Harbor Master Inc - 90081C

❑CAMA ❑ DREDGE & FILL N9 90081 A a C C
Previous permit
GENERAL PERMIT
+ Date previous permit issued
❑New ❑ Modification M 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.nc.gov/CAMArules
Applicant Name _
Address
City
Phone # (_ )
Email
_State ZIP
Affected ❑CW DEW
❑PTA
AEC(s): ❑ OEA ❑ IHA
❑ UW
ORW: yes/Iio PNA: yes/no
i
Type of Project/ Activity
Shoreline Length
Access Length-
Pier(dock)length
-�i--
Fixed Platform(s)
L_
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/length .�
J
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other NI iN
A building permit/zoning permit may be required by:
Permit Conditions ❑TAR/PAM/NEUSE/BUFFER(circle one)
See note on back regarding River Basin rules
See additional notes/conditions on back
❑ ES ❑ PTS
❑SPIMA ❑PWS
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City ZIP
Adj. Wtr. Body
Closest Maj. Wtr. Body
t,
(Scaler )
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 Feels) Check
Signature
Order Issuing Date
Expiration Date

i
AMAElDREDGE & FILL N9 9OOH1 A e C;D
Previous permit
ENERAL PERMIT Date previous permit issuedew ❑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: wwwdeq nc gov/CAMArules
Applicant Name _
Address
City
Phone # (_ )
Email
State ZIP
Authorized Agent
Project Location (County):
Street Address/State Road/
Subdivision
City
Affected ❑ CW ❑fW ❑ PTA ❑ ES ❑ PTs Adj. Wtr. Body (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PINS 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/M
Bulkhead/ Riprap leng
Avg distance offshore
Breakwater/Sill _
Max distance/ length
Basin, channel
Cubic yards
Boat ramp 1'
Boathouse/ Boatlift _
Beach Bulldozing
Other
SAV observed
Moratorium: n/a
Site Photos:
Riparian Waiver Attac
A building permit/zoning permit may be required by:
Permit Conditions
IAM
Applicant PRINTED Name
Permit Officer's PRINTED Name
(Scale:_: )
TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please Initial)
Signature **Please read compliance statement on back of permit** Signature
I.'
Application Fee(s) Check q/Money Order Issuing Date
Expiration Date

�dtomrl' I%CAMA ❑ DREDGE & FILL N° 87309 A B ,0D
a Previous permit
a GENERAL PERMIT Date previous permit issued
1lNew ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the stat o;NlorthCarolin epattment of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
�
15A NCAC (�1 fE UlJ^�^ ❑ Rules attached. General Permit Rules available at the following link: wwwden nc gov/CAMArulgs
E
Appl*Name i s �� _�Y_ 111 ` ,k0thdrized Agent IV ' I�AddrProject Location (Co CityStaIP Street Address/S to Road%�Qt#sPhon10 �
Email Subdivision
�-�
r```���{{{��r City _) I N Q y JJ ZIP
Affected ❑CWEW hPTA ❑ES ❑PTS Adj. Wtr. Body
AEC(s): ❑OEA ❑IHA uW ❑SPIMA �PWS Closest Maj. Wtr. Body
ORW: yes/ NA: yes/
Type of Project/ Activity% •,i%7-�/
Shoreline Length
Access Length
Pier (dock) length
Fixed Platfor s) �—
Floating Platform(s}-----•
Finger piers)
Total Platform area
Groin length/# �
Bulkhead/ Riprap length
Avg distance offshore—�
Breakwater/Sill
Max distance/ Iengt?
Basin, channel
Boat ramp
Boathouse/ Boatlift-
Beach Bulldozing
Other yLA4oA=_
SAV observed:
yes
no
Moratorium: n/a
yes
no
Site Photos:
yes
no
Riparian Waiver 9ttached:
yes o
A building permit)
Permit Conditions
permit may be required
M
im
�PJ►�
90�' f3FCFl1/F0
TAR/PAM/99/1PFE1R` Ule one)
See ng00h 0"0,fjRifTt,in rules
❑ See additional notes/conditions on back
THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE kTAIMAENT/ (kease Initial)
Name'A 1i Permit
'PI read compliarice statement iJPfSack
of permit '
Signdture
05,
oS1o��i
09103I22
Feels)
Check #/Money Order
Issuing Date
Expiration
Date

