Johnsons, Richard 90009C

oNX°``°"Srg1 �❑CAMA ❑ DREDGE & FILL NO 90009 A B c : D
Previous permit
y R GENERAL PERMIT
N F] 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 i '' ( ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name :A
Address
City - !' State ZIP , I L_
Phone # ( )
Email
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
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 ^^ r'rfJ
t
(Scale: - 3o
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 t;'. c>� "i ✓<'
❑ 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

;oI*°jCOAN FICAMA ❑ DREDGE & FILL Na 90009 A B CD
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:
15A 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 t
Pier (dock) length
Fixed Platform(s)
t
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: i )
❑ 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

N.C. DMSION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERi1f OWNER NC}TIFICATIONMAIVER FORM
CERTIFIED [NAIL • RETURN RECEIPT R�STEgL MD _DELNERY
(Top portlan to be completed by owner or ttWr agent)
Name of Prop" Owner. RI G 4 4 cOt �QI N.t A0fJ
Addrees of Property: .,. I d8._Jb. ; d _,.. h r ,y, <.
Mal" Address of owner & 60 x' 9 cid rd-f14-i C. &Ae -4 L C A S /
owrrer"e emd: R b J 8i3A06PO,1- t#& 1 owner's Phoned: _#->Ss7- W1--, A,09
Agents Name:
Agent's Emat
Agent Phone*.
ZI -
rt•,'..-a 11 �.l.11.a
I hereby cer* that I own property adjeoent to the ebove referenced prop". The individual app"q for#ris
pernt has desabed to me, as shown an the attached drawing, the developlinnt they are Propoft. A
dMgMM gE dMftwfth dirnenelone. must h2 MMMM with
I DO NOT have objecdm to this proposal. i DO he" objections >;lo this proposal.
M you hens, aftsctlbns to Whet /s bsev pnoipas84 you must nomy aee n Q unntaon or UMM
MWwVmsnt (©CM) /n *vMV w M►In 10 dAys of oo@W of tW Correspondence should be
maHed to 400 Comm=Are., Afontmed Cf, NC 2NW. DCM reprosemtoWes am also he mudscted
at (XV 8M2W& No nsporrse 1s considomd Mro ssnret as net > on Myou haves Leers noMW by
Cerditd AHH.
I under dwW that any Proposed pier, dock, moortnp pilings, boat ramp, breakwabr, bosfhouse, slit, or
prom mod be set bd[ a rrdrdrrnsn debrice of 16 hem my of ri�n acaees unless welved by me
(Oft does Trot apply to buAtheade or rfprap revetments). (wish to waive the s ath 1 clC. you mast stun
the appropriate blank bdow.) n /
I DO wish to waive some/all of the 15' soft& Yj1V
s�gr M#v PM" Owner
-0R-
I do not wish to waive the 16 setback requkement (InlAei the blank)
SlIgralurs of Adjacent Riparian Property Owns.-. '-46�°A� a J
k CLo—
TypedMrinted mane of ARM r �hn , a rr
Ill Ong Address of ARPO: r f'O n f r J£. ��. � C .5--4 t4Jvc a85/2
ARPC's errrah rx e it li d� c�,aRpo�sPhons : If? -990 Y3?Z'
Dab: � Ombw is vift tar up to one year trrom ARPO's 8IWvMbsW
ReWaed Ju y 2021

