Cornett, Roger - 88985C

❑CAMA ❑ DREDGE & FILL N9 88985 A B %'C 'D
a Previous permit
GENERAL PERMIT /
¢ Date previous permit issued
['1New []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 H ' i r/ o ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deg.nc.gov/CAMArules
Applicant Name "wA,
Address - V, F. J e `sI t9 Cn Yc )2
City f "l State NC. zip ) -1
Phone # ( `
Email
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s) t7 ,} I i i I C -�� � / _ Y'r 7f'Y,�I d
Subdivision
City
Affected Q CW ❑ EW ❑ PTA ® ES ❑ PTS Adj. Wtr. Body (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑SPIMA ❑ PWS Closest Maj. Wtr. Body r t i'.'.
ORW: yes/no PNA: yes/no
Type of Project/ Activity
Shoreline Length
Access Length _
Pier (dock) lengtl
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead[Riprap length I< `
Avg distance offshore !'
Breakwater/Sill 1�
Max distance/ length 7 i <' x,sl"'";
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift !
Beach Bulldozing
Other ! l
SAY observed: yes no
Moratorium: n/a yes no { �,-
Site Photos: yes no
Riparian Waiver Attached: yes no
A building permit/zoning permit may be required by:
Permit Conditions
(Scale:N -`I' )
❑ 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
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature "Please read compliance statement on back of permit" Signature
Application Feels) Check #/Money Order Issuing Date Expiration Date

e°`teARe ❑CAMA ❑ DREDGE & FILL N9 88985 A B ,'C D
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:
I SA NCAC l " ❑ Rules attached. E] General Permit Rules available at the following link: www.deq.nc.goy/CAMArules
Applicant Name
Address
Ciry State ZIP i I -{
Phone # (_ )
Email
Affected ❑CW ❑ EW ❑ PTA N, ES ❑ PTS
AEC(s): ❑OEA ❑IRA ❑UW ❑SPIMA ❑PWS
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/#
Bulkhead/Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/length
Basin, channel
Cubic yards
Boat ramp'
Boathouse/ Boatlift
Beach Bulldozing
Other 1� /
SAV observed: yes no
Moratorium: n/a yes no
Site Photos: yes no
Riparian Waiver Attached: yes no
A building permit/zoning permit may be required b
Permit Conditions
Authorized .Agent
Project Location (County):
Street Address/State Road/Lot #(s) 1 17"
Subdivision
City
Adj. Wtr. Body
Closest Mal. Wtr. Body
(Scale:��
Y
❑TAR/PAM/NEUSE/BUFFER (circle one)
See note on back regarding River Basin rules
.r 4
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 permit** Signature
Application Feels) Check#/Money Order Issuing Date
Expiration Date

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL Rt TURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their age
Name of Property Owner: " Q7 q t'K/`- j—�`" '" ` ' r
Address of Property:
( plaiting Address of Owner. _� r�U lL� /� tI p / P,C-Jc 2e of and
%i�•
Owner's email A-Cc2we' l Owner's Phonell:
CCUrc ST K.caFop,
Agent's Name: _ Agent Phonett:
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 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 dprap revelments). (If you wish to waive the setback, you must sign
the appropriate blank below.)
I DO wish to waive some/ail of the 15' setback
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 ofARPO: AL,q A) 10 i)
Mailing Address of ARPO: ff 7o ii E✓ncin/ j 04n i A /L
nC,
ARPO's email:fp Yoma N�'`
Date: J /z- z / Z 3 'waiver is valid for up to one year from ARPO's Signature*
11 ,V( z j-j-y y
Revised July 2021

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONNVAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or NAND DELIVERY
(Top portion to be Completed by owner or their agent)
Name of Property Owner: c� � (2 (Iend
Address of Property: 07}G e.mp-e-1+Ci �iC(iJ3�tQr�l�-(A &MQP.Xi�d
Melling Address of Owner: �6 }0 !_lwAnid, Z vi pines 'iLd 'C_ R" )a =,Q Ac
Owner's email: Owner's Phone#: C-t 19 — S71$
Agent's Name: Agent Phone#: _
Agent's Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
Bo om portion to he completed by]t a Adjacent Property Ownor)
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, withdiraenaloq,s ,must be provldgd with this left f.
I DO NOT have objections to this proposal. 1 DO have objections to this proposal
If you have objections to what /s 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
malled to 400 Commerce Ave., Morehead City, NC 26657, DCM representatives call also be contacted
at [phone], No response Is considered the some as no objection if you have been notified 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 16from 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 slan
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback
gnatur of Adjacent Riparian Properly Owner — 9ECEIVED
K"W
I do not wish to waive the 1 ri setback requirement (initial the blank)' iAy 2 3 2023
Signature of Adjacent Riparian Property Owner;
DCM-MHD CITY
TypedlPrinted name of ARPO: �iti Vrl e-,-e
Malting Address of ARPO: (, �, 7 t �5 %�/n Fyn
ARPO's email: vwrca ®N ^. l ARPO's Phone#:
Date: Zo 7—v *waiver Is valid for up to one year from ARPO's Signature"
Reviser! July 2021

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (MINOR PERMIT)
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERED
�- 7- Z 3
Date
To Whom It May Concern:
This correspondence is to notify you as a riparian property owner that I am applying for a CAMA Minor permit to
Li(/5 (kK t- Vim .d3u �(G�Qtxa� oN I y 4 !:-
on �my property at 'A
County, which is adjacent to your property. A copy of the application and project
drawing is attached/enclosed for your review.
If you have no objections to the proposed activity, please mark the appropriate statement below and return to me as soon
as possible. if no comments are received within 10 days of receipt of this notice, it will be considered that you have no
comments or objections regarding this project,
If you have objections or comments, please mark the appropriate statement below and send your correspondence to:
(LOCAL PERMIT OFFICER, NAME OF LOCAL. GOVERNMENT, MAILING ADDRESS CITY, STATE, 'ZIP CODE)
If you have any questions about the project, please do not hesitate to contact me at my address/number listed below, or
contact (LOCAL PERMIT OFFICER) at (PHONE NUMBER), or by email at: (GPO EMAIL).
Sincerely, �.,NP1QyQ,g'' i4JQao(al1 Crj�VTr��"P(i''
operty Owner's Name Telephone Number
Address City State Zip
I have no objection to the project described in this correspondence. R£=CE1VFp
I have objection(s) to the project described in this correspondence.
(7 iJAY 2 3 2023
Adjacent Riparian Signature Date OCM.,M
/ 71 `6 . 13� (-�g6 D CITY
f
Print or Type Name Telephone Number
see 46�,-.
Address City State Zip
Revised July 2021

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