Humber & Boone - 88742C

o�"te"r', ❑CAMA ❑ DREDGE & FILL = NU 88742 A B C D
I.
GEERMIT 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. 'n General Permit Rules available at the following link: wwwdeq.nc goy/CAMArvles
Applicant Name
City
Phone # (
Authorized Agent
Project Location (County):
State ZIP 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) lengthly
\
1 _-_ r —_
Floating Plafform(s) t '
Fixed P atform(s) � 1
Finger pier(s) _. I I I 1—� j
y
Total Platform area 1, M�
Groin length/# ryP �j f Q�`
Bulkhead/ Riprap length � i�/v
Avg distance offshore .,ram r��� •rw�ti(.{p
Breakwater/Sill n�? c• _ Alv �" '
Max distance/ length
Basin, channel�-
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing_ „, C
Other
SAV observed:
yes
no '"——
Moratorium: n/a
yes
no
Site Photos:
yes
no F
Riparian Waiver Attached:
, yes
no
A building permit/zoning permit may be required by:
Permit Conditions
(Scale:jl .1 )
�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
Application Feels) Check #/Money Order
Signature
Issuing Date
Expiration Date

EICAMA ❑ DREDGE & FILL N9 88742 A B C D
a =GENERAL PERMIT Previous permit
Date previous permit issued
&d
❑ 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 nc gov/CAMArules
Applicant Name Authorized Agent
Address Project Location (County):
City State ZIP Street Address/State Road/Lot #(s)
Phone # (_ )
Email 1 Subdivision
City ZIP
Affected ❑ CW DEW ❑ PTA ❑ ES ❑ PTS Adj. War. Body ' (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Mal. War. Body
ORW: yes/no PNA: yes/no:
Type of Project/ Activity
(Scale:
Shoreline Length ' !
Access Length
;y
-
-
-
-,_
/_.
Pier (dock) length-
FlxedPlatform(s)-
t
,
-
Floating Platform(s)
Finger pier(s)
�
C
Total Platform area
Groin length/q
%G
'f
�tP
1'
�.__
;_
_
Bulkhead/Riprap length
Avg distance offshore
)-I �"
Breakwater/Sill
14
-
-
_J
-T
.
Max distance/length-
Basin, channel
II-
Cubic yards
Boat ramp-t
-
Boathouse/ Boatlift ,
j
�--1
_
Beach Bulldozing
...
'
Other.-
i
7
observed: yes no
�-
_SAV
�
_
�-
_
-
--�-
-
�.
-
..._ -
s`
-
—I_
Moratorium: n/a yes no
'
I.
I
Site Photos: yes no - -
Riparian Waiver Attached: yes no"
---
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
I AM AWARE OF STATUTES, CRC RULESANDCONDITIONS THAT APPLY TO THIS PROJECTAND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
i
Signature "Please read compliance statement on back of permit"
Application Feels) Check It/' oney Order
Signature
Issuing Date Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: /S rie,f ;� l" c'`� �-e,t,
Mailing Address:
ra L
a S3
Phone Number: t5-02 pi % g ' 41 q 4'l5
Email Address: �i�� L�cc wht N ca-!
I certify that I have authorized 1 Indi+�ar S
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAM/A permits
necessary for the following proposed development: ;¢j P0G4
at my property located at /',1 3 Dow
in 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:
Signature /
Print or Type Name
(iu) N Q r`
Title
3 f-;-L/O 3
Date
This certification is valid throughl�_�1—
��t:,rl►t��
MAR 2,9 Z0?3
OC/4-,W110 Gtry

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
property located at / 3 .r -4pv/s LN /)
/ (Address, !
on �^,a`7ri� in
/ _
(/ (NllateP od6 y)
of
(City/Town anpttor County)
I
The applicant has described to me, as shown below, the development proposed at the above
location
I have no objection to this proposal.
DESCRIPTION AND/OR
(Individual proposing development
OF PROPOSED DEVELOPMENT
9 descr' flon below or attach a site drawing)
tvo '9 work
I�As t A ra���c e
72S'r 017y
9 �-
_.-- WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
back a minimum distance of 15' from my area of riparian access unless waived by me. (If you
wish to waive the setback, you must initial the appropriate blank below.)
x I do wish to waive the 15' setback requirement.
Signature
I do not wish to waive the 15' setback requirement.
(Adjacent Property Owner Inforfnation)
Signature
-
Print (.�JR2iJIC
Pnnt or Type Name
1.7 I'. I (AUl S LAd—A[
Mailing Address
Cif Lwate2ip
YV©�) -<-� 9 - 7 <f 9
Telephone Number
3-to-2-3
Date
rM
(Revised 611812012)

