20150516 Ver 3_CAMA Application_20240515

DIVISION OF COASTAL MANAGEMENT
Fnviranmenra! FIELD INVESTIGATION REPORT
QG<)Ilty
1. APPLICANT'S NAME: Nola Crane
2. LOCATION OF PROJECT SITE: 150 Headen Lane Atlantic Beach, NC 28512
Longitude:-76.88653 Latitude: 34.6899
3. INVESTIGATION TYPE: CAMA
4. INVESTIGATIVE PROCEDURE:
Date of Visit
Purpose of Visit
Applicant Present?
5/6/2024
Site Visit
No
5. PROCESSING PROCEDURE -
Application Received
Application Complete
Regional Office
4/8/2024
5/2/2024
DCM
6. SITE DESCRIPTION:
(A) Local Land Use Plan: Carteret County
Land Classification from LUP: Land Classification From LUPs
(B) AEC(s) Involved: Public Trust Areas, Estuarine Waters
(C) Water Dependent: Yes
(D) Intended Use: Private/Community
(E) Wastewater Treatment:
Existing: N/A
Planned: N/A
(F) Type of Structures:
Existing: Excavation(maintenance), Bulkhead(vinyl)
Planned: Boat lift, Boat slips, Finger pier, Pier or dock
(G) Estimated Annual Rate of Erosion: 0
Erosion Information Source: Annual Erosion Source
7. HABITAT DESCRIPTION:
DREDGED W
FILLED W
OTHER W
A Open Water
0
0
534
CW's above NHW
0
0
0
C CW's below NHW
0
0
0
Shallow Bottom
0
0
0
High Ground
0
0
0
Non -Coastal WL
0
0
0
(E) Total Area Disturbed: 534 ftz
(F) Primary Nursery Area: No
(G) Water Classification: HQW: High Quality Waters; SA: Market Shellfishing, Tidal
Salt Water
Open to Shellfishing: No
Field Investigation Report: Nola Crane
DCM Major Permit
Page 11

8. PROJECT SUMMARY:
The proposed development is for a pier with two finger piers and 5 boatlifts.
9. NARRATIVE DESCRIPTION:
Nola Crane's property is located at 150 Headen Lane, Carteret County in Salter Path, NC. The
parcel is 0.114-acre parcel and is located off of Bogue Sound. The Carteret County Land Use
Plan has classified this area as Rural with Services, with CAMA AEC's classified as
Conservation. This site is developed with an existing bulkhead (the small dock was removed)
and the building appears to be getting renovated. The applicant wishes to construct a 5-slip
docking facility for commercial use.
There is a total of 46' of shoreline on this property. Bogue Sound is approximately 2.5 miles
across at this location. The nearby designated Federal Channel is approximately 2.0 miles north
of this location. There is no coastal or 404 wetlands on the property. It was recently dredged
under a General Permit as maintenance excavation. The average upland elevation is roughly 5'
normal high-water level (NWH).
These waters of Bogue Sound are classified as SA, High Quality Waters. None of the project
area is within PNA; it doesn't have submerged aquatic vegetation, and is closed to the harvest
of shellfish. The area was dredged to an average of 5' at normal low water (NLW). The bottom
substrate is coarse sand and does not lend itself easily to suspension. These waters have an
approximate 2' tidal amplitude.
10. PROJECT DESCRIPTION:
The applicant is requesting to construct a 5-slip docking facility for commercial use. The
adjacent riparian property to the west is a commercial marina (Major Permit 9163-07). The
adjacent riparian property to the east is a waterfront restaurant.
The applicant is proposing to construct a pier that is 6'x59', two finger piers 3'00% and 5
boatlifts 12'x13' boatlifts. Water depths within the boat slips are approximately 5' at NLW.
11. ANTICIPATED IMPACTS:
The proposed boat slips, along with the adjacent marina, could have an impact on the adjacent
open shellfish waters. The proposed 5-slip docking facility would not pose a hazard to navigation
as it would be approximately 20' from the edge of the navigable channel. As proposed the docks
and finger piers will shade approximately 534sgft of open water/shallow bottom habitat. The
proposal encroaches into both of the adjacent riparian property setbacks (waivers obtained). No
SAV were observed in the area. The waters of Bogue Sound are not listed as Primary Nursery
Areas (PNA) and are classified as SA, High Quality Waters. These waters are within the White
Oak River basin and are closed to shellfish.
Name: Richard Mahoney Date: 05-15-2024 Office: DCM
Field Investigation Report: Nola Crane
DCM Major Permit
Page 12

Permit Application Report
Application ID
Application Type
Submitted
App Complete
Deadline
Decision
Expiration
PA-1327
DCM Major Permit
04-08-2024
05-02-2024
07-16-2024
Primary Applicant Information
Applicant
Type
Title
Business Name
Name
Email
Business Phone
Mobile Phone
Individual
Ms.
Nola Crane
[e-mail]
7572018007
7572018007
Physical Address
Mailing Address
Street 1
City
State
Zip
Street 1
City
State
Zip
3208 Country
Club Rd
Morehead
City
North
Carolina
28557
3208 Country Club Rd
Morehead City
North
Carolina
28557
Registered Agent Information
Agent Type
Title
Business Name
Name
Email
Business Phone
Mobile
Phone
Business/Company
Carteret Marine
Services LLC
Carteret Marine
Services LLC
[e-mail]
2526319435
Physical Address
Mailing Address
Street 1
City
State
Zip
Street 1
City
State
Zip
1671 Hwy 101
Beaufort
NC
28516
1671 Hwy 101
Beaufort
NC
28516
Project Information
Project Name
Project Type
Disturbed Land Area (Scl Ft/Acres)
0313-150 Headen Lane
Private/Community
4965 Sq. Ft. / 0.11 Acres
Is proposed project located in national registered historic district or national register listed/eligible: False
List of previous state or federal permits for work on project tract: Mike Fiorini permit #163-07 Issued 11/28/2007 Charles
Zwerling-CAMA Major permit #99-15 issued on 9/24/2015 Reissued permit #-15 9/9/2019
Project Location Information
Address
County
River Basin
Subdivision
County Parcel ID
Latitude
Longitude
150 Headen Lane Atlantic
Beach, NC 28512
Carteret
White Oak
633407581775000
34.6899
-76.88653
Project Discharges to State Waters
Discharge Type
Surface
Runoff
Sanitary
Wastewater
Industry/Commercial
Effluent
Vessel
Wash Down
Residential
Other
Wastewater/Stormwater Discharged Into Wetland?
Discharge Same Salinity as Receiving Waters
Is There Any Mitigation Proposed
False
False
False
Detailed Description of the Existing Development Located on the Property
Existing Man -Made Features:
Building and doci
Existing Land Uses:
1-Existing marina
2-Restaurant
3-Vacantlot
Existing Wastewater Treatment/Disposal:
public water system
Solid Waste/Fish Offal/Trash Disposal:
Use and Daily Operations of the Project When Complete
Proposed Development Purpose:
Private business open to the public

