88764C - Stephens, Mark

0C`4`,,%❑CAMA � DREDGE& FILL1N9 88764 _ s
GENERAL PERMIT
Previous permit
Date previous permit issued ---
[J,New ❑Modification ❑Complete Reissue El Partial Reissue
As authorized by the Scare of,North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concem pursuant to:
i 11 j'�j
15A NCAC / r - ' ❑ Rules attached. U-1 General Permit Rules available at the folkrMng link: www.dea.nc.00v/CAMArules
Applicant Name 't ^ ! ! Authorized AgentAddress ` '�-- . i r _ Project Location (County):
City State ZIP )'7 1 Street Address/Sate Road/Lot #(s)
Phone # ( ' " - ') _ >/
Email Subdivision
City
Affected ❑ CW 8 EW PTA ❑ Es ❑ PTS Adi- Wtr. Body (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Mal. Wtr. Body
ORW: yes/no PNA: yes/no --
Type of Project/ Activity f
(Scale;Y, _ • )
c6...enee � ener6 �':
Access Length
Pier (dock) length
-
Fixed Platform(s)
Floating Platform(s)
J—
/
n1
_
j
Finger pier(s) ) _ -_
y
_
IrJ
- 3
I .-+-
Total Platform area ..
�
Groin length/#------�--«—
i
I
Bulkhead/Riprap length
Avg distance offshore
Breakwater/Sill
i
i
Max distance/ length •.
�,
P
Basin, channel
Cubic Yards �hl!�) 1r %la —6
Boathouse/Boatlift
Beach Bulldozing
-
1
Others ',
I
-
FL
i
-
SAV observed: Yes no
Moratorium: n/a yes no
Site Photos: yes no
:..
y_
RINl1]II W..i.r Ati..,hPd- v., inn
•
..
I
',.
j
A building permit/zoning permit maybe required by:
❑ Permit Conditions TARMAM/NEUSE/BUFFER(circle one)
- )�
❑ See note on back regarding River Basin rules
❑ See additional notes/cenditions on back
r
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. j (Please Initial) -•--}
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Si Lure"Please read compliance statement on back of permit" Signature
A nation Feels) Check M/Money Order Issuir(g Date Expiration Elate

Statement of Compliance and Consistency
This permit is subject to compliance with this application and permit conditions. Any violation of these terms may
subject the permittee to a fine or criminal or civil action; and may cause the permit to become null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for
compliance. The applicant certifies by signing this permit that: 1) prior to undertaking any activities authorized by this
permit, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the
local land use plan and all local ordinances, and 2) a written statement from the adjacent riparian property owner(s)
has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(s).
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
1-1 Tar - Pamlico River Basin Buffer Rules 1-1 Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules
for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the
NC Division of Water Resources. If you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
Notes/Additional Permit Conditions:
Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland location.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST Fax: [phone]
(Serves: Carteret, Craven — south of the Neuse River, Onslow
Counties)
Elizabeth City District
401 S. Griffin St. Ste. 300
Elizabeth City, NC 27909
252-264-3901
(Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford,
Pasquotank and Perquimans Counties)
Washington District
943 Washington Square Mall Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Craven — north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext. Wilmington, NC 28405-3845
910-796-7215
Fax:[phone]
(Serves: Brunswick, New Hanover and Fender Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

ca',1EW`4❑CAMA ❑ DREDGE & FILL N° 88764 A B C D
a GENERAL PERMIT Previous permit
i 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
City
Phone # ( )
Email
State ZIP
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
Affected ❑ cvv ❑ EW ❑ PTA ❑ ES ❑ pTS Adj. Won Body (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wt, Body
COW: 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 1
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed: yes nb
Moratorium: n/a yes no
Site Photos: yes no
Riparian Waiver Attached: yes no t. _..
A building permit/zoning permit may be required by:
Permit Conditions
(Scale:,
❑ 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.
Agent or Applicant PRINTED Name - Permit Officer's PRINTED Name
(Please Initial)
Signature "Please read compliance statement on back of permit"
d oration Feels) Check #/Money Order
Signature
Issuing Date
Expiration Date