ADJACENT RIPARIAN PROPERTY OWNER `rSTATEMENT
I hereby certify that I own property adjacent to R�hY r-4_4I,c M 4 t° k— s
(Nameof Property Owner)
property located at 123<CDJAV" Liz
(�yL/ (Address, Lot Block Roa gtc.)
on �I P. w \ f�Pi Qi l� in w 9,4V d -eo � '
(t aterbody) (City/Town an/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
I have no objection to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing deveiopment n u� fill in description below or attach a site drawing)
1'Zo
� 12, M�
WAIVER SECTION _
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
back a minimum distance of 15' from my area of riparian access unless waived by me. (If you
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Propen`y Owner nform^ Lion) (Adjac nt Property Owner Information!
-joJ•er+- l b 2r^
Print or T e Na e
ate. ) I T 1; 1 S L ►J
53
i.n ata eiu
1-
a - ZO ",�`3
Date
Print or Type Name,
/A71w17.m,, 1. N
L-'1J550
- pt V, s-4 y, i_ y_6
Telephone Number
3 -z 1' 2&2�'3
Date
(Revised 611812012)

ADJACENT :RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to zfB
property located
(Nance of Property Owner)
at % tw t� L N
on rep
Address, Lot, 4lolk, Rod etc.)
ec Dy Cn
(+ ate. ©dy) (City/Town aiftWoy Countjr)
The applicant has described to me, as shown below, the development proposed at the above
location.
I have no objection to this proposal.
_-- I �av_e QbjQ�tiorts to_ihis_pr_oposal�-_____.—.
DE -SCRIP T ION AND/OR DIRAWING OF PPOPOSEC OEVIR OPMt NT
(lndl4rld€aai propos! cf 0e11"eiQpmenc -must gill In descrlpvon below or attach a 51te drawin -9} .
-r-
', 9
l 2 x 3 D MAR 2� 1023
,DC4��w� �,rY
tyAPrER SECTION
[.understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
back a minimum distance of 15' from my area of riparian access unless waived by me. (If you
wish to waive the setback, you must initial the appropriate blank below.)
1 do wish to waive the 15' setback requirement
I do not wish to waive the 15' setback requirement
;Preper�� ne��ae/s oenaa�s® g} (Aa a eras�Pro/fs�er�rvneE in(}go�erinati®n)
r...,ra
_ st�Ll
rnnr or i ype IVlame
' a11111Y AOS(IrG.Vlb�l^4
City/State)2p
Telephone Number
Date

N. C. Division of Coastal Management
Name:'�y AA/cc&6/6' Date:
Telephone Numbec?� %2 �✓�%�
i
Property Owner Name: oAi4/e
Address of Property: lM/M96A� L— /V"
City:

ON( C-118N
AGENT AUTHORIZATION FOR CAMA PER IT APPLICATION
Name of Property Owner Requesting Permit: p©Mtvt4 �QNe ls,ei ryv�r_= 2
Mailing Address:
%'�i}2.SFEr-Lt.`3e RCS /UC. �g"SS
Phone Number:
Email Address: tAe t'PLooar.a�c
I certify that I have authorized _ %�t r(� D/lE t t, 3 Co! t PAS
Agent /Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
nec��e��ssaary for the C
r-the following 'prohposed development: � t � iQ f p oc k
at my property located at
in CAR%cree T" County.
l furthermore certify that l 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 informa
Permit application. tion related to this
Property Owner Information:
Signature
Print or Type Name
o�n�t2S
Title
Date
n/' 1�
This certification is valid through
SAV

4
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■ Complete hems 1, 2, and 3. 11 a
■ Print your name and address on the reverse X
so that we can return the card to you.
■ Attach this card to the back of the mallplece, B•
or on the front if space permits.
1. Anicle Addressed to: D.
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PS Form 3811, July 2020 PSN 7630-02-000-9053
■ Complete hems 1, 2, and 3. 1 A. slgru
■ Print your name and address on the reverse X
so that we can return the card to you.
■ Attach this card to the back of the mailplece, S. Rem
or on the front if soaca Dermits.
If YF�,
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WaGrJ1 aI16.-S .NL;3, service
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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: Donna Boone Robert Humber
Address of Property: 123 T DAVIS LN Marshalburg NC 28533
Mailing Address of Owner: 180 Moore In. Marshalburg NC 28533
Owner's email:
Owner's Phone#:
Agent's Name: King Dredging Company 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 forthis
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. —L L-01 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 1 T 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
-OR-
Signature of Adjacent Riparian Property Owner
I do not wish to waive the 15' setback requirement (initial the blank) la
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: o�o N l o , I ,
Mailing Address of ARPO: X /&--1 h��j �� �";�,
ARPO's email:
Date:
ARPO's Phone#:
*waiver is valid for up to one year from ARPO's Signature*
Revised Jitiy"1 hV ED
OCT ) 1 2022
DCM-MHD CITY