Buildings/Facilities/Units/Structures:
Use & Daily Operations:
Boat slip rental and day dock
Construction Methodology & Equipment:
Wood frame dock with 5 boat slips and lifts. Pile supported dock, piles to be jetted in and set with hydraulic hammer.
Development Activities Narrative Specifics:
1-Boat dock
2-Install five boat slips with boat lifts
Application Narrative:
Project Narra0ve:
The property is a .114-acre parcel at 150 Headen Lane in Salter Path, Carteret
County.
The projected project is a commercial marina which consists of a 6'x59' dock
with 3-3x30 finger piers and
5 boat lifts. The total number of boat slips proposed is 5.
• The project proponent hereby certifies that all information contained herein
is true, accurate, and
complete to the best of my knowledge and belief.
• The project proponent hereby requests that the certifying authority review and
take action on this CWA
401 certification request within the applicable reasonable period of time.
Boat Ramp Development Activity Included: False
Shoreline Stabilization Development Activity Included: False
Living Shoreline Development Activity Included: False
Piers & Docking Facilities Development Activity Included: True
Docking Facilities Details
Facility Use
# of Tie Pilings
Existing Slips
New Slips
Private/Community
0
0
5
Piers & Docking Facility Structures
Structure Type
Length
Width
Quantity
Fixed Piers
30
3
3
Boatlift
12
13
5
Fixed Piers
59
6
1
Freestanding Moorings & Buoys Associated With This Docking Facility
Structures Consistent With Water Use Plan Existing Freestanding Moorings & Buoys Slips New Freestanding Moorings & Buoys Slips
False
Buoy Details:
Moorings & Buoys Details
Mooring or Buoy Distance From Shoreline I Arc of Swing Water Depth

Excavation Development Activity Included: False
Bridges & Culverts Development Activity Included: False
Oceanfront Erosion Control Development Activity Included: False
Temporary Structures Development Activity Included: False
Utility Crossings Development Activity Included: False
Freestanding Moorings, Buoys & Bird Nesting Poles Development Activity Included: False
Log Removal/Marine Debris Development Activity Included: Yes/No
Navigational Aids Development Activity Included: False
Other Fill Below Water Level Development Activity Included: False
Stormwater Structures Development Activity Included: False
"Upland Development" Development Activity Included: False

Energy Facilities Development Activity Included: False
Aquaculture Development Activity Included: False
Submerged Lands Mining Development Activity Included: False
General Development Activity Details Required
General Development Activity Questions
These questions are applicable if 1 of the following development activities are included in the project
(Boat Ramps, Freestanding Moorings, Buoys & Bird Nesting Poles, Piers & Docking Facilities, Temporary Structures, Living Shorelines,
Shoreline Stabilization Submerged Lands Mining)
Boat Type(s)
Typical Boat Length
Other Boat Type (Describe)
Open runabout; Personal water craft
24
Adj Riparian Property Line #1 (Proximity of
Structure Nearest to Property Line)
Adj Riparian Property Line #2 (Proximity of
Structure Nearest to Property Line)
Adj Riparian Property Line #3 (Proximity of
Structure Nearest to Property Line)
10
8
Width of Water Body
Water Depth @ Waterward End of
Structure (NLW or NWL)
Water Depth @ Most Landward
Boat Slip (NLW or NWL)
Water Depth @ Most Waterward
Boat Slip (NLW or NWL)
1
12000
3
1 4
5
Navigational
Aids Required
Number of
Buoys
Number of Day
Markers
Min Distance of Each Aid Placed
Beyond Shoreline
Max Distance of Each Aid Placed
Beyond Shoreline
False
Marina Development Activity Details Required

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APPLICATION for
Major Development Permit
(last revised 12/27/06)
North Carolina DIVISION OF COASTAL MANAGEMENT
1. Primary Applicant Landowner Information
Business Name
Project Name
(if applicable)
Carteret Marine Services LLC
0313-150 Headen Lane
Applicant 1: First Name
MI
Last Name
Nola
Crane
Applicant 2: First Name
MI
Last Name
If additional applicants, please attach an additional page(s) with names listed.
Mailing Address
PO Box
City
State
3208 Country Club Road
Morehead City
NC
ZIP
Country
Phone No.
FAX No.
28557
Type text here
757-201-8007-
ext.
-
Street Address (if different from above)
City
State
ZIP
150 Headen Lane
Salter Path
NC
28512
Email
[e-mail]
2. AgentContractor Information
Business Name
Carteret Marine Services LLC
Agent/ Contractor 1: First Name
MI
Last Name
James
Johner
Agent/ Contractor 2: First Name
MI
Last Name
Kari
Taylor
Mailing Address
PO Box
City
State
1671 State Route 101
Beaufort
NC
ZIP
Phone No. 1
Phone No. 2
28516
252-631-9435
ext.
252-571-7282 ext.
FAX No.
Contractor #
83555
Street Address (if different from above)
City
State
ZIP
Email
[e-mail]
<Form continues on back>
252-808-2808 .. 1-888-4RCOAST .. www.nccoastalmanagement.net

Form DCM MP-1 (Page 2 of 4)
APPLICATION for
Major Development Permit
3. Project Location
County (can be multiple)
Street Address
State Rd. #
Carteret
150 Headen Lane
Subdivision Name
City
State
Zip
Salter Path
�NC
28512-
Phone No.
Lot No.(s) (if many, attach additional page with list)
757-201-8007 - ext.
, I I ,
a. In which NC river basin is the project located?
b. Name of body of water nearest to proposed project
White Oak
Bogue Sound
c. Is the water body identified in (b) above, natural or manmade?
d. Name the closest major water body to the proposed project site.
®Natural ❑Manmade ❑Unknown
Bogue Sound
e. Is proposed work within city limits or planning jurisdiction?
f. If applicable, list the planning jurisdiction or city limit the proposed
®Yes ❑No
work falls within.
Carteret County
4. Site Description
a. Total length of shoreline on the tract (ft.)
b. Size of entire tract (sq.ft.)
45.85'
4965 sq ft .114
c. Size of individual lot(s) 0.114
d. Approximate elevation of tract above NHW (normal high water) or
NWL (normal water level)
(If many lot sizes, please attach additional page with a list)
®NHW or ❑NWL 5' ft
e. Vegetation on tract
none
f. Man-made features and uses now on tract
building and dock
g. Identify and describe the existing land uses adjacent to the proposed project site.
1-existing marina
2-restaurant
3-vacant lot
h. How does local government zone the tract?
i. Is the proposed project consistent with the applicable zoning?
(Attach zoning compliance certificate, if applicable)
unzoned
®Yes ❑No ❑NA
j. Is the proposed activity part of an urban waterfront redevelopment proposal? ❑Yes ®No
k. Hasa professional archaeological assessment been done for the tract? If yes, attach a copy. ❑Yes ®No ❑NA
If yes, by whom?
I. Is the proposed project located in a National Registered Historic District or does it involve a ❑Yes ®No ❑NA
National Register listed or eligible property?
<Form continues on next page>

Form DCM MP-1 (Page 3 of 4)
APPLICATION for
Major Development Permit
m. (i) Are there wetlands on the site? ❑Yes ®No
(ii) Are there coastal wetlands on the site? ❑Yes ®No
(iii) If yes to either (i) or (ii) above, has a delineation been conducted? ❑Yes ❑No
(Attach documentation, if available)
n. Describe existing wastewater treatment facilities.
none
o. Describe existing drinking water supply source.
public water system
p. Describe existing storm water management or treatment systems.
none
5. Activities and Impacts
a. Will the project be for commercial, public, or private use?
®Commercial ❑Public/Government
private business open to the public
❑Private/Community
b. Give a brief description of purpose, use, and daily operations of the project when complete.
Boat slip rental and day dock
c. Describe the proposed construction methodology, types of construction equipment to be used during construction, the number of each type
of equipment and where it is to be stored.
Wood frame dock with 5 boat slips and lifts. Pile supported dock, piles to be
jetted in and set with hydrolic hammer.
d. List all development activities you propose.
1-boat dock
2-install five boat slips with boat lifts
e. Are the proposed activities maintenance of an existing project, new work, or both?
New
f. What is the approximate total disturbed land area resulting from the proposed project?
®Sq.Ft or ❑Acres
0
g. Will the proposed project encroach on any public easement, public accessway or other area
❑Yes ®No ❑NA
that the public has established use of?
h. Describe location and type of existing and proposed discharges to waters of the state.
DOT drainage near westside of project
i. Will wastewater or stormwater be discharged into a wetland?
❑Yes ❑No ®NA
If yes, will this discharged water be of the same salinity as the receiving water?
❑Yes ❑No ®NA
j. Is there any mitigation proposed?
❑Yes ❑No ®NA
If yes, attach a mitigation proposal.
<Form continues on back>