Statement of Compliance and Consistency
This permit is subject to compliance with this application and permit conditions. Any violation of these terms may
subject the permittee to a fine or criminal or civil action; and may cause the permit to become null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for
compliance. The applicant certifies by signing this permit that: 1) prior to undertaking any activities authorized by this
permit, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the
local land use plan and all local ordinances, and 2) a written statement from the adjacent riparian property owner(s)
has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(s).
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
1-1 Tar - Pamlico River Basin Buffer Rules 1-1 Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules
for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the
NC Division of Water Resources. If you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
Notes/Additional Permit Conditions:
Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland location.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave Morehead City, NC 28557
252-808-2808/1-8884RCOAST Fax: [phone]
(Serves: Carteret, Craven —south of the Neuse River, Onslow
Counties)
Elizabeth City District
401 S. Griffin St. Ste. 300
Elizabeth City, NC 27909
252-264-3901
(Serves: Berne, Camden, Chowan, Currituck, Dare, Gates, Hertford,
Pasquotank and Perquimans Counties)
Washington District
943 Washington Square Mall Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Craven — north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext. Wilmington, NC 28405-3845
910-796-7215
Fax:[phone]
(Serves: Brunswick, New Hanover and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: KS}ry tn7
Mailing Address: ff 1 )31;. i C .
ol
Phone Number: -31;),--z,
Email Address: Yin+,l 5A(0)Sr.'j cPAD y^VOO- roM
I certify that I have authorized C3 Scott, Inc
Agent! Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: D(44e- tost„k d--
its -LM bv*A hAn, ra
at my property located at 300 I^;V L ©apt
in (a4Vesc-�— 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:
Signature
Print or Type Name
Title
Date
This certification is valid through °\ ! i ! aDX3
DCM-MHD CITY

property located
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to NMI'V— 51Cjqkr&,5 I
fName ofPropertv Owner)
L-•Jt-
(� (Address.
on POnu� Se,tk� in
(Waterbody)
, Block,
Cent -
K
(City/Town and/or
li" The applicant has described to me, as shown below, the development proposed at the above
iere on location.
me of I have no objection to this proposal.
Im
nes
nitiat
sere on
me of
hese
ines
i have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
MmOvkhad proposbg development mum HH /n descriptimt beknv or attach a site diawin+%l
See P'xo�'4 A� I`N-'A/%-* ,
RECEIVED
OCT 21 2022
DCM-MHD CITY
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.)
Fyt- I do wish to waive the 15' setback requirement
I do not wish to waive the 16 setback requirement.
(Property Owner formation) (Adjacent Property Owner Information)
t�,,(_ tt� /ILA' A- -
Signature Signature*
Mfcif. 5hViar5 fra+i: A,
Print or Type Name )'Tint or Type Name
ja Z Pgrp - Si.
Mailing Address MarlingAddress
vcf V� a�5o Cyr, c� y
City/Sta,5yzP City/SYate/Zip��2.393 �443
(q,a� 51S 31a3 Mat It*
Telephlone Number/email address yA-I w too Telephone Number�email address
fltt1� aY q2Z
Dare D'Je* �
(Revised Aug. 2014)
'Valid for one calendar year after signature-
5EP 1 6 2022

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to M A R.X .4 t 6t—TS s
property located at � QVC OAK fDeWe (Name of Property Owner)
l (Address, Lot, Block, Road,
on ^iof)lr: 60UWC , in CAPt ( C 1— N.C.
c� (Waterbody) (City/Town and/or County)
initial The applicant has described to me, as shown below, the development proposed at the above
Here on
one of I have no objection to this proposal.
these I have objections to this proposal.
lines
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
�eA--ic, Sec W4 "k Dcat&jw7
RECENEC
OCT 21
DCM-MHD Ci. ,
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
Initial me. (If you wish to waive the setback, you must initial the appropriate blank below.)
Here on I do wish to waive the 15' setback requirement.
one of ,g
these '/ b ; I do not wish to waive the 15' setback requirement.
lines
(Property Owner nformation) (A jar nt Propert ner Inf r ation)
_7 Sigtrantre Si [ tere
Print or
Date
wh.i LZ
(dress
Zg19 - 31a3 ' Mac�t� ,�rolran�
> Number/email address YgTpp_t01
ay
`Valid for one calendar year after signature'
(Revised Aug. 2014)

Drawing Prepared By: C3 Scott, Inc Property Address
Date: 9/21/22 „ 300 Live Oak Drive
Scale: 1":20' Cape Carteret, NC 28584
Property Owner:
s, Mark Stephens
lei ►� "`N� y
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l
" 22'x20
Boat Basin
m
t ^,
a T
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_ an
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' House
'Zany,
a �
Driveway i
w
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,
Edgewater a
302 Live Court --�
ak Drive Live Oak Dr (1001)