92850C - Templeton

YCAMA ❑ DREDGE & FILLA B
Previous permit
GENERAL PERMIT
Date previous permit issued
New XA�okdifa ion Complete Reissue ❑Partial Reissue
As authorized b the S too Non rolina,Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
1 SA NCAC Rules attached. ❑ General Permit Ru s available at the following link:wwwA govICAMArules
Applicant Name Authorized Agent
Address Project Location(County):
City
_ St to ZIP .. Street Addr s/State Road #(s)�r��e '-
Phone# ._
Email Subdivi'
City ZIP
Affected ❑CW EW XPTA ❑ES ❑PTS Adj.Wtr.BodyIWI (nat/manlunk)
AEC(s): [:IDEA IHA UW ❑SPIMA ❑PWS Closest Maj.Wtr.B
ORW:yes/0 PNA:ye n y
w
Type of Project/Activity
(Scale:
Shoreline Length
Access Length /
Pier(dock)length d J
Fixed
Floating Platforms)
Finger pier(s)
Total Platform area _
Groin length/k
Bulkhead/Riprap length
Avg distance offsho;g,
Breakwater/Sill
Max distance/lengt�, t /I,3
Basin,channel
Cubic yards
Boat ram _
P
Boathouse oat ift 2
Beach Bulldozing ._
Ot r _
SAV observed: yes no
Moratorium: n/a yes no
Site Photos:
Riparian Waiver Attac ed: e o 04H4►�l/
A building permit/z n may a re q red y: J
er it TAR/PAM! EUSElBUFFER(circle one)
P CP
NA El See note on back regarding River Basin rules
ww See additional notes/conditions on back
Jr—
I M AWAR OF STAT TE C RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIE D COM L N EMEN (Ple a Initial)
Agent or Applicant PRINTED Name Permit Officer's R Name
6 P
Si�at re**Pl�d pliancre**Pl�d pliance statement on back of permit** Sig e
App ication Fee(s) Chec H/Money Order Issuing ate Expiration Date

r�sz3i. }� � I V V" r_____A— B
C AMA Cl DREDGE & FILL
a Previous permit _
GENERAL PERMIT Date previous permit issued
aion Complete Reissue [ ]Partial Reissue
New Xoo2dif
As authorized b the S ate o Non rolina,Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
1 SA NCAC Rules attached. General Permit Ru s available at the following link:vwvw.d . ov/CAMArules
Applicant Name Authorized Agent
Address Project Location(County):
City _ S to _ZIP Street Addr s State Road
Phone# �� -- �� _.
Email Subdivi
City ZIP
Affected n CW EW PTA DES n PTS Adj.Wtr.Body (nat/man/unk)
AEC(s): OEA IHA UW SPIMA El PWS Closest Maj.Wtr.B dy _
ORW:yes/� PNA:ye n
w
Type of Project/Activity -04
(Scale: ,.—
Shoreline length f}
Access Length
Pier(dock)length • 1 0 t
Fixe�=��� 'V I
Floating(PPlaattform(sl
y
Finger pier(s)
Total Platform area _
Groin length/q
Bulkhead/Riprap length ! U
Avg distance offshore
Breakwater/Sill ,J�yr
Max distance/length
Basin,channel
Cubic yards yl E wo
-- —�
Boat ramp _
Boathouse oat Ift
Beach Bulldozing _
Ot r —
SAV observed: yes no
Moratorium: n/a yes no
Site Photos:
Riparian Waiver Attac ed:
A building permit/z n may e re� rnq red y: (J�i!/ /
EI TARVPAR/PAM/ EUSE/BUFFER(circle one)
Per it CPn ' 'ons
See note on back regarding River Basin rules
See additional notes/conditions on back
w
I M AnWAR OF STAT TE C RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEYAD COMPLLAN EMEN (Pie a Initial)
t'
Agent or Applicant PRINTED Name Permit Officer's R Name
Kam%c2c��62
Sig at re•'Ple�;p d rtSa •• Sig t
=/
pliance statement on back of permit e
ati - ��--a
App icon Feels) Chec N/Money Order Issuing ate Expiration Date

WAS TN ❑CAMA ❑ DREDGE & FILL No 92850 A B ( D
Previous ermit
D
GENERAL PERMIT p _.._
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 ❑Rules attached. ❑ General Permit Rules available at the following link:www.degnc.Yov/CAMArules
Applicant Name Authorized Agent
Address Project Location(County):
City State ZIP Street Address/State Road/Lot#(s)
Phone#
Email Subdivision
City ZIP
Affected ❑CW ❑EW ❑PTA ❑ES ❑PTS Adj.Wtr.Body (nat/man/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj.Wtr.Body
ORW:yes/no PNA:yes/no
Type of Project Activity
�i c 0.1 r 15
Yp 1 / Y fi ��i� ;��-r�'�<1. Gti1 t I`7,'XI(✓ �� ; _� _��lr. l l CC{ 1t,,
�
(Scaler=30 )
Shoreline Length 7
Access Length Ix � I�^✓ i -
Pier(dock)length - �..-
Fixed Platforms)
Floating Platform(s) ' ^` 1
Finger piers)
_.
Total Platform area
i 4
Groin length/#
Bulkhead/Riprap length �- I
Avg distance offshore
Breakwater/Sill �—t--
Max distance/length
Basin,channel
Cubic yards
Boat ramp
Boathouse/Boatlift
Beach Bulldozing
'
Other (Y)�X!
1
SAV observed: yes no YT—
SiteMoratorium: n/a yes no Photos: y n�
Riparian Waiver Attached: (es no ` ( '4, n
r ^(
A building permit/zorfing permit may be required by: k
Permit Cond 1 � rrrrr ) �J r(�( / FAR/PAM/NEUSE/BUFFER(circle one)
itions 11
+l d 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 Permit Officer's PRINTED Name
Signature**Please read compliance statement on back of permit** Signat re
Gas ,�- 3o1a `{
Application Fee(s) Check#/Money Order Issuing Date Ex. tion Dbte

