93050C - Tingen, David

00`°"741 I ICAMA DREDGE & FILL No. 93050 A B)D
GENERAL PERMIT Previous revi; ormit
s permitDate issued _-••---'
n New n 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 0 7 1''1 1 C 0 Rules attached. [ General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name DCN 1 0 I t�h C to Authorized Agent OW1G1 S Lei W it G i(£
Address i I Li 17 l 1v fen Tl ci I n r. Project Location(County): n(11 1( r
City Y&(,t1 t f t C In State NC ZIP Z o f Cj Street Address/State Road/Lot#(s) L4 L �C r,feel' D-.
Phone#(1 iq) /PO -3-SO2 =`
Email Subdivision...-----
City k A4,2r5 =SIAv\.D, ZIP 285 3 I
Affected n CW n EW ❑PTA FtES ❑PTS Adj.Wtr.Body V`z tcibelcxxkli) Sal �( 5mman/unk)
AEC(s): n OEA ❑IHA ❑UW n SPIMA ❑PWS Closest Maj.Wtr.Body 1 `kk)Yk� 11f-GV `�
ORW:yes/no PNA:yes/no i
Type of Project/Activity )Vo pnSe c( but I I'.h¢c1 V.e-v\aC DWt.e v\-k'
(Scale:);N1s)
ShorelineAces Length _
I
Access Length � I I +- t- - 1 �----�- -i-�--+- `-•--.-�—
Pier(dock)length /' I ; I -1- 1
Fixed Platform(s) . 1 {_
Floating Platform(s) �---.. i
R 1
3
Finger pier(s) --'
I 1 i i
Total Platform area
Groin length/# ---
Bulkhead/Riprap length -(1
Avg distance offshore/ 1 - 1.- -- - — 1 —s
Breakwater/Sill_ a
E
Max distance/length '�
(' l
Basin,channel
i i I i
Cubic yards / _ __.__ �.__.... __1 ........_,.._ _..-.__...-
( ry�l ,O
Boat ramp . ! � � S.1
Boathouse/Boatlift_ } i g,i••
(�
il. Q1roS�rl `�
Beach Bulldozing— S
G1 I_ .I�, i, � V� E I
Other � __ „� 1 ..�{�^ I_..._._ V�i41s- II
I
'L1'14 ,
SAV observed: yes no -___.____
Moratorium: n/a yes no 1
ler
Site Photos: s no — _.._.._ _ r,. t_ ._ ._
Riparian Waiver Attached: ( yes no ( ci1\I 1 l�q lI , r ': I V� k�C�a�
A building permit/zoning permit may be required by: �ic1r7C/t Cf COLA(1 J
fro n TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions(I) l)y ,.. C Cr Y E(I Cr 0LA 10 vt3.-d , c 25 �l 1'o hn IN-t4.1-3
1)0` A\1:cu( f ICI cc//1/t e,t1-4 I a k . ©44-1 I a c k+ II S haul ❑ See note on back regarding River Basin rules
bC 01Tt'tsrU,� f 0VIA riv1 (n 1A✓IA SDInvtie
n 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) ' '7`,
Low K('( E c- ,V e J
Agent orApp(icant PRINTED Name Permit Officer's PRINTED Name
. - ; ,- i,,,,, ,,,,,,e.
Si nature**Please read compliance statement on back of permit** Sivqtuiren
Application Fee(s) Check#/Money Order Issuing Date Expiration Date

Statement of Compliance and Consistency
This permit is subject to compliance with this application and permit conditions. Any violation of these terms may
subject the permittee to a fine or criminal or civil action; and may cause the permit to become null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for
compliance. The applicant certifies by signing this permit that: 1) prior to undertaking any activities authorized by this
permit, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the
local land use plan and all local ordinances, and 2) a written statement from the adjacent riparian property owner(s)
has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(s).
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar- Pamlico River Basin Buffer Rules Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules
for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the
NC Division of Water Resources. If you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
Notes/Additional Permit Conditions:
Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland location.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave Morehead City, NC 28557 943 Washington Square Mall Washington, NC 27889
252-808-2808/1-888-4RCOAST Fax: [phone] 252-946-6481
(Serves: Carteret,Craven—south of the Neuse River, Onslow Fax: [phone]
Counties) (Serves: Beaufort,Craven—north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Elizabeth City District Wilmington District
401 S. Griffin St. Ste. 300 127 Cardinal Drive Ext.Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax:[phone]
(Serves: Bertie,Camden, Chowan,Currituck, Dare,Gates, Hertford, (Serves: Brunswick, New Hanover and Pender Counties)
Pasquotank and Perquimans Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