Form DCM MP-1 (Page 4 of 4)
APPLICATION for
Major Development Permit
6. Additional Information
In addition to this completed application form, (MP-1) the following items below, if applicable, must be submitted in order for the application
package to be complete. Items (a) — (f) are always applicable to any major development application. Please consult the application
instruction booklet on how to properly prepare the required items below.
a. A project narrative. see attachment
b. An accurate, dated work plat (including plan view and cross -sectional drawings) drawn to scale. Please give the present status of the
proposed project. Is any portion already complete? If previously authorized work, clearly indicate on maps, plats, drawings to distinguish
between work completed and proposed. see attachment
c. A site or location map that is sufficiently detailed to guide agency personnel unfamiliar with the area to the site. see attachment
d. A copy of the deed (with state application only) or other instrument under which the applicant claims title to the affected properties.
e. The appropriate application fee. Check or money order made payable to DENR.
f. A list of the names and complete addresses of the adjacent waterfront (riparian) landowners and signed return receipts as proof that such
owners have received a copy of the application and plats by certified mail. Such landowners must be advised that they have 30 days in
which to submit comments on the proposed project to the Division of Coastal Management.
Name Michael Fiorini Phone No.252-241-9133
Address 160 Shore Drive, Salter Path, NC 28512
Name Phone No.
Address
Name Vera Guthrie Phone No.
Address146 Headen Lane Salter Path, NC
g. A list of previous state or federal permits issued for work on the project tract. Include permit numbers, permittee, and issuing dates.
Mike Fiorini permit #163-07 issued 11/28/2007
Charles Zwerling permit # 99-15 issued on 9/24/2015 reissued permit # 99-15 9/9/2019
h. Signed consultant or agent authorization form, if applicable. see attachment
i. Wetland delineation, if necessary. n/a
j. A signed AEC hazard notice for projects in oceanfront and inlet areas. (Must be signed by property owner) n/a
k. A statement of compliance with the N.C. Environmental Policy Act (N.C.G.S. 113A 1-10), if necessary. If the project involves expenditure
of public funds or use of public lands, attach a statement documenting compliance with the North Carolina Environmental Policy Act. n/a
7. Certification and Permission to Enter on Land
I understand that any permit issued in response to this application will allow only the development described in the application.
The project will be subject to the conditions and restrictions contained in the permit.
I certify that I am authorized to grant, and do in fact grant permission to representatives of state and federal review agencies to
enter on the aforementioned lands in connection with evaluating information related to this permit application and follow-up
monitoring of the project.
I further certify that the information provided in this application is truthful to the best of my knowledge.
Date _2/29/2024
Print Name Alyssa Slons
Signature A'^7V.-A, s(C�
Please indicate application attachments pertaining to your proposed project.
❑DCM MP-2 Excavation and Fill Information ❑DCM MP-5 Bridges and Culverts
❑DCM MP-3 Upland Development
®DCM MP-4 Structures Information

Form DCM MP-4
STRUCTURES
(Construction within Public Trust Areas)
Attach this form to Joint Application for CAMA Major Permit, Form DCM MP-1. Be sure to complete all other sections of the Joint
Application that relate to this proposed project. Please include all supplemental information.
1. DOCKING FACILITY/MARINA CHARACTERISTICS
a. (i) Is the docking facility/marina:
®Commercial ❑Public/Government ❑Private/Community
El This section not applicable
b. (i) Will the facility be open to the general public?
®Yes ❑No
c. (i) Dock(s) and/or pier(s)
d. (i) Are Finger Piers included? ®Yes ❑No
(ii) Number 1
If yes:
(iii) Length 59'
(ii) Number 3
(iv) Width 6"
(iii) Length 30'
(v) Floating ❑Yes ®No
(iv) Width 3'
(v) Floating ❑Yes ®No
e. (i) Are Platforms included? ❑Yes ®No
f. (i) Are Boatlifts included? ®Yes ❑No
If yes:
If yes:
(ii) Number
(ii) Number 5
(iii) Length
(iii) Length 12'
(iv) Width
(iv) Width 12
(v) Floating ❑Yes ❑No
Note: Roofed areas are calculated from dripline dimensions.
g. (i) Number of slips proposed
h. Check all the types of services to be provided.
5
❑ Full service, including travel lift and/or rail, repair or
(ii) Number of slips existing
maintenance service
0
❑ Dockage, fuel, and marine supplies
® Dockage ("wet slips") only, number of slips: 5
❑ Dry storage; number of boats:
❑ Boat ramp(s); number of boat ramps:
❑ Other, please describe:
i. Check the proposed type of siting:
❑ Land cut and access channel
❑Open water; dredging for basin and/or channel
®Open water; no dredging required
❑Other; please describe:
k. Typical boat length: 24'
m. (i) Will the facility have tie pilings?
❑Yes ®No
(ii) If yes number of tie pilings?
j. Describe the typical boats to be served (e.g., open runabout,
charter boats, sail boats, mixed types).
open runabout
I. (i) Will the facility be open to the general public?
®Yes ❑No

Form DCM MP-4 (Structures, Page 2 of 4)
2. DOCKING FACILITY/MARINA OPERATIONS ❑This section not applicable
a. Check each of the following sanitary facilities that will be included in the proposed project.
❑ Office Toilets
❑ Toilets for patrons; Number: ; Location: none proposed
❑ Showers
❑ Boatholding tank pumpout; Give type and location: none proposed
b. Describe treatment type and disposal location for all sanitary wastewater.
none allowed
c. Describe the disposal of solid waste, fish offal and trash.
none allowed
d. How will overboard discharge of sewage from boats be controlled?
none allowed on site
e. (i) Give the location and number of "No Sewage Discharge" signs proposed.
one sign located at dock enterance
(ii) Give the location and number of "Pumpout Available" signs proposed.
none provided
f. Describe the special design, if applicable, for containing industrial type pollutants, such as paint, sandblasting waste and petroleum products.
none allowed on site
g. Where will residue from vessel maintenance be disposed of?
none allowed on site
h. Give the number of channel markers and "No Wake" signs proposed. 0
i. Give the location of fuel -handling facilities, and describe the safety measures planned to protect area water quality.
none allowed on site
j. What will be the marina policy on overnight and live -aboard dockage?
none
k. Describe design measures that promote boat basin flushing?
Tidal open pile docking facility
I. If this project is an expansion of an existing marina, what types of services are currently provided?
n/a
252-808-2808 :: 1-888-4RCOAST :: www.nccoastaimanagement.net revised: 12/27/06

