Davies, John & Tiffany 90029C

aojCOASTgTLN❑CAMA ❑ DREDGE & FILL N9 90029 A B C D
�O
s = 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
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 ZIP
Adj. Wtr. Body (nat/man/unk)
Closest Maj. Wtr. Body
(Scale: )
❑ TAR/PAM/NEUSE/BUFFER (circle one)
ElSee 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

O°F`°"Sr"1 c❑CAMA ❑ DREDGE & FILL NQ 90029 A B t.c` D
yo
Previous permit
i 1 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 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
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
(Scale: /,J TS )
❑ 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

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENTRIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
(;ER VIFIEL)MIKIL - RETUkIN KrUL[ll I HLQUE; I t-U Or
by owner or their agent)
(Top portion to be complete
'Taox
-ie iry OvIner: V I
Nan of Prot)(
Address of Property: .... ...... J__U -UJL.U.f_J__ ,-
Mailing Address of QwOer
rrL__
6_� 1,
�ner's Phone#:
owncr'o email. _M_ oml
Agent's Name,:
Agent Phone#:
Agent's Email: .. . ............ . . .... . .......
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(@ottol,n,pqff1ol1!o Ile q2rnp ted bytine AdLa�qentPr
I hceby cerffvthat I own property adjacent to the above iF,,ferenced property. The it dividualripplying for this
permit has desc,01it'd [0, n1e, its shown on. tho- attadiet! (Irawilq, the dovelopmc,.ni they are Proposing, A
itin �dimqnsions jjwq�p Q _122K.
pws®rl m
I ('jO NOT have objections to this piopoSPI, I OC have objections to this Proposal.
� _thW_W_C. _010910nof Coastal
if you I �avo ob�jectl6ins--to what is being proposed, You Must E11061
Managortlent fDCM) in writing within 10 days of receipt of this notice, Correspondence should be
mailed to 400 Commerce Ave., Morehead City, NC 28557. DCM repreS011tatives Cal) also be contacted
at [phone], No response Is considered the saine as no objection if you have beef) notified by
Certified Mail,
WAIVER SECTION
I undersLind that any proposed pier., doick, moorg pilings, boat rarnp, breakwatt;,K, boathouse, lift, or
groin roust be set bac? a minimurn distance of 15'fror) my area of riparian access trilloss waived by file
(this does n(It apply tri bulkheads or ripmp revetments), ;if you wi.h to wai"o to"IelbaCk, YOU must sign
the appropri, ito blank bo!ow.)
I DO wist i iu waive so nej`all "'f Utc I �—) a;_ -A
1?iP,4r1a6 ProP gnaturn of1j ,44I Owner
I do neat will: to waive the 15' setback require inent (in.ifial thebfanl<�.
,4 1
Signature of Adjacent Riparian Property Owner:
TypedlPrInted name of ARPO: UL�I,LD LA
malling Address of ARPO.I
0 t*-M!: 2 72 F�-
AIRPO's email: 11)�, ILI ARPO's Phone#: _'�14 -,&� - 0 22-
is valid for tip to one year from ARPO's Signature*
Revised July 2021

N.C. DIVISION OF COASTAL MANAGEMNT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (MINOR PERMIT)
RN RECEIPT REQUESTED or HAND DELIVERED
Daw
pl'7elly OW'ner
City, State Zi
To Whom 11; May Collcerll
Ol
'I'his T 11 ic'ucc is lc� notifv you as a npanan property owner that I in, applying for a CAMA Minor perillit to
I r peiT 1 Ab c' hann e I
jK , hr 4S 1 na0l;-1., " a_Q22nL
on lily prolldly at AQU "ttl"laa n' , 'I
in cou i8W!' - aud project
"l—n- aeaL— inty, whiell is ad, to YOLH't,�1'01)Crty, A copy of tine
dray ing is at for your review.
If you have no objwtions K the proPoscd activity, Please Illark the epproprow staMmou Wow and return to illeas sour
as possibVe. if no comments are received within 10 clays of rccciipt of this jjotic�c, it wiII be considered that you have no
conliltents or 0�jectioiis regarding this jwlect.
If you have objwtbns or comments, please mark the appropriate statement b-dow and send your correspolldence to:
(LOCAL ffRMITOFFICUR, NAME OF l,OCA-L GOVERNMENT, MAILING AI)DRESS CITY, STA'I'E, ZIP (.,'01-')E)
If you 1mve any quemionsabout the pl-oject, picric df,-� not 1,iesitatc to conuta me at my addwsunumbo, listed below cW'
contact (LOCAL PERNUT OFMCAR) at (PlIONI.-, NUMBER),or by emailat: (LP0 ENIAl [-)
Sincerely.
Telephone Numlx!r
Adfus CRY State
1 two no Praia& 1,0042 in this Otto
Acet dc�,cribcd iti this correspondence.
.1 � -
2 -213---
Date
Telephone Number
Awdinss City State Zip
Rev;sed kly 2021

