Bell, Bobby 88578C

oCOAMSr", �c❑CAMA ❑ DREDGE & FILL N9 88578 A B C D
y , GENERAL PERMIT Previous permit
J 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:
I SA 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 El '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
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
Boathouse/ Boatlift
Beach Bulldozing
Other
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
❑ 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
Issuing Date Expiration Date
Application Fee(s)
Check #/Money Order

FICAMA ❑ DREDGE & FILL N4 88578 A B C D
y = GENERAL PERMIT Previous 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 _
Address
City
Phone #
Email
State ZIP
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 /
Shoreline Length
Access Length
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
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed: yes no
Moratorium: n/a yes no
Site Photos: yes no
Riparian Waiver Attached: yes no
A building permit/zoning permit may be re4— w v,.
Permit Conditions
(Scale:;' )
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
1 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

Styron, Heather M.
From:
Stephen Perry <[e-mail]>
Sent:
Wednesday, August 10, 2022 2:49 PM
To:
Styron, Heather M.
Subject:
[External] CAMA Boat Lift Application
Attachments:
Joey Yates Adjent Authorjpg; Riparian Forms.pdf,
Screenshot 2022-08-10 2.42.30 PM.png
CAUTION: External email. Do not click links or open attachments unless you verify. Send all
suspicious email as an attachment to Report Spam.
Heather,
Please see the attached agent form, tea riparian forms, and a sketch of the
boat lift location to be installed. Please let me know what else you need.
Stephen Perry
Dynamic East Construction
Cell: 252-883-9685
Office: 252-773-4116
+AN le t
4 ,p
a
CONSTRUCTION

h

. . . . . . ........
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONNVAIVER FORM
CERTIFIED MAIL - RETURN RECI;LPTREQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner'.
Address of Property: - / , / '/ C Ay-") , Ir
Mailing Address of Owner-,
Owners email. Owner's Phone# -
Agent's Name Agent
Agents Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
f-Bottom portion to be, cognDleted by the Adiacent Property Owrter?
I hereby certify that I own property adjacent to the above referenced property. The individual applying for this
oermit has described to me, as shown on the attached drawino. the deyeloom3nt then are or000sinq. A
description or drawing, with dimensions, must be provided with &s; letter.
,x
I-V- I DO NOT have obiections to this oroDosal. I DO have obiections to this or000sal.
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
n-miled to -400 Conamer. -- Ave.. Morohead City. Nr- 28561. 0CM re- oresentativescan also be contacted
at [phone], No response is considered the same as no objection if you have been notified by
Certified %9ai 1. / 0 `4 - . V,-i I A A
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, Ut4sLt �tq the
appropriate blank below.)
I DO wish to waive some/all of the 15'setback
S1 . anature of AdJacent Riparian Property Owner
-OR-
I do not wish to waive the 15setback reauirement (initial the blank)
Signature of Adiacent Rioarian Prooertv Owner'. 4,
Typed/Printed name of ARPO: -J/,)hh 4U�If, 3-r-i
Mailing Address of ARP0:
ARPO's email: ARPO's Phone#: _t
waiver is valid for tip to one year from ARPO's Signature*
Revised MaY 2021

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONANAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: /� f g
1
Address of Property:`
Mailing Address of Owner:
Owner's email:
or
Owner's Phone#: Sb 7 ✓ eq !)vy,
Agent's Name:
r., . ?>4
Agent Phone#
.a `a
Agent's Email:
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 90 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 sarne as no objection if you have been notified by
Cert'fied all `
7
" 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 Riparian Property Owner
•o
I do not wish to waive the 15' setback requirement (i
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: n
I the blank) ,I 41t.
Mailing Address of ARPO: A� ' I `" � � ; j / .: ��" � ti
ARPO's email: eo"K c.tse. lt_, %cARPO's Phone#:
Date: *waiver is valid for up to one year: from ARPO's Signature"
Revised May 2021

1