88847C - Willis, Telena

yxovwr4 l`-ICAMA L] DREDGE & FILL PreviN� 8$847 A BJ D
3WGENERAL PERMIT Date ueviousp
rNew
Date previous permit Issued
❑ Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the State of North Carolina, Department of Envh oninental Qwlity and the Coastal Resources{ommlaslon In an area of environmental concern pursuant to:
ISANCAC OJ:1. I7,49II ❑ Rules attached. WGeresnl Permit Rulesavailable at the following link: wwwdegnceov/CAMArules
Applicant Name_ 7reititA. W#'[W
Address a- o 6mve.lala b(iye_ -a'A
Chy 6w.Afn..� Q� �J(e- State NC.- ZIP 'Mel L4
Phone # (IL) 3121 — 3RSZ
t
Authorixed Agent 14"bei, Mv'fl>ye_ eev).S+n"J)2r
Project Location (County): i_A/ Z- 4
Street Address/Stab Road/Lot #(s) MrS
Email cm., Subdivision
Chy zgd-o+'V QtacL. II ZIP
28$��
Affected ❑CW �EW EFTA ❑ES ❑PTS Ad). Wte. Body Boat KC, S'&LAA6t L%rzanlunk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Mal. Wp. Body CR6At+4_ SOUAdi
ORW: yes/0 PNA: yes7&
Type of Project/
I31X III �n
Shoreline Length_ lost (;
Access Length
T
Pier (dock) length
Flied Piatform(s)� >�stS.�r-----�-
l$ I X I} I r r !s` v/ VtopoS�
Floating Platform(s) l SAy13s x(i Q)a♦Far.'^
Finger pler(s)
i^ P° Propscd'v�
Total Platform area. 32b i la .try hfi 1]'tCU Itrq
Groin length/#
Bulkhead/Riptap length L t t
Avg distance offshore
Breakwater/Sill / V
Max distance/length e
Basin, channel / t t
Cubic yards ✓ t I
Boat ramp / I t t t
ss�xq 5.5 itq
Boathous(Q- �QIA r j
Beach Bulldozing 1 / s (�
otherLl�r °Fa L Forwte.IrFwwl t WW RnP 15AY 4 P,s
CIrg 'A�-i tip" bJ tf Ir'65wrI5 PL
SAV observed: yes no ,.,,q lye
Moratorium: n/a s no �99"" ,.PL �WLI,tSJ I
Site Photos: es g t r
Riparian Waiver Attached: yes no No4'WANwA I COI
A building permit/zoning permit may be required by: ( t(A— C
Permit Conditions 1� 6:1I oGana,I.4aw,nJ— nnd- 40 etc�UA IL' -F'rbw/� t°!,JJ
7'�l- r j LI s++li�- W'%/g .KM c� 1�1 4rx,.- (4ym?m A[:t.cSt
(Scale:I"tN )
2' reUtAi(TMals}
for proppscol Ift
Ai' AYLW
LOw4ieIe!
❑ TAR/PAM/NEUSEIBUFFER (circle one)
❑ See note on back regarding River Basin rules

%LyCAMA ❑ DREDGE & FILL N9 88847 A B � D
GENERAL PERMIT Previous permit
Date previous permit issued
(INew ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the Statem
of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC 0 H • 126D ❑ Rules attached. WGeneral Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name Teltnw 11 Ws' ll r 3
Address 1`�o3 GTyKe1wkM d nyc � 1 ,
City y .i,T1f— State N C.. ZIP Vgci "I
Phone#( 57 }%$-39c%
Email TGIF-r1k J, l 1 t 5 a IYKV l 1. Cw,,,t
Authorized Agent r p.,-ber�1M-�
Af `LSYLSTr�iIW'
Project Location (County): Ca W t4
Street Address/State Road/Lot #(s) 1?-3 k^�w0s �/.•Y
Subdivision
city JlldReeLe ,v, ZIP
2$S
Affected 1-1CW �W TA ❑ ES ❑ PTS Adj. Wtr. Body boa InL SdLt r/man/unk)
AEC(s): ❑OEA ❑IHA ❑UW SPIMA ❑PWS Closest Maj. Wtr. Body 6nite. SCt,I,td1
ORW: yes/0 PNA:yes)o
Type of Project/Activity Pon PDStj lol olel wpk SS, xdi, S S1 X,1' )3rx 1'a� AIaJF:orwst O"A -}w0
13rX11, yo,4 Ir*, i (scale:1"1,4bl
Shoreline Length /051
Access Length —A
T ✓w'_ 1,0 qW� Sp
Pier (dock) length //i R v U
Fixed Plattorm(s)R rY q ><SSt
13 X 17, / 4toposcr: 1
Floating Platform(s) / S f}A/ 13r x)fi Qiw}Fer«� /
Finger pier(s)
Total Platform area 32t>s 1 13`r tl IIf+ 13!01, VTA
Groin length/# / I L I
Bulkhead/ Riprap length _/ t •� I
Avg distance offshore
Breakwater/Sill
Max distance/ length /
Basin, channel /F
Cubic yards /
Boat ramp / I Oil ,
—r
Boathouse oatli XII 1 1,3 X11 , plw+fp't y �Pta,FfernK
Beach Bulldozing / t
Otherm,w o Z.4'e".ktrud I r Wa',W n �" Y`
des ss nA-Arrvlln CI �y%V vJwll
' EitiS±'�T'lu�
SAV observed: yes no ,,,,q
Moratorium: n/a s no �9m" P(_
Site Photos: es g I r I
Riparian Waiver Attached: yes no Mot' Z'XA II
A building permit/zoning permit may be required by: CVr+1JC+ Co
Permit Conditions � Adl o(ttv.laaw.Jl Hnk- 4o 2t-cA l IiV A
71 Ail 1'P Ci^^II inNulk yHIuVL wm olo 1C71 fRrn.- Q'ooy2 Acu$
I AM AWARE
or Applicant PRINTED Name
THIS PROJECT AND
PRINTED
I
PL.-
Zt rexGIAlfYmoll`
pro %r poce , 1AS
R117- NLW
Lo w 4kier
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please Initial)
S;J�,n=:Please read compliance statement on back of permit!* 1�fy,�I S'iganatuu're
Application Fels) Chhecckk#/Money Order Issuing Date
Date

