Kamethes, Nancy 84436C

CAMA 7.1 DREDGE & FILL N9 84436 A BOD
Previous permit
GENERAL PERMIT Date previous permit issued---- ---
X New Ei Modification El Complete Reissue E] Partial Reissue
As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environryiental concern pursuant W
15A NCAC Rules attached, General Permit Rules available at the following fink, vv—ww�.d,
Applicant Name _pAkLPAM"a Authorized Agent Qufta0kt<
Address * P—N Project Location (County): —fhcljl�
City -44(1 . . . . . . . ............ State ZIP Street AddressiState Road/Lot #(s)
Phone S!L�0 be,
Subdivision
City
Affected MCW mfiw PTA E] pTS Adi, M, Body
n/unk)
AEC(s): 00FA � Li EJ INA UW SPIMA PWS Closes, Mal, Mr. Body
OR PNA; ye
Type of Project/ Activity .t'2NS1 alt-r A
A-- B, Y,- 1.3&A 11 L F 1
Shoreline Length
Access Length.--S�KZ3--
e.'
Pier (dock) length V
Fixed Platform(5)
Floating Platfcirm(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 oat
Beach Bull zing
Other-1 u4t
SAV observed: yes
Moratorium: n/a yes
Site Photos: q oc�
Riparian Waiver Attached: no
57 ,
(
A building permit/zoning permi5t may be required by;
Permit
')) #1
Agent or
Check #/Money Order
M
' 144 9 , 1).'YL' * 71,',11"
TWIPAM/NEUSLIBUFFER (circle one)
See note on back regarding River Basin rules
ElSee additional notes/conditions on back

arMEEMMEM
This permit is subject to co pliance °,pith this application and permit conditions.. Any violation of these terms may
subject the perrnittee to a fine or c; ir- : sr civil action; and may cause the permit to become roll and void.
This permit roust be on the project site a ..accessible to the permit officer when the project is inspected for
compliance- The applicant certifies by signmg this permit that: prior to undertaking any activities authorized by this
permit, the applicant will confer with appropriate local authorities to confirm that this project is consistent Faith the
oval land use plan and all local ordinances, and 2) a written statement from the adjacent riparian property owner(s)
Incas been obtained, or proof of delivery of certified rnail notification of the adjacent riparian property owner(s),
The State of North Carolina and the Division of Coastal atan Eger, .n,,it udder the best available
information and belief, certify that this project is Leans ,, , )rth Carolina Coastal Management Program.
River Basin
Tar - Pamlico River Basin. Buff--- Pules � Meuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules
for the River Basin checked above due to its location within that River Basin, These buffer rules are enforced by the
NC Division of Water Resources. If you have any questions, please contact the Division of Water resources .at the,
Washington Regional Office i252- 6- .8f } or the Wilmington regionalOffice (910-76-7215).
Notes/Additional Perrin ConditionsR
........... _
Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland location..
�3a�a�s€rare t €aa�tai_iVAp�sa�rrart� t�#ice
mor ,head City Headquarters Washington District
W ..
Elizabeth City ist a."
err,`cy'7 *
-�-Q .4
Wilmington ton District
Q? (".a d zna

�F CC �a I led Ar
A" VCAMA ❑ DREDGE & FILL
SrgVtwttkre-
z = GENERAL PERMIT
X New [-]Modification [-]Complete Reissue [-]Partial Reissue
N9 84436 A BOD
Previous permit
Date previous permit issuedi
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 l W 1 1200 ❑ Rules attached. N General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name �/" ILAA t--TG'i, ,�,'
Address ' 3S ' �4t�ON �V�` Fp
-D
City / a_AA M State M- zip 2 30-7,
Phone # (316) qq I- R50 J '
Email _A04P%N [06tS fIf ('P_ m 4 Tel • 1t Pi�
Affected M CW
AEC(s): ❑ OEA
[gJXW W PTA
❑ IHA ❑ UUW
PNA: ves/no J
1XfES ❑ PTS
❑ SPIMA ❑ PWS
Authorized Agent �-I*T F¢py< YD(,itS L J L
Project Location (County): -CA "_1 W
Street Address/State Roaad/Lott#(s)
Subdivision -�
City �46 _(�►is��ic T zip ZgR9
Adj. Wtr. Body C ru`I� e-I na _ an/unk)
Closest Maj. Wtr. Body _ J W
Type of Project/Activity 69NSI2UG1 ZO'K 5'
_ k ' x 13' &A i � I F I (Scale:
Shoreline Length ��
t '
Access Length 5 X W
Pier (dock) length 6'-(-V rD
y r�-- ; wMvo �I
Fixed Platforms) 1� ! 1
Floating Platform(s) --
Finger pier(s)
Total Platform area SL(8 Sf
Groin length/#1
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill x-
Max distance/ length
Basin, channel
Cubic yards
Boat ramp �__
Boathouse/ oatl l � 6'
Beach Bull ozing
Other
SAV observed:
yes
Moratorium: n/a
Site Photos:
yes
��,es
5�n
Riparian Waiver Attached:
/desl
no
WW
A building permit/zoning may be required by:
�JAX
,,permit
PermitConditions(DO
I__F(M
65(/J(�
PofLAOS Smt-
7) of Jce — , ..�
' . . -
i - - " , —
,i . , - -
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND
Agent or Applicant PRINTED Name
Signature
'j**Please read compliance statement on back of perW
* !I
Application Feels) s qjli
pp () Check #/Money Order
Sue 1 Or(
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
EWED COMPLIANCE STATEMENT.
(Please Initial)
Per fficer' PRINT D Na e
Signatur
issuingate
E piration Date

