87548D-GARNER

0`°W41&c❑CAMA ❑ DREDGE & FILL C IJ�J NI 87548 A B C D
s t 3 Previous permit
GENERAL PERMIT �q
� Date previous permit issued
New ❑ Modification [:]Complete Reissu ❑ 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 / t' - % � G `" ❑ Rules attached. ❑ General Permit Rules available at the following link: www.de.nnc.Rov/CAMArules
Applicant Name _
Address
City
Phone # ( )
State /F ZIP
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Email Subdivision
City ZIP
Affected ❑ CW F 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
(Scale: N 7 e4
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 re
Permit Conditions
U TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
1 AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Agent or Applicant PRRI/ T D Na 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

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 F-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 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: David Gamer
Mailing Address: 433 Hughes Road Hampstead NC 28443
Phone Number: [phone]
David,[e-mail]
Email Address:
Southern NC Marine
I certify that I have authorized
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
6' x 20' Floating Dock Exstention
at my property located at 433 Hughes Road
in Pender County County.
I furthermore certify that 1 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 lnforry n:
/ Signature
17
c 6C
Print or Type Name
Qt,o^I'
Title
to,-LO/ZozZ
Date
This certification is valid through / /

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: David Garner
Address of Property:
433 Hughes Road Hampstead NC 28443
Mailing Address of Owner: 433 Hughes Road Hampstead NC 28443
[e-mail]
Owner's email: Owner's Phone#:
Agent's Name: Southern NC Marine
Agent's Email:
[e-mail]
[phone]
Agent Phone#: (910) 512 - 7647
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
description or drawing with dimensions must be provided with this letter.
I DO NOT have objections to this proposal. I DO have objections to this proposal.
H 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 127 Cardinal Drive Ext., Wilmington, NC 28405-3845. 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
I do not wish to waive the 15' setback requirement,(initial the blank)
Signature of Adjacent Riparian Property Owner:v
John Brinkhous
Typed/Printed name of ARPO:
425 Hughes Road Hampstead NC 28443
Mailing Address of ARPO:
ARPO's email: ARPO's Phone#: 941 C.1 nq Z
Date: 1U "waiver is valid for up to one year from ARPO's Signature''
Revised May 2021

TIPS FOR ADJACENT RIPARIAN OWNER NOTIFICATION & WAIVER FORMS
CAMA Regulations require notice of proposed development to the Adjacent Riparian Property Owners (15A
NCAC 710204(b)(5)). Proof of actual notice (a sign -off by the owner on this form) or certified mail return
receipts (showing delivery of notice) are needed, or any other method which satisfies the Local Permit Officer
(LPO) that a good faith effort has been made to provide notice.
The purpose of this notice is to make adjacent riparian property owners aware of the proposed development
so that they have an opportunity to provide comments (or potentially object to) the proposed development,
and to give DCM or the LPO an opportunity to consider these comments/objections before a permit decision
is made. "Permission" of adiacent property_ owners is not necessarily required for DCM to issue a permit;
however, permission must be obtained for certain types of proposed developments if they fall within a 15'
setback area along the riparian access area of the adjacent property, as determined solely by DCM. it is in
the applicant's best interest to provide comprehensive and accurate notice so that any concerns or objections
can be resolved early in the permifreview process. In addition, if the adjacent riparian property owner appeals
the permit decision; insufficient notice could be a basis for granting such an appeal.
Who is an Adjacent Riparian Property Owner?
What is Adjacent? (Note: DCM reads this broadly to ensure comment by potentially impacted neighbors)
• A property that shares a boundary line with the site of proposed development; AND
• A property that fronts a natural or manmade waterbody that is connected to coastal waters and.
can support some form of navigation, even a kayak or canoe, including a common canal system
or a manmade basin.
• Easement holders? Yes, if the easement could be impacted by the proposed development.
• Streets/Roads? Only if the street/road could be impacted by the proposed development. This
might include street -ends which might be used for parking and beach access.
• Holders of recognized submerged lands claims/shellfish franchises.
What is Riparian?
Do the boundaries of the adjacent property legally intersect with the water at mean high tide? If there is a
question about whether an adjacent property is considered "riparian," please reach out to DCM Staff -
especially on the oceanfront beach where there may be undeveloped parcels on the beach or in the water.
Who/What is a Property Owner?
For private individuals (orfamilies), send notice to the address listed on the tax card. If the property is owned
by an Inc. or LLC, please send notice to the person listed as the registered agent on the NC Secretary of
State's Corporations Look Up site: httys://www,sosnc.gov/search/index/corp. For Condominiums or
neighborhoods with an owners' association (HOA/POA), send notice to the association (which is usually a
corporation, for which you send notice to its registered agent).
What is Notice, and how do I ensure it is received?
• You can meet with your adjacent property owner, provide a description or drawing of the
proposed development, and ask them to sign this form and return it to DCM; OR
• You can hand -deliver this form and a description or drawing, and ask your neighbor to return it to
DCM (consider providing them with a stamped envelope); OR
• You can mail this form by USPS Certified Mail, return receipt requested (the Green Card). If you
choose this option, you must provide either the signed & returned green card OR track the
certified mail package number on USPS.GOV's online tracking system, and provide the tracking
print-out as proof of delivery to DCM
If you have any questions about this process, please reach out to DCM Staff and DCM Legal Counsel
and we will work to answer your questions.
Revised May 2021

