89050A - (RI) Hosfelt, Roger

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_ CAMA [IDREDGE & FILL
3!
1 ;,i ' < GENERAL PERMIT
I*ew ❑Modification Ocomplete Reissue ❑ Partial Reissue
N9 89050 A B C D \%ay
Previous permit � l
Date previous permit issued ` _ �!- _' ZDZ l
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 i/ t/ / f-7, ❑ Rules attached. a-ceoerai Permit Rules available at the following link: wwwdea nc eov/CAMArules
Applicant Name
R a �
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Authorized Agent fri'Y /Cu T' �- c Av z c � n M� sl -r t
�
Address / 1
i 17 X /
Project Location (County):
City a'4'Qt—rtS
State Nam.
ZIP z79 �3
Street Address/State Road/Lot #(s1S8 I% a Q.7'I tict S
Phone #(") ZL la' Sl 3 9
'41r 1^ r Q--'f /
Email a, rv.
:i. R 0.
/' Co n'
//1`„ 1�
SubdivisI rV J "-b o`
r,s
iLKA Z%9 Y3
�•
City . ZIP _
Affected ❑ cw
MEW [;fftA
❑ ES ❑ PTS
Adj. Wtr. Body c -S (na 5 d- n/unk)
AEC(s): ❑OEA
❑IHA ❑UW
❑SPIMA ❑PWS
I
Closest Mal. Wtr. Body 6/Yt �)t•-o &*k^CL
ORW: yes no
PNA: yes/ f6p
Type of Project/ Activity a A S T r�, c — S5 fc Co ` i• a i �J 1{ �. / r K G
Shoreline Lens
Access Length
Pler (dock) tength,�/tC Cn
fixedqPlatforms) f 3�—
F') —L
Finger piers) / rC 17
Total Platform area 2-1—
Groin length/g ^
Bulkhead/ Riprap length
Avg distance offshore �1�. 2lP
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Beach Bulldozing
Other Y./s r 1,% 0. riWr.v
V' �
.113
-
RIO
SAV observed: yes n0.
RQ-s—
Moratorium: n/a es
1
Site Photos: yes
Riparian Waiver Attached: no
A building permit/zoning permit maybe- required
by: ��ft
Permit Conditions
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❑ 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)
ltD nn e fV-ate
Agent pr/App7lican[PRINTED Name •� Pe mr it Officer's PRINTED Name
Sig ature •' a read 6mliance statement on back of permit•• Sig awre
Y Z) � g/ /i �lz� /I
Annliratinn Feelrt Check a/Money Order Issuing Date Expiration Date

❑DREDGE & FILL N9 89050 () B C
Previous permit
.GENERAL 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:
ED
I SA NCAC 1 L Li b D ❑ Rules attached. Dr-c-awral Permit Rules available at the following link: www.deq.nc.gciy/CAMAruIes
Applicant Name is a S v I T Authorized Agent �4t4 /4 Gi<�'ii c-
Address / ,f _/
City f'.Y74�7T'��rC�� State
9 /
Project Location (County):
Street Address/State Road/Lot #(s)S[i / % a 7�e.lG.S
NC--
ZIP 279 Y3
Phone #(J i c)�122�¢"
.S)3
9
N-0.C-b tom,/!' CA, /3
Email rt a4 <� T�.v+�23>
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Q1 M0.,
/, Co n..
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Subdivis/iu�o99 /�' 4 -a'o-J �IOX-1 b�
City /�A2r�S ZIP
I✓
Affected ❑ CW
�EW
�PfA
❑ ES ❑ PTS
Adj. Wtr. Body 2 - a Kti d (na an/unk)
AEC(s): ❑ OEA
❑ IHA
❑ UW
❑ SPIMA ❑ PAS
//
Closest Maj. Wtr. Body P0. /'*t A C-A � y-tin IL
ORW: yes no
PNA: yes/6
Type of Project/ Activity
Shoreline Length - 7 f
Access Length
Pier (dock) length zit f
Fixed Platform(s)
/9'(/4' Cfoa var
Finger pier(s)
) rr',-19 J>�i�
,>3t -tom /a'x G
(Scale: Y7-. )
J'I"t-irsf G,n4-iS'fs'�u
PAMLI
l7rK(
i S S ` /- i," �✓) str
Total Platform area e + 3 rC- 'i' 0. <`SS ®/C�.�y r-A,
Groin lengthpr ` x I?
Bulkhead/ Ri rap length l � C-? r �
Avg distance offshore _ ' / O K 6( LA KJy
Breakwater/Sill �X<'t rs
Max distance/ length
Basin, channel 4P
Cubic yards
Boat ramp
Boathou /Boatlift
Beach BulldozingD
Other �
��^-�
SAV observed: yes
Moratorium: n/a yes no
Site Photos: yes
Riparian Waiver Attached: s no�-
A building permit/zoning permit maybe required by:
Permit Conditions
ik/7
❑ 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)
`--1
Agent or Applicant PRINTED Name
Signature "Please read compliance statement on back of permit"
Application Feels) Check ft/Money Order
Permi(tOOfficer's PRINTED Name
./
i-.....6- ^ C�—�
Issuing Date Expiration Date

