Clear, Kenneth 91159C

dCAMA ❑ DREDGE & FILL N9 91159 A B C D
GENERAL PERMIT Previous permit
Date previous permit issued
LJ 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:
ISA NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link; www.dea.nc Rov/CAMArules
Applicant Name _
Address_
City
Phone # (_ )
Email
State ZIP
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
Affected ❑ CW ❑ E W ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk)
AEC(s): ❑ IDEA ❑ 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-
L
__..-
- -
Fixed Platform(s)
c.
i
--
--
-
-
"--""
-
-----
--
--
Floating Platform(s) -�--
—
r
--
/..
Finger pier(s)
Total Platform area
Groin length/!i
Bulkhead/Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/length—
Basin, channel-s--
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other...
L�
_y
j
�—
--
SAV observed: yes no
Moratorium: n/a yes no
Site Photos: yes no i-+--
Riparian Waiver Attached: yes no
--
-
�_
-
-
4
X
-.
_ _
_
_
Permit Conditions
❑ 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 PROJECTAND REVIEWED COMPLIANCE STATEMENT (Please Initial)
Agent or Applikant PRINTED Name
Signature **Please read compliance statement on back of permit**
Permit Officer's PRINTED Name
Signature
011111111
Application Fee(s)
Check it/Money Order
Issuing Date
Expiration Date

��`°"'4 ❑CAMA El DREDGE & FILL N° 91159 A B C D
a 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:
jI 1I SA 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
Phone # (
Email ------
Street Address/State Road/Lot #(s)
Subdivision
City
Affected ❑ CW O 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 V ' (i I ( r � Ii.
(Scale: I -- _ r{
Shoreline Length
Access Length
—
Pier(dock)length
-
-
Fixed Platforms)
u
.
L
Floating Platform(s) - ----
Finger pier(s)
Total Platform are. /%.
bv/ ,/,
I
Groin length/#
Bulkhead/Riprap length.-'---
L
-.._
__.)
Avg distance offshore
Breakwater/Sill
-
4—
Maxdistance/length
—`—�
Basin, channelCubic
yards
L
: _�_-.
4--
Boat ramp,
Boathouse/Boatlift
_
j
Beach Bulldozing
Other
--
—i
i
— _ _ —_
i
SAV observed: yes
no
— -
Moratorium: n/a yes
no
— -
Site Photos: yes
no
Riparian Waive Attached: ye sL
no
_
A building permit/zoning permit may
be required by:
_V
❑ 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 Nam -'"" Permit Officer's PRINTED Name
Signature'*Prease readcomplia estatgn nton backof permit", ,_� ( Signature
Application Feels) Check q/Money Order Issuing Date Expiration Date

Styron, Heather M.
From: Kari Taylor <[e-mail]>
Sent: Friday, March 10, 2023 11:55 AM
To: Styron, Heather M.
Subject: [External] 279 Gatsey Lane
Attachments: Certified Mail - Floyd.pdf; Agent Auth.pdf; Tatiossian - Signed.pdf; Clear
Map Sketch.pdf
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an
attachment to Report Soam,
Hi Heather,
Please find documents attached for 279 Gatsey Lane. Please let me know if you have any questions
or concerns.
Thank you,
!Carl Taylor
Executive Vice President
C:252-571-7282
CARTERIT MARINE
SI8vifl$

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AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
�j �1Mailing Address: --.---.mil ,,—� _ `x
W61
Phone Number:
Email Address: K:C:,c,��a,-��31�1/ L`Gi
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: install of 8'x16' addition on existing
pier structure along side of existing boat lift
at my property located at .2- zq lie) hakfn < IV6-
in Cay_AKNC7t County.
l furthermore certify that 1 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:
4(1--
nature
41el7 CIA? K
Owner
Print or Type Name
Title
"7 / 2023
Dale
This certification is valid through / t

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: It G''f cle&—
Address of Property:
Mailing Address of Owner:
Owner's email: xCrtCle4r ;(-�DQsM//it#pwner's Phone#: �116!146Kr;7�1
Agent's Name: Carteret Marine Services Agent Phone#: [phone]
Agent's Email: [e-mail]
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adiacent Property Owner)
I hereby certify that I own property adjacent to the above referenced property. The individual applying for this
permit has gescribed to me, as shown on the attached drawing, the development they are proposing A
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.)
100 wish to waive some/all of the 15' setbacks`?
'gi�gnattle of Adj 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: k0sc-A .y') _
Mailing Address of ARPO: 2 � 14 2 gS lu
ARPO's email: ARPO's Phone#:
Date: -3\ J202S "waiver is valid for up to one year from ARPO's Signature'
Revised May 2021

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