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N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIOP' (WAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner:
Address of Property: I -3 2-0 4,4,s 422 ZLS & e -1� Z- CIS 31
Mailing Address of Owner: _ / U 3 Ac-ru-4 6ci"2_4 It,/ / lbjq�tis
Owner's email: Owner's Phone*: ') C 21$Q- (2 CV
Agent's Name: S Agent Phone* 2•SZ: 341 C�Y%
Agent's Email: 5`I'6--v i_: AC-&-(i r C®w s; /L­f-txoa ,Q 6=91
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
I hereby certify that I own property adjacent to the above referenced property. The individual applying for this
permit has described to me, as shown on the attached drawing, the development they are proposing. A
description or drawing, with dimensions must be provided with this letter.
s
i I DO NOT have objections to this proposal. I DO have objections to this proposal.
If you have objections to what is being proposed, you must notify the N.C. Division of Coastal
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted
at [phone]. No response is considered the same as no objection if you have been notified by
Certified Mail.
WAIVED SECTION
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set back a minimum distance of 15' from my area of riparian access unless waived by me (this
does not apply to bulkheads or riprap revetments). (if you wish to waive the setback, you must sign the
appropriate blank below.)
I DO wish to waive some/all of the 15' setbacks;
Signa ure of djacent Ripa$an 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: 4a"i'e,' C14 t-
Miailing Address of ARPO:
ARPO's email:
Date:
A-
�;f1 _6 l.5'
ARPO's Phone#:
waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

N.C. DIVISION OF COASTAL. MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or NAND DELIVERY
(Top portion to be completed by owner or their agent)
Dame of Property Owner'
Address of Property: 1 3 2.0 Ts 1��� _��� ge" L: 4-ter' �vC ? CIE �
Mailing Address of Owner: —L® 3 Ac-(Cije,4 6111
Owner's email: E;b gah LSgp LIA4eo Owner's Phone#:
Agents Name: s �- � �' � Agent Phone#: 2.S 2^?4Z7 &91�
Agent's Email: 42 Pp.-8&ZL.. Civ," -
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(sottorn portion to be completed by the Adjacent Property ®wrier)
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 (titter.
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 Purest notify the N.C. Division of Coastal
Management (DCM) in writing within 90 days of receipt of this notice. Correspondence should be
mailed to 400 Commerce Ave., Morehead City, IVC 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 Mall.
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 MMI start the
appropriate blank below.)
i ❑O wish to waive some/all of the 15' setback
Signature of Adjacent Riparian Property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank) C C07
Signature of Adjacent Riparian Property Owner:
TypediPrinted name of ARPO:
Mailing Address of ARPO: ,•-
nG�'"
ARPO's email: ��GhIS�;�alal'ARPO's Phone#:
Date- ( 2 2 *waivee is valid for up to one year from ARPO's Signature"
Revised May 2021
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