Pki Cartuee, County, N-- Property Card
PA
Property Data
Parcel Number: 631604802065000
Inquiry Date: 211/2023
DIISCLAWIER: For confirmation of the number of buildings on each parcel, please Contact the Carteret County Tax
Office,
Pmpertylnfo
PARCEL NUMBER:
OWNER:
PHYSICAL ADDRESS
LEGAL DESCRIPTION
631604802065000
BURCH; PROPERTILS L"C' ETAL
155 CACTUS ST
NEWPORT
40318 BURCH BRIDGE ROAD
CIO GARYIETUX JANETRADFORD
BURLINGTON NO 27217
Ll BURCH/SUNBRIDGE- CACTUS ST BROAD
CREEK
DEED REF: 1565.266
PLAT REFERENCE: 33-463
NEIGHBORHOOD: 130009
SALE DATE:
SALE PRICE:
P
ACREAGE:
1,219
LAND VALUE,
$270,009
EXTRA FEATURE VALUE:
$0
-Sketches
Ruildinn-Info
EXTERIOR WALLS:
FOUNDATION:
HEAT:
ROOF COVER:
ROOF STRUCTURE:
SQUARE FOOTAGE:
YEAR BUILT:
BUILDING VALUE; $0
PARCEL VALUE: $270,009

TIPS FOR ADJACENT RIPARIAN OWNER NOTIFICATION & WAIVER FORMS
GAMA Regulations require notice of proposed development to the Ad agent P,iparian Property Owners (1 5A
NCAC 7J.0204(b)(5)). Proof of actriat notice (a sign -off by the awner on this forml. or certified mail return
receipts (showing dehvery of notice) are needed.
The Purpose Of this M0fiCo is to make adjacent riparian property owners aware of the proposed development
so that they have an opportunity to provide comments (or potentially oblie-It to) the proposed development,
ano to give L)GM an oppoiliunity to consider tnese coinments/Objections before a permit decision is made,
of 3ciiacent r� �_rt o�'wners is not nces,,;�!OTq gired for y e F DGM to issue a permit-, however,
p .. o I r . misslon must be obtained for certain types of proposed developments if they fall within P. 15'setback aroa
aiong file riparian access area of the ad agent property. as (1ptertnined solely by DOM, It is in the appkant's,
best interest to 1)roVide C-0117'ehensive and accurate notice so that any coIncerns or objections utin be
resolved early in the perrilift review process In addition, if the adjacent riparian property owner appeals the
porn -kit decision, insufficient nofi(x, --ould be a 5P,,*; for granting SUCII an appeal.
Who is an Adjacent Riparian Property Owner?
Whit is Adjacent? (Note: _glglbors)
• A properZy that shares -a boundary title with the site of proposed development; AND
• A property that fronts a natural or mann,ade waterbody thAt is connected 10 coastal waters and
can support iorne form of navigation, even a kaya,,/, or canoe, including ia comr))Orl canal system
or a manmade basin.
• Easement holders? Yes, if the easement could, be impacted by the proposed development,
• 'S"treetsipoads? Only if the sireetu'road could be Impacted by the proposed development, Ti his
might rnClUdostreet^erids which might be used for parking and beach access.
• Holders of recognized submerged lands claimsishellfish franchises,
What is Riparian?
DO the bOLJndpries 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 roach oat to DC1vI Staff -
especially on the oc-p-anfrontreach whore there may be un'developed parcels on the beach or In the water.
WhoWhat is a Property Owner?
z 1 11
Por private individuals (or fam'fles), send notice to the address lisled or, tine tax card. If the property is owned
by an Iric, or LLC, please send notice to the por6oln listed as the registered agent on the NG Secretary of
State's Corporations 'Look Up site:
an For C ridorni I rrs or
neighborhoods will", ar gvvners' at,,,sooiation H 0Ai'P0A`1, send notice W the associati n (which is usually a
corporation, for which you send notice to its registered agent).
What is Notice, ind how do I ensure it is received?
• You can moot with your, adjacent property owner, provide a desof iption or drawing Of the
proposed development, and ar,111'. thein to sign this form and return it to DCt,,A; OR
• You can hand -deliver this form and description or drawing, and ask your noighbor to return it to
OCNi (consider providing them with a stamped envelope), OR
• You can mail fts form by LISPS Certified Mail, return receipi requester (the Green Card). If you
uiuostili's c'-pbail, 'You mubt provwe eiltioi ine signecl N teiurricc, gre&ri carc! JIK tracR the
rotliffed mall package number on USPS.GOV'is online tracking systern, ano, provide the tracking
print-out as proof of delivery to DCNI
If you have any questions about this process, please reach out to DCM Staff and DC Legal Counsel
and we will work to answer your questions.
Revised July 2021