Form DCM MP-4 (Structures, Page 3 of 4)
m. Is the marina/docking facility proposed within a primary or secondary nursery area?
❑Yes ®No
n. Is the marina/docking facility proposed within or adjacent to any shellfish harvesting area?
❑Yes ®No
o. Is the marina/docking facility proposed within or adjacent to coastal wetlands/marsh (CW), submerged aquatic vegetation (SAV), shell bottom
(SIB), or other wetlands (WL)? If any boxes are checked, provide the number of square feet affected.
❑CW ❑SAV ®SIB 0
❑WL ®None
p. Is the proposed marina/docking facility located within or within close proximity to any shellfish leases? ❑Yes ®No
If yes, give the name and address of the leaseholder(s), and give the proximity to the lease.
3. BOATHOUSE (including covered lifts) ®This section not applicable
a. (i) Is the boathouse structure(s):
❑Commercial ❑Public/Government ❑Private/Community
(ii) Number
(iii) Length
(iv) Width
Note: Roofed areas are calculated from dripline dimensions.
4. GROIN (e.g., wood, sheetpile, etc. If a rock groin, use MP-2, Excavation and Fill.) ®This section not applicable
a. (i) Number
(ii) Length
(iii) Width
5. BREAKWATER (e.g., wood, sheetpile, etc.) ®This section not applicable
a. Length b. Average distance from NHW, NWL, or wetlands
c. Maximum distance beyond NHW, NWL or wetlands
6. MOORING PILINGS and BUOYS ®This section not applicable
a. Is the structure(s): b. Number
❑Commercial ❑Public/Government ❑Private/Community
C. Distance to be placed beyond shoreline d. Description of buoy (color, inscription, size, anchor, etc.)
Note: This should be measured from marsh edge, if present.
e. Arc of the swing
252-808-2808 :: 1-888-4RCOAST :: www.nccoastaimanagement.net revised: 12/27/06

7. GENERAL
a. Proximity of structure(s) to adjacent riparian property lines b. Proximity of structure(s) to adjacent docking facilities.
15' from Guthrie/at the Fiorini line 40'
Note: For buoy or mooring piling, use arc of swing including length
of vessel.
c. Width of water body d. Water depth at waterward end of structure at NLW or NWL
12,000' (bogue sound) 4'
e. (i) Will navigational aids be required as a result of the project?
❑Yes ®No ❑NA
(ii) If yes, explain what type and how they will be implemented.
8. OTHER El This section not applicable
a. Give complete description:
Project consists of 6'x59' dock with 3-3x30 finger piers and 5 boat lifts. Total number of boat slips
proposed is 5.
Dater
Project Name
Applicant Name
A. jwv s6an4k4,
Applicant Signature

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Carteret Marine Services
1671 NC-101, Beaufort, NC 28516 CARTERET MARINE
Tel[phone] SERVICES
[e-mail]
Project Narrative:
The property is a .114-acre parcel at 150 Headen Lane in Salter Path, Carteret County.
The projected project is a commercial marina which consists of a 6'x59' dock with 3-3x30 finger piers and
5 boat lifts. The total number of boat slips proposed is 5.
• The project proponent hereby certifies that all information contained herein is true, accurate, and
complete to the best of my knowledge and belief.
• The project proponent hereby requests that the certifying authority review and take action on this CWA
401 certification request within the applicable reasonable period of time.

1901 i.4xelsaI.7:149[rr1►1.4xelsa1:1111-KelMal 0MON
Karen S. Hardesty
Carteret County, NC
October 30, 2023 11 A3:36 AM
DEED # Pages: 5
Fee;$26.00 NC Revenue Stamp-,$580,00
FILE # 1812395
Prepared by: Debra Whaley, Attorney at Law 301 Cornmerce Avenue, Ste. 102, Morehead City, NC 28557
Return to: Debra Whaley, Attorney at Law
Parcel #: 6334.07,58.1775000
Stamps: $580
NORTH CAROLINA GENERAL WARRANTY DEED
This Deed made this the 27th day of October, 2023, by and between:
Boa Nguyen, single, Loan Ngoc Nguyen, single and Vu K. Nguyen, single
101 Key West Ln.. Newport, NC.28570
(hereinafter referred to as Grantor);
and
Nola Crane
3208 Country Club Rd., Morehead City, NC 28557
.............
(hereinafter referred to as Grantee).
The designation Grantor and Grantee as used herein shall include said parties, their heirs,
successors, and assigns, and shall include singular, plural, masculine, feminine, or neuter as
required by context.
WITNESSETH:
That Grantor, for valuable consideration paid by the Grantee, the receipt of which is
hereby acknowledged, has and by these presents does grant, bargain, sell and convey unto the
Grantee in fee simple, all that certain lot or parcel of land situated in Carteret County, North
Carolina, and more particularly described as:
(SEE ATTACHED "EXHIBIT A")
BEING the same property previously conveyed in Deeds recorded in Book 1726, Page 125
This conveyance _ is or X is not the primary residence of the Grantors.
Page 1 of 5
submitted electronically by "Debra Whaley, Attorney at Law"
in compliance with North Carolina statutes governing recordable documents
and the terms of the submitter agreement with the Carteret county Register of Deeds.

1812395
TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and
appurtenances thereto belonging to the Grantee in fee simple.
AND the Grantor covenants with the Grantee, that Grantor is seized of the premises in
fee simple, has the right to convey the same in fee simple, that title is marketable and free and
clear of all encumbrances, and that Grantor will warrant and defend the title against the lawful
claims of all persons whomsoever except for the exceptions hereinafter stated: 2023 ad valorem
taxes: utility easements and unviolated restrictions.
IN WITNESS WHEREOF, the Grantor has caused this instrument to be signed in their
names, the day and year first above written.
(SEAL)
- - Boa Nguyen
STATE OF V
COUNTY OF "
i x y WONG d a Notary Public of the aforesaid County
and State do hereby certify that Boa Nguyen personally came before me this day and
acknowledged the due execution of the foregoing instrument for the purposes therein expressed.
Witness my hand and seal this X day of , 2023.
My commission Expires: C
{ 1 ; I
Notary Public _ _ j 1f
Print Name:
Page 2 of 5

1812395
IN WITNESS WHEREOF, the Grantor has caused this instrument to be signed in their names,
the day and year first above written.
" �u(SEAL)
Loan , go guy ,
STATE OF
COUNTY OF
I` a Not Public of the aforesaid County
I, Notary
and State o hereby certify that Loan Ngoc Nguyen personally came before me this day and
acknowledged the due execution of the foregoing instrument for the purposes therein expressed.
Witness my hand and seal this, day of , 2023.
< IMy commission Expires:
VLo111q 111rrr,,0
1 O'V
{SEAL} 0y'-.,
v V ' yP
t f
PUB00 .'
t9d,t;:tit W1
Notary Public 4
j
Print Name:.....:.:. .
Page 3 of 5

1812395
IN WITNESS WHEREOF, the Grantor has caused this instrument to be signed in their
names, the day and year first above written.
(SEAL)
Vu K. Nguyen
STATE OF
COUNTY OF
I , a Notary Public of the aforesaid County
and State duo hereby certify that Vu K. Nguyen personally came before me this day and
acknowledged the due execution of the foregoing instrument for the purposes therein expressed.
Witness my hand and seal this CP day of V�q—, 2023.
My commission Expires:
�7
�,, o Public r
' i','''-. Print Name: y
(SEAL) :~`` .' *` , �
Q TA r
4� b
r
Q
I
J.•._�_ .i66l;4.tLL;'L
Page 4 of 5

1812395
EXHIBIT A
All that certain lot or parcel of land situated in Carteret County, North Carolina and being more
particularly described as follows:
BEING all of Lot Number Seven (7), Section Four (4), as shown on those certain maps of The
Village of Salter Path which are filed with and incorporated in that certain Judgment of the
Superior Court of Carteret County, said Judgment being recorded in Judgment Book 9, Page 45,
and having been entered in the proceeding captioned "Carteret County vs. Janice Lewis Austin. et.
al., Civil Action No. 75 CVS 236,"said maps also being recorded in Map Book 16, Page 45-50,
Carteret County Registry.
Together with all improvements now or subsequently situated on the aforedescribed tracts and
parcels (collectively, the "Land") (including buildings, amenities, paving, landscaping, grading,
parking and utility installations) (the "Improvements"); all of SALTER PATH DEVELOPMENT
GROUP, LLC interest in all easements, riparian rights and rights -of -way appurtenant to or used in
connection with the Land or the Improvements, or as a means of ingress to or egress from the
Land or the improvements; all estates, interests, rights and titles, if any, of SPDG in the real estate
lying in the streets, roads, alleys, ways, sidewalks, or avenues, open or proposed in front of, or
adjoining, the Land and in and to any strips or gores of real estate adjoining the Land; all fixtures
now or subsequently affixed to the Land (even though detached or detachable) and all building
improvement and construction materials, supplies, and equipment and related personal property
now or subsequently delivered to the Land which are or will be made a part of and/or affixed to
the Land or incorporated in the Improvements ( collectively, the "Fixtures"); and all other estates,
interests, rights, and titles of every kind and character which SPDG now or subsequently has, in
and to the Land, the Improvements, the Fixtures, and all property which is used in connection
with the Land, the Improvements and the Fixtures, including without limitation, the proceeds
from condemnation or threatened condemnation of the Land, the Improvements, the Fixtures, and
the proceeds of any and all insurance covering the Land, the Improvements, and the Fixtures and
all water, oil, gas, and other mineral rights relating to the Land.
Page 5 of 5

