88666C - King, Donald

`°"'* UICAMA ❑ DREDGE & FILL N9 88666 A B n D
�4 GENERAL PERMIT Previous permit
Date previous permit issued
jew ❑ Modification ❑ Complete Reissue []Partial Reissue
As authorized by the Stat of yNorth Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I SA NCAC __ ! � Rules attached. L General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
. A 1 17'
Applicant Name
1 c
City f1AA _ - State
Phone # (`I M11)076
Email T7 T
Authorized Agent -�
Project Location (County):
ZIP.- Street Address/State Road/Lot #(s)
Subdivision
City —J
Affected 0CW —*m PTA ES PTS Adj. Wtr. Body ( (naV an/unk)
T` tV
AEC(s): OEA IHA UW [� SPIMA 0 PWS Closest Maj. Wtr. Body, —
ORW: ye no PNA: yerf%nir~j �
Type of Project/ Activity
Shoreline Length
Access length
Pier (dock) length
Fixed Platform(s) _ �..�*
rroaung narronntsl
Finger pler(s)
Total Platform area
Groin length/q
Bulkhead/ Riprap length
Avg distance offshore__
Breakwater/Sill
Max distance/length
Basin, channel
Cubic yards
Boat ramp
Boathous Boatli
Beach B f
Other � .J�
v `/
SAV observed: i ye5 no w
Moratorium: n/a es n
Site Photos:
Riparian Waiver Attached: res2 o f
l
A building permit/toning permit maybe required by:
Permit Conditions A ! v
M AWARE OF S'
V.;
icant PRINTE
ES AND CONDITH
r
THAT APPLY TO THIS PROJECT AND
on back of permit —
Permit
re
elWE
TAR/PAM/NEUSE/BUFFER (circle one)
See note on back regarding River Basin rules
[� See additional notes/conditions on back
Initial)
Check It/Money Order Isstfing WO - E/(pirah'- q D.te

�.%%OCOAST"` [je�CAMA ❑ DREDGE & FILL N9 88666 A 13,0 D
Z GPrevious permit
GENERAL PERMIT
J Date previous permit issued
�Nevv ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the Stat of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I SA NC AC �; + o ❑ Rules attached. General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name N Authorized Agent i JCY lF\ E�7l�ll.trT—�05;.
Address _7 Project Location (County):
City r0 State ZIP Street Address/State Road/Lot #(s) 0
Phone # (�[)
Email ' Subdivision
�f!•�
City r ZIP
Affected ❑ CW N1W NPTA ❑ ES ❑ PTS Adj. Wtr. Body na an/unk)
AEC(s): ❑ OEA ❑ IHA �❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: ye n PNA: y /nb
Type of Project/ Activity r' ` ►'
Shoreline Length
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
01
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathous , Boatli `
Beach B
Other ��11
SAV observed: ye no rr I
Moratorium: n/a es CQL
Site Photos:
Riparian Waiver Attached: ye o
A building permit/zoning permit may be required by:
Permit Conditions At T_ a _
I AM AWARE OF STATUTES, CRF, RULES AND
3 4
fee or AoDlicant PRINTED Name
PLY TO THIS PROJECT AND
Permit
PRINTED Na
(Scale i n i )
/®
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Plipse Initial)
Si nature **Pleas d compliance statement on back of permit**
��. y IC8
Appliation ee(s) Check #/Money Order
Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Donald B. King
Mailing Address:
Phone Number:
Email Address:
I certify that I have authorized
3723 Medford Road
Durham N.C. 27705
[phone]
[e-mail]
EZ Dock Solutions
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
lift. Addition of 6' x 18' hog slat dock.
Installation of a 1 OK & 20K boat
at my property located at 4805 S. Shore Dr., Morehead City ,
in Carteret
County.
1 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:
L)&.Vt� i�. /��
Signature
r7. IWOr:1■:�rr.'
Print or Type Name
Home Owner
Title
06 /20 /22
Date
This certification is valid through I l

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/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:
Owner's email:
Owner's Phone#:
Agent's Name:E��� Agent Phone#: ( Ba»i8-IMy
Agent's Email: �C��U \(1�(1S ('nw
A
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 somelall of the 15' setback
Signature (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: 91571VN
r
Mailing Address of ARPO: Z e!�/%u NG •ASS S
ARPO's email: W ARPO's Phone#:
Date: 7 D *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 HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner
Address of Property:
Owner's email:
Owner's Phone#:
Agent's Name: ,��j I� Agent Phone#:
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
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
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property
Typed/Printed name of ARPO: Frederick Winstead
Mailing Address of ARPO: 4812 S. Shore Dr., Morehead City NC 28557
ARPO's email: winsteadfred@gmail .cOm ARPO's Phone#: [phone]
Date: �� 6AA *waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

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Donnie King..
t— - 4805 S. Shor . --- ....._ _ _. _-_-
Morehead Ci -f .ty..,NC_28557
e
Boat Lift
A: 14' Center to Center
12'6" .Outside to Outside- '
pylons for gazebo
6, 18 ,
addition to existing platform
j + i--
i
pylonfor
ga _ebd
All notations & hi hli lhts in RED _. re i r~ 10k Boat Lift
j proposed addition' . A. 12'6° Center to Center
4; 126"-Outside to Outside,
Proposed g
t
p Sze o �s '�6'
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