41:a`°"4/ 11CAMA I I DREDGE & FILL No 93050 ABCD
a GENERAL PERMIT Previous permit
Date previous permit issued
L 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 5A NCAC Rules attached. General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name V () r Authorized Agent ,t ,t, ,. ;--lIn' L k :
Addressis. • I� � IX C� Project Location(County): n I`4' V e4 R
City State 'V( ZIP Street Address/State Road/Lot#(s) `LI LL j L , ., , R' 1r L`
Phone#( )
Email Subdivision
City i/ . 7, 1r,.v4 ZIP 2 ; ' I
Affected I I CW EW PTA ES PTS Adj.Wtr.Body 1 (nat/man/unk)
AEC(s): I I OEA I I IHA UW SPIMA PWS Closest Maj.Wtr.Body 1 i.1 J C v'
ORW:yes/no PNA:yes/no
Type of Project/Activity 4
(Scale:Krrc,)
, El 4 ,
Shoreline Length
Access Length I
Pier(dock)length I 1 I
Fixed Platform(s) __.
Floating Platform(s) .■
an 111�II� iw�►Y
Finger pier(s) ( II......_..
Total Platform area ( I 1.1111.11111111111111111111111
Groin length/# I 1111111111111111111111
Bulkhead/Riprap length .1.111111=10..
Avg distance offshore 'w
Breakwater/Sill
Max distance/length a ICI.
channel
mi
Cubic yards w --•- ----
Boat ramp p
Boathouse/Boatlift 1 11111111M11111111.
Beach Bulldozing I (0 '■
IIMPIMIIIIIIIIII—
Other _
�� ---- — ------... �i
SAV observed: yes no
Moratorium: n/a yes no --
Site Photos: yes no -t. 4 ___-.t- or L 1 Z,
r..k.'-� C(
Riparian Waiver Attached: yes no () '1,,,,
A building permit/zoning permit may be required by: _,Ch k Y f T Cc.0 1 i._i
[r I I TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions , _:k F i It.4[' "ii 1\‘.ii,.,4,-0 , 1.— ' 1rCr,-t A..8.t'
t ;tr -4 1 el,\fi C, 10,--(11, C A-( ( k`Cj0( {i (1 t�heti I See note on back regarding River Basin rules
i, CH'I ' ,- \ L1.cdA,1(I i C
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)
1 vIvy ui' Lhki( erre ,. ('l rn , l h a .c
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature**Please read compliance statement on back of permit** Signature
'it H Oc)
Application Fee(s) Check#/Money Order Issuing Date Expiration Date

Statement of Compliance and Consistency
This permit is subject to compliance with this application and permit conditions. Any violation of these terms may
subject the permittee to a fine or criminal or civil action; and may cause the permit to become null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for
compliance. The applicant certifies by signing this permit that: 1) prior to undertaking any activities authorized by this
permit, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the
local land use plan and all local ordinances, and 2) a written statement from the adjacent riparian property owner(s)
has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(s).
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar- Pamlico River Basin Buffer Rules Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules
for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the
NC Division of Water Resources. If you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
Notes/Additional Permit Conditions:
Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland location.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave Morehead City, NC 28557 943 Washington Square Mall Washington, NC 27889
252-808-2808/1-888-4RCOAST Fax: [phone] 252-946-6481
(Serves:Carteret,Craven—south of the Neuse River,Onslow Fax: [phone]
Counties) (Serves: Beaufort,Craven—north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Elizabeth City District Wilmington District
401 S.Griffin St.Ste.300 127 Cardinal Drive Ext.Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax:[phone]
(Serves: Bertie,Camden,Chowan,Currituck, Dare,Gates, Hertford, (Serves: Brunswick, New Hanover and Pender Counties)
Pasquotank and Perquimans Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