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:
Address of Property:
David Garner
433 Hughes Road Hampstead NC 28443
Mailing Address of Owner: 433 Hughes Road Hampstead NC 28443.
Owner's email:
[e-mail] Owner's Phone#: [phone]
Agent's Name: Southern NC Marine Agent Phone#; (910) 512 - 7647
Agent's Email: SouthernN [e-mail]
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adiacent 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.
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 127 Cardinal Drive Ext., Wilmington, NC 28405-3845. 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
Signature of Adjacent Riparian Property Owner:
John Walker
Typed/Printed name of ARPO:
435 Hughes Road
Mailing Address of ARPO:
NC 28443
[e-mail]
ARPO's email: ARPO's Phone#:
(910) 520 - 0874
Date: /b 2 �. , 2 -L *waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

TIPS FOR ADJACENT RIPARIAN OWNER NOTIFICATION & WAIVER FORMS
CAMA Regulations require notice of proposed development to the Adjacent Riparian Property Owners (15A
NCAC 7J.0204(b)(5)). Proof of actual notice (a sign -off by the owner on this form) or certified mail return
receipts (showing deliveryof notice) are needed, or any other method which satisfies the Local Permit Officer
(LPO) that a good faith effort has been made to provide notice.
The purpose of this'notice is to make adjacent riparian property owners aware of the proposed development
so that they have an opportunity to provide comments (or potentially object to) the proposed development, '
and to give DCM or the LPO an opportunity to consider these comments/objections before a permit decision
is made. "Permission' of adjacent property owners is not necessarily required for DCM to issue a permit;
however, permission must be obtained for certain types of proposed developments if they fall within a 15'
setback area along the riparian access area of the adjacent property, as determined solely by DCM. It is in
the applicant's best interest to provide comprehensive and accurate notice so that any concerns or objections
can be resolved early in the permit review process. In addition, if the adjacent riparian property owner appeals
the permit decision, insufficient notice could be a basis for granting such an appeal.
Who is an Adjacent Riparian Property Owner?
What is Adjacent? (Note: DCM reads this broadly to ensure comment by potentially impacted neighbors)
• A property that shares a boundary line with the. site of proposed development; AND
• A property that fronts a natural or manmade waterbody that is connected to coastal waters and
can support some form of navigation, even a kayak or canoe, including a common canal system
or a manmade basin.
• Easement holders? Yes, if the easement could be impacted by the proposed development.
• Streets/Roads? Only if the street/road could be impacted by the proposed development This
might include street -ends which might be used for parking and beach access.
• Holders of recognized submerged lands claims/shellfish franchises.
What is Riparian?
Do the boundaries of the adjacent property legally intersect with the water at mean high tide? If there is a
question about whether an adjacent property is considered "riparian,' please reach out to DCM Staff -
especialiy on the oceanfront beach where there may be undeveloped parcels on the beach or in the water.
Who/What is a Property Owner?
For private individuals (or families), send notice to the address listed on the tax card, if the property is owned
by an Inc. or LLC, please send notice to the person listed as the registered agent on the NO Secretary of
State's Corporations Look Up site; https:l/www,sosnc.gov/search/index/corp. For Condominiums or
neighborhoods with an owners' association (HOA/POA), send notice to the association (which is usually a
corporation, for which you send notice to its registered agent).
What is. Notice, and how do I ensure it is received?
• You can meet with your adjacent property owner, provide a description or drawing of the
proposed development, and ask them to sign this form and return it to DCM; OR
• You can hand -deliver this form and a description or drawing, and ask your neighbor to return it to
DCM (consider providing them with a stamped envelope); OR
• You can mail this form by USPS Certified Mail, return receipt requested (the Green Card). If you
choose this option, you must provide either the signed & returned green card OR track the
certified mail package number on USPS.GOV's online tracking system, and provide the tracking
print-out as proof of delivery to DCM
If you have any questions about this process, please reach out to DCM Staff and DCM Legal Counsel
and we will work to answer your questions.
Revised May 2021