Statement of Compliance and Consistency
This permit is subject to compliance with this application and permit conditions. Any violation of these terms may
subject the permittee to a fine or criminal or civil action; and may cause the permit to become null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for
compliance. The applicant certifies by signing this permit that: 1) prior to undertaking any activities authorized by this
permit, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the
local land use plan and all local ordinances, and 2) a written statement from the adjacent riparian property owner(s)
has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(s).
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
0 Tar - Pamlico River Basin Buffer Rules Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules
for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the
NC Division of Water Resources. If you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (2S2-946-6481) or the Wilmington Regional Office (910-796-7215).
Not Permit Conditions:
Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland location.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST Fax: [phone]
(Serves: Carteret, Craven — south of the Neuse River, Onslow
Counties)
Elizabeth City District
401 S. Griffin St. Ste. 300
Elizabeth City, NC 27909
252-264-3901
(Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford,
Pasquotank and Perquimans Counties)
Washington District
943 Washington Square Mall Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Craven — north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext. Wilmington, NC 28405-3845
910-796-7215
Fax:[phone]
(Serves: Brunswick, New Hanover and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 6/01/2021

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Nancy Kametches
Mailing Address: 7317 Hebron Church Road
Mebane, NC 27302
Phone Number: [phone]
Email Address: [e-mail]
I certify that I have authorized Riverfront Docks, LLC
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: install hog slat dock
at my property located at 527 Deer Creek Drive Cape Carteret, NC 28584
in Carteret County.
l 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 related to this
permit application.
Property Owner Information:
�/ Signature
I
ncy W. Kametches
Print or Type Name
Owner
title
Date
This certification is valid through 6 I 17 / 2023

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER 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:
Mailing Address of Owner:
Nancy Kametches
527 Deer Creek Drive Cape Carteret, NC 28584
7317 Hebron Church Road Mebane, NC 27302
Owner's email: [e-mail] Owner's Phone#: [phone]
Agent's Name: John Gudaitis, Riverfront Docks, LLC Agent Phone#: [phone]
Agent's Email:
[e-mail]
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
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.
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
gnat,pWAdja6ent Riparia r perty Owner
-O R-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO:
Mailing Address of ARPO:
ARPO's email:
Date:
Troy & Carol Bone
637 Arbutus Drive West Roanoke Rapids, NC 27870
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 NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner. Nancy Kametches
Address of Property: 527 Deer Creek Drive Cape Carteret, NC 28584
Mailing Address of Owner: 7317 Hebron Church Road Mebane, NC 27302
Owner's email: [e-mail] Owner's Phone#: [phone]
Agent's Name: John Gudaitis, Riverfront Docks, LLC Agent Phone#: [phone]
Agent's Email
[e-mail]
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 forthis
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 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.
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
-OR-
Signature of Adjacent Riparian P p ty Owner (-,L
I do not wish to waive the 15' setback requirgfnent (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: James & Patricia Nalitz
Mailing Address of ARPO:
ARPO's email:
525 Deer Creek Drive Cape Carteret, NC 28584
ARPO's Phone#:
Date: 'waiver is valid for up to one year from ARPO's Signature'
Revised May 2021

BOGUE SOUND
■
11'x6'
Lower Platform
Nancy Webster
527 Deer Creek Drive
Cape Carteret, NC 28584
RIVERFRONT
. DOCKS
3614 Old Cherry Point Road
New Bern, NC 28560
[phone]
RiverfrontDocks.com
future boat lift
26' x 11'
Lowe atforrrl
—
-------------=�i 14'x14'
Upper Platform
1°I0
seawall (existing)
Railing