Hill, L. Scott - 91393C

,� `°"'° QEAMA ❑ DREDGE & FILL (Yl N9 91393 A B &C) D
3 GENERAL PERMIT Previous permit
��yyyy��Op 51�a1a Date previous permit issued --
New [� i1odification 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. 0 General Permit Rules available at the following link: www cIeq nc gov/CAMArules
Applicant Name
Address
City
Phone # (_ )
Email
P
Authorized
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision —'
City
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/0
Type of Project/ Activity
(Scale:
Shoreline Length
rah
Access Length ^t >9 � 1 -- I
.'1) / r
`--
4--
..
j
_..
_
.._
i,•_.
/ 1/i n {��U
Pier (dock) length
Fixed
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1M/'�t,j�
Platform(s)
Floating Platform(s)
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,
I
Finger piers)
I K "
"
''jjr
/ oW Y,yjl
1.1 •G��`
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j.
Total Platform area C%U
Groin len h ff
gt /
i
j
-
i'
t
/
-
J
L
—.__
L
Bulkhead/Riprap length
Avg distance offshore .__
J�/s
hr*R'm „,
Wl
,/
�r.e
)�G
0
4--_
T
—
-
u
VJ
$
1
I
Breakwater/Sill
Max distance/length —
Basin, channel — "�A
—
v
-
.,
%
-�
--,-+
tY--
I
—
V
--
Cubicyards —.
Boat ramp --_
Boat
Boathouse Bo ill
E"i
1 f
3
I;r
..._.
Beach Bulldozin
Other
SAV observed: yes
-- —
I—
_—
I
—
—
---
-
—
Moratorium: n/a yes
Site Photos: yes Ao
Riparian Waiver Attached: ive's) no
—i—
-
— — 1 _
A building permit/zoning permit may be required by:
Permit Conditions
have E]TAR/PAM/NEUSE/BUFFER(circle one)
,I n o 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. (Pleaselnitial) ' q
Agent or Applicant PRINTED Name 6 PP Permit Officer's PRINTED Name
Signature**Please read compliance statement on back of permit** Signature
Application Feels) Check tf/Money Order Issuing Date Expiration Date
etc,
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3oa�`tau`r4 (C]CJQkMA ❑DREDGE & FILL N9 91393 A e Cs) D
GENERAL PERMIT Previous permit
3 Q 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 _ . ) / I: . j ' )') ❑ Rules attached, N General Permit Rules available at the following link: www.d .nc. ov CAMArules
Applicant Name L. r I I
Addressri
City %/.. - State _ /✓ L. ZIP
Phone # 7
Authorized .agent i-
Project Location (County):
Street Address/State Road/Lot #(s)
Email n : i I K:' Subdivision
City A/� ,.+ ZIP V,f4 620
I
Affected ❑ CW NEW © PTA ❑ ES ❑ PTS Adj. Wtr. Body i r ( 6 i i C I (at man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body o ✓t ✓ " C /%
ORW: yes/no PNA: yes/[tiy
Type of Project/ Activity -
Chnrelina I anoth �" .Z Un
(Scale:N7"S )
.r
Access Length "" .t dG' eru w
(dock)lengt�
Platform(s)--(t-zf4
T-I
..__
-
-
- �,
r7-$
)
�
_MPier
�Fixed
So
Floating Plattorm(s)--
.IX,
Finger pier(s)
'-
�---
I
JI
j
,-
t
{
C.
Total Platform area i sri J
Groin length/N
_ �_..�..._
Bulkhead/ Riprap length
Avg distance offshore --'
�!--
-
-
/
,'--
-
-
-
-
-
Breakwater/Sill
Max distance/ length --
Basin,channel
Cubic yards
Boat ramp
r
r
_F y
a
-
1
Boathouse/ o� -
-
-
Beach Buildozin
Other -
SAV observed: yes thyl
Moratorium: n/a yes (1)3
Site Photos: yes O.o
Riparian Waiver Attached:119no
_407.
ra>
A building permit/zoning permit may be required by: (., f -
❑ 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
/
Signature -*Please read compliance statement on back of hermit" r
Application Feels) Check ft/Money Order
Permit Officer's PRINTED Name
Signatur _
r ;
Issuing Date Expiration Date
CI{
F

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: L. SCOTT HILL
Mailing Address:
Phone Number:
Email Address:
237 CHURCH GATE LANE
NEWPORT, NC 28570
336-650-0777
[e-mail]
I certify that I have authorized DENNIS & SONS MARINE CONSTRUCTION, LLC
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
lnxLjC D('CI� W/ 1L x'�Llr �ii
at my property located at 125 CHURCH GATE LANE NEWPORT
In CARTERET
County.
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
Print or Type Name
HOMEOWNER
Title
�l I 13 l RFCEfVED
Date
APR 21 2023
This certification is valid through 12 / 31 / 2023 DCM-MHD CITY

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL - RETURN RECLIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: (n • t, & ,'(( Vt' (
Address of Property:
Mailing Address of Owne
Owner's email: L_13 t L_�_ (j_-in ttrtcco.,Owner's Phone#: 3 3to 40 4't>
i Agent's Name:
Agent Phone:
Agent's Email:
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. I DO have objections to this proposal.
tf 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 r
Signature oVAdjacenf Riparian Pro; t Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name otARPO: JAU 1- .s 5;;
Mailing Address of ARPO: y ? �t �!/' // %l. (��r t •1 c
ARPO'sema11: _ ,� . �,^ `'R 3 V/'7-.'`i
.rt.v y�,T� � r.a - ARP�'s Phone#: �i�'�/ �
Date: �.1n 7J —'waiver is valid for up to one year from ARPO's Signature'
Revised May 2021
APR 21 20213
DOMM441D CITar

N.C. DIVISION OF COAST AT- MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONANAIVER FORM
CERTIFIED MAIL :RETURN RECgL f2E0UES�D or HAND DELIVERY
(Top portion to be Completed by owner or their agent)
Name of Property Owner L, `, f " if )-t '
Address of Properly. \ `, _. ��n „1 r.G���,
Mailing Address of tTvnt--, :Ip '� l.._.. c�it -k
Owner's email: 15_!. [,. I ` a (�_.ri.�lCesu,•Owner's Phoneif� _ 3 ,fy2 f� K [� -7-7-7
Agent's Name: .1
Agent Phone:
Agent's Email.
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 noted 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 scan
the appropriate blank below.)
I DO wish to waive some/all of the 15..'—set—baCckk
Vi.+�,eb Or
-DR-
Signature of Adja ent Riparian Property Owner
I do not wish to waive the 15' setback requirement (initial the blank) __
Signature of Adjacent Riparian Property Owner:
TypedfPrintedname ofARPO-_=,,�Q�h__�,_p_�e!
Mailing Address of ARPO:.__��'�._��y�g,,C,,.�
ARPO's email::}�n II`s'r`tARPO's Phone#: ARPO's �a
Date: __z,_16-_a3",.__•waiver is valid for up to one year from ARPO's Signature"
Revised May 2021
RFCr-N2D
APR 212023
DCM-MHD CITY

Distance O OO Add point
42 ft

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