Styron, Heather M.
From: Teresa Brewer <[e-mail]>
Sent: Tuesday, December 6, 2022 8:55 AM
To: Styron, Heather M.
Subject: [External] FW: CAMA Permit for 123 Kiawa Way
Attachments: Willis AA signed.pdf; Willis Williford APO signed.pdf; Willis Lowther
Certified Mail.pdf; Willis, Telena drawing-Layout1.pdf
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an
attachment to Report Spam.
From: Teresa Brewer
Sent: Monday, November 28, 2022 9:18 AM
To: 'Connell, Brad' <[e-mail]>
Subject: CAMA Permit for 123 Kiawa Way
Teresa Brewer
teresa(Wharbercontracting.com
252-424-0100
PO Box 4562
Emerald Isle NC 28594

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Telena Willis
Mailing Address:
Phone Number:
Email Address:
I certify that I have authorized
7803 Emerald Drive #A
Emerald Isle NC 28594
252-725-3752
[e-mail]
Harber Marine Construction
Agent I Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Install a concrete hogslat dock
7k sling lift, a swinger arm lift, and flow thru lift stairs,
at my property located at 123 Kiawa Way Indian Beach NC 28575
in Carteret 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 Owner Information:
Telena Willis
Signature
or Type Name
Owner
Title
This certification is valid through 11 91 1 2_ U3

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: Telena Willis
Address of Property:
Mailing Address of Owner:
123 Kiawa Way Indian Beach NC 28575
7803 Emerald Drive #A Emerald Isle NC 28594
owner's email: [e-mail] owner's Phone#: [phone]
Agent's Name: Herber Marine INC
Agent's Email: [e-mail]
Agent Phone#: [phone]
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
%DO NOT have objections to this proposal. _ ( DO have objections to this proposal,
1f you have objections to what Is being proposed, you must notify the iv.c. uivision or coasrar
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 confacied
at [phone]. No response is considered the same as no objectfon 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 rlprap revetments). (if you wish to waive the setback, you must Sinn
the appropriate blank below.)
I DO wish to waive somelall of the 15' setback
Signature of Adjacent Riparian Property Owner
-OR-
I do not wish to waive the 15' setback requirement (Initial the blank) J l/
Signature of Adjacent Riparian Property Owner: j
Typed/Printed name of ARPO ' rlaa d7h , Dab GCJh�j
Mailing Address of ARPO i 111 LILI)lfJ Gfu �rY>r/() n %1 %I /��Ja�l�%
ARPO'sentail:'tlfj //r ARPO'sPhone#:Io=-oi'%-�p/
gm ' �Cvm
Date:Q�a "waiver is valid for up to one year from ARPO's Signature"
Revised July 2021

11/16/22, 9:08 AM
USPS Tracking®
Tracking Number:
70201290000227754732
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Latest Update
U.S. Postal Service'"
CERTIFIED MAIL" RECEIPT
Domestic Mail Onty
for detNery informa4op�:vlsit ourivebsiteat wuvviusps.com'.
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Your item was delivered to an individual at the address at 3:56 pm on November 12, 2022 in DURHAM,
NC 27707.
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