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: )�D'A CAAbt,
Address of Property: kno V1CC(Aeln I -"a° � )a �-tev-*Ta I KY s )Z- St �.
Mailing Address of Owner: 3?,Or6 z-A)n4ru CXukRlxjI KDcP� 2755-7
Owner's email:1)(lla\aY'&)f1 1 CUYVI Owner's Phone#: -15-1— 2-4LA—%Q7
Agent's Name: Carteret Marine Services
Agent's Email
[e-mail]
Agent Phone#: [phone]
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 (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 [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
Signature of Adjacdnt Ri arian Property Owner
-O R-
I do not wish to waive the 15' setback requirement (initial the blank)
' - Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: IeA\c ywLt 1 � 1CV-,1 1 I
Mailing Address of ARPO: IL10 skDre- (V1ye1 -�1kAr VO4� 1 k�L �S�a
ARPO's email:
ARPO's Phone#: o15a - aLA I - q► 33
Date: 'f *waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to b�e1 completed by owner or their agent)
Name of Property Owner: uD�a l-X (nc—
Address of Property:
Mailing Address of Owner: 3? ns cxwnirw uwo KwLd , 1"1012'�( em 6 T4 1 1VL 2ASS 7
Owner's email: (\6Q1Iayretn-c �q� Gw Owner's Phone#: J51— Z01 —%U0-7
Agent's Name: Carteret Marine Services
Agent's Email: [e-mail]
Agent Phone#: [phone]
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 (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 [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 �� C,
4��
Signature of Adjacent Riparian Property Owner
-O R-
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: �n CkL(( f-YN 11coIC-, o
ARPO's email: ARPO's Phone#:
Date: *waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: da ov-avic-,
Mailing Address:
1� L Z��E T
Phone Number: -1�-1 - 201 � -�y(�17
Email Address: (()Vk • �ay-tnf-_ (01) Q VW11
I certify that I have authorized
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
at my property located at L-ab'1e C�a� kr
in 1�� County.
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
Qolc(
Print or Type Name
e
Title
1 I 1-2-
Date
This certification is valid through

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[�CAMA ❑ DREDGE & FILL ;;. A 8 Q D
Previous GENERAL PERMIT permit
Data previoussous permit issued 4 %�
❑ 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 m
I SA NCAC 0-7 • } �G ❑ Rules attached. General Permit Rules available at the following link:
Applicant Name 'tl 1 A Col f? 4 Authorised Agent C 04- ds"D 4- A A 0�1 - hp
Address J206 C0'.A '9_([L � '444 - Project Location (County): Gam✓ � t "G'r
City —416" %Pad State ^// G ZIP ;M SST Streat Address/State Road/Lot #(s) 1' SCE I L OIciM 6- A� C
Phone # ('-M a0 i - 960 7 p
Email - 4o r,m I c, v On O A) ' .�I i c Ok"I _ � Subdivision
City 50 ye*- IATNf i ZIP 'o? 95
Affected ❑ CW XEW ® PTA ❑ ES ❑ PTS Adl. Wtr. Body p am.a ` ri&a man/unk)
AEC(s); ❑ DEA ❑ IHA ❑ UW ❑SPIMA ❑ PWs Closast Mal, Wtr. Body - 1�d6, �, Sow✓}d ,_ „__.._._ _._
DRW; yes/@ PNA: yes/q
Type of Project/ Activity PVOP05� h_i kh aI r-d e 11;4 � �BwJ-
-~ (Scale: IV/- j
Shoreline Length
Access Length
Pier (dock) length
Fixed Platform(s) ^^
floating Platforms) ---
Finger pier(s) —
Total Platform area
Groin length/# r
u a Riprap length 1 7-'
Avg distance offshore r
Breakwater/Sill —
Max distance/ length "
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
$AV observed; yes
Moratorium: n/a yes t
Site Photos: yes t�g/ --- ---
Riparian Waiver Attached: 6- ' no
A building permit/zoning permit may be required by:
Permit Conditions OX("' �&r Ilfkr r4 j
's 1d714_110
i AM AWARE OF STATUTES, CRC RULES AND CONDUIONS THAT APPLY TO THIS PROJ
Carteret Marine Services LLC
Age,%for Applicant RIN D Name
Signature "*Pleas ad compliance statement on back of permit"
Application Fee(s) Check #/Money Order
_._-1�'-_F --
II
I -
a
..E_-_-J- !_-
w i �T�°'avAl� ❑ TAR/PAM/NEUSEIBUFFER(circleone)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
AND REVIEWED
STATEMENT. (Please initial)
Ae ,-,me
Permit Officer's PRINTED Name
Signature
Issuing Date ExpiratIon Date
vi?

I-DgNew
�CA"s[SCAMA DREDGE & FILL N9 92959 A e D
GPrevious permit
ENERAL PERM1T Date previous permit issued
❑ 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 SW ❑ Rules attached, X General Permit Rules available at the following link: www.dea.nc.Yov/CAMArules
Applicant Name lVO I A C Authorized Agent —
Address 1r So /�f tnJen Loot Project Location (County):
City 5.1 1 TE- Pa f�l State Al e, _ zl P D s/ a Street Address/State Road Lot #(s) - 15,0 y t -i 6 -% L.f "o
Phone # (%S7j `till - goo
Email Subdivision
/l© In ki-e vie, Oar": i, Gv>s+ city ^S, l fay �44t, zip 29 -0;;
Affected ❑ CW EW PTA ❑ ES ❑ PTS Adj. Wtr. Body &,q k J U A'►r�/ (�a man/unk)
AEC(s): ❑ OEA IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body br,Oi
ORW: yes/0 PNA: yes/' l /i
Type of Project/Activity QJ,o6'-5f-
u (Scale:
Shoreline Length
Access Length -' ,-�-- --- I -- +--,-
Pier (dock) length _ J -- - i - -- -- --- �- _i - 7-1
Fixed Platforms)
FloatingPlatform(s) -` ^'T-i_
Finger pier(s)
_t
Total Platform area
Groin length/# — - -�- s- -- - - --�t --- - -
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill — T +_ r-r --- - I - 1 1 -- - - -- - - `-(_ } '•
Max distance/ length
Basin, channel
Cubic yards
Boat ramp _ i 1'__i
Boathouse/Boatlift
Beach Bulldozing -�� ; - _ - I__ - - I
«— r- — - ---� -: -
Other - j--1-- - -- -T
SAV observed: yes
� •F;Iw ---j--T- _ 1_,-_
Moratorium: n/a yesSite Photos: yes ----u-t- --} - -�--Irr �-
RiparianWaiverAttached: es no
A building permit/zoning permit may be required by: CGS i l�G� rI 4-tf I
Permit Conditions Act;44-pGticl axen&y i 4-,'<✓1 U k 5(J1009
t1d 3 loci o Wta�C
❑ 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)
RAG n4 /Ao ran u
Agen p i ant NTED Name Permit Officer's PRINTED Name
Signature�"P ea e,Lead compliance statement on back of permit" Signature
coo �� 1 • 1,�/1 2,3 q Z I It
Application Fee(s) Check #/Money order Issuing Date Explfation D to e �—