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UNITED STATES OF AMERIC 1625_°°':<fi
DEPARTMENT' :OE HOMELAND SECURITY',
UNITED STATES COAST GUARD `,
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NATIONAL VESSEL DOCUMENTATION CENTER
t C'� �'IFIC�4TE OA' DOCUVIENT'ATION
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VESSEL NAME
OFFICIAL NUMBER `; .. IMO OR OTHER NUMBER :`YEA R'COMPLETEQ:-:iql.
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JUNE BUG
693328 RAV00045J485 `1985
BAILING PORT
HULL MATERIAL :.i,j' MECHANICALr.;PR.OPULSiON h:
HAMPSTEAD NC
FRP FIBERGLASS ) YES`:
GROSS TONNAGE
NET TONNAGE
LENGTH
BREADTH
DEPTH
17 GIRT
14 NRT ,.
41.0
12.5
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i' PLACE BUILT
WANCHESE NC
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OWNERS
OPERATIONAL ENDORSEMENTS
JEFFREY D GARNER
RECREATION
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MANAGING OWNER
JEFFREY D GARNER
433 HUGHES RD
HAMPSTEAD NC 28443
- RESTRICTIONS
NONE
ENTITLEMENTS
NONE
REMARKS
NONE
VQi
ISSUE DATE
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JUNE 15, 2022
'
SCa
THIS CERTIFICATE EXPIRES
DUNE 30, 2023_..
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DIRECTOR NATO :;;';'
NALVESSEL DOCUMENTATION CENTER �' t
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PREVIOUS EDITION OBSOLETE, THIS CERTIFICATE MAY NOT BE ALTERED

Data Recetved
Data Dereslted
Check From (Name)
Name ofPermk Holder
Vendor
Check number
Check
amount
Penult NumbalCommant
Recel t or RelundlRealloceted
Column!
10/28/2022
Column?
Cntumn3
RG Marine Contracting LLC
Cc1-4
Eubank
Cdumn5
Bank of America
Column6
1114
Column?
$ 200.00
Columns
GP #87454D
Column9
KB rot. 17877
10/28/2022
Island Contracting Inc.
Carter
Truist Financial
39363
$ 200.00
GP #87513D
Tmac rot. 17806
10/28/2022
Coastal Marine Construction
Scott
Wells Fargo
24624
$ 200.00
GP #87648D
BH rot. 19880
10/28/2022
_
Coastal Dock Builders LLC
Martin
Bank of America
1040
$ 200.00
GP #87799D
JD rot. 18729
10/28/2022
Marine Contractors, LLC
Near
First Citizens Bank
11566
$ 200.00-
GP #87677D
JD rot. 17773
10/28/2022
_Allied
Southern NC Marine LLC
Garner
First Bank
1560
$ 200.00
GP #87548D
JD rot. 187
89
10/28/2022
Logan Marine LLC (1 of 2)
Roof
Truist
8173
$ 400.00
GP #87460D
KB rot. 1787
10/28/2022
Logan Marine, LLC 2 of 2
Roof
Truist
8172
$ 200.00
GP #87460D
KB Rtc. 17879
10/28/2022
A riment Services Inc.
Kennedy
Southern Bank
8958
$ 200.00
GP #87549D
JD rot. 18730
10/28/20221
Brandi Aschbrenner
same
Bank of America
447
$ 200.00
GP #87678D
JJD rot. 17855