The URL can be used to link to this page

Home My WebLink AboutRideout, Scott 8411Cy�0 °F`°"S''e ❑CAMA ❑ DREDGE & FILL N® 84110 a g c D Previous permit i = Date previous permit issued GENERAL PERMIT 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 . -% f! ❑Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc.gov/CAMArules Applicant Name City � ; fY K,110 l l ->kA (State PW Phone # Email ZIP Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS ORW: yes/no PNA: yes/no Type of Project/ Activity f jrT i fT""F'./jn 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 C /,• Moratorium: n/a yes no j -=•• Site Photos: yes no i Riparian Waiver Attached: yes no L. A building permit/zoning permit may be required by. Permit Conditions - Authorized Agent Project Location (County): Street Address/State Road/Lot #(s) Subdivision r City f" ZIP Adj. Wtr. Body Closest Maj. Wtr. Body 0 iar 77 ❑ 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" Signature Y 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: 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: 252-247-3330 (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: 252-948-0478 (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: 910-395-3964 (Serves: Brunswick, New Hanover and Pender Counties) http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021 NX°F`°"`r'� ❑CAMA ❑ DREDGE & FILL N9 84110 A B C D PDate Previous permit y =GENERAL PERMIT previous permit issued New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to: 15A NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc.gov/CAMArules Applicant Name Address City State ZIP Phone # (_ ) Email Affected ❑ CW AEC(s): ❑ OEA ORW: yes/no ❑EW ❑PTA ❑ IHA ❑ UW 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 r ! 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 ❑ ES ❑ PTS ❑ SPIMA ❑ PWS ME Authorized Agent Project Location (County): Street Address/State Road/Lot #(s) Subdivision City Adj. Wtr. Body (nat/man/unk) Closest Maj. Wtr. Body (Scale:,/ ) ❑ 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 (Pleas Initial) Agent or Applicant PRINTED Name Permit Officer's PRINTED Name Signature **Please read compliance statement on back of permit** Signature Application Feels) Check #/Money Order Issuing Date Expiration Date 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: F1Tar - 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: 252-247-3330 (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: 252-948-0478 (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: 910-395-3964 (Serves: Brunswick, New Hanover and Fender Counties) http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021 N I -C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONfWAIVER FORM (Top portion to be completed by owner or their agent) t�vlarrof Property Ownat: :Sao 7T-J:)N, A oQ A Q 0 -r L.4 Address of Pe pe-lty' -;2 3S Mailing AddresS of OWrvef- tos- Over er's email: 1 Y7- r2 I �D- Phono#: Agent Phone#:_;?,.,:,Q-�- a A g a n t's N arn e Agent's Email: Aga ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom p t hereby Certify that I own property adiacant to the above referenced property. The individual applying for this pwMir has de�crit>p-d to me, as shown on the attached drawing. the development they are propos-irg. A V I DO NOT have objections to this proposal. __- I DO have objections to this Ptol)03ak If —yoii- haves —ObjectIORS --to what is being you must notify the N.C. Dh4sion of Coastal management (OCM) in writing within 10 days of receipt of ibis notice. Carrospondence should be mailAcd to 400 Corrinierce Ave., Morehead City, NC 28557. DCM representatives call 81so be contacted at (252 ' ) 808-2808. No response Is considered the sanie as no objection if you have been notified by Ceriffied Mail. WAIVER SECTION I understand that any Proposed pier, clock, mooring pilings, boat ramp, breakwater, boathouse, ift, Df groin mu5t be sot back a rrirkirnurn distance of 15' from my area of riparian access Unlesn, �yaived by rric , ). (If you must sign (this does, not apply to bulkhoads or riprap ravetmen*5 Fish vraiva the setback, YOU!al Inc: appropriate; blank below.) 