.+ i`OUT41 %[)qCAMA ElDREDGE & FILL
GENERAL PERMIT
[gNew ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
N9 92959
Previous permit
Date previous permit issued
A B OC D
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 0 717, 1 S 00 ❑ Rules attached. N General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name &01 " Cyaih a Authorized Agent —
Address Io t4enJe-i Lgyi l Project Location (County): e.,- -&-.°-
City S°, l h- A, t4i p State _ /(�C ZIP � �}Jrl a Street Address/State Road/Lot #(s) 1 sa
Phone # ( *7 � Rol — a 007 'n
Email Subdivision
Ala 14 1,,,- r1 Cg)Z"�` �� CP-"h City 5, oe- bt+� ZIP
Affected ❑ CW EW I PTA ❑ ES ❑ PTS Adj. Wtr. Body &a a rr j/ fgman/unk)
AEC(s): ❑ OEA IHA ❑r UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body A 7 O hn
ORW: yes/0 PNA: yes6
Type of Project/ Activity _E ii ofC5IJ ri -C J.,4 hh 0 -f - o') f" o 79 P -
u i
Shoreline Length 7
Access Length
Pier (dock) length
Al
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
76'
Total Platform area
Groin length/# -'
Bulkhead/ Riprap length —
Avg distance offshore
Breakwater/Sill —
Max distance/ length i Basin, 'X 76 'A
50,Y
channel ( r�%=6
Cubic yards Ql/18 r 6 s0 li ✓�S
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other —SAV
observed: yes
F i p
Moratorium: n/a yes
O
INOf
Site Photos: yes
wo
Riparian Waiver Attached: ( ge no
A building permit/zoning permit may be required by: I
Permit Conditions J' aL'!t?"C,,%4hCL 0 SQ Nd 3 L, c, lha✓Cr
4 6m la eO � d 3
CG ✓�('� 4- C Ok n
(Scale: fit/To )
tC"'t.w
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regardingrRiver 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)
Ate - clad AAXah (Y
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature "Please read compliance statement on back of permit" Signature
oo �- 14 1 '7 1A q a ;?
Application Feels) Check #/Money Order Issuing Dater Expifatior,Dlte

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:
11 Tar - Pamlico River Basin Buffer Rules 1-1 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
400 Commerce Ave Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST Fax: [phone]
(Serves: Carteret, Craven — south of the Neuse River, Onslow
Counties)
Elizabeth City District
401 S. Griffin St. Ste, 300
Elizabeth City, NC 27909
252-264-3901
(Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford,
Pasquotank and Perquimans Counties)
Washington District
943 Washington Square Mall Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Craven — north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext. Wilmington, NC 28405-3845
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

❑CAMA ❑ DREDGE & FILL
3oa
GENERAL PERMIT
❑ New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
No 92959
Previous permit
Date previous permit issued
A B D
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, i ❑ Rules attached. ❑ General Permit Rules available at the following link: www.dgq.nc.gov/CAMArules
Applicant Name All - = Authorized Agent
Address ` 1 ti a11Y1 L Project Location (County):
City State ii/C zip B sl a Street Address/State Road/Lot #(s)
Phone # ( 600%
Email Subdivision
to I � I �r n C qna ' I • o•�, City ZIP
Affected ❑ CW EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk)
AEC(s): ❑ OEA KHA ❑ UW ❑ SPIMA ❑ PINS Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/no;
Type of Project/ Activity
(Scale: V)rf )
Shoreline Length :/ V
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards b
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed:
yes
Moratorium: n/a
yes
e
Site Photos:
yes
no
Riparian Waiver Attached:
yes
no
A building permit/zoning permit may be reyuneu uy.
Permit Conditions �+
t-,v►n J,dCdO �, �
❑ 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
Signature "Please read compliance statement on back of permit"
Application Feels) Check #/Money Order
Permit Officer's PRINTED Name
Signature
Lf iI;�rl
Issuing Date Expifation 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 1-1 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
400 Commerce Ave Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST Fax: [phone]
(Serves: Carteret, Craven — south of the Neuse River, Onslow
Counties)
Elizabeth City District
401 S. Griffin St. Ste. 300
Elizabeth City, NC 27909
252-264-3901
(Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford,
Pasquotank and Perquimans Counties)
Washington District
943 Washington Square Mall Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Craven — north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext. Wilmington, NC 28405-3845
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

❑CAMA ❑ DREDGE & FILL No 92959 ABC 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:
I SA NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc.Eov/CAMArules
Applicant Name Authorized Agent
Address Project Location (County):
City State ZIP i Street Address/State Road/Lot #(s)
Phone # ( ) ?
Email Subdivision
F Nf ,r u7 ! !tY y; r, (={ . ;: a:. i u o`c•; 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/no PNA: yes/no
Type of Project/ Activity
Shoreline Length.
Access Length _
Pier (dock) length
Fixed Platform(s).
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length {
Basin, channel
Cubic yards
Boat ramp
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:
Permit Conditions
(Scale: �i/TS)
❑ 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
r
Signature "Please read compliance statement on back of permit"
^1
Application Fee(s) Check #/Money Order
Signature F/
2 —
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
400 Commerce Ave Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST Fax: [phone]
(Serves: Carteret, Craven — south of the Neuse River, Onslow
Counties)
Elizabeth City District
401 S. Griffin St. Ste. 300
Elizabeth City, NC 27909
252-264-3901
(Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford,
Pasquotank and Perquimans Counties)
Washington District
943 Washington Square Mall Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Craven — north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext. Wilmington, NC 28405-3845
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to fk nof\ �� ��, is
(Name of Property Owner)
property located at I `1
N1
(Lot, Block, Road, etc.)
{ , N. C.
1'-) , in
on ,��� P�P�
( aterbody) (Town and/or County)
He has described to me as shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ---�f52 '4L__ � cG!-------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
�r�
I'1'tiYirt,NG,
9 (a
O v i ut' S 61AI J
--------------------------------------------------------------------
Sinature
Print or Type Name
Telephone Number
Date: J 5

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 1 G ke-1 lI ` Li 1 is
l (Name of Property Owner)
property located at / 470 vd l�l�, �, /�L ti -2f4 N"
(Lot, Block, Road, etc.)
on 2 /) 4 • ,
Swi►J , in -(1 6 11 G-y"t , N.C.
( aterbody) (Town and/or County)
He has described to me as shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
rrl------------------------------------------------------------------ ---- ----- ' --� `� -----------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
&rAg 5�u
0txVt6+'5
7t`
G &5U 500J
-----------------------------------------------------------------------------
Signature
6 <Dj�� 1
Print or Type Name
;z Lt�-'),y/ 9/33
Telephone Number
Date: /2-

S U;J-jts
DOCK

NC Division of Coastal Management
Cashier's Official Receipt
A B C D
i 9 ,4 l
Received From:
Permit No.: r.0 c
LApplicant's Name: t
r
Project Address:
Date: 20
Check No.: j 1
County:
Please retain receipt for your records as proof of payment for permit issued.
Signature of Agent or Applicant:
Signature of Field Representative:
i
s
Date:
Date:

