Lemons, Gina 88938C

AV09r', >' CAMA ❑DREDGE &FILL N9 88938 A B ( D
I._q 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:
�j. j..` ) 2-Cites
I SA NCAC � - ❑Rules attached Q General Permit Rules available at the following link: www.deq.naYov/CAMArules
Applicant Name Authorized Agent C, n"cinI
Address '; Project Location (County):
City - State ZIP , i, / !:+ Street Address/State Road/Lot #(s) II'
Phone#(' i)
Email C • n0'
Affected ❑CW
AEC(s): ❑OEA
ORW: ves&no
❑IHA ❑UW
PNA: yes/no
City 4— zip 2 (1 r--,I, "
❑ ES
❑ PF,
Adj. Wtr. Body WV\ l' 1-e
(_)Gi Y 1! t Vf.. Y (nat/man/unk)
❑ SPIMA
❑ PWS
Closest Maj. Wtr. Body .I
I Vic C'ou(>`'d
� II � s 1
Type of Project/ Activity ' i 3lc AU C. V I X I j"
f6nrolinn lenetF i I
Access Length•'
Pier (dock) length 'r
-
-
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-
1
FixedPlatform(s)
I
,-
-
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-1-->
E-.
6V
N^
-
-
-
Floating Platform(s)
Finger pier(s)-
Total Platform area 1,1 ( 1:[(4'"i'
Groin length/tt
Bulkhead/ Riprap length�—
Avg distance offshore-
Breakwater/Sill-
'
Max distance/ length
Basin, channel
--
L
)5-_
Cubic yards ��
__... ---
C
._._
1
—
Boat ramp
Boathouse/�1i'oatli)t� ) >
--
--
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Beach Bulldoimg i
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Otherl"f6tX 04 �. �Licia'Ir1 .�
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SAV observed: yes no
Moratorium: n/a yes no
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Site Photos: yes no
Riparian Waiver Attached: yes no
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A building
Permit Col
IAM
may be required by: •'
Agent or Applicant PRINTED Name
Signature'"Please read compliance statement on back of permit'"
Feels) Check N/Money Order
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
VD REVIEWED COMPLIANCE STATEMENT. (Please Initial)_
Permit Officer's PRINTED Najn
Signature
i_.
Issuing Date Expiration Date
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'��`°"'" CAMA El DREDGE & FILL N° 88938 A B rC D
t 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:
I SA NCAC ❑ Rules attached. General Permit Rules available at the following link: www.deq.ncgov/CAMArules
Applicant Name Authorized Agent fl ': At _ 0 f( 1 t t 1 C ( �:- 1 r I I I I
Address - Project Location (County): ( '.i \ i'-i-C v C -'
City i' ri ` State . zip Street Address/State Road/Lot #(s)_� —12 Li I' i P r VA
Phone #('I)�, . ''i'l ,`I
Email %�el i iNL. f Cl'\ I Subdivision
City ('In +'. U(.rr-. ZIP
Affected NCW [REW HPTA ❑ES ❑PTS Adj. Wtr. Body it M h('iC C�!-1k J�I J C C (nat/manlunk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body I 7 I t I C
ORW: yes/no PNA: yes//fid; 1
Type of Project/Activity yVO})OC�� (!" X I 3t< /'lip C le—, �31 X I fi fAG+-}�r",'.�+ 1 i` i l i V>L`'<<"t1 � I i�
r} (Scale:
ShnrPllnP I PnO h
Access Length
Pier (dock) length Ii PA,
Fixed Platform(s) i'. % I
�1
-
_-
I—
T
Fµ:
Alt/
f
:
,-
h
CLI
Floating Plattorm(s)...
Finger piers) %
P
�1
i i a
![
t
Total Platform area _,L/' I L.r I-f
�
Groin lendt/ h N
Bulkhead/ Riprap length.-----
-I—'
—j
---�
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel -�
I.
r,
1---
Cubic yards
i
--
"i
_
I
Boat ramp
Boathouse/ Boatlift `, '� Y, ) 3 I
Beach Bulldozing
Other!,
SAv observed: yes ''no
Moratorium: n/a yes
Site Photos: yes
Riparian Waiver Attached: yes no
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A building permit/zoning
Permit
may be required by: -'17` Ye�� �,.CL1f4 \-,
I ,+i` 0yt(0It 1 ,A6KI(),I�k)viC
Agent or Applicant PRINTED Name ) PerTIt Officer's PRINTEDNa
Signature -*Please read compliance statement on back of permit" Signature
Application Feels) Check#/Money Order Issuing Date
❑ TAR/PAM/NEUSE/BUFFER (circle one)
See note on back regarding River Basin rules
See additional notes/conditions on back
(Please Initial)
Expiration Date

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AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Gina Lemons
Mailing Address: 6313 Lake Road
Mint Hill NC 28227-5532
Phone Number: 704-650-9954
Email Address: [e-mail]
I certify that I have authorized Harbor Marine Construction
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Install hogslat dock and boatlift
at my property located at 272 Buster Road Swansboro NC 28584
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,
Property Owner Information:
Sign&tuts
Gina Lemons
Print ar`Type N�irie
Homeo, r
7ltlt'
31 _. 7 1 2023
)et6 `'
This certification is valid through 3 1 16 1 2�_ RAP ! ,7 10,2�
SCP4 Pokfo Cl7'y

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
(lop portion to be completed by owner or their agent)
Name of Property Owner: Gina Lemons
Address of Property: 272 Buster Road Swainsboro NC 28584
Mailing Address of owner: 6313 Lake Road Mint Hill NC 28227-5532
Owner's emall:[e-mail] Owner's Phone#: [phone]
Agent's Name: Harber Marine INC
Agent's Email: [e-mail]
Agent Phoned: 252-424-0100
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
I hereby certify that 1 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. 9
description or drawing with dimensions must be providod with this letter.
PDO NOT have objections to this proposal. I DO have objections to this proposal,
It you nave object/ons to what is being proposed, you must notify the N.C. Divislon of Coastal
Management (DCM) In writing within 90 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 pler, duck, mooring pilings, boat ramp, breakwater, boathouse, IN, or
groin must he 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 somelall of the 16' setback
-OR-
Signature of Adjacent Riparian Property Owner
I do not wish to waive the 15' setback requirement (initial the blantQ
Signature of Adjacent Riparian Property Ownera
TypedlPrinted'namo of ARPO. ~ 5 CJC) ca
Mailing Address of ARPO: 21- 4 ✓ el d -
ARPO's small:D D ; f C ) *(ARPO's Phone#: Dl Z �� 'U Jel 'a -
Date, ]�%: ;iZ 3 *waiver is valid for up to one year from ARPO's Signature*
Revised July 202PAR 1 (i

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: Gina Lemons
Address of Property: 272 Buster Road Swansboro NC 28584
Mailing Address of Owner: 6313 Lake Road Mint Hill NC 28227-5532
Owner's email: [e-mail] Owner's Phone#: [phone]
Agent's Name: Harber Marine INC 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 drawino with dimensions must be provided with this letter.
X— I DO NOT have objections to this proposal. I DO have objections to this proposal.
it you nave 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 somelall of the 15' setback
4
-OR-
��/Y)/Vii
Signature fAdjacent ipar%anP ertydwfier' —
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:
Date:
ARPO's Phone#:
*waiver Is valid for up to one year from ARPO's Signature"
MAR 161 2023
D(,:Nl-,Ivli-fo i�;E`f
Revised July 2021