88616C - Stallings, Robert

oN\000Sr'1 ❑CAMA ❑ DREDGE & FILL Nd 88616 A B C D
Previous permit
4 GENERAL PERMIT
Date previous permit issued
F,lNew ❑'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.goy/CAMArules
Applicant Name
Address
City rd,('S..}�r
Phone #
Email
J
$i State ZIP
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
P
Affected ❑ CW ❑ 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
" (Scale,. )
Shoreline Length eft
Access Length a
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
�J
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 re
Permit Conditions
r_ ❑ 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.
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature "Please read compliance statement on back of permit" Signature
(Please Initial)
Application Fee(s)
Check #/Money Order Issuing Date
Expiration Date

1°F`0"STV OCAMA ❑ DREDGE & FILL N9 88616 A B C D
GENERAL PERMIT Previous permit
—0Date previous permit issued
l� 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
P
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
Pier (dock) length _
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area _
Groin length/#_
Bulkhead/ Riprap lei
Avg distance offshor
Breakwater/Sill _
Max distance/ lengtl
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing _
Other
SAV observed:
Moratorium: n/a
Site Photos:
Riparian WaiverAtte
A building permit/zoning permit ma b d b
Permit Conditions
(Scaler' )
y e require y.
TAR/PAM/NEUSE/BUFFER (circle one)
See note on back regarding River Basin rules
ElSee 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 Fee(s) Check #/Money Order Issuing Date Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Robert L Stallings III
Mailing Address: PO Box 12327
New Bern, NC 28561
Phone Number: 252.671.1000
Email Address: bstaIli [e-mail]
I certify that I have authorized C C—C(L '�� °� �" `�, 1 "
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Dock Repair
in Craven
County.
I 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
Robert L Stallings III
Print or Type Name
Property Owner
Title
7 126 I2022
Date
This certification is valid through I I

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER N0TIFICATI0NIWAIVER FORM
CERTIFIED MAIL - RETURN REQEIPT REQUESTEQ or HA D DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: Robert L Stallings III
Address of Property: 4905 Trent Wood Drive, New Bern, NC
Mailing Address of Owner: PO BOX 12327, New Bern, NC 28561
Owner's email: bstaIli [e-mail] Owner's Phone#: [phone]
Agent's Name: Caf Uk( wlq[1 T— Agent Phone#: 2� 2 - C
Agent's Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
nortlon 12 be complet9d by the Adlacent 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. 9
descrJotion or drawing,dimensions, rovided with
I DO NOT have objections to this proposal, I DO have objections to this proposal.
ff 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' om my area arien access unless waived by me
(this does not apply to bulkheads or riprap revetm ts). (If ou ish t waive the setback, you must elan
the appropriate blank below,)
100 wish to waive some/all of the 15' setback
-'*'`Signature of Adjacent Ri ar
,ia.4 ProDe►ty 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: Nicholas C Sparks
Mailing Address of ARPO: 4907 Trent Woods Drive, New Bern, NC 28562
ARPO's email: ARPO's Phone#: [phone]
Date: 7/26/2022 *waiver is valid for up to one year from ARPO's Signature*
Revised May 2021
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■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
s Attach this card to the back of the maifpiece,
or on the front if space permits.
1. Article Addressed to:
V�r��.�
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VC -a T�C-m � c'
A. Sign
X ff/Agent
❑ Addressee
B. Received y Ated;�j C. D to o Delivery
D. Is delivery address different from item 1? 1,0 tYeg
If YES, enter delivery address below: ❑ No
it I'III'I I'll l�Iillll II IIII III' III II I III'II III 3. Service Type ❑ Priority Mail Expresso
❑ Adult Signature ❑Registered MallTM
❑ Adult Signature Restricted Delivery ❑ Registered Mail Restricted
❑ Certified Mail@ Delivery
9590 9402 7164 1251 6219 32 Certified Mail Restricted Delivery ❑ Signature ConfirmationTM'
❑ Collect on Delivery ❑ Signature Confirmation
2. Article Number (Transfer from service label) ❑ Collect on Delivery Restricted Delivery Restricted Delivery
7021 2720 0003 2159 L%4n1ns Pd 1all
V1ail Restricted Delivery
)0)
PS Form 3811, July 2020 PSN 7530-02-000-9053 Domestic Return Receipt

USPS CRACKING #
post_Class Mail
age & Fees Paid 9590 9402 Usps
`.�. 4012 71, 4 .1251 permit No. G.1o•. i
United States 6219 �2
Postal Service ' Sender. please
'" l'Your name,
address, and ZIP+q® in
this box•
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AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Robert L Stallings III
Mailing Address:
Phone Number:
Email Address:
PO Box 12327
New Bern, NC 28561
252.671.1000
bstaIli [e-mail]
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: Dock Repair
at my property located at 4905 Trent Woods Drive. New Bern. NC 28562 ,
in Craven
County.
I 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
Robert L Stallings III
Print or Type Name
Property Owner
Title
7 126 12022
Date
This certification is valid through 1 /

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: Robert L Stallings III
Address of Property:
4905 Trent Wood Drive, New Bern, NC
Mailing Address of Owner: PO Box 12327, New Bern, NC 28561
Owner's email: [e-mail] Owner's Phone#: [phone]
Agent's Name:
Agent's Email:
Agent Phone#:
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.
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
Signature of Adjacent Riparian 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: Nicholas C Sparks
Mailing Address of ARPO: 4907 Trent Woods Drive, New Bern, NC 28562
ARPO's email:
ARPO's Phone#: [phone]
Date: 7/26/2022 *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 is to 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 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 interest to provide comprehensive and accurate notice so that any concerns or objections
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 by 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 streeUroad 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 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
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.
Who/What is a Property Owner?
For private individuals (or families), 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 NC Secretary of
State's Corporations Look Up site: https://www.sosnc.gov/search/index/corp. 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 & returned 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 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 NOTIFICATIONNVAIVER FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: Robert L Stallings III
Address of Property: 4905 Trent Wood Drive, New Bern, NC
Mailing Address of Owner: PO Box 12327, New Bern, NC 28561
Owner's email: bbstaallin�gls@tti(tta�,nf(ueis.aerno {O-wner's Phone#: [phone] �/ �j Q
Agent's Name: ILCk I r " `�U C V r . 1 j Agent Phone#:y5 � L� � b
Agent's Email:'' 1LQ:W 4- �� `\ Q ��! r tM
ADJACENT RIPARIAN'PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be comoleted by the Adjacent Property Owner)
I hereby certify that I own property adjacent to the above referenced property. The individual applying forthls
permit has described to me, as shown on the attached drawing, the development they are proposing. 6
DO NOT have objections to this proposal. I DO have objections to this proposal.
Y ff 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 N 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 slap
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback L.` ,\
Signature of Adjacent Riparian Pro arty 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:
Mailing Address of ARPO: _
ARPO's email:
R
ARPO's Phone#:
Date: *waiver is valid for up to one year from ARPO's Signature* RECEIVED
Revised May 2021
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