❑CAMA ❑ DREDGE & FILL N9 89050 A B C D
GENERAL PERMIT Previous permit
Date previous permit issued
❑New ❑ Modification []Complete Reissue []Partial Reissue
As authorized by the Stale of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I5A NCAC f f / l- r ❑ Rules attached. ❑ General Permit Rules available atthefollowing link: www.deq.nc.goy/CAMArules
Applicant Name Authorized Agent ✓!
I �
Address /1, k z !< i Project Location (County):
City j-i 4 - 'i r q. State ZIP ,z :% Street Address/State Road/Lot#(s) {' N !! % /<
Phone # ('/ j ) �- ! kp J/
Email a. .r•.<� 1, c c r:. Subdivision
City f ,../. _ ZIP
Affected ❑ CW ❑ EW ❑PTA ❑ ES ❑ PTS Adj. Wtr. Body }Jci n-, !S - , • j ((nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PINS Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
1 ") % r'
a. % (Scale: /V) i )
Shoreline Length
.
/l7
�..
I
T.
.i_
cn...
v .1
t-a
f".S
,.•.f`...d..-
i
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a. e t
,.
1
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Access Length
,.
L.(J,� /
..
r
Pier (dock) length-
FixedPlatform(s)!—
n
�
I
1
Floating Platform(s)
Finger
pier(s)
Total Platform area.}Y.
Groin length/t!
i
�_
_
_
t._...
_
l_ _
.(dC�t.
%yl
.._
�.L
—
T_
Bulkhead/ Riprap length
----
Avg distance offshore
-
-
Breakwater/Sill
I
-
-
f—
Maxdistance/length
Basin, channel
+sir.--
Cubic yards_
-
_:
Boat ramp
'c.
T
u. J
Boathouse/ Boatlift
Beach Bulldozing—
Other
(T
_I
1
j /
v
SAV observed: yes no )
��
G
i
Moratorium: n/a yes no
Li
_
Site Photos. yes no
I
A building permit/zoning permit may be required by:
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)
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

