Minsley, Kelly 88827C

p"""r6e�CAMA I_I DREDGE & FILL tlw NY 8882/ A ec D
®Previous permit ---ued
GENERAL PERMIT Date previous permit issued
,WNew []Modification ❑CompleteReissue [ ]Partial Reissue
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Other_
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AMA ❑ DREDGE & FILL �Tn/ N�) 88827 A BC D
a Previous permit
GENERAL PERMIT
� Date previous permit issued
lew ❑Modification ❑Complete Reissue []Partial Reissue
As authorized by the State of
North fCaarrolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC In ( �(n ❑ Rules attached. General Permit Rules available at the following link: wwwdeg.nc.eov/CAMArules
Applicant Name V Authorized Agent ' l
Address © o Project Location (County):
City �A rate �� ZIP /,a Street Address/State Road/Lot #(s) `�6L1'3'LP
Phone # ( )dd17 �
Email / Subdivision
City ZIP
Affected ❑ CW 2S EW-Et 'PTA ❑ ES ❑ PTS Adj. Wtr. Body P `S (natl ar unk)
AEC(s): ❑OEA ❑IHA ❑UW SPIMA ❑PWS Closest Maj. Wtr. Body
ORW: yese PNA: yese
Type of Project/Activity P`opnie G1� RCeih2./1 I
Shoreline Length m
Access Length 'n�
Pier (dock) length � Z`�1CO
Fixed Platform(s) /
Floating Platform(s) _(o �X
Finger pier(s)
Total Platform area
Groin length/N
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp �/
8oathous Boat' � X��
Beach eu zing �
Other .'uL
SAVatoriu : yes on..
Moratorium: n/a yesSite Photos:yesRiparian Waiver Attached: yes
or Applicant PRINTED Name
,V KS Cara I
��oQoSe�&C.t�° �l
m i n5k,
�L�
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
STATEMENT. (Please Initial)
Permit Officer's PRICITFD Name
Si at re "PleW read compliance statement on back of permit*'
- s
A lication Feels) Check H/Money Order
Sig%turg
r L .o- —
Issui Da Expir tion Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: f 1 4" 11 / 7 T) 5 1,6 y
Mailing Address: c2 D v rc /ee, I Ir
Fick Y-40Q Sores NC 2�b511
Phone Number: B/L) I ")- ZZS
Email Address: K�11 �, wl� tnSl e y ,°1 Mu (• ��
I certify that I have authorized c 5A,—)/ rcu-/ A1,�e <S
Agent / CoUdractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: %IkO e 0 U /f>
at my property located at C�-k il{Gcc hr "y-L S� S ��
in /--County.
I 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 0 er Information:
77
Signatur
Print or Type Nay e
O LOAer
Title
10l 1k_t 22
Date
This certification is valid through /_� / 3 U I ;,2j, RECEIVED
OCl2Ct �%)
DCM-MH0 cFIT`f

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: TU [can or 12t S
Address of Property:
Mailing Address of Ownei
Owner's email:Ke" NLb 'gn(sQi� yO hers Phone#:
Agent's Name: 1��7G�S�,cr��Li✓G LS Agent Phone#: - 4/ S tiO
Agent's Email: %'%oD a✓e-e-4 A)- t� 1� rJG • GG �y7
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
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 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
!ice
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO:
t1 d YISS/• 6,li0adF,,i lYr,
Mailing Address of ARPO: I W Mo n I r, I po I !' I'1 r (Q-
ARPO's email:
ARPO's Phone#: d e, a- all �- Q 3 53
Date: to 2G (?_ *waiver is valid for up to one year from ARPO's Signatur
Revised July 2021
0
I)CM-fl IAD CITY

N.C. DMSION 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: /7-70-kQ
Address of Property: a 4i /2L ,..-�%« �y
Mailing Address of Owner: 3`! /To •mo(el L 27611
Owner's email: S}F�t , IracKo l/y �.'']/rvv+•.) 4LMOwners Phone#: c11 r1 -+-) `3/1 - Ci') (�)
r
Agent's Name: Agent Phone#:2
Agent's Email: vy et�5 �oZC� �/a�o•Go
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
I
(Bottom portion to be complated 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 drawine with dimensions must be provided with this letter.
I DO NOT have objections to this proposal. I DO have objections to this proposal.
-of
If you have objections to what is being proposed, you must notify fhe N.C. Division Coastal
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailedto 400 CommerceAve., Morehead City, NC 28557. DCMrepresentatives can also be contacted
the same as no objection If you have been notiTied by,
at [phone]. No response is considered
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). (ff you wish to waive the setback, you must sign
the appropriate blank below.)
s
I DO wish to waive somelall of the IF setback
L
Signature ofAdjacent Riparian property Owner
-OR-
I do not wish to waive the 15' Setback requirement (initial the blank)
Signature of Adjacent Riparian Property Ow or.
TypedlPrinted name of ARPO:
Mailing Address of ARPO:
r05-3y .4dw/� �zi.•.-ram i�-•_
ARPO's email:
5f-vve -.A LFv I ARPO's Phone#: of l -7 - `y ?f 070 )
9 ,,. 1V1,
Date: ___--.-- waiver is valid for up to one year from ARPO's Signature`
Revised July 2021
RECEIVED
OCT 2 5 2022
DCM-MHD CITY

10120122, 11:29 AM
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OWNER:
MACKO,STEVEN
Addresses:
103 MULBERRY COURT
636513031730000
PIN:
(https://arcgisweb.carteretwuntyne.gov/PropertyRecor
pin=636513031730000)
Deed Ref:
1681-006 7/29/2020 (assets/carteret/deedhandier.ash>
- Plat Ref:
7-18 (assets/carteret/deedhandler.ashx?book=7&page
Total Acres:
0.525
Sale Price:
$231,000
Land Value:
$263,047
Structure
Value:
$0
Other Value:
$2,867
Condo:
0
v
Township:
1353 MOREHEAD
'1i
City:
PINE KNOLL SHORES
530007 CANAL OLDER PKS Codes
Neighborhood:
(https://arcg isweb. carteretcou ntyne.gov/PropertyRecor'.
Fire District:
Rescue
District:
I
Legal Desc:
L 30 BJJ PINE KNOLL SHORES
Elementary
MOREHEAD CITY ELEM
School:
Middle School:
MOREHEAD MIDDLE
High School:
WEST CARTERET HIGH
Jimmy Farrington(https:/Pxv✓w.carleretcountyne.gov/Di,.
Commissioner:
District 4
More
Risk Level:
Noise Level:
AICUZ: Disclaimer Form
PIN=636513031730000)
j Zoom To Clear
https://aregisweb.carteretcountync.gov/maps/
DGM-MHD GITY
1/1

3 E
RECEIVE
OCT 2 5 ?G?z
DCM-MHD CITY