0 .
Co)Lli N
O
lax Parcel Information: Carteret County , N . C . r. > `" o
, a,f� W cw 2
:
Owner: TING ENPAV1D E ET DX JUDY C
Current PIN: 73 35 09 06 7:830u: 11111111111L ii' # U.: i
Site Address: _ • 1Md �Y
Fi4RKER51SL1ND C.)ii 40 . fi 0
Mailing Atklress:
9412(;REENFIE.I.D DR
RAI.EIC;H NC 2 15t5 i; L - 'srl
Legal Description: '' • 1 -P yh. • '4 »:`
L5 S;t BB WFST MOUTH BAY .° `.r i F
f '‘.4-4,1. VI
Prior PIN:I>Saar3Go2o5 froot
?liy rae
(Atli Limits: If lil
Rescue District: •�.. '
Fire District: MARKERS ISI.A_ND FIRE .. }^ +t
fax District: 8 . t ,
r ....--'rarb)yos ref:,
township: MARKERS ISLAND i ' Sip• f
Use: MANL`FACIIOMEVERh9 I _ a •, .", r Y fS
i.aand Value: $127.046
Nairn: 8000.1 g a
Bldg Iltd Sy Ft:92,1N.Bldg Value:$8,560 44 ,`` r
Banc Area Sq Ft: 1.1ifo p' ,3 ,
Other Value: 310,765
Year Built: 1993 / N tt+rr ' . v . ... ,,l `
Total Value: S1dG.4T1 poise Level: ..1;
"IIr \ •ilo
Sale Price:$0 AICUZ'Lone: *'+ •; e•
Taxed Acres: o.366 GIS Acres: o,37 . 1
Plat Ref:12 i 41 Roll Type: R ��Z; 0 ti,i: I ,
Deed Ref:740 i 207 Deed Date: u IP
� - '
•
• I`n .. ly.i I
Bedrooms: 3Bathrooms: 2 I
t
fie rk+..a..:.9-1:sJpatr r.,s Mat Sat.;eWna kr to vaarvrr acres 7aFern,,. --'---..r.•-.cr..:•.1 t,r-•e- , .�a.,.e .n•, i.r....n... • ..dsaU r.. . .waa ,r•�-t . m. ,..p.. tiworrtwe r•t n.x:. ..•i.-- ,.:oar
i9-Y.-J.oc vox be y.:xo-c,fg,errar+lalo , ..r•r n;DMenad--. - K:w. . ,...i�. ar..
' I.rtr-a.:-re-s..a,h . .:,. Y r.,T,c .r ss.s.m,00ar.-Merrt,.rrarntmron.t. x:. I:.,.:..i..,..m�.aiI (r ,..
Sr,.,.t a r.xc,•ar er•or.s J!ro•rtee Gaeroc':amp mA'•ash Cr ie.•ow 1P't'••^^..•... "•"•••-......

)11,'\1OLJ
•
•

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit
� _� �+-%cif `�f_Gam'
Mailing Address: Ay/ 2- C'r� A/Y .7)
Ate , I ,Ai'c 476l.SJ
Phone Number: cl i g a 5 G 1502.
Email Address: enrIC o1
I certify that I have authorized -"Tit h /4—s L•A¢J
Agera+Con:raclor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development /40 jQt.e
at my property located at VG/G 1 1�tr // ei-s 2/��,('
;n_�wCounty.
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
.old 11 9
Print or Type Nahrt
a Lo
r 7eIN
Date
This certification is valid through _ 1 1 Q ! 20414
RECEIVED
02023
DCM-MHD CITY