VIsAMA / d DREDGE & FILL 1 V 9 83946 B C D
ERAL PERMIT Previous permit#dModificatfon ❑Complete Reissue ❑Partial Reissue Date previous permit IssuedAs authorized�!EN
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 7 /'f'r / Z. tots
Owles attached.
Applicant Name_c.Q t.__��S Project Location: County `�'Dn r'-%.-
Address_ Street Address/ State Road/ Lot #(s)_ c 13
City-- (a --------State /4ZIPS -
�? ? `%3 ,
Phone # (7/2) &E-Mall e v r� q-' J.c�v Subdivision a era S /{,-d a r
Authorized Agent Lop cw y D o( f.w r Cl ZIP i 9 y
Affected CJCW f66W ETA UES ❑PTS Phone# ( �).'/J` RlverBasin_ s H.
AEC(5): ❑OEA ❑HHF OIH ❑UBA ❑N/A Adj. Wtr. Body_j wmO�j e n/ S4 and a
ORW: yes ❑/ no� PNA yes no Closest Mal, Wtr. Body —/ ar"✓! F ae
Type of Project/ Activity C o/( y T(w $a . )-e % r �) Ur—. VA c6- 4t! sr �
t S a n o 7 o,'% ri u,' (Scale:
Pier (dock) length,52r /lvK to7t.-S wj.K,t i. 7. on ,%nS v.r-o un c(._
Fixed Platforms) /(a_' &f
Floating Platform(s) 6'" lw } `. - S Q n' IL
r�' _
Finger pler(s)._-3
Groin length
number
Bulkhead/ Riprap length Ie
avg distance offshore �µ }te
maxdistanceoffshore �S" �/x S/f
�I. 3/" ;Kts'Qr �p f{ ��
Basin, channel ' + /�or t4t6r 7tait �-o- i{p/A'T'f'6Crr�r
_ ` Sfi CLA Sarx �r //01 anJ 5 icy
cubic yards_ ( 4
Boat ramP......... - ( ....
Boathouse/ Boatlift_ ( ---
Beach Bulldozing� CC
Other .) 4-1 e„ o . I i ^(J I grw„ �v.4 ...A �.-. _s »> a,� >1� �:-*ri�sat ��s..f �+ a^a i• p 4, 0
/V�4r t..lrtI Kw
Shoreline length /
pn
$AV: not sure yes no ,�` a.q 1.42./f1'rr➢� l W 'Tt �. Q'. Pl '....fP(Ki�r%.'
Moratorium: y s no i r, µ '
Phoros:
Waiver Attached: yes no
A building permit may be required by: `� d—(- cv C.ct © See note on back regarding River Basin rules.
( Note Local Planning Jurisdiction)
Notes/ Special Conditions 3 D i
A&e'Chr,r Appgcant PrintedName
Signature **Please read compliance statement on back ofpermit**
Z
Applicatlon Fee(s) Check #
Perr ItOfBCer s Printed Name
(
SI ture
Issuing Data Expiration Date

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'OSEO PIER
HOG SLAT CONST.
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LOT 16
CONSTELLATION ENTERPRISES, LLC-

DocuSign Envelope IDS 03F9C88B-6D90-0A24-87C535C95BDiD509
AUTHORIZATION TO ACT AS REPRESENTATIVE FORM
Property Legal Description:
DEED BOOK: 1821 PAGE NO: 0035
PIN NO.: 958519600901
PROPERTY STREET ADRESS: 58170 Hatteras Harbor Ct Hatteras NC 27943
Please Print:
Property Owner: Roger Hosfelt
Property Owner:
The undersigned property owners of the above noted property, so hereby authorize
(Contractor/Agent)
(Name of consulting
1. Act on my behalf and take all actions necessary for the processing, issuance and
acceptance of permits and/or certifications and any all standard and special
conditions attached.
2. Enter the property to obtain site information including inspections with regulatory
agencies (Dare County, North Carolina Department of Environmental Quality,
U.S. Army Corps of Engineers, etc.) for the purpose of obtaining permits and/or
certifications.
Property Owners Address (if different than property above):
PO Box 181 Hatteras NC 27943
Property Owners Telephone Number: 717-226-5188
We hereby certify that the above information submitted in this application is true and
accurate to the best of our knowledge.
(—oow7enpn.a w:
Ij 1FUtt1r rnila 'Signature and Title
Date: 05/20/24
Authorized Signature and Title
Date:

