Carteret Property Holdings LLC 91154C

1*�FCOAST419c❑CAMA ❑ DREDGE & FILL Na 91154 A B C D
2 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
Phone # ( )
State ZIP
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Email Subdivision
City ZIP
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 w
Riparian Waiver Attached:
yes no
A building permit/zoning permit may be required by:
Permit Conditions
(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
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

❑CAMA ❑ DREDGE & FILL NO 91154 A B c
O�OF COASTgl� f1
9c D
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 Authorized Agent
Address Project Location (County):
City State ZIP Street Address/State Road/Lot #(s)
Phone # ( )
Email Subdivision
City ZIP
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 1
3
Site Photos:
yes no
Riparian Waiver Attached:
yes no "
A building permit/zoning permit may be required by:
Permit Conditions
(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

AUTHORIZATION FOR CAMA PERMIT AppLl(;4TION
wnor Requesting Pormit'
N1,411101 Of porty 0
.... ......
MrI,jljjiq Address,
. . . .......
Phone Number,
Eniall Address: f'0
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:
my property located at 1/0 cIj e- A
in 0'1',S1Qw County.
/ furthermore certify that / 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
Print or
Type Name
Title
Date
This certification is valid through /-1

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
Address of Property 710
Mailing Address of Owner ..... ....
__� _ems �s�e..
Owner's email
Agent's Name arch e,t
Owner's Phone#;
Agent's Email. i , co
Agent Phone# ._..�...... ....... ................. ._.
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
Bottom portion to be completed by the Adjacent Pro ert _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
descri ,ti`tn 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 beingproposed,
p p , 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 revet, airs) (If y : wish to waive the setback, you must sign
the appropriate blank below.) ! �{
I DO wish to waive some/all of the 15' tback
Signatu i of11..iac,en '�ip��anan�,P6rofp�er�tyE: per
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 May 202 1

N.C. DIVISION OF COASTAL. MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (MINOR PERMIT)
CL TIF Ik Imo) MAW, l�'l; I lfl hl l I C['- IPT REQUk, Tff?,9r_�iANI ...I DELIVERED.
.
....................... ..................
.......
...
Date
Name tit` kil'Icent Iitpanilll 11ropt"C11' f )it'1lc'I'
Vt, 0 -
:1��i�Itti; �•
('itti . `lilts' /il)
Fo WIloill It NIUN Collect `ll:
This COIT�.SPOIldcnce is tip notify you as a riparian propert owner that I am applying for a CAN,:A Minor permit to
'. _ ._..
....._ .... ..... ___..._ ._, f ... ...
,011 rtlV property at C--ui. `.....'
County, which is adjacent to your property. A copy of the application and project
drawing is attachWen closed for your review.
If you have no objections to the proposed activity, please mark the appropriate statement below and return 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,
Property Owner's : 'ame Telephone Number
Address City State Zip
I have no objection to the project described in this correspondence.
J
I have objection(s) to the project described in this correspondence.
M ..... ___..... _
Adjacent Riparian Signature Date
a� �........ ,
. V. ... ........... �1�....�............ �.
Print or Type Name Wbtt UTelephone Number
Address City State lip
Revised July 2021

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (MINOR PERMIT)
I." NIAlt-, 1. P'L(AiL", I L.Q or HAN[) DELIVERED
)ate
I'll is corre.spt)11,,Ie1,,,
notify YOU as a riparian PTOPCrly Owner that I am aPplying r(r a CAMA Minor permit to
....... ..... ..... . . ...........
on III\; Prop .............. .......
eriN,. t
..... . .... ..........
... .......
.......... t. .......
.2,
dra,,?ing is which is idiacent tct Your property. A copy of the alication a
I
attached/enclosed for your reNiew. ppndproject
"'YOU have no objections TO the proposed activity, Please mark the. appropriate statement below and return
as Possible. if nocomments are received with' M to me as
COMments Or (,)b' within. 10 days of receipt of this soon
Jections regarding this project, Is notice, it will be considered that You have no
If You have objections or comments, please mark the appropriate statement below and (LbCAL PEA OFFICER, NAME OF LOCAL GOVI, your correspondence to:
RNMENT,'MAILING ADDRESS CITY, STATE, ZIP CODE)
If You have any questions about the project, please do not hesitate to contact me at my address
contact (LOCAL PERMIT OFFICER) at (PHONE NUM13E- , /number listed below,
Sincerely, . R), orb email at: (l-,P0 EMAIL). , or
C)
5 Ole
Property Owner's Name ... . ........ ....... ........
Telephone Number
Address City State
ZIP
I have no objection to the project described in this correspondence.
I have objection(s) to the project described in this correspondence,
........ . .......... . . .. . ...............
Adjacent hind ian Signature
?
. . . ....... .. Prinjlr Type Name
Address
City
Z-
Date:
............. . ............. - ............. . . .......
............
Telephone Number
Suite
Zip
Revised July 2021

January 3, 2023 1:500
0 0.004 0.008 0.016 mi
0 0.005 0.01 0.02 km