Roberts, Sarah 88566C

❑CAMA ElDREDGE & FILL N0 88566 A B C D
GENERAL PERMIT Previous permit y
i � Date previous permit issued i )
r�
New ❑ Modification NComplete 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. ❑ General Permit Rules available at the following link: wwwdegncgov/CAMAmIes
Applicant Name
Address
City. State
Phone # (_ )
Email
Authorized
Project Location (County):
ZIP Street Addr
ess/State Road/Lot/#(s) I i
Affected ❑ cW ❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS
PNA: yes/nq
Type of Project/ Activity
Subdivision
City
Adj. WI Body 1, ` (nat/man/unk)
Closest Mal. Wtr. Body
(Scale: ')}
Fixed Platforms)
Floating Platform(s) 11111111111111W
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
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Moratorium: n/a yes no
Site Photos: yes no
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A building permit/zoning permit may be required by:
)) ❑TAR/PAM/NEUSE/BUFFER (circle one)
Permit Conditions
❑ 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 orA Applicant PRINTED NaI}e g pp Permit Officer's PRINTED Name -----
1
Signature'*Please read compliance statement on back of per it" Signa ure '
Application Feels) Check N/Money Order Issuing Date Expiration Date

#F,]New
❑CAMA ❑ DREDGE & FILL N9 88566 A B C D
GENERAL PERMIT Previous 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:
15A NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: wwwdeq nc gov/CAMArules
Applicant Name
Address
City State ZIP
Phone # (_ )
Email .-_..... ,
Affected ❑j CW ❑ E W ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS
ORW: yes/no PNA: yes/no
Type of Project/ Activity
I
I
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s) _
I .
Subdivision
City
Adj. Wtr. Body
Closest Maj. Wtr. Body
(Scale:
Access Length - y Pier
(dock) ,o d
Fixed Platform(s)
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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. (Pleaselnitial)
Agent or Applicant PRINTED Name
i
Signature **Please read compliance statement on back of per H
Application Feels) Check II/Money Order
Permit Officer's PRINTED Name
i
Signature
i f,)r�
,1,ur r/, 11ailq
Issuing Date Expirationon Date

Styron, Heather M.
From: Kari Taylor <[e-mail]>
Sent: Thursday, July 21, 2022 10:53 AM
To: Styron, Heather M.
Subject: [External] 343 Live Oak Permit 84363 Renewal
Attachments: CAMA-Roberts.pdf, AgentAuthorization Roberts.pdf; Stanley-AdjacentRiparian.pdf;
Foss_CAMA_Roberts copy.pdf
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
Report Spam.
Hi Heather,
Can we please renew permit # 84363. 1 will drop a check off this afternoon.
Thank you,
Executive Vice President
C:252-571-7282
e .�_.
CARTERET MARINE
SERVICES

#tom AMA ❑ DREDGE & FILL N9 84363 A B C �
Previous permit
ENERAL PERMIT Date previous permit issued
New ❑ Modification ❑ Complete Reis , e ❑ Partial Reissue
As authorized the State of North Carolina, Department of Environmental Qual d the Coastal Resources Commission in an area of environmental concern pursuant to:
SA NCAC ❑ Rules attached. ❑ General Pem+ gstles avalige at the,(oll n ing link: 0q zo /CAhlArules
Applicant ame
Address
City
Phone # _
Email, —
Affected w P1EW
AEC(s\ of
❑IHA
OR / o PNNA: yE
,,,,AAA�
Type of Project/ Activity
I
Shoreline Length
1
Access Length
Pier (dock) length t
Fixed Platfonn(s)
Floating Platform(s)' '
Finger pier(s) .---
Total Platform area
Groin length/#"
Bulkhead/ Rlprap length"
Avg distance olfshd
Max distance/ length
Basin, channel
Cubicyards�
Boat ramp
Boathouse/ Boatlift
Beach Bulidozins
Other �m
SAV observed:
Moratorium: n/a
Site Photos:
Riparian Waiver Att
A building permit/z�
Authorized Agent =- v
Project Location (County):
h9]
City YXl
PTA ❑ ES ❑ PTS Adj. Wtr. Body
t
UW� SPIMA ❑PWS Closest Maj. VV�
B
TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
171 See additional notes/conditions on back

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Sor-,ew x6d6eh lfGn 4err'-6tides-
Mailing Address:
Phone Number: ZSZ — 7Z.57' 97i,!!;;
Email Address: A/,�
I certify that I have authorized e/n e feY ✓i <S ,
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 ,7 4° .7 �G; d e Da.E �T�� , .1 /V.4,
in Gar>Yvat/ —
County-/ 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:
Signature
Re be pfs' A •.� 6r...%.
Print or Type Name
Dw>,ey w.'�, o�iieaS
Title
Date
This certification is valid through

