Smith, Kevin & Linda 91123C

0 1*Ft°`S'"1❑CAMA ❑ DREDGE & FILL N9 91123 A B C D
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 State ZIP
Phone # (_ )
Email
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
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
(Scale:/
Shoreline Length _
Access Length
Pier (dock) length _
Fixed Platform(s) _
Floating Platform(s
Finger pier(s) _
Total Platform area
Groin length/#_
Bulkhead/ Riprap Ii
Avg distance offshc
Breakwater/Sill _
Max distance/ leng
Basin, channel _
Cubic yards
Boat ramp
Boathouse/ Boatlif
Beach Bulldozing_
Other
SAV observed:
Moratorium: n/,
Site Photos:
Riparian Waiver At
A building permit/:
Permit Conditions
/ ❑ 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

0 1*FtCOR41&RCAMA ❑ DREDGE & FILL Na 91123 A B C D
y = GPrevious permit
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:
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.
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Mal. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
(Scale: )
Shoreline Length
Access Length _
Pier(dock)length _
Fixed Platform(s) _
Floating Platform(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:
❑ TAR/PAM/NEUSE/BUFFER (circle one)
Permit Conditions
❑ 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
.ta(12,
Issuing Date
Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: ihlG�l� r'yL(�
Mailing Address: /o? 9, (fea
Phone Number:
Oog / � /& /9 ��, .6
Email Address:
I certify that I have authorized DENNIS & SONS MARINE CONSTRUCTION, LLC
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
OF NOP. )116` OT v IN'ti 1, Bua-it Lw)
at my property located at 1�1bR St) 6n,-Fyf2jk:� rjE yj -yvV_V NC ,
in CARTERET County.
1 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.
Prop y Owner Info r ation:
Signature
Z/tiIL11 Jm or Type Name
HOMEOWNER
Title
Date
bean' 2 4 2023
j ,V
This certification is valid through 12 1 31 / 2023

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: KEVIN & LINDA SMITH
Address of Property: 1208 SEA GATE DRIVE NEWPORT NC 28570
Mailing Address of Owner:
Owner's email:
Owner's Phone#: [phone] ,..
Agent's Name: DENNIS & SONS MARINE CONSTRUCTION, LLC
Agent Phone: [phone]
Agent's Email: [e-mail]
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.
As noted As noted
below DO NOT have objections to this proposal. below DO have objections to this proposal.
I have no objections to Kevin & Linda Smith repairinglupgrading their sea wall up to my property line.
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
Only as stated above and only regarding
the sea wall modifications. Signatur f Adjacent Riparla r rty Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owne
Typed/Printed name of ARPO: James L. B ger Jr.
Mailing Address of ARPO:
ARPO's email:
Date: 20JAN2023
1216 Sea Gate Drive, Newport, NC 28570
ARPO's Phone#: [phone]
*waiver is valid for up to one year from ARPO's Signature*
Revised M41VP1= )

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: lC' )i cj -2171I-11
Address of Property: j 2111 Ur-1 ` ff (y /O(, I Q7 rr
Mailing Address of Owner: L C'C �(' ( r" (� �(` 22-
f ItLtr , C ��1
Owner's email: !� I\ Il�T Owner's Phone
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.
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 /l
'/✓7
Signature of A4 Ija ent 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:
Mailing Address of ARPO:
ARPO's email:
ARPO's Phone#:
Date: *waiver is valid for up to one year from ARPO's Signature*
Revised July 2021
R-F Jz,fVP r-J