Bass, Helen 90013C

0 1*jWAU41 FICAMA ❑ DREDGE & FILL N9 90013 A B C D
-0,
GENERAL PERMIT Previous permit
i 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 Authorized Agent
Address Project Location (County):
City State ZIP Street Address/State Road/Lot #(s)
Phone # (_ )
Email
Subdivision
City
P
Affected ❑ CW ❑ 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
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 i
Moratorium: n/a yes no
Site Photos: yes no
Riparian Waiver Attached: yes no
A building permit/zoning permit may be rE
Permit Conditions
(Scale: )
❑ 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

a°1(OAS'",Lc❑CAMA ❑ DREDGE & FILL N° 90013 A B C D
0
Previous permit
y . GENERAL 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:
I5A NCAC " t ` ❑ Rules attached. <'' General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name
Address
City State " ZIP s
Phone #
Email
Affected 0 CW ❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS
ORW: yes/no PNA: yes/no
Type of Project/ Activity I `-s,
Shoreline Length
Access Length =
Pier (dock) length
Fixed Platform(s)''t 7
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 d'
Boat ramp `
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed: yes no
Moratorium: n/a yes 66,
Site Photos: yes no
Riparian Waiver Attached: yes no
A building permit/zoning permit may be required by: l r ' f' lG4
r
Permit Conditions
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s) % l•cr
Subdivision
City ZIP
Adj. Wtr. Body (nadman/unk)
Closest Maj. Wtr. Body /'t. it' ,
(Scaler )
❑ 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
Signature "Please read compliance statement on back of permit"
Application Feels) Check #/Money Order
Permit Officer's PRINTED Name
Signature
Issuing Date Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Marne of Property Owner Requesting Permit: 14elen oags-
Mailing, Address: 4e-05 Ptecczont Green Road-
UdnaLM/ rjc a,770
Phone Number'. 919 - (OOQ - 15 (0 9"
Email Address: -hhCLSS a n a. (7p. corn
I certify that I have authorized :Yc>nrs
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: dor'K Pk'4irL(C±;!2n —
at r-ry property located at
,ounty.
fjI I it
irthermc-re certiry thiat I am, authorized to graot, a.r d do ;,i fact grart permissiar. to
Divislon of Coastal Management staff tt7e Local Pem,lit Offici?r ar)-'-4 th-eit, agents 110 esker
-1 1
on tt',e aforamentioned lands in conrection ovith ovaluating, inn armatfon re!alled to, this
''permit ap-plication.
Property Owner Information:
iCild 0-1 -
Sig nakille-
P,iftit or Type Nafne
Qj 623
Date
This Certification is valid through 0(oi 3C) 202-3
Jam 17

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S • _..
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N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: " 946&1 &5. S
5l
Address of Property: /�
Mailing Address of Owner: zy� /O4�i4SAl) ° C�EA) %��,.A4 -77or
D� �vG
Owner's email: 1¢SA56 e- /U6t Cl', owner's Phone#:
Agent's Name: T�ay-Y --Top -i Agent Phone#: .251-'7,Z&-331e
Q� ,
Agent's Email: 6A ToA.)F f r- p G INL Ca/-J
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.
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 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
-O R-
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 ARRPO:,�)-/
ARPO's email:i U �� - lARPO's Phone#:
Date: �' waiver is valid for up to one year from ARPO's Signature*
Revised May 2021
RFC ire 1Vr- r
AN rl 26"2j
Gawmiju �;I y

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: /'I`i1� `fib LS1 ~?
Address of Property:
Mailing Address of Owner:
Owner's email: 1%d� A'-'f ` �� y`� Owner's Phone#:
Agent's Name: Agent Phone#: �L ��''� bfi: 1
Agent's Email:
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.
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 /- A�p
Signature of Adjacent RipaOwner
-O R-
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:
'aMUM
21151
''�� '' --11 jj�� Cry AG '�IIqq• nnf n tt!!
ARPO's email��"�•W�u'°�� ARPO'S Phone#:-'�- h
Date: 023 'waiver is valid for up to one year from ARPO's Signature*
Revised ' fd,* D
IAA
D M-MHU Y

Carteret County, N.C.
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.January 13, 2023 VW--
The Information displayed by this websifte is prepared for the inventory of real properly found within this jurisdiction and is compiled from recorded deeds, plats, and other pubi is records and data. Users of this Information
are hereby notified that the aforementioned public primary information sources should be consulted for verification of the information contained on this site Carteret Countyassumes no legal responsibility for the
information contained on t1his site, Carteret ODuntydms not guarantee that the data arid map services will be avalable to userswithoutinterruption or error. Pnly may modify or remove map
services and access methods at will. /�M, I
DC'm-44riu cl-vir

AMA / ` DREDGE & PILL G 0 �`t® G'� No. 5
EN ERAL PERMIT MIT Previous permit # A B C D
evv ❑Modification f_.1Complete Reissue LEPartial Reissue Date previous permit issued
As authorized by the State of (North Carolina, Department of Environmental Quality 7
and the Coastal Resour-ceZission in an area of environmental. n ern pursuant to I SA NCAC
Ru attached.
Applicant Name---- 'r . L/./ Project Location: County
AddressGJ�' l dyl_.:_ Street Address/ State Road/ Lot #(s)
1
City " a , Z1 P_�
Phone # E-Mai __..__._ _.....__ Subdivision
Authorized. Agent C,,J�/s�t comic c f/ City ZIP_ _
O GW TA -:1 ES I =1 PTS Phone # _ River. in
Affected
( ---) -
OOEA �': � FIHF [i IH � USA ;� k!!iA '
AEC(s): _ Adj. Wtr. Body--_---- hat man unkn)
0 Pws:: -
ORW: yes. ! o P1YA yes t or
Mal. Wtr. Body—_-- ..-
---
Type Of Project/ Activity
Pier (dock)length,�..t
Agent or Applica:tt l'br ted Name 1 Permit0Ecer
Signatures t Please read compliance statement on back of permit ° Signature-Y.
--�-r ----------- ..— ---- — — %/�-f
Applicabon.Fee(s) Check # Issuing Date
(Scale: A