N.C.DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONPWAIVER FORM
CERTIFIED MAIL RETURN RECEIPT RJQUESTED or I-fAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner��-d�
Andress of Property: /l '1 •i Is::a- -PO-
- /41$" 1�e�✓7• CI
l t .l j
Ma.ling A.tdress of Owner. 7 9'/2. 19 ie e,/•i e/ /) . f2 -4— L / . 74 is--
Owners email' Owners Phone*: g lc A P G T" o4
Agcrt s Name: 1 1 o►s2A,0 �y4ti.1 e-wa c,_ Agent Pnontint $ 'V'&`'-o I
Agent's Email: +r Q y,rrg wx�. (9 t f 4b Q 8 I•-•r-• I ,Q e.,-, __
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
;Bottom portion to be Completed by the Adjacent Property Owner)
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,thu development they are proposing A.
description or draw'tts.with dimensions.must be provided wit)this letter
I DO NOT have objections tc this proposal. I DC have objections to this proposal.
If you have objections to what is bung proposed, you must notify the N.C. Division of Coastal
Management tDCM'r rn writing within 10 days of receipt of this notice. Correspondence should be
mailed to 400 Commerc e Ave..Morehead City,NC 28557.DCM representatives can also be contacted
at(252j 808-2808.No response is considered the same as no objection of you have been notified by
Certified Mail.
WAIVER SECTION
I unoe rstand that any proposed p:tir,duck,mooring pibnr s,boat ramp,breakwater.boathouse,lilt,ur
groin must be set back a minimum stance of 15'from my area of rparian ac.icesu unless waived by me
(:his duos not apply to bulkheads or riprap revetments).(It you wish to waive the setback,yob:must sign
'he appropriate blank below.)
I IX)wish to waive scr'ietaA of the 15'setback _
Signature of Adjacent Rrpanan Property Owner
OR
do not wish to waive the 15'setback requirement(initial the blank)
Signature of Adjacent Riparian Property Owner � �'r� G--'�—'
Typed/Printed name of ARPO:- 1 11w,...Aa c-'itr'
Mailing Address of ARYO: 5%5 2•�p.•',c..ya. (2+ arAr N C. 17 5;ci
ARPO's email: ARPO"s Phormit: II 1 415 rf t 5
Date: 9- I S• a 3 -waiver is valid for up tc one year from ARPO's Signature'
Revised May 2021
RECEIVED
II �'
202023
DCM-MHD CITY

N.C.DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONJWAiVER FORM
CERTIFIED MAIL •RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner -D4 v r G -1 +- e J r
Address of Property: j 4 Li-Se r3+•t,{e r . 41,-4r-e v.s 3 4-4 �C a i5 3 f
Mailing Address of Owner Ia gee+`/-sc...4.oJ yr 4-)Q At e 21 (o 15
Owner's email: . Gvner's Pruxiuri q 19. I D 750�
Agents Name ter..t+S !a w r e,.,c. Agent Ptrorwr}. 15 a 7.2 t- a 1.3.7-
Agent's Email. —1-1 gw.rr a+c c 0 44(o,•.. 42 a: I • e o,-^
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION _
(Bottom portion to be completed by the Adjacent Property Owner;
I hereby certify that I owe property adjacent to the above referenced urrperty The individual applying for this
permit has CusCribod to me as shown on the attaChcd drawing, the development they are proposing. A
descriptor or i rawino,with dimensions must be rr, ded with this letter.
I10 I i}J NOT have objections to this proposoi.__ I DO have objectrons to this proposal
If you have objections to what is being proposed, you must notify the N.C. Division of Coestaf
Management(DCM)in writing within TO days at receipt of this notice. Correspondence should be
mailed to 400 Commerce Ave..Morehead City,NC 28557.DCM representatives can also be contacted
at(252)808-2808 No response is considered the sane as no objection if you have been notified by
Certified Mail.
WAIVER SECTION
I understand that any proposed pier,dock.mooring pangs,boat ramp,breakwater,boathouse,lift,or
groin must be set back a minimum distance at 15'from my area of noanan access uniless waived by me
(the does not apply to bulkheads or nprap revetments).(If you wish to waive the setback,you must Sian
the appropriate blank below) I
I DO wish to waive somelall of the 15'setback Signature of Ad}acent iparianPropertyOwner
'DR.
do not wish to waive the 15'setback requirement i-nitial he blank;
Signature of Adjacent Riparian Prcerly Owner. -
Typed;Printed name of ARPO: —8 r et( [B r r.�-1-o►.J ((�
Mailing Address of ARPO: Ie{1 L5-t-t fVoy��n wTi o 1 v C.Ot
ARPO's email: ARPO's Phone#
Date: -1-ao - 2,3 ._'waiver is va'id for up to one year'ram ARPO's Signature'
Revised May 2021
RECEIVED
SEP 2 0 2023
DCM-M HD CITY

