Hardy, John 88875C

`°Ar'' �❑CAMA ❑ DREDGE & FILL N9 88875 A B C D
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GENERAL PERMIT Previous permit
y 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 _
Address
City
Phone # (_ )
Email
State ZIP
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS
ORW: yes/no PNA: yes/no
Type of Project/ Activity
Shoreline Length
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
Adj. Wtr. Body
Closest Mal. Wtr. Body
P
(Scale:, - - )
Access Length
-
Pier (dock) length t ]
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,+
Fixed Platform(s)-
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Floating Platform(s)
Finger pier(s)-
I
Total Platform area
i
Groin length/# -
-
Bulkhead/ Riprap length
Avg distance offshore — i.,
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f_
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-
--
---
{
—
—
-
Breakwater/Sill
i
Max distance/ length
(
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Basin, channel
Cubic yards 4
I
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
1
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Other
-771
-�74-
-
-
-
--
-
SAV observed: yes no
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Moratorium: n/a yes no
Site Photos: no — 4 /
yes
Riparian Waiver Attached: yes no
r'
ILL
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 Officer's PRINTED Name
Signature "Please read compliance statement on back of permit" Signature
Application Fee(s) Check #/Money Order Issuing Date Expiration Date

,1*°``°M-'"`&c❑CAMA ❑ DREDGE & FILL N9 88875 A B c D
y 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.nc.gov/CAMArules
Applicant Name
Address
City State ZIP
Phone # ( )
Email
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS
ORW: 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
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 required by:
Permit Conditions
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
Adj. Wtr. Body
Closest Maj. Wtr. Body
(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. (Please Initial)
Agent or Applicant PRINTED Name
Permit Officer's PRINTED Name
Signature "Please read compliance statement on back of permit"
Application Fee(s) Check #/Money Order
Signature
Issuing Date Expiration Date

Styron, Heather M.
From: Kari Taylor <[e-mail]>
Sent: Wednesday, December 21, 2022 7:42 AM
To: Styron, Heather M.
Subject: Re: [External] 192 Wards Creek Road
Attachments: Barnes - Adjacent Riparian Form.pdf
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an
attachment to Report Spam.
Hey Heather,
I received the Adjacent Riparian back from Barnes. Please find it attached.
Thank you,
ri Taylor
Executive 1 resident
C.252-571-7282
On Tue, Dec 13, 2022 at 11:04 AM Styron, Heather M. <[e-mail]> wrote:
Thank you 0
Heather Styron
District Manager
Division of Coastal Management 400 Commerce Avenue Morehead City, 28557
252.515.5417 (0) 252.725.3903 (M)
jNvf�

[e-mail]
www.deg.nc.gov
Find a Field Rep (arc_ iq s.com)
Email correspondence aod from this address is subject to Me Nonth
Carolina Fables Relcords Lawand may be disclosed to third pattes,
From: Kari Taylor <[e-mail]>
Sent: Tuesday, December 13, 2022 11:03 AM
To: Styron, Heather M. <[e-mail]>
Subject: Re: [External] 192 Wards Creek Road
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an
attachment to Report Spam.
Maddie told me yesterday. You have your hands full! Let me know if I can help in any way.
2

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-, John Hardy
Address of Property: 192 Wards Creek Road, Beaufort NC 28516
Mailing Address of Owner:
Owner's email: [e-mail] Owner's Phone#: [phone]
Agent's Name: Carteret Marine Services
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.
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 16from 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: Theodore Barnes
Sri
Mailing Address of ARPO: 10ACampen Road, Beaufort, NC 28516
ARPO's email: g 0-
ARPO's Phone#: o4b 'I"
Date: if X
� 'waiver Is valid for up to one year from ARPO's Signature*
Revised May 2021

Styron, Heather M.
From: Kari Taylor <[e-mail]>
Sent: Tuesday, December 13, 2022 10:56 AM
To: Styron, Heather M.
Subject: [External] 192 Wards Creek Road
Attachments: Agent Auth.pdf; Barnes - Certified Mail.pdf; Lawrence - Certified
Mail.pdf; 192 Wards Creek 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 attached documents for 192 Wards Creek Road, Beaufort. Please let me know if you have
any questions or concerns.
Thank you,
Karl Taylor
Executive Vice President
C.252-571-7282

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: T L"/\
Mailing Address:
Phone Number: a �v2 . qc( S�� ( LA
Email Address: /YNO If'M4'n = I �\ aW"' ; k > CooVL
I certify that I have authorized kere, -
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: -�oo I 06- S
at my property located at
in (�ero, 4— 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:
Signature
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Print or Type Nam
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Title
Date
This certification is valid through I 1.

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: �o
Mailing Address:
Phone Number: I L _e�0�
Email Address: _ I % � � ; [r OA/\-
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: 'O'00 404, S\A�-
at my property located at
in Ckf,�ete County.
l 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 Information:
1)-lk
Signature
�\�-
Print or Type Nam
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Title
I D- / I.3 / 10 Z2�
Date
This certification is valid through -/-/,

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