Manfield, Donald 88863C

❑LAMA ❑ DREDGE & FILL N® 88863 A B . C D
Previous permit
3 3 G E N E RAL PERMIT Date previous permit issued
ew ❑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 it ��� ❑ Rules attached. [;J�General Permit Rules available at the following link: www.deci.nc.poy/CAMArules
Applicant Name _ T'31In lam, /�41 n4 nil Ed
Address lj
City A i,JrFl op -A State z�r�, ZIP
Phone#(7i J) 741 - j�CZ
Email nits-S.(Tt>I.! �a Cc' r r lr;yt
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City �, '). L`r :. .I GI�ZIP _?'Y
_
Affected ❑'EW ❑EW ❑PTA Eris ❑ PTS Adj. VVI Body ,� , �. 4"a man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Mal. Wtr. Body :1�G;m;
ORW: yes/,n") PNA: yes/ 6"
Type of Project/ Activity ; . . , L .
(Scaled" r, )
Shoreline Length i
Access Length
J'
Pier (dock)length 12S
Fixed Platform(s)
i-
Floating Platforms)
Finger piers)
ff
Total Platform area Jz/ZI
r
Groin length/q
},
Bulkhead/Riprap length
Avg distance offshore
]
)- -
-
-
-
i
;-
- —
--
-
-
----
--
-
--
--
--
Breakwater/Sill
-
--
-
--�
-
Maxdistance/length f
-- -
--
r
i-
j
Basin, channel
i
—
�—
J.-
-----h--__.__-___
r
_
_
i
�
_..
j
i
Cubic ards
y
�
Boat ramp
Boathouse/BoatliftJ
Beach Bulldozing
Other
i
knr�
SAV observed: yes no
Moratorium: n/a yes no
� VN
Site Photos: yes no
-
-I
.(,---
--i
-
Riparian Waiver Attached: no
�
T
A building permit/zoning permit may be required
Permit Conditions
❑ 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 cohipliance statement on backof permit** Signatures
Application Fee(s) Check A/Money Order suing Dt ate Q ExpirationrDate-

Oteer", ❑CAMA ❑ DREDGE & FILL N° 88863 A B , C) D
s 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:
I SA NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.ncgov/CAMArules
Applicant Name P- ).-( Authorized Agent;- . i.,
Address Project Location (County):
City State ,,IZIP Street Address/State Road/Lot #(s)
Phone # ( )
Email Subdivision
City I - ZIP
Affected ❑.tW ❑ EW Q PTA ©is ❑ PTS Adj. Wtr. Body _ a i - (nat/man/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Mal. Wtr. Body
ORW: yes/Io--� PNA: yes/rto`"1
Type of Project/ Activity,�i;.��;
(Scale:I )
<Fn.nlinu i enw4,
Access Length--
-
'
Pier (dock)length
—`i
i
Fixed Platform(s) j � / :_ `
;
i
—
t
Floating Platform(s)
Finger pier(s)
Total Platform area
—1
Groin length/ri
Bulkhead/ Riprap length
_
. -
—7
i
,
_T
Avg distance offshore
Breakwater/Sill
Max distance/ length r
j
'—"—
\;
--
T
—
Basin, channel I
Cubic yards
�_—
Boat ramp _r
_AL
Boathouse/BoatliR j
L7 i�T
-
Beach Bulldozing
Other __.
1
.-1t
SAV observed: yes no
Moratorium: n/a yes noSite Photos: yes no
Riparian Waiver Attached: ,yes'. 'no i
A building permit/zoning permit may be required by:
Permit Conditions
❑ 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 bfficer's PRINTED Name
Signature -*Please read compliance statemeoi on b�ermit" SignaturI
Application Fee(ss Check q/M ney order 15 4 Expiration Date'

Styron, Heather M.
From: Kari Taylor <[e-mail]>
Sent: Monday, December 5, 2022 12:31 PM
To: Styron, Heather M.
Subject: [External] 405 Blair Pointe Road
Attachments: Agent Auth.pdf; Mitchell - Adjacent Riparian form.pdf; Pridgen -
Adjacent Riparian Form.pdf; 40S Blair Pointe Rd - Google Maps.pdf
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an
attachment to Report Spam.
Hi Heather,
Please find the CAMA paperwork attached for 40S Blair Point Road, Morehead City. Please let me know
if you have any questions or concerns.
Thank you,
Puri Taylor
Executive Vice President
C.252-571-7282
CARTERET MARINE
st�vlsts

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: , lo,vnI d
Mailing Address: 'iD5 /31 /)w 7, AZ
rlove�e�k r x V JFS57
Phone Number:
Email Address: (g-' rV-- «" " A
I certify that I have authorized Cay4y f `t 1 v` /�fY` N di,y f j
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development
at my property located at
in %VL Ey ej—County.
I furthermore certify that l 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
11 l�t �t�l2
Date
This certification is valid through

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: /%Nn(j, 12 m ✓J v, i'r Zi 0 i
Address of Property: r(05 /S) a 1r P01, 7c ` 1A /no 'Pt+e.,1Q z y BSs 7
Mailing Address of Owner: `I o S 131,41, /)o ya 2 c( mo /otis 4c� c' 4y tit 4S S7
Owners email: c ��s X I Q� c . me e&m Owner's Phone#: ,,) I - )1 4;L
Agent's Name: Carteret Marine Services
Agent's Email: [e-mail]
Agent Phone#:[phone]
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottorn 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.
_X 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
Typed/Printed name of ARPO:
Mailing Address of ARPO:
ARPO's email:
ARPO's Phone#:
M
Date: ! t/ C> J, Q 'waiver is valid for up to one year from ARPO's Signature'
Revised May 2021

N.G. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONfWAIVER FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: 00"O( Q, 0, M 0:.v5 /L £cam J'
Address of Property: YOSy(' Jr /1?e -. � Po �7c � A tte-`Q
Mailing Address of Owner: 10 5 13)m- Pa" 4 R � MU /Pl1cgcK c`{y 'y � a 4S 57
Owner's email: c-F,.t. 4 4,14 f✓ [on Owner's Phone#'
Agent's Name: Carteret Marine Services Agent Phone* 252 631-9435
Agent's Email: [e-mail]
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
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, NO 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 15from 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:
Mailing Address of ARPO:
Itil�r'iFIII A
ARPO's Phone#:
•
Date: & 2. & — 2 L "waiver is valid for up to one year from ARPO's signature"
Revised May 2021

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