89899A - Heritage Point HOA

❑CAMA ❑ DREDGE & FILL N9 89899 A B C D
Previous permit
G E N E RAL 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.ne.gov/CAMArules
Applicant Name _
Address
City
Phone # ( )
Email
State
ZIP
Authorized Agent
Project Location (County): _
Street Address/State Road/Lot
Subdivision
City
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ pTS Adj. Wtr. Body (nat(man/qnk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity _
(Scale: tv
Access Length
A<y
IIII
_..
rJ.
r?
1---.-_!-
ie
Pier (dock) length
t-
-1�
Fined Platform(s)I
. /,.
1
�
'
Floating Platform(s)
ILI
I.
Finger per(s)
Total Platform area .j
Groin length/77
_ _
—.1,..
I-
Bulkhead/ Riprap length
i-
—
Avgdistanceoffshore
-�-
it
—
-j—
--
—--
---
--
Breakwater/SillMax
•
distance/ length
"
1'
_
�_
J
j
Basin, channel'
?
t
t;
-
_
Cubic yards -
L_--r-
Boat ramp.
Boathouse/ Boatllft
Beach Bulldozingit
_
Other'—
Ir
SAV observed: . yes no
'-
—
Y
Moratorium: n/a yes noSite
Photos: yes noRioarlan
Waiver Attached: yes no_
A building permit/zoning permit may be required by: �i ca C
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 RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)i�
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature "Please read compliance statement on back of permit" Signature !s
Application Fee(s) Check q/Money Order Issuing Date Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: aej—c��r"
Mailing Address: J 7 _ Fo r2 i j�ri�i• +f h)+Jt. / 4J4-/
l� MAIL) r`Lc) c� C_ 2.� %S "� i
Phone Number. 90� -� `� ,�---
Email Address:
I certify that I have authorized
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
r'/-Tam S
/Nsr,4 i_t _ 44A 7 Z-1 f
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at my property located at 40
in DKi Z county. H410�
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
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Print or Type Name
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Title
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Date
This certification is valid through /.

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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: HERITAGE POINT HOMEOWNERS / C/O PAUL SLEPH
Address of Property: HERITAGE POINT MARINA, FORT HUGAR WAY, MANTEO, INC
Mailing Address of Owner: 124 FOR HUGAR WAY, MANTEO, NC 27954
Owner's email: [e-mail] Owner's Phone#: [phone]
Agent's Name: SCOTT C SMALL Agent Phone#: [phone]
Agent's Email: [e-mail] I [e-mail]
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom Portion to be completed by the Adjacent Property Owner)
I hereby certify that 1 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.
I1 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 401 S. Griffin St, Ste, 300, Elizabeth City, NC, 27909. 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 rlprap revetments). (If you wish to waive the setback, you must sign
the appropriate blank below.)
I DO wish to waive sometall of the 15' setback
-OR-
Signature of Adjacent Property Owner
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: STEPHEN CONTI, TTEE i MANTEO HOME TRUST
Mailing Address of ARPO: 1704 CHESTNUT CT, SEWICKLEY, PA 15143
ARPO'semall:'��' .: V?<C,:-C> -JnL '-ARPO'sPhone#:
r
Date: 1 r, 3 ':� 'waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

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: HERITAGE POINT HOMEOWNERS / C/O PAUL SLEPH
Address of Property: HERITAGE POINT MARINA, 0 FORT HUGAR WAY, MANTEO, NC
Mailing Address of Owner: 124 FOR HUGAR WAY, MANTEO, NC 27954
Owners email: [e-mail] Owner's Phone#: [phone]
Agent's Name: SCOTT C SMALL Agent Phone#: [phone]
Agent's Email: [e-mail] / [e-mail]
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(B om Portion to be completed by the Ad' cent 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 orovided with this letter.
HE I DO NOT have objections to this proposal. I DO have objections to this proposal.
IT you nave 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 401 S. Griffin St., Ste. 300, Elizabeth City, NC, 27909. 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
-OR-
Signature of Adjacent Riparian Property Owner
I do not wish to waive the 15' setback requirement (initial the blank) . RVE_
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: ROBERT S DEFREITAS & JACQUELINE L DEFREITAS
Mailing Address of ARPO: 144 FORT HUGAR WAY, MANTEO, NC 27954
ARPO's email:
ARPO's Phone#:
Date: 913012OZ3 'waiver is valid for up to one year from ARPO's Signature`
Revised July 2021