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:
1-1 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

�o1+Ot°"r4 ❑CAMA ❑ DREDGE & FILL No 92850 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:
15A NCAC ❑Rules attached. ❑ General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name Authorized Agent
Address Project Location(County):
City State ZIP Street Address/State Road/Lot#(s)
Phone#(�)
Email Subdivision
City ZIP
rr
Affected ❑CW ❑EW ❑PTA ❑ES ❑PTS Adj.Wtr.Body (nat/man/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj.Wtr.Body
ORW:yes/no PNA:yes/no
Type of Project/Activity
(Scale:, - .•� )
Shoreline Length
Access Length
Pier(dock)length
.. r _. . ._.._..<.. — _._ _
Fixed Platform(s)
t I ; r
._.... —
E � � r
Floating Platform(s) 1 I
:
Finger pier(s) ' c
t
t t 3
Total Platform area
Groin length/# x �r
Bulkhead/Riprap length
Avg distance offshore --
Breakwater/Sill + ,
Max distance/length
v
L
Basin,channel
i
Cubic yards
Boat ramp
Boathouse/Boatlift
Beach Bulldozingi--
. _ 1 r
Other
i
SAV observed: yes no -l—
Moratorium: n/a yes no
Site Photos: yes no ( -- --
Riparian Waiver Attached: yes no% i ( f . r f E
A building permit/zoning permit may be required by: j TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions ­'
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 compliances ment on back of permit" Signat re
Application Fee(s) Check#/Money Order Issuing Date Expi ation Dbte

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:
1-1 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

Styron, Heather M.
From: Kelsey Hall <[e-mail]>
Sent: Friday, August 16, 2024 10:04 AM
To: Styron, Heather M.
Cc: Kari Taylor
Subject: [External] 405 Tennessee Ave, Morehead City
Attachments: Cert. Mail - Mooring.pdf;Agent Authorization- Templeton.pdf;Adjacent Riparian -
Lewis.pdf; Plan View - Templeton REV 5.pdf
CAUTION: External email. Do not click links or open attachments unless verified. Report suspicious emails with the Report Message
button located on your Outlook menu bar on the Home tab.
Good Morning,
Please find CAMA documents attached for 405 Tennessee Ave, Morehead City. Let us know if you
have any questions.
Thank you,
Kelsey Ball
Administrative Assistant
C:252-723-5415
Carteret Marine Services
CarteretMarine.com
x
1

Postal
CERTIFIED MAIL@ RECEIPT
m
Domestic
m� . . -
�1Qr eh ea d C i t y r NC ) 5,5-7
Certified Mail Fee , ;C
d.
Lamm Services & Fees (check box, add fee s fip'?6 gate)
0 El Return Receipt(hardcopy) $_ `.,I I i i i
❑Retum Receipt(electronic) $ $1.1�1'!s1_ Postmark
`` ❑Certified Mail Restricted Delivery $ �•s ,-„-,
,--r-��-- Here
❑Adult Signature Required $
� Adult Signature Restricted Delivery $ .• ° -'
Postage
ED
r-9 Total Postage and Fees
�- r d tip U •� - .t 4
Sent To T&�� �•
__ __-_CVl __0__ 1 �N
Street and Apt. o. or P Box No. -'- +--------
-- -� a--- C- -)
i/
Q� City, Sta tl', Z1P�+�4'6 . ---- �-
� Yre �
_ ATR ri'M

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: e Ir��orl
Mailing Address: o1 , Ifkn ce,e NUP,
Phone Number: q i'Y-3CYo- 1 1 2-7
Email Address: rndpakr'.dge�gotxil,ccr'?
I certify that I have authorized 6 rc.f 6,-;r)C. ,SPr v!C,t;s
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: deck culsirc 4fier
at my property located at iD.S I rtrxee, 9V6 �L ijrc�Wd C'.4y,111 C 2 17
in Lr' e'+ County.
I furthermore certify that 1 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 Inforrnation:
Signature
( �IL��t. 1 er���oY►
Print br Type Name
Title
Date
This certification is valid through I I