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VICINITY MAP: NTS
LOT 35
PART OF LOT 36
BLOCK 20
ma
� r
LOT 27 PART OF LOT 28
BLOCK 20
ATLANTIC BEACH ISLES
N/F
N11.L1AN R. NOFT
ET.OX. CATHE
08.818 PG.33131
N.C. (W937512854678
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� sJdiF9 mE0 y
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LOT 27
°r
BLOCK 30
ATLANi L ACI3 ISLES
�EiI 'cMi6n6 N/P
RICHARO 0. JOHNSON
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US-1376 PG.205
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US-11 PAGE 28
PE GY -F. STOKES
N.C.PIN+r 637512855669
StIRVEYOWS CERTIFICATION
1. PlHUP A. CQ.1. CEIITiFr T74T Tits KAT VAS
oalln+ uvi a Lrr st�E�vlsl/a1
PHYSICAL SURVEY
FROM AN umu IipW D
IrAER I/'f VIg1t81 [OEggpp (IESLRIPi18R
�VE BOOXStt�f INDIC TEAT THE
110 POND DRIVE
NOT SUIrETEO ARE T tNOLCATED AS DRAWN FAlrl
AWN FROM
ISfIFWT14N M wocs AEF ml cAEE of
PLAT1 LTHA
LOT 29 AND EAST 45' OF LOT 28
U1$
THIS EY WAS PIEiPA As L�uERLATE0 Is
1:IO.O�a THAT Reis SIPiVEY WAS PREPAAEo Tn �L�CUM
,ITN GS 4T-9A a5
BLOCK 20 ATLANTIC BEACH
ISLES
ALEe0Et1: YITrESA YY BAIC[RAL SIGNA7HEE.
Ltcrx% LLuIeER. AND sEAt TwLS 21It1 oAT OF UCTMR. 2013.
MOREHEAD TOWNSHIP, CARTERET COUNTY,
NORTH CAROL INA
THIS luavIETAl 15 tiF AN E%6FtetG
THATANQ FY 'ARMS
P PARCEI.5 ff ar0 Nor tXtEATE A t1Er STREET 0.i
tl1E%ISTIN6 S
LutuutGRnw
LIENT: PEGGY F. STOKES
DDFtESS= 387 MILDKED AVENUE
SURVEYED:
DIVEi.Itl'i
` tty,
F.R I LAND SltRFET�I
L-4395 �T�
JACKSONVILLE, NC 28540
BONE, [phone]
DRAWN:
('AC
APPROVER:
L-4M =
3 STROUD RNGMBRTNG,P.A.
PAC
'f-pJD•Z-13p�'
�VQ
151-A NC HIGHWAY 24
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MOREHEAD CITY, N.C. 28557
10A2. r2D13
12523247-7479 FIRM- C-0047
SCALE:
PROJECT 4 PM2044-001 fit tin
PfULIP A.COLLMR. P.LS
I" = so,

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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: �\ G k a ( a D - J—C)4'.3.Sd^%
Address of Property: I o e PC I `)d or- y a,' <- eeA ck deilk
Mailing Address of Owner: P0 0,0X q,)-b Q441a,,� �a� , �- 8�� �
Owner's email: AbJ,;1 b3A W 6^43 - "'A Owner's Phone#: iS-c� " 7d-5-" a (1a�
Agent's Name:
Agent's Email:
Agent 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
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.
1►TL'1irl�Z►���C�I►�
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
Signature of Adjacent Ri rian 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: ✓�ar�1C C , �z� r e �, II
Mailing Address of ARPO: I l Pov ��.y� . 1`t-i"tt�Demc� NCI A
ARPO's email: w �xa he-i- ARPO's Phone#: 3o 3 31; 49
Date: Viz/20,LX *waiver is valid for up to one year from ARPO's Signature*
I
Revised Jul
?021

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 or their agent)
Name of Property Owner: 9�c�,kard Z) ' J2) + )-yd,J
Address of Property: ! D e PO IA5;1 fir- 41 l un.'�t G / C ^�c Z�7A
Mailing Address of Owner: _tt-&— x qa-b /4414^711
A)C- (3) 8sia
Owner's email: 9DJab3A GP 6m4. ( • C Oev% Owner's Phone#: 0?SP - 7AI-- a G a9
Agent's Name:
Agent's Email:
Agent 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
description or drawing, with dimensions, must be provided with this letter.
PA ,--,� 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.) n n
I DO wish to waive some/all of the 15' setback A
-OR-
Signature of Adjacent Riparian Property Owner v
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO:
0-
Mailing Address of ARPO: I —D IU _ LA
ARPO's email ��1�{�, VCUJS ARPO's Phone#: LA C—)
Date: ` 0,. ac)-lwaiver is valid for up to one year from ARPO's Signature*
Revised July 2021

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