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:
Address of Property:
Mailing Address of Owner: SO � u ' k e > 3 5y,m r e
Owner's email: 1SEY r�_rgC
yti�1a� i , Corr
Agent's Name:
Owner's Phone#: 7r3�
Agent Phone#:69 - YO'2V
Agent's Email: Sri or ii of"""G 2 rS IN 41 Ci V r
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
I DO NOT have objections to this proposal. I DO have objections to this proposal.
If you have objections to what is being proposea, you musr numy mu ,.... V/n., , , �•
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 tamp, 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
Signature of AdOent Rrpanan Property Owner
-OR- K)
I do not wish to waive the 15' setback requirement (initial the blank) 17r i �—
Signature of Adjacent Riparian Property Owner: tJ �s(^jM
Typed/Printed name of ARPO: "r `( ( I i i Ln itt�
Mailing Address of ARPO: `2_ 0 YUC� � �b4
eapn1¢ Amail- "rh,., nA L I" _%�,_(J C_ARPO, s Phone#: % 2—`
Date: 3 10 .- a 0, 2. -waiver is valid for up to one year from ARPO's Signature'
Revised May 2021
RFr,F.II/FD
MM ) Z022
D(;M., d HU CITY

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: TfpkA —JW
Address of Property:
Mailing Address of Own
Owner's email: t ! C
rZi Itla r1c�i
Agent's Name:�nr,,y. _, f)rn
Agent's Email:
Owner's Phone#: 02-,a9-1'j- t�-A)
Agent Phone#: 9 '"�iin:z
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 witthis letter
h .
V 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.)
I DO wish to waive some/all of the 15' setback _ z
Signature of Adjacent Ripq ran Property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
'XSignature of Adjacent Riparian Property Owner
Typed/Printed name of ARPO: Y �iri e�
Mailing Address of ARPO: u(4 0 1 aisenJo II � 11�pf8�Pt� Chia ViC
ARPO's email: SG✓Viet rv.�r•��O0,44 ARPO's Phone#: to -.51 l i
f ARPO's Si nature`
Date: .1 _10 - a a 'waiver is valid for up to one year rom g R[T Vf D
Revised. — 62�
MAR I 1 ?0?2
DCtvt-MHI) CI`i'Y

DIRECTIONS FOR OBTAINING A CAMA GENERAL
PERMIT for a PIER, DOCK, BOATHOUSE/LIFT
To obtain authorization to construct a pier, you must submit the following items to your
LAMA Permit Officer:
1. Signatures of no objection to the pier, from both adjacent riparian property owners.
• Pill out the attached forms, complete with drawing of the proposed pier, and have your
neighbors sign and date in the appropriate place. If hand -delivering use the form that states
such.
• If your neighbor will not sign the form, or lives out of town, you may send the CFRTIFIED
MAIL /RETURN RECIEPT form, and 10 days after the date of receipt (which is listed on the
green cards returned to you by the Post Office) the permit can be issued, even if no response
has been received.
If any part of the proposed pier is located within 15 feet of the Riparian Access Corridor line,
the applicable neighbor must check AND initial the box to waive the 15 feet setback
requirement. A signed firm, without this box checked, does not constitute a waiver.
• The Riparian Access Corridor is not the extension of property lines out into the water. It is
established by two imaginary lines that extend at a 900 angle from the channel of the
waterbody to the high ground property corners. Your Local Permit Officer can help you in
determining your Riparian Access Corridor. in some cases, a survey May be required.
2. Drawings of the proposed pier:
Your drawing must include the following information (see attached examples):
Your name and project address
Names of adjacent property owners
Width of property and name of the waterbody
• Dimensions of the proposed structure, including distance to the property line and Riparian
Access Corridor line.
• Any marsh grass border along the shoreline
Width of the waterbody (this is the measured distance from the water ward edge of the marsh
grass on your side of the waterbody to the water ward edge of the marsh grass on the other
side of the waterbody)
• Water depth at low tide, at the end of the proposed pier
• Distance from the end of the pier to any federally maintained channel, if applicable, This
information can be obtained by reviewing the channel survey maps at the US Army Corps of
Engineers District Office.
I Once you have this information you should contact your CANIA permit officer and arrange an
appointment to meet you on the property and evaluate your request. When you receive your permit, take
it to your building inspector to obtain a building permit. This authorization is only valid for 120 days --
Contact vour CAMA Permit Officer if for some reason you cannot complete the construction within this
time period. Me CAMA Permit Officer will inspect the finished pier to assure compliance with the
submitted drawing and all conditions of the permit,
iRFCEIVFD
APR I I Z023
DCNI-IMPID CITY