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 60se- T,1e1r1C-1 n
Address of Property: q6S Tart L Pvc l�✓,<ti�.,,X
Mailing Address of Owner: qo� Tti.usw &-_ U1lrel,.3 57
Owner's email: Pdon krrdfe,��//-- Owner's Phone#: Cjl r{-�-112-7
Agent's Name: CR1>t ,,e 441,,ee 7ejry(,LS Agent Phone#.
Agent's Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
I hereby cydcribed
at I own property adjacent to the above referenced property.The individual applying for this
permit ha to me, as shown on the attached drawing, the development they are proposing. A
descri doawin with dimensions must be provided with this letter.
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(252)808.2808. 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'set
Signatu ipan n Property
-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: Phi �P.wrS
Mailing Address of ARPO: Po (3n,c �o G•-rf rlvJ1P .NL 27935'
ARPO's email: LLW ARPO's Phone#: 152--S31-97QY
Date: VI1/2 y 'waiver is valid for up to one year from ARPO's Signature'
T ,
Revised July 2021

� W �
� � it
J
� o �
� �
��

Raw
13x21 Platform=273sgft
3x20 finger pier=60sq
5x24' access Walkway
•r,
�1 .1 Doc
5x60 access walkway
1
i of
1.1
� "IIIIII
1• ""III'Illlllll
1�!i1
;•1
13x13 Boat lift

al
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 owner or their agent)
Name of Property Owner Chase Templeton
Address of Property 405 Tennessee Ave, Morehead City, NC 28557
Mailing Address of Owner
Owner's email [e-mail] Owner's Phone#: [phone]
Agent's Name Carteret Marine Services Agent Phone*252 631-9435
Agent's Email. [e-mail]
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(DCfof) 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(252) 808-2808. 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
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: Ronald Mooring
Mailing Address of ARPO: 4709 San Juan Circle, Morehead City NC 28557
ARPO's email:Jm v- rM ARPO's Phone#-
Date: =�__-*waiver is valid for up to one year from ARPO's Signature'
RECEIVED Revised May 2021
4JIG ?. 0 2024
DCM-MHD CITY E

Styron, Heather M.
From: Kelsey Hall <[e-mail]>
Sent: Monday, August 26, 2024 3:07 PM
To: Styron, Heather M.
Cc: Kari Taylor
Subject: Re: [External] 405 Tennessee Ave, Morehead City
Attachments: Cert Mail - Mooring 8.21.2024.pdf
CAUTION: External email. Do not click links or open attachments unless verified. Report suspicious emails with the Report Message
button located on your Outlook menu bar on the Home tab.
Heather,
I attached a new certified mail receipt for Mooring, I suppose the first one got lost in transit. The new
one has been delivered. Reach out with any questions.
Best,
On Fri, Aug 16, 2024 at 10:18 AM Styron, Heather M. <[e-mail]>wrote:
Thank you. I will get to this as soon as I can.
Heather Styron
District Manager, Morehead City
Division of Coastal Management
North Carolina Department of Environmental Quality
400 Commerce Avenue
Morehead City, NC 28557
252.515.5417 (0) 252.725.3903 (M)
Please note that my email address is now [e-mail]
www.deg.nc.gov
Find a Field Rep(arcgis.com)
1

❑ ❑
A
0
From: Kelsey Hall<[e-mail]>
Sent: Friday,August 16, 2024 10:04 AM
To:Styron, Heather M. <[e-mail]>
Cc: Kari Taylor<[e-mail]>
Subject: [External] 405 Tennessee Ave, Morehead City
CAUTION: External email. Do not click links or open attachments unless verified. Report suspicious emails with the Report Message
button located on your Outlook menu bar on the Home tab.
Good Morning,
Please find CAMA documents attached for 405 Tennessee Ave, Morehead City. Let us know if you
have any questions.
Thank you,
Kelsey Hall
Administrative Assistant
Q252-723-5415
Carteret Marine Services
CarteretMarine.com
2

Email correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to third parties by an authorized
state official.
Kelsey Hall
Administrative Assistant
C:252-723-5415
Carteret Marine Services
CarteretMarine.com
x
3

8/26/24,3:16 PM USPS.com®-USPS Tracking®Results
USPS Tracking® FAQs >
Tracking Number: Remove X
9589071052700901763223
Copy Add to Informed Delivery(https://informeddelivery.usps.com/)
Latest Update
Your item was delivered to an individual at the address at 3:44 pm on August 23, 2024 in MOREHEAD
CITY, NC 28557.
Get More Out of USPS Tracking:
USPS Tracking Plus®
a
n,
Delivered
Delivered, Left with Individual
MOREHEAD CITY, NC 28557
August 23, 2024, 3:44 pm
See All Tracking History
What Do USPS Tracking Statuses Mean? (https://faq.usps.com/s/article/Where-is-my-package)
Text & Email Updates u
USPS Tracking Plus® u
Product Information u
See Less
Track Another Package
Enter tracking or barcode numbers
https://tools.usps.com/go/TrackConfi rmAction?gtc_tLabels 1=9589071052700901763223 1/2

8/26/24,3:16 PM USPS.com®-USPS Tracking®Results
Need More Help?
Contact USPS Tracking support for further assistance.
FAQs
https://tools.usps.com/go/TrackConfirmAction?gtc_tLabelsl=9589071052700901763223 2/2