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: Roger Hosfelt
Address of Property: 58170 Hatteras Harbor CourtHatteras NC 27943
Mailing Address of Owner: PO Box 181, Hatteras, NC 27943
Owner's email: [e-mail]` Owner's Phone#: [phone]
Agent's Name: _Doug Dorman Agent Pnone#;_252-599-2603
Agent's Email: [e-mail]
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, the development they are proposing. A
DO NOT have objections to this proposal. _a- ------- I DO have objections to this proposal,
If you nave objections to what is being proposed, you must noW 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 16 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)
Signature of Adjacent Riparian Properly Owner:
TypedlPrinted name of ARPO: Rachel Huff
Mailing Address of ARPO: 899 Powhatan VA 23139
ARPO's email: [e-mail] ARPO's Phone#: [phone]
Data: —25/14/24 *waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

The Best Turkey Stuffed Peppers - Skinnylaste
11/21/23, 5:39 PM
About Me Privacy Cookie Policy Contact Me
From: ,y 5kinnytaste
Subjmt;
Date: April 29, 2024 at 1:28 PM
To: Jennie Whitehead jwhaltorasCwhotma0 "rn.._ _.... _.....___..
A RAPTIVE PARTNER SITE
Sent from my iPhone
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
jEUFIEo MAIL RETURN RFCEIPT REQUMEn m RANn nEl WERV
(Top portion to be completed by owner or their agent)
Name of property Owner: Roger Hosfaft
Address of Property: 58170 Hatteras Harbor Court Hatteras NC 27943
Mailing Address of Owner. PO BOX 181. Hatteras, NC 27943
owner's ernai: [e-mail] Owners phoned: 717.226r 5188
Agent s Name: Doug Dorman Agent Phomit: 252-599-2603 _
Agorn's Email: dougdaec_0gmail.com _
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom oaftipn to be corrmleted by the Adlecent Property Owned
I own property adjacent Y) the above to forenced property. The kd w dual appNing for this
fit to me, as shown on the attached drawing, the devele<rmem they we proposing. A
I DO NOT have objections to this proposal. _!. I DO have oblections to this proposal.
it you nave oo/actions to wnar is owng proposeo. you must noory we n.e. uwrsion or eoastar
Martagemant (DCMj in writing within 10 days of receipt of this notice. Correspondence should be
matifed to 401 S. Griffin St, Ste. 300. Elizabeth City, NC, 27909, DCM representatims 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 per, dock. mooring pings, boat ramp, breakwater, boathouse, lot or
groin mat be set back a minimum distan o of 15' from my area of npanan access unless waived by mo
(bus does not applyto bulkheads or rgnrap revetmerds). (If you msh to waive the setback. you mustlign
the appropdato btank below)
I DO wash to waive some+ai of the 15'setback
Sgnatt,re of AQacent Rparian Property Owner
-OR-
I do not wish In wave the 15'setback rogkiramont (avlai the
Signature of Adjaca rf Riparian Property Oniner
TypedPrinted name ofARPO: Crsnstaia " 1 sos, LLC - Jeff WhifeheaQ
Mailing Address of ARPO: PO Bak 345, li5uthern Pines. NC 28388
ARPO's small: [e-mail]'s Phonelf: 919-770.3039
Date: 04/22/2024 Vaiverls valid for up to one year from ARPO's Signature'
Rovlsod May2021
s://www.skinnylaste.com/turkey-stuffed-peppers-46-pis/ Page 19 of 19

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SIDE VIEW
END VIEW
PROPOSED GAZEBO DETAIL
N. T. S.
ROGER HOSFELT
GENERAL PERMIT - GAZEBO CROSS SECTION
LOT 13 — HATTERAS HARBOR
HATTERAS — DARE COUNTY — NORTH CAROLINA
ATLANTIC EN�IRONW£NTAL CONSULTANTS, LLC
GRAPHIC SCALE i NTS P.O. 90.Y 3266, K/l7Y HA/f'X, N.C. 27949
[phone] e-mall dougdaecBgmoi/.com
FILE: HOSFELT 2021 DATE 09/01/21 REVISED: 05/28/24