419 Development LLC 88684C

�oe0E`oasr41 �❑CAMA ❑ DREDGE & FILL N0. 88684 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.deg.nc.gov/CAMArules
Applicant Name
Address
City
Phone # ( )
Email
State ZIP
Authorized Agent .
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City ZIP
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 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 requireu uy:
Permit Conditions
(Scale: )
❑ TAR/PAM/NEUSE/BUFFER (circle one)
i f
❑ 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)
AY P
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

`p�pF(OASM1, FICAMA ❑ DREDGE & FILL Na. 88684 A B C D
y 3 = Previous permit
GENERAL 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. 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
.r"
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 required by:
Permit Conditions
(Scale: r, )
❑ 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
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. 419 Development LLC c/o Kevin & Stacey Jennings
Mailing Address: 405 Ramblewood Drive
Raleigh, NC, 27609
Phone Number: 919-696-4820
Email Address: [e-mail]
certify that I have authorized Stephen Pere / Dynamic East Construction
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Seawall renovation and/or replacement
at my property located at 419 Highway 24, Morehead City, North Carolina
in Carteret
County.
1 furthermore certify that I 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:
�Ygnature
Kevin Jennings
Print or Type Name
Member
Title
08 / 1 1 12022
Date
This certification is valid through 12 / 31 12022

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to KEVIN JENNINGS' 's
property located at 419 HIGHWAY 24 (Name of Property Owner)
on BOGUE SOUND
(Waterbody)
(Address, Lot, Block, Road, etc.)
in MOREHEAD CITY / CARTERET COUNTY_, N.C.
(City/Town and/or County)
The applicaht has described to me, as shown below, the development proposed at the above
location.
i, I have no objection to this proposal.
i
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
I
SEE ATTACHED
WAIVER SECTION
I understand that a 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. (If you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(PropenOwnp#Information)
Sign lure
JO JOHNSONkOR KEVIN JENNINGS
Print or Type Nate
405 RAMBLEWOCOD DRIVE
Mailing Address
RALEIGH, NC 27609
City/State/Zip
252-247-7479/[e-mail]
Telephone Number / email address
JUNE 7. 2022
Dale
"Valid for one calendar year after signature"
(Adjacent Property Owner Information)
Signature
SAMUEL A. MCCONKEY REV. TRUST
Print or Type Name
PO BOX 29522
Mailing Address
RALEIGH NC 27626 _
ciryisrare/Zip
Telephone Number/ email address
Date
(Revised Aug. 2014)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby cerury that I own property adjacent to KEVIN JENNINGS'
I
Property located at 419 HIGHWAY 24 (Name of Property Owner)
ors ROGUE SOUND
(Waterbody)
(Address, Lot, Block, Road, etc.)
in MO CITY REHEAD Q1 i CARTERET COUNTY N.C.-
(Cityfrown and/or County)
The applicantihas described to me, as shown below, the development proposed at the above
location
:1 have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(11idIvidualpr�pp$Ing q0ve!qpmeht mitst fill in des!qr]pr;6j7 b-lotj, or ci,6dh -bath -Wiiiq)
loqu
SEE ATTACHED
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boiat 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. (if you wishlto waive the setback, you must fri-itlal the appropriate blank below.)
I do wish to waive the 16' setback requirement.
'I'd l not wish to waive the 15' setback requirement.
n) -t
JOSH JOHNSONLFOR KEVIN JENNINGS
Print or Type /Vdme'
405 RAMBLEW006 DRIVE
Mailing Address I
-RALEIGH, NC 27609
citylstateaip
[e-mail]
Telephone Number, l email address
--- NE 7. 2Q22
Date
Valid for one calendar year after signature*
(Adjacent Property Owner Information)
L �
Signature ' SAMUEL AVCCONKEY REV. TRUST
Print or Type Name
20-BOX 29522
Mailing Address
RALEIGH. NC 27826
CilylSta teMp
Telephone Numberl email address
- rl - VA - -a6 Z?-
Date *
(Revised Aug. 2014)
lq*