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTI E I E D U61L RETURN RECEIPT REQU-�STFD pr HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner. e4A401, !E'o 6&kh,W h 6cvY 0��« s
Address of Property:
Melling Address of Owner: roes %C.m'av A; �I/ 4'&e e ze 9ar�
Owner's email: /17 %f Owner's Phone#: gg'T 7?5 97/46
Agent's Name:
Carteret Marine Services AgentPhone#:252 631-9435
Agent's Emall: Info @ Carteretmarine.eom
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
Bottom portion to be completed by the Adfacent Pro terty 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
dose i rawln with d1 ens ust be rovIded with this letter.
I DO NOT have objections to this proposal. I DO have objections to this proposal.
If you have ob)ecflons to whit is being proposed, you must notify me rv.c. urvmmr, ,.,
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed fo 400 Commerce Ave„ Morehead City, NC 26557. DCM representatives can also be contacted
at [phone]. No response is considered the some as no ob)ection 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 iV from my area of ipa an access unless waived by me
(this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must $tan
the appropriate blank below.)
I DO wish to waive Some/all Of the 15' setback
Signature of Adjacent Riparian Property Owner
-OR- 4a55
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property
TypediPrintedname ofARPO: V fCO.Oy"r! _._J I v"?
Mailing Address of ARPO: 3.� U v e ox n """ . �r � ��rt117 NC VSW
ARPO's email; Sr N✓cS V 0 �GMA'L,�pRPO's Phone#:
Date: ( Z—/ Z02 -waiver is valid for up to one year from ARPO's Signature"
Revised May 2021

TIPS FOR ADJACENT RIPARIAN OWNER NOTIFICATION & WAIVER FORMS
CAMA Regulations require notice of proposed development to the Adjacent Riparian Property Owners (15A
NCAC 7J.0204(b)(5)). Proof of actual notice (a sign -off by the owner on this form) or certified mall return
receipts (showing delivery of notice) are needed, or any other method which sailsties the Local Permit Officer
(LPO) that a good faith effort has been made to provide notice.
The purpose of this notice into make adjacent riparian property owners aware of the proposed development
so that they have an opportunity to provide comments (or potentially object to) the proposed development,
and to give DCM or the LPO an opportunity to consider these commends/objections before a permit decision
Is made. Permission" of adlaent property owners Is not necessarily re u red for DCM to Issue a permit;
however, permission must be obtained for certain types of proposed developments if they fall within a 15'
setback area along the riparian access area of the adjacent property, as determined solely by DCM, it is in
the applicant's best interest to provide comprehensive and accurate notice so that any concems or objections
can be resolved early in the permit review process. In addition, if the adjacent riparian property ownerapp
the permit decision, Insufficient notice could be a basis for granting such an appeal.
Who Is an Adjacent Riparian Property Owner?
What Is Adjacent? (Note• DGM readq this broadly to ensure comment by potentially Impacted nefahbors)
• 'A property that shares a boundary line with the site of proposed development; AND
• A properly that fronts a natural or manmade waterbody that Is connected to coastal waters and
can support some form of navigation, even a kayak or canoe, Including a common canal system
or a manmade basin.
• Easement holders? Yes, if the easement could be Impacted by the proposed development.
• StreetstRoads? Only if the streeVroad could be impacted by the proposed development. This
might Include street ends which might be used for parking and beach access.
Holders of recognized submerged lends claims/shellfish franchises.
What Is Riparian?
Do the boundaries of the adjacent property legally Intersect with the water at mean high tide? If there is a
ques
CM Staff -
especially ally on the oceanfront beaon about whether an ch wacenthere there may beconsiderederty is undeveloped. pa cplease lIn
efs on the beach or In the water.
WhofWhat Is a Property Owner?
For private individuals (or families), send notice tothe address listed on the tax card, if the property is owned
by an Inc. or LLC, please send notice to the person listed as the registered agent on the NO Secretary of
state's Corporations Look Up site; hags•// v sosnc gpvisearch/indexlcorp. For Condominiums or
neighborhoods with an owners' association (HOAJPOA), send notice to the association (which is usually a
corporation, for which you send notice to Its registered agent).
What is Notice, and how do I ensure it is received?
• You can meet with your adjacent property owner, provide a description or drawing of the
proposed development, and ask them to sign this form and return It to DCM; OR
• You can hand -deliver this form and a doscrlptlon or drawing, and ask your neighbor to return It to
DCM (consider providing them with a stamped envelope); OR
• You can mall this form by LISPS Certified Mail, return receipt requested (the Green Card). If you
choose this option, you must provide either the signed & returned green card OR track the
certified mall package number on USPS.GOV's onilne tracking system, and provide the tracking
print-out as proof of delivery to DCM
If you have any questions about this process, please reach out to DCM Staff and DCM Legal Counsel
and we will work to answer your questions.
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-. A46ek %V s96cr/z� g 0��«f
Address of Property: 144 ry 14A Rd. V,-- zh,-� A. 4 `7g`r74
Mailing Address of Owner: f�D� /edev Pam` f �%r�1 eex4.* 1g�7` /yC 26 3�f-9D/4
Owners email: Owner's Phone#: Z5Z
Agent's Name:
Carteret Marine Services Agent Phone#:[phone]
Agent's Email: [e-mail]!n —
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
Bottom onion to be com leted b the Adjacent Property Owner)
I hereby certifythat 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
descriotlon or drawing with dimensions, must be provided with this letter.
X I DO NOT have objections to this proposal. 100 have objections to this proposal.
If you have objections to what is being proposed, you must notify the N.G. urvision or t,ods[dr
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 ripadan access unless waived by me
(this does not apply to bulkheads or dprap revetments). (If you wish to waive the setback, you must Sian
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback �- F�J
Signature of Adjacent a ias Property Owner
-OR-
I do not wish to waive the 16 setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/PTinted name of ARPO: Craig Foss
Mailing Address of ARPO: 608 S Charles St, LaGrange, NC 28551
ARPO's email: Cfoss fossagency.Com ARPO's Phone#: [phone]
Date: 12/14/2021 *waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