Hall, Wayne P
From: Jp Davies <[e-mail]>
Sent: Friday, February 3, 2023 9:13 AM
To: Hall, Wayne P
Subject: Re: [External] CAMA 166 Pelican
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
Report Spam.
3' deep
Majority if not all work will be done from land excavation.
Place spoils on site to drain off.
Then take to construction site to be used as fill.
I own 3025 hwy 24. Which is 1/4 away and starting new commercial building in April to May.
Unless there is issues with that plan
Eric Pake should be doing dredge work. I will haul spoils myself with my dump trailers and trucks
On Fri, Feb 3, 2023 at 9:06 AM Hall, Wayne P <Wayne.Hall @ncdenr.gov> wrote:
Good morning Mr. Davies,
I see the current depths listed on your drawing - what's the target depths for the proposed excavation? Where will
spoils be relocated to? I'll plan to make a site visit early next week.
Thanks!
Wayne Hall
Field Representative
Division of Coastal Management
1

400 Commerce Avenue
Morehead City, NC 28557
[phone]
Wayne.HaIIPncdenr.gov
vvww.deg.nc.gov
Find a Field Rep (arcgis.com)
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€....�. aah Cor-i-e��.z.;�. o!-O ir6..e s'a''�.� b`ii-Mf fr€ zm t-II ti.. �...e �"k reSS it :_s2a �%Q_ -� ��' the .�'� ;th
x
From: Jp Davies <[e-mail]>
Sent: Thursday, February 2, 2023 1:02 PM
To: Hall, Wayne P <[e-mail]>
Subject: [External] CAMA 166 Pelican
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
Report Spam.

Wayne
Here is what i got, let me know what else I would need
this is my personal house. So no agent needed
JP Davies
Davies Contracting
Home, Septic and Mold Inspections
HVAC, Plumbing, Electrical
c 252-515-2123
o 252-474-2123
f 252-622-4753
[e-mail]
If you would like to borrow up to $250,000. 1 have a close working relationship with HFS Home Improvement
Loans. Please Apply Here with no impact on credit."

JP Davies
Davies Contracting
Home, Septic and Mold Inspections
HVAC, Plumbing, Efectr€cal
c 252-515-2123
o 252-474-2123
f 252-622-4753
If you would like to borrow up to $250,000. 1 have a close working relationship with HFS Home Improvement
Loans. Please Apply Here with no impact on credit."