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APR 112023
DCNt-MM CITY

TIPS FOR ADJACENT RIPARIAN OWNER NOTIFICATION & WAIVER FORMS
CAMA Regulations require notice of proposed development to the Adjacent Riparian Property Owners (15A
NCAC 7J.0204(b)(5)). Proof of actual notice (a sign -off by the owner on this form) or certified mail return
receipts (showing delivery of notice) are needed, or any other method which satisfies the Local Permit Officer
(LPO) that a good faith effort has been made to provide notice.
The purpose of this notice is to make adjacent riparian property owners aware of the proposed development
so that they have an opportunity to provide comments (or potentially object to) the proposed development,
and to give DCM or the LPO an opportunity to consider these comments/objections before a permit decision
is made. "Permission" of adiacent property owners is not necessarily required for DCM to issue a permit;
however, permission must be obtained for certain types of proposed developments if they fall within a 15'
setback area along the riparian access area of the adjacent property, as determined solely by DCM. It is in
the applicant's best interest to provide comprehensive and accurate notice so that any concerns or objections
can be resolved early in the permit review process. In addition, if the adjacent riparian property owner appeals
the permit decision, insufficient notice could be a basis for granting such an appeal.
Who is an Adjacent Riparian Property Owner?
What is Adjacent? (Note DCM reads this broadly to ensure comment by potentially impacted neighbors)
• A property that shares a boundary line with the site of proposed development; AND
• A property that fronts a natural or manmade waterbody that is connected to coastal waters and
can support some form of navigation, even a kayak or canoe, including a common canal system
or a manmade basin.
• Easement holders? Yes, if the easement could be impacted by the proposed development.
• Streets/Roads? Only if the street/road could be impacted by the proposed development. This
might include street -ends which might be used for parking and beach access.
• Holders of recognized submerged lands claims/shellfish franchises.
What is Riparian?
Do the boundaries 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 reach out to DCM Staff -
especially on the oceanfront beach where there may be undeveloped parcels on the beach or in the water.
WholWhat is a Property Owner?
For private individuals (or families), send notice to the address listed on the tax card. If the property is owned
by an Inc. or LLC, please send notice to the person listed as the registered agent on the NC Secretary of
State's Corporations Look Up site: https://,Nww.sosnc.gov/search/index/cor . For Condominiums or
neighborhoods with an owners' association (HOA/POA), send notice to the association (which is usually a
corporation, for which you send notice to its registered agent).
What is Notice, and how do I ensure it is received?
• You can meet with your adjacent property owner, provide a description or drawing of the
proposed development, and ask them to sign this form and return it to DCM; OR
• You can hand -deliver this form and a description or drawing, and ask your neighbor to return it to
DCM (consider providing them with a stamped envelope); OR
• You can mail this form by USPS Certified Mail, return receipt requested (the Green Card). If you
choose this option, you must provide either the signed & returned green card OR track the
certified mail package number on USPS.GOV's online tracking system, and provide the tracking
print-out as proof of delivery to DCM
If you have any questions about this process, please reach out to DCM Staff and DCM Legal Counsel
and we will work to answer your questions.
RIRWF 2p21
APR 1 Z 202.3
DCM-hOM CITY

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:
Address of Property:
Mailing Address of Owne
n
Y55 7
QY6, 5 /
Owner's email �1� ,J/1D✓ 11J 2Phone*s /iP Owner's Phone*
a)owlarl,Cam /GLa
Agent's Name: ! Agent Phone#: a � 2 a� %' 7 2
Agent's Email:hr !JO✓Y%lOsVO"S — 9Jn '_ 620
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.
_4/ 1 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 Coastai
Management (DCM) fn to
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 (. / Signature of Adjac t Riparian Property Owner
-OR- L /
I do not wish to waive the 15' setback requirement (initial the blank) , /2 /?
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO:
Mailing Address of ARPO: D D
ARPO's email: l t.d ARPO's Phone#: 7i 6 r 61j T
Date: 3 ` a 02B *waiver is valid for up to one year from ARPO's Signature*
APR 11 2023
()CM- WD CITY

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 Owne
Address of Property:
r:
A hP FSS%
Mailing Address of Owner: X I gd G4 ����YP Owner's email: ✓ e, Owner's Phone#: Q,5a V 0y114
c��1QrY, �rYl
Agent's Name: // Agent Phone#:Q�;,?—alv�l Agent's Email: fjt�✓,(�/'Z2 Sky? ; Inc ('PU( ZCQt4
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
Signature of acent iparian 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:-11 r i r)
Mailing Address ofARPO: %4ni Af2rd211 Si Morek,efd GPI DL.
ARPO'semail: Suvi,L1M0.r.97DU?Si ARPO'sPhone#: d�Sa 1��e-SI 11
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Date: 0 - 3 *waiver is valid for up to one year from ARPO's Signature*
Revisit
APR 1 1 2023
CCM-MHO CITY

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address:
Phone Number:
Email Address:
I certify that I have authorized
Anent /Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
at my property located at
in __—County.
l 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:
Signature
Print or Type Name
Title
I /
Date
This certification is valid through
RFrFlVF_D
APR 11 Z023
OCMi-MHD CITY

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D(W-MHO

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: rrmt,T
Mailing Address: `3Cea Lava
Phone Number: a�J ` a�%!' X3P
Email Address: Ljge b oc A'IaM ry t (&Z�AIYlxl� �"rn
I certify that I have authorized -i irn13t12 t1��y
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: %�—r= �� r
at my property located at
in L, mere`% County.
�T
I 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:
Signature
Tca.fciS
Print or Type Name
QNe _
Title
Date
This certification is valid through
go olak
ta�c�iv>~o
MA{2 11 1.022
ACM-p/i}117 CIiY