❑CAMA ❑ DREDGE & FILL
GENERAL PERMIT
New ❑ Modification ❑ Complete Reissue [—]Partial Reissue
N9 92965
Previous permit
Date previous permit issued
A B C. D
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 v / /a Rules attached. ❑ General Permit Rules available at the following link: www.dgg.nc.gov/CAMArules
i
Applicant Name !. C i '- , I//
Address j 0 �- vJ ca
City v! a State IV L zip
Phone # (2" � O l 0002
Email A010%✓ AI�Pn� a� L. �7
Authorized Agent ! = + /%LL�c✓
Project Location (County): 1 n •'CST
`
Street Address/State Road/Lot #(s) -f0 Y 6 1
Subdivision
City s
Affected ❑ CW DEW 0 PTA ❑ ES ❑ PTS Adj. Wtr. Body ' (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
i
ORW: yes/nw PNA: yes/r 4 // 1
Type of Project/ Activity
Shoreline Length
Access Length
Pier (dock) length
Fixed Platform(s).
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/#
ulkhead4l1iprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed: yes
Moratorium: n/a yes
Site Photos: yes
Riparian Waiver Attached: es
A building permit/zoning permit may be required by: r' /+ k ?
Permit Conditions 1 -h F 2 ,A�P-Lrav
Y ; asl b'�' fr{ /;
(Scale: y T 5)
❑ 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 yaa�e
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 F1 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
400 Commerce Ave Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST Fax: [phone]
(Serves: Carteret, Craven — south of the Neuse River, Onslow
Counties)
Elizabeth City District
401 S. Griffin St. Ste. 300
Elizabeth City, NC 27909
252-264-3901
(Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford,
Pasquotank and Perquimans Counties)
Washington District
943 Washington Square Mall Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Craven — north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext. Wilmington, NC 28405-3845
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

❑CAMA ❑ DREDGE & FILL NO 92965 A B 0 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:
I SA NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: www.dgq.nc.gov/CAMArules
Applicant Name
Address
City State
Phone # 00 %
Email lid �a 1
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City ® '� "� ZIP is
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/fnan/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes/no, PNA: yes/no;
Type of Project/ Activity 'c i h,,"n f
Shoreline Length
Access Length
Pier (dock) length
Fixed Platform(s) _
Floating Platform(s) _
Finger pier(s)
Total Platform area _
Groin length/#
§01khea4Riprap IenE
Avg distance offshore
Breakwater/Sill
Max distance/ length.
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift _
Beach Bulldozing
Other --
SAV observed:
Moratorium: n/a
Site Photos:
Riparian Waiver Attacl
A building permit/zoning permit may be required by: 1"
Permit Conditions
(Scale: 4IT5)
❑ 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
i
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:
1-1 Tar - Pamlico River Basin Buffer Rules 1-1 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
400 Commerce Ave Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST Fax: [phone]
(Serves: Carteret, Craven — south of the Neuse River, Onslow
Counties)
Elizabeth City District
401 S. Griffin St. Ste. 300
Elizabeth City, NC 27909
252-264-3901
(Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford,
Pasquotank and Perquimans Counties)
Washington District
943 Washington Square Mall Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Craven — north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext. Wilmington, NC 28405-3845
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: �I P I a Cravic,
Mailing Address:
Phone Number: — 7 (�� —�0(�7
Email Address: no` k • far
I certify that I have authorized
Agent / Contractor
,�
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
at my property located at -Ra'HI ,N', 2CS1
in �fti1��X�� County.
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:
4 )r ( � llu
Crvne—
Print Signature
10(
LA,Ptr
or Type Name
Title
I/11i'2-0Lq
Date
This certification is valid through I I

U

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:
Address of Property: ` ��1. t(,U:l i'_'L1 U40 �' , � � f-Cli V-IiAtr_—)
Mailing Address of Owner: 3u�� �()()A r t,l Z(Y1L j�i�� G�� �( , ,V, Z� `DV
Owner's email: ncL( �\OII�P1�1f' �9mb{w IersPhone)#: `q"�-}-
Agent's Name: Carteret Marine Services
Agent's Email: [e-mail]
Agent Phone#: [phone]
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 (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 [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 - -
Signature of A jacent Aiparian Property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner: -f ,`�( ✓ �.
Typed/Printed name of ARPO: Q 16-) i e,( Ficrint
Mailing Address of ARPO: i�G�; `o11UYe'I�C' Y1 ��� ,�j l _ 216IDL,
ARPO's email: ARPO's Phone#:',a --)`1 I —CA
Date: / Zvi *waiver is valid for up to one year from ARPO's Signature`
Revised May 2021

TIPS FOR ADJACENT RIPARIAN OWNER NOTIFICATION & WAIVER FORMS
CAMA Regulations require notice of proposed development to the Adjacent Riparian Property Owners (15A
NCAC 7J.0204(b)(5)). Proof of actual notice (a sign -off by the owner on this form) or certified mail return
receipts (showing delivery of notice) are needed, or any other method which satisfies the Local Permit Officer
(LPO) that a good faith effort has been made to provide notice.
The purpose of this notice is to make adjacent riparian property owners aware of the proposed development
so that they have an opportunity to provide comments (or potentially object to) the proposed development,
and to give DCM or the LPO an opportunity to consider these comments/objections before a permit decision
is made. "Permission" of adjacent property owners is not necessarily required for DCM to issue a permit;
however, permission must be obtained for certain types of proposed developments if they fall within a 15'
setback area along the riparian access area of the adjacent property, as determined solely by DCM. It is in
the applicant's best interest to provide comprehensive and accurate notice so that any concerns or objections
can be resolved early in the permit review process. In addition, if the adjacent riparian property owner appeals
the permit decision, insufficient notice could be a basis for granting such an appeal.
Who is an Adjacent Riparian Property Owner?
What is Adjacent? (Note: DCM reads this broadly to ensure comment by potentially impacted neighbors)
• A property that shares a boundary line with the site of proposed development; AND
• A property that fronts a natural or manmade waterbody that is connected to coastal waters and
can support some form of navigation, even a kayak or canoe, including a common canal system
or a manmade basin.
• Easement holders? Yes, if the easement could be impacted by the proposed development.
• Streets/Roads? Only if the street/road could be impacted by the proposed development. This
might include street -ends which might be used for parking and beach access.
• Holders of recognized submerged lands claims/shellfish franchises.
What is Riparian?
Do the boundaries of the adjacent property legally intersect with the water at mean high tide? If there is a
question about whether an adjacent property is considered "riparian," please reach out to DCM Staff -
especially on the oceanfront beach where there may be undeveloped parcels on the beach or in the water.
Who/What is a Property Owner?
For private individuals (or families), send notice to the address listed on the tax card. If the property is owned
by an Inc. or LLC, please send notice to the person listed as the registered agent on the NC Secretary of
State's Corporations Look Up site: https://www.sosnc.gov/search/index/corp. For Condominiums or
neighborhoods with an owners' association (HOA/POA), send notice to the association (which is usually a
corporation, for which you send notice to its registered agent).
What is Notice, and how do 1 ensure it is received?
• You can meet with your adjacent property owner, provide a description or drawing of the
proposed development, and ask them to sign this form and return it to DCM; OR
• You can hand -deliver this form and a description or drawing, and ask your neighbor to return it to
DCM (consider providing them with a stamped envelope); OR
• You can mail this form by USPS Certified Mail, return receipt requested (the Green Card). If you
choose this option, you must provide either the signed & returned green card OR track the
certified mail package number on USPS.GOV's online tracking system, and provide the tracking
print-out as proof of delivery to DCM
If you have any questions about this process, please reach out to DCM Staff and DCM Legal Counsel
and we will work to answer your questions.
Revised May 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: I CI a �xant
Address of Property: � � �f'UC�F Vl 4�11', �]'X I Ir TVI ; N L A=50�1
Mailing Address of Owner: �ZO� C_i�1�{Yvl CW10
Owner's email: n0L . larctir - sm, UW'lOwner's Phone#: ,�j� — 2-01 i 00 -]
Agent's Name: Carteret Marine Services
Agent's Email: [e-mail]
Agent Phone#: [phone]
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 (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 [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.) q
I DO wish to waive some/all of the 15' setback / �� ��i .. All
-OR- L�
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: 14f, kll(�f{1 i l��_ I �-t 1TCX i�i��'1 1�►l� Z� (�
ARPO's email:
ARPO's Phone#:
Date: i ',✓ *waiver is valid for up to one year from ARPO's Signature*
1.
Revised May 2021