0 vs., V
=.
fro Grnail Q. Search ma'i Lawrence& Son ? o =
,~ WcNir
Maitre Construvion 0
153 Dlarnond CityLi]
Markers Isardi NC 28531 �'
Compose 252-648-7781
0
If,borf 97.00, Lawrence and Son Marine Construction Li C
Starred C. L,o L.131.268
Bland,Anna 4r^i,&anogrmcgr'itt:om,
Snoozed t:::Law•encnDs6O13gme corn
Irrpp twit Mr.Lawrence.
Sent II was great speak nq wry.yo.!'If you coLld send over the contract for'Me project at Cape Lookout we wr'$get to A
Drafts I ,: 1"1anK yov,
Categories
Pin•`-' Anna Stand CIC.ARM,CPCU
1 ��r. Account M9nag a Co nme;c,a!Les
.t\
Labels P:252.727.7927 I F:877.297.10.6 E:Arna,B!and@yicOrjM co«.
lilt Miller/Cutoff Rd,Si.to 22','Allrringlan,'lC 28405 I kiegrlf.com
.teG-lf CA License fDC54544
[Irrep]?Sen:
Clalms:ff you need to report a dam please contact our claims department di•ectty at 000•990.4228
Note
Notes ePa yD Iic y McG now now rac Os Aoki moments
:1t here b Pry Mut pPlt~4b►k++
Personal ^+Oxrepar/oaatw.
More
Peace to adrsed insurance coverage capnof be aitered,pound or cnrr_e/od by voicemar!. far or onritr,
frensruissbn may Confa'n proprietary and noo-ptib4C',Vol-matron of McGnf Insurapee Serrtees, Tn+lst.or their
't's addressed. if you are trot the intended rsc:p!ent.you are nepred that any use, distribut:on or copy;ng of(iv
coptenf and rpf:fy the sender i;rratec;atety of the:mate eerfent transtr ssion

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit / ,3_%€lf 7
�/f Gam'
Mailing Address: q41 ,2- / � � C iY /d ,-.
/�-/.e j* J ,,+11 c 4 7 1,�
Phone Number: 9 Q a_F O 1 5 0
Email Address: ia.wrC ale t/044
I certify that I have authorized / �7 cria.f--s L•,4-1,;
Agent'Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development tece/Q G s7..04.1,x_JQ Q
� f
Ld:!:i vIgoy !
at my property located at P7 _%ter f:d."-ecrs .�/,�
m l o r 4_County.
I furthermore certify that I am authorized to grant. and do in tact 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
_1.QAji
Print or Type No
�+ title
f 1 ' 9.4d 3 r
ante
This certification is valid through f i f Q_l 2 U a g
RECEIVE()
SFP 2 0 �`023
DCM-MHD CITY

N.C.DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
GERTIFlEQ MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner j N E L /-
Andress of Property: 7l616.Te....++v r l�.ea �r ..44$ K@,►� wl..1(Aid �•ks—a/
Mailing Address of Owner. f911 LYJ�+erE��,r a !J. (4h-4- ib J74
Owners email: Owners phone#: q (Si A ft G 1 S 04
Agents Name; '/y awsJ4 L.04„twitsot . Agent Phone* p.ca 119 Y-
Agent's Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
;Bottom portion 10 be completed by the Adjacent Property Owner)
I hereby catty that I own property adjacent to it•c above referenced property.The individual applying for lens
permit has described to me.as shown on the attached drawing,the development they are proposing.A
description or d vjng_with dimensions.must be provided with ln y
_I DO NOT have objections to this proposal. I DC!'save objections to this proposal.
if you have objections to what is bung proposed, you must notify the N.C, Division of Coastal
t.fanagement(ACM,,.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 i252)808-2808.No response is considered the same as no objection if you have been noted by
Certified Mail.
WAJVER SECTION
I unet, .tanc tea'any proposed per,dock.mooring pIAnCS,beat"arr,p,Sreacwater,boathouse,Irtt,or
groin must be set back a minmtum difittoce of IS'from my area of rparian access unless wanted by me
(*.his does not apply to bulkheads e7 riprap revetments).(If you wish to waive the setback,you must sign
'he appropriate blank bellow.)
I DO' 'sr,to waive seine:a:I of the 15'setback _
Signature of Adjacent Ronan Property Owner
OR
do not wish in waive the 1 a'setback requirement(initial the blank)
f;�c�rcirirP^`Adjacent Riparian Property Owner ,I
Typed1Printed name of ARPO:n A c C�'
Mailing Address of AFC::JO:5$S-�_1�,c.tc�.far +1�
(+ am.`t✓ ? C Z ,Z
t '
ARPO's email: ARPO's Phnni:A: g t g Ai 5 rY (a $5
Date: - $ q a 3 'waiver is valid for up to one year frori ARPO's Signature'
Revised May 20?'
RECEIVED
S P I 0 Zni
DCM-MHD Cr IN

