92865C - Coble

�301001IS741 ❑CAMA ❑ DREDGE & FILL No 92865 A B C D
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:
15A NCAC - , \ ❑Rules attached. ❑ General Permit Rules available at the following link:www.dgq.nc.Yov/CAMArules
Applicant Name Authorized Agent
Address 1 P-e - Project Location(County): ��A
City 1 !. State I ZIP Street Address/S to Road/Lot#(s)
��� �.
Email Subdivision
City 0&y ZIP ,./
Affected ❑CW ❑EW ❑PTA ❑ES ❑PTS Adj.Wtr.Body _ t` ( i(na/unk)
AEC(s): .�c❑11 OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj.Wtr.Body u�lr/
ORW:yes/Ho" PNA:yes/no
Type of Project/Activity
(Scale• /i--Z-11
Shoreline Length
Access Length
Pier(dock)length I
a
Fixed Platform(s)
Floating Platform(s)
Finger pier(s) i+
Total Platform area li J t f
Groin length/#
. L
Bulkhead/Riprap length f
Avg distance offshore J F
Breakwater/Sill
Max distance/length
Basin,channel 4
Cubic yards
Boat ramp r)'`� I j �i 7 i
Boathouse/Boatlift _ {
Beach Bulldozing
Other
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 by: i
Permit Conditions �-
❑ TAR/PAM/NEUSE/BUFFER(circle one)
( 1�. ^�
❑ 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
rayl1W1(1
Application Feels) 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:
F-1 Tar- Pamlico River Basin Buffer Rules F-1 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

3&OCIMk ❑CAMA ❑ DREDGE & FILL No 92865 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.dgq.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
Affected ❑CW ❑EW ❑PTA ❑ES ❑PTS Adj.Wtr.Body (nat/man/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Mal.Wtr.Body
ORW:yes/ho PNA:yes/no
Type of Project/Activity
(Scale: )
Shoreline Length
Access Length
(( i
Pier(dock)length ' l E
Fixed Platform(s)
_ 1 1
I
Floating Platform(s) j
I
Finger piers) y..
.. _. .
... i............ I ....,, .. .... ....... .... .. ..... ..... ....... ..... .. .
I l
Total Platform area---� I
Groin length/# ----- i 1
Bulkhead/Riprap length L............ i.... i.... --..._. _.. _.. �.. - — - -
Avg distance offshore
Breakwater/Sill
Max distance/length
Basin,channel
Cubic yards
Boat ramp
Boathouse/BoatliftI t
t
Beach Bulldozing
_.
Other
Irk I
t � I
SAV observed: yes no - - - — �- — �- at
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 ❑ TAR/PAM/NEUSE/BUFFER(circle one)
' f ` 1 �.•F�'�' ❑ See note on back regarding River Basin rules
❑ See additional not 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 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:
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: johnny costner <[e-mail]>
Sent: Wednesday, September 11, 2024 11:10 AM
To: Styron, Heather M.
Subject: [External] Jet ski lift
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.

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AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
k'a4 C 1�1SZ
Mailing Address:
5-?33
L
Phone Number: 33 b 13 (q
Email Address: 11
I certify that I have authorized �� h n �pSTn o ✓'
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: b� 64 tj
at my property located at 136, CQnso Srvwjb
in County.
1 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 Information:
Signature
L co 6U
Print or Type Name
� W ter
Title
7 / �2
Date
This certification is valid through ,l I

N.C.DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER UESTEp IONIWAIVER
FORM
CERTIFIED MAIL - RETU ECEIPT RE
(Top portion to be comp
leted by owner or their agent)
Name of Property Owner. Kji ^ � �./
Address of Property:
�1�
Af.� T�l �b
er S e Q �QDMailing Address of owner: ?3333 - ) -I
Owner's Phone#:L? —
Owner's email: Owne
Agent Phone#: `1
Agent's Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be com ileted b the Ad acent Pro a 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 descri lion or drawl 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. Dlvlsion of Coastal
Management(DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 127 Cardinal Drive IXT,Wilmington,NC28405.DCM representatives can also be contacted a t
[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, list,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
S/gnature of Adjacent Riparian Properh/Owner(ARPO)
-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; i2
Mailing Address of ARPO- -A C L cn
ARPO's email: 8 ARPO's Phone#: /Q -/J L a_
Date: / -.�a 'waiver is valid for up to one year from ARPO's Signatures
Revised Al 2021

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL RETUR RECEIPT RE UES D or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: ` cb`- n yz ��[K
Address of Property: 3 CA),el
Malting Address of owner: 7
Owner's email: /�� Owner's Phone#: 33G W 3 . 4019
Agent's ;J8 Name Ar1 as-fju - Agent Phone#0/,0� 35—y" 3as
r Agent's Email: _C-054+'�,p,< (
1
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 n or drawl with dimensions must be rovided with this letter.
I DO NOT have objections to this proposal. I DO have objections to ti,is proposal.
if yoyou have objections to what is being proposed, you must notify the N.C. Division of Coastal
Management(DCM) in writing within i0 days of receipt of this notice. Correspondence should be
mailed to 127 Cardinal Drive EXT, Wilmington,NC 28405_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
1 understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, ii^,or gram
must be set back a minimum distance of 15'from my area of riparian access unless waivea by me(this
does not appty 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- S/ nature ofAdjacent Riparian ProPe ty Owner rARPO)
I do not wish to waive the 15'setback requirement(initial the blank)
Signature of Adjacent Riparian Property Owner
Typed/Printed name of ARPO:
Mailing Address of ARPO:
ARPO's email:
ARPO's Phone#:
Date: 'waiver is valid for up to one year from ARPO's Si
9nature
Revised May 2021

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