TIPS FOR ADJACENT RIPARIAN OWNER NOTIFICATION S WAIVER FORMS
CAMA Regulations require notice of proposed development to the Adjacent Riparian Property Owners (15A
NCAC 7J.0204(b)(5)). Proof of actual notice (a sign -off by the owner on this form) or certified mail return
receipts (showing deliveryof notice) are needed, or any other method which satisfies the Local Permit Officer
(LPO) that a good faith effort has been made to provide notice.
The purpose of this notice is to make adjacent riparian property owners aware of the proposed development
so that they have an opportunity to provide comments (or potentially object to) the proposed development,
and to give DCM or the LPO an opportunity to consider these comments/objections before a permit decision
is made. "Permission" of adjacent property owners is not necessarily required for DCM to issue a permit;
however, permission must be obtained for certain types of proposed developments if they fall within a 15'
setback area along the riparian access area of the adjacent property, as determined solely by DCM. It is in
the applicant's best interest to provide comprehensive and accurate notice so that any concerns or objections
can be resolved early in the permit review process. In addition, if the adjacent riparian property owner appeals
the permit decision, insufficient notice could be a basis for granting such an appeal.
Who is an Adjacent Riparian Property Owner?
What is Adjacent? (Note: DCM reads this broadly to ensure comment by potentially impacted neighbors)
• A property that shares a boundary line with the site of proposed development; AND
• A property that fronts a natural or manmade waterbody that is connected to coastal waters and
can support some form of navigation, even a kayak or canoe, including a common canal system
or a manmade basin.
• Easement holders? Yes, if the easement could be impacted by the proposed development.
• Streets/Roads? Only if the street/road could be impacted by the proposed development. This
might include street -ends which might be used for parking and beach access.
• Holders of recognized submerged lands claims/shellfish franchises.
What is Riparian?
Do the boundaries of the adjacent property legally intersect with the water at mean high tide? If there is a
question about whether an adjacent property is considered "riparian," please reach out to DCM Staff -
especially on the oceanfront beach where there may be undeveloped parcels on the beach or in the water.
Who/What is a Property Owner?
For private individuals (or families), send notice to the address listed on the tax card. If the property is owned
by an Inc. or LLC, please send notice to the person listed as the registered agent on the NC Secretary of
State's Corporations Look Up site: https://www.sosnc.gov/search/index/corp. For Condominiums or
neighborhoods with an owners' association (HOA/POA), send notice to the association (which is usually a
corporation, for which you send notice to its registered agent).
What is Notice, and how do I ensure it is received?
• You can meet with your adjacent property owner, provide a description or drawing of the
proposed development, and ask them to sign this form and return it to DCM; OR
• You can hand -deliver this form and a description or drawing, and ask your neighbor to return it to
DCM (consider providing them with a stamped envelope); OR
• You can mail this form by USPS Certified Mail, return receipt requested (the Green Card). If you
choose this option, you must provide either the signed & returned green card OR track the
certified mail package number on USPS.GOV's online tracking system, and provide the tracking
print-out as proof of delivery to DCM
If you have any questions about this process, please reach out to DCM Staff and DCM Legal Counsel
and we will work to answer your questions.
Revised May 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: 0-&—UQK\C-
Address of Property: \SD =d Col ^P �' i 'y ��" ► `L 2 b i"'.
Mailing Address of Owner:,31 DS C()u)a- r-w CA" ocA, U \+(- 4 1y C- 2�Z�>5
Owner's email: wner's Phone#: -'5-1- 20 R - $00�'
Agent's Name: Carteret Marine Services
Agent's Email: [e-mail]
Agent Phone#: 252
631-9435
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.
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 (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 [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 /l / // '* // �f `
Signature of Adjbcent
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
erty Owner
Typed/Printed name of ARPO: - \ b� A T- VnrN\Y ,I
Mailing Address of ARPO: IUD �kDr,C Mile kc-{ a
ARPO's email:
ARPO's Phone#: -- akA 1— 9
Date: � _ �"G 02
*waiver is valid for up to one year from ARPO's Signature*
Revised May 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: �AD "C'
Address of Property:
Z&5 1_,�,
Mailing Address of Owner: �)-;l-p% CUQn_ r i4 cw6 1(zm JIo �&'CyL I QC,
Owner's email: r-6kcAarev e am Ij 1.CLX v\ Owner's Phone#: IS -7 — 2-01—gQQY
Agent's Name: Carteret Marine Services
Agent's Email: [e-mail]
Agent Phone#: [phone]
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 (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 [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.) N
DO wish to waive some/all of the 15'
of Adjacent Riparian Prco�-_rty Owner
lsiPA
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Mailing Address of ARPO:y4�p IV,
ARPO's email:
ARPO's Phone#:
Date:1) *waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
TANCRED MILLER
Director
Carteret News Times
Re: Public Notice
Dear Sir:
NORTH CAROLINA
Environmental Quality
5/15/2024
Please publish the attached Notice in the May 19, 2024 issue of the Carteret News Times.
The State Office of Budget and Management requires an original Affidavit of Publication prior
to payment for newspaper advertising. Please send the affidavit, an original copy of the
published notice, and an original invoice to Amanda Cannon, NC Division of Coastal
Management, amanda.cannonPdeq.nc.gov. 400 Commerce Ave, Morehead City NC 28557.
Thank you for your assistance in this matter. If you should have any questions, please contact
me at our Morehead City office.
Sincerely,
Amanda Cannon
Coastal Management Representative
Enclosure
cc: Heather Styron, District Manager
Gregg Bodnar, Major Permits Coordinator
D E Q�� North Carolina Department of Environmental Quality I Division of Coastal Management
Morehead City Office 1 400 Commerce Avenue I Morehead City, North Carolina 28557
NORTH CAROUNA -
oepadmeMolEnWmnmem l0ual\ /� 252.515.5400

NOTICE OF FILING OF APPLICATION FOR CAMA
The Department of Environmental Quality hereby gives public notice as required by NCGS
113A-119(b) that an application for a development permit in an Area of Environmental
Concern as designated under the CAMA was received complete on S/2/2024. According to
the application submitted by Nola Crane is proposing to construct a docking facility located
at 1S0 Headen Ln, Salter Path. A copy of the entire application may be examined or copied
at the office of Rich Mahoney, NC Division of Coastal Management, located at 400
Commerce Avenue, Morehead City, NC, (2S2)S1S-S400 during normal business hours.
Comments mailed to Tancred Miller, Director, Division of Coastal Management, 400
Commerce Avenue, Morehead City, N.C. 28SS7, prior to 6/19/24 will be considered in
making the permit decision. Later comments will be accepted and considered up to the
time of permit decision. Project modification may occur based on review and comment by
the public and state and federal agencies. Notice of the permit decision in this matter will
be provided upon written request.
PUBLISHED ON: S/19/2024
NOATHCAAaUND_EQ�;
oepadmeM of EnWmnmeM l pualfty
North Carolina Department of Environmental Quality I Division of Coastal Management
Morehead City Office 1 400 Commerce Avenue I Morehead City, North Carolina 28557
252.515.5400

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Scale: NTS
Page 4of5
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Date:4/3/2024
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