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rpopory of:
N.
NC ),9570
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N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (MINOR PERMIT)
CERTIFIED MAIL, RETURN RECEIPT REQUESTED or HAND DELIVERED
e
e scent Iti Property Owner
c�ca e—
d ress
�.Ai,d� M L A0,5-4D
City, Statb Zip
To Whom It May Concern:
This correspondence is to notify you as a riparian property owner
on my property at
We
ate
I am applying for a CAMA Minor permit to
in ( :8fref2K County, which is adjacent to your property. A copy of the application and project
drawing is attached/enclosed for your review.
If you have no objections to the proposed activity, please mark the appropriate statement below and rehire to me as soon
as possible. if no comments are received within 10 days of receipt of this notice, it will be considered that you have no
comments or objections regarding this project.
If you have objections or comments, please mark the appropriate statement below and send your correspondence to:
(LOCAL PERMIT OFFICER, NAME OF LOCAL GOVERNMENT, MAILING ADDRESS CITY, STATE, ZIP CODE)
If you have any questions about the project, please do not hesitate to contact me at my address/number listed below, or
contact (LOCAL PERMIT OFFICER) at (PHONE NUMBER), or by email at: (LPO EMAIL).
Sincerely,
I
3 'M 01 T�
Property Owner's Name
Address
City
n�b- 1r) V5 Ms
Telephone Number
State
tJ I have no objection to the project described in this correspondence.
I have objection(s) to the project described in this correspondence.
Adjacent Rip Signature
1i J
Print or Type Nam
Address
City
20 Z - 7
Date
Telephone Number
State
Zip
Zip
Revised July 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)
� ► /Ilf� C-11 .
Name of Property Owner:
� - � � = 11�1�s1S/Ilriil/�Il/l►L+!l��I;:/lt'`!I•fL�ltil� NOR
R' 8f I 'a
Agent's Name:
Agent's Email:
Agent Phone#.
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adlacont 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
descrintlon or drawing, with dimensions, must be proylded 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
t 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 bQlow.)
I DO wish waive some/all of the 15' setb ck
id
-OR-
Si turfs of Ad acenl 1p Ian Property Owner
I do not wish to waive the 15' setback requirement (Injkial the blank)
Signature of Adjacent Riparian Property Owner.
Typed/Printed name of ARPO:
Mailing Address of ARPO:
ARPO's emall:e) rec 14 n N,A I, e �A M ARPO's Phone#e 411 8 A
Date:. Y 2; Z� *waiver is valid for up to one year from ARPO's Signature'
Revised July 2021

211123, 1:59 PM
Cariorat County, NG Proporty Record Gard
Carteret County
Property Data
Parcel Number: 631502894900000
Inquiry Date: 2/112023
DISCLAIMER: For confirmation of the number of buildings on each parcel, please contact the Carteret County Tax
Office.
Pro "eybfQ
PARCEL NUMBER,
OWNER:
PHYSICAL ADDRESS
MAILING ADDRESS:
LEGAL DESCRIPTION:
DEED REF:
PLAT REFERENCE:
NEIGHBORHOOD:
SALE DATE:
SALE PRICE:
ACREAGE:
LAND VALUE:
EXTRA FEATURE VALUE:
Sketches
ONE1996
BSI dLing Info
631502894900000
BATHS:
2.5
MRDJENOVIC,DONALD III
BEDROOMS:
3
170 PELICAN DR
CONDITION:
NJA
NEWPORT
170 PELICAN DRIVE
EXTERIOR WALLS:
26 VINYL
NEWPORT NC 28570
L6 ADAMS HARBOUR
FLOOR FINISH:
14 CARPET
08 VINYL
1499-397
FOUNDATION:
02 CONC BLOCK
27-99
HEAT:
10 HEATPUMP
130009
ROOF COVER:
03 COMP SHNGL
01/29/2015
ROOF STRUCTURE:
03 GABLE
$417,000
SQUARE FOOTAGE:
2480
0.989
YEAR BUILT.
1997
$287,970
BUILDING VALUE;
$150,044
$15,284
PARCEL VALUE:
$453,298
52.
131 62,
17' 13' 2,11
39,
ONE11997
0501997 3 84. 0'
17' 4\4' 24,
3 ' 4' PCH1 99(
1087.0'
ONE1998—i 62'
4:).V
112