Armstrong, Bobby - 91311C

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CAMA ElDREDGE& FILL NI?91311 A B (9/ D
GENERAL PERMIT Previous permit Date previous permit issued ❑ 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: www.deq nc gov/CAMArules
Applicant Name
Address
City State ZIP j F"
Phone#(%jd) YO
Email n k, I l )i (/ /. f- '
Authorized Agent
Project Location (County): _
Street Address/State Road/Lot #(s)
Subdivision
city P-lv'llrk ZIP •. `� 3l
Affected ❑ CW ); EW �� PTA ❑ ES ❑ PTS Adj. Wtr. Body U> a cJ 'f vC v ( vl'C' l s (ngt/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
OWN: yes/6 PNA0 ye /no
Type of Project/ Activity n t.:0 u iP I i�iaH+ J i
(Scaler(/ 7 f )
Shnralina lwnofh
Access Length
Pier (dock) length
�-
—
Fixed Platform(s)
-
—
-
-
_
f
G
-
-
-
—
r
--
Floating Platforms)
,
-_
Finger pier(s)
Total Platform area.14
Groin length/#
Bulkhead/Riprap length
Avg distance offshore — C n�
Breakwater/Sill
Max distance/length
Basin, channel
Cubic yards
Boat ramp
Boathouse/Boatlift
BulldozingOther
-—
_
.1"I-
5
jBeach
a�--t
SAV observed: yes noMoratorium: n/a yes noSite Photos: Riparian Waiver Attached:no_
"--
-_f_--_i--
A building permit/zoning permit may be required by: C vH ✓4 H c 004 � N
\ TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions /° : ��, 7L) ,� '�,(' �i
I yl ii / r l ❑ 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) Y"T.
Agent or Applicant PRINTED Name
Signature •'Please read compliance st ate ent on back of permit**
Application Feels) Check #/Money Order
Permit Officer's PRINTED Name
Signature
Issuing Date
I jCL j..L
Expiration Date

a�`°"'wad❑DREDGE & FILL N° 91311 A B (si 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:
15A NCAC ❑ Rules attached. © General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name _
Address
City
Phone#(_)_
Authorized Agent �- "/' `� �'1, -:ti' i•''9- .'.f
Project Location (County): [ /T
State ZIPS Street Address/State Road/Lot #(s) y%A
Subdivision --"
City I �,. /cc rr, ZIPi > i
Affected ❑ CW ❑ EW IN PTA ❑ ES ❑ PTS Adj. Win Body (nat/man/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA PWS q
❑ Closest Mal. Win Body k1i
ORW: yes/00 PNAC ye /no
Type of Project/ Activity
mnrelinc l onoth 117 '
(Scale:IV / j )
Access Lengthrl$
Pier (dock) length -
Fixed Platform(s)
Floating Platform(s)
J.
Fingerpier(s)
Total Platform area
Groin length/#
Bulkhead/Riprap length — F
Avg distance offshore
Breakwater/Sill
Max distance/length)"—
Basin, channel--
Cubic yards
Boat ramp
Boathouse/ oatli }
Beach Bulldozing
Other
- i
_
_
�
z.
• I
j
I
...
—
I
SAV observed: yes no -
Moratorium: n/a yes no
Site Photos: yes no
Riparian Waiver Attached: Lys' no ,.
v
,..
. _
-
A building permit/zoning permit may be required by:
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 Applicant PRINTED Name Permit Officer's PRINTED Name -
Signature **Please read complia ce statenient on back of permit** Signature
Application Feels) Check #%Money Order Issuing Date Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit 'Bubb\I Lec ADI)S17DrK1.� V _
Mailing Address: I Dto La (gyp I( Dr
Hadelhr,c W :, 953a
Phone Number: _L33(p) 4o - )rig `i
Email Address: t)hamhl to w ayn
I certify that I have authorized U rft're 6'ryl('OS
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
-/
necessary for the following proposed development: 1ng� �(
at my property located at I D 0-D Liv V TV
in Croyyy) 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 Ofr/cer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
ell Signature
I ► ooI Alypel-,��g J r
Print orr Type Narge
Date
This certification is valid through

N.C. DIVISION OF COASTAL. MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top porIti�o\n^t�orbe completed by owner or their agent)
A r r t
Name Of Property Owner: W 1V W X "n2 l y-
Address of Property: 'two(�l\y�
Mailing Address off"Owner: _1n0 j j(1 �,y��( ��i �-4Z t,ry)�NA(i
Owner's email: �Y i(AVL\.b�\✓l�`` fn, }�(pwner's Phone#:' �o �'�(i✓�"I'
Agent's Name: Carteret MarinAervices Agent Phone#:[phone]
Agent's Email: [e-mail]
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adfacent Property Ownsrl
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.
d you have objections to what is being proposers you must not fy the N.C. D vlslon 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 ff you have been noted by
Certified Mall.
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' setbaq� r—
QLLUN Al �1 'f�rvill� fLL
Signature of Adjacent 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: u d
Mailing Address ofARPO:-1qD � 1A OaIL (, �ImyJKV- W- �lnL
ARPO'semail: Z�CVt;R�-�% d�•�^-t )•co ARPO's Phone#: `��Z'(Ous- ZZrI�
Date: -_*w,aiver is valid for up to one year from ARPO's Signature'
Revised May 2021

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 ownerl�����""""��tI/��/n
or
their agent)
Name of Property Owner: hL >_.)�.,�� r�l�Q�
Address of Property: fo Q C, nV y•
Mailing Address of owner: �r(�,�/W�-Q_ �
Owners entail: Lvn,� (%1\� `/ IIN, r•,avners Phone#:
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 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.
v 100 NOT have objections to this proposal. __ I DO have objections to this proposal.
d you have ob/salons to what is being proposed you must notify the N.C. Division of Coastal
Management (OCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed ro 400Commerce Ave., Morehead Clry, NC 28557. DCMrspresentatives can also be contacted
of (252) $08.2808. No response is considered the same as no objection Hyou have been notiRed by
CerifAed fait..
WAIVER SECTION
I understanq that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or
groin must be set back a minimum distance of IV 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 With
(he appropriate blank below.)
100 wish tp waive someltall of the 15' setback N� % +
Srgnature of Ad cent Rrpanan Property owner
-OR-
I do not wish to waive the 1V setback requirement (initial the blank)
Signature of A jacent Riparian Property Owner.
TYPe irPrin name of ARPO: - G\nahmo�;1
Mailing Addre as of
ARPO: -A.D(21— Live- QeY l *pY �t
ARmlR
PO's eaiL.(rf1CYL)i-� �3r`�`i 1' Co PO's Phone# -
: 1_Z5Z' �Q 40 (} p as
Data: 5 23 waiver is valid for up to one year from ARPO's Signature -
Revised May 2021