r.
Thx Parcel Information: I Carteret County , N . G .
7 l•a
Owner: TINc; N,DAVIDEEfUXJ[:DYC r1. T.
L.L
+
Current PIN: 733509067185000 '
Site Address: a +
u4,TI:K IFI:RDR ,.' ' # W `.r, G
ARKERS ISLAND 1 CI
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Mailing Address: t
PI
9412 C.REF.NEIEI_D DR 1,
RAI.EIGH NC 2761$ / g
Legal Description:
L5 S2 BB% EST MOUTH BAY I.
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Prior PIN:08rlu3Go205
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City Limits: y 0
. ,7
Rescue Distric L
Fire District: HARKERS ISLAND FIRE h `y}
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fax District: 8 y l ta':
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Township: H:ARKF.RS ISLAND 4,S6 `_ ,r0i,0 fiteill
Use: MANU1-ACilOMEPERM -*/.N l
NBHD: 8u0u.1 * S `t' or .?
Land Value: 5127,046 / `t: it
Bldg Htd Sq Ft:924
Bldg Value:$8,660 - i ;�
Base:: :
1,180 r' t ;rYear •
Total Value: 3146.471 Noise Level: ,l+ i ,
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Sale Price:S0 AICUZ'Zone: .,�
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-
1'axedAcres: 0.366 GIS Acres: 0,3:-: ,1
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Plat Ref:12 i 41 Roll Type: R +x ;
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Deed Ref:740 /207 Deed Date: a _ s�!'"' ''"*."!.
Bedrooms: I In-,.•in •(4001#1.44L '�. 1 u i9 Batilr0on1.5t xit
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ParI.••ae.:nds.ar.d by INS Aet IAA.1:woods Inp.•:t.p/Ore*-YCO6rb found non,l•ne.x.y.-•--r.,l ...1 ..-«.,•.•;.1:.-..Y•,x,i:r-n ,. -,:6 ll•NrInta .w ha
t.v1.4r ,rtn.v4re er ootFr .r`bat No.dr• ..�I. .1 pubic
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Wt0:t'.fterry ✓.6rt'tr rvOlonr t.Ca'/tetC rtrr,nut—c' ore..o.v 7D aeRTg6 ern arc.P..••-...r'

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Perrnit / ,s•-%ci 7 4)f e.A-'
Mailing Address: QVi1
Raej . ,AiC- ,i 7 JJ
Phone Number: SlQ aZq 7 5a2.
Email Address: /a.LUJ-.e o 4,'•./-,_eon
I certify that I have authorized / f9 von -s
r.�ir.� ., u•.r.,^Iqr
to act on my beha:f, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: ,e 97/p tt j.)4.4
1
L) vi " '
at my property located at _l`iy .ear...i ter 2 y r
:n `A .�County.
i furthermore certify that 1 am authorized to grant. and do in tact 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:
ram, Signature
1,41tIl �G Lay
Print or Type Na
Date
This certification is valid through I IQ I .UAL/
RECEIVED
r7 p 7023
DC -MHD CITY

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit. _2),44-1 ./ /',"f e
Mailing Address. /y! Pe A
2 -J
/t A „AJC 74 1,51
Phone Number: 1 Q ag o -
Email Address: -f >aw,' eJc f 044G ( -
I certify that I have authonzec 1via 44 4-4,/
Agent/Contractor
to act on my behalf,for the purpose of applying for and obtaining all CAMA permits
necessary11fo• the following proposed development A:1,0 /
Li)i `-7 t v r I
a..�/at my property located at / iy 1G,ti.,,v;t tie
in 1,9.b.^ 4County-
I furthermore certify that I am aurhori7ed 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:
Srynahoe
7DA4,401 -J tM q 4.F.J
Pont or Typo Na
t 4s i,},,',
TrrtIe
Sri 1 ,A3 •.
This certification is valid through I l Q i _2 U a 4
RECEIVED
SEP ` 0 2023
DCM_MHD CITY