TIPS FOR ADJACENT RIPARIAN OWNER NOTIFICATION & WAIVER FORMS
CAMA Regulations require notice of proposed development to the Adjacent Riparian Property Owners (15A
NCAC 7J.0204(b)(5)). Proof of actual notice (a sign -off by the owner on this form) or certified mail return
receipts (showing delivery of notice) are needed, or any other method which satisfies the Local Permit Officer
(LPO) that a good faith effort has been made to provide notice.
The purpose of this notice isto make adjacent riparian property owners aware of the proposed development
so that they have an opportunity to provide comments (or potentially object to) the proposed development,
and to give DCM orthe LPO an opportunity to considerthese comments/objections before a permit decision
is made. 'Permission" of adiacent property owners is not necessarily required for DCM to issue a permit;
however, permission must be obtained for certain types of proposed developments if they fall within a 15'
setback area along the riparian access area of the adjacent property, as determined solely by DCM. It is in
the applicant's best interestto provide comprehensive and accurate notice so that any concerns orobjeciions
can be resolved early in the permit review process. In addition, if the adjacent riparian property owner appeals
the permit decision, insufficient notice could be a basis for granting such an appeal.
Who is an Adjacent Riparian Property Owner?
What is Adjacent? (Note' DCM reads this broadly to ensure comment b potentially impacted neighbors)
• A property that shares a boundary line with the site of proposed development; AND
• A property that fronts a natural or manmade waterbody that is connected to coastal waters and
can support some form of navigation, even a kayak or canoe, including a common canal system
or a manmade basin.
Easement holders? Yes, if the easement could be impacted by the proposed development.
Streets/Roads? Only if the streeVroad could be impacted by the proposed development. This
might include street -ends which might be used for parking and beach access.
Holders of recognized submerged lands ciaims/shelifish franchises.
What is Riparian?
Do the boundaries of the adjacent property legally intersect with the water at mean high tide? If there is a
question about whether an adjacent property is considered "riparian," please reach out to DCM Staff -
especially on the oceanfront beach where there may be undeveloped. parcels on the beach or in the water.
WholWhat is a Property Owner?
For private individuals (orfamilies), send notice to the address listed on the tax card. If the property is owned
by an Inc. or LLC, please send notice to the person listed as the registered agent on the NO Secretary of
State's Corporations Look Up site: httos //www sosncgov/sgarch1 nd@x1corp. For Condominiums or
neighborhoods with an owners' association (HOA/POA), send notice to the association (which is usually a
corporation, for which you send notice to its registered agent).
What is Notice, and how do I ensure it is received?
• You can meet with your adjacent property owner, provide a description or drawing of the
proposed development, and ask them to sign this form and return it to DCM; OR
• You can hand -deliver this form and a description or drawing, and ask your neighbor to return it to
DCM (consider providing them with a stamped envelope); OR
• You can mail this form by USPS Certified Mail, return receipt requested (the Green Card). If you
choose this option, you must provide either the signed & retumed green card OR track the
certified mail package number on USPS.GOV's online tracking system, and provide the tracking
print-out as proof of delivery to DCM
If you have any questions about this process, please reach out to DOM Staff and DCM Legal Counsel
and we will work to answer your questions.
Revised May 2021