100 WiSh t7 waive sorneiall Of the 14�;' setback Signaftire of Adiacent Riparial) PrDDertY OVIffift-.7 -OR- I do not to waive tho 10 setback requiromen, (nitial Me blank'� Signaturo of Adjacont Ripa-lar, Pr0;)0rtY Garner: TypedlPrintod name of ARPO:— L4tkrct &P-v I -� Mailing Address Of ARPO: 0"> Ace" L±, --� ARPO's email: I a W-& r e. t- -1,0 �01 - (A -A R P O's P h o n L,#, Date. waiver is valid for up to one year from ARPO*s Signature' Revised Ju.ly 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 be completed by owner or their agent) Name of Property Owner: Sir- 0�- JfA)A / 1VE-Z)or" Address of Property: (OS 14CORn,( Cov,2T )OWS /1/C— Mailing Address of Owner: lOS- A,,Iz ! C_av2 r PXIS Mf- -2-, "U Owner's email: ScytT R/D0&,g, Q--COtic Owner's Phone#: G�7�C Gt'!7t/,!CS /vt.M,¢livE C��ST Agent's Name: 7-/wt Agent Phone#: 2S-�z -�z w CPCtlS3' Agent's Email: Syi'�d v.�2 /a2 a �� S,Nta •�� ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion to be completed by the Adiacent 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 (252) 808-2808. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me (this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign the appropriate blank below.) I DO wish to waive some/all of the 15' setback Signature of Adjacent Riparian Property Owner toodo not wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Owner: Typed/Printed name of ARPO: O/c I Mailing Address of ARPO: dL' b,�t�) �- D� % %�� )I :g5 ARPO's email: I m r ARPO's Phone#: e0/fl Date: *waiver is valid for up to one year from ARPO's Signature* Revised July 2021 9/19/21, 12:29 PM scott rideout drawing 001.jpg rytM Tim Grimes. 252-240-2525 . Cell 252-241-6455 1501 First Avenue. Morehead City. NC www.outerbanksmarineconstruction.com https://mail.google.com/mail/u/0/?ogbl#inboxlFMfcgzGljvN LsnNhRrgmmGnhh RZxCTMS?projector=1 &messagePartld=0.2 1 /1 N.C. DIVISION OF COASTAL MANAGEMENT �h7°�fK.'�1!`i' eRt1'fl+t1H�Mtn7r�srr�aes+a sMvua�wuMv;rre,rrhsK� CgR IEIEQ MAIL • RETWffl RECEIPT REQUESTED or HAND DELIVERY (Top portion to be completed by owner or their went) Nam of Property O�ret .� r1 "i �� t- t: t V E a Address Of Pr4dr.y: `°` 7 Mailing Address of Owner: I, SW 'v�t<1:wn 1 Je �;,i q`ti 7a :5aI., rf 1 r .V 376 CIf Chvne(semali: �kL�-a.r �+,eS G G�-rj'Y3c=? � dPlers Pho,,regt (� - i t - 71134 O +i-e- �+c., !'s '�'+[ : 1R,. �slti ail ter- �✓' "3 2 Agent's Name: Agert Phone` Agent's ;Erniall: `-0,r�l�kaAl, C!i.�%"VI �4,!.c•e ADJACENT RIPARIAN PROPERTY OWNER'S CERMICATION Somm portion to be completed by the Adeaant ProMM t)wnef I hereby cettify that., own properly ac scent to the above reference) proper. The indiv.>dual applying for th is permit has deiv-6bed to me, as shown on the attached drawing, the development they are proposing. A desorioo:iar of drawing, with dimensions must be orovldgqw Ibis letter. t DO NOT have cNec tons to this proposal._ jechons to this I DU have ois propcsa`• tf°you have Objections to what is being proposed, you must notW tht N.C. tlM-Sloe of Coastal Management (OCU) in wribrig within 10 days of receipt of this notice. Correspondence should be mailed to 400 Commerce Ave., Uorehwd City, NC 28W. DCAf representatives can also be contacted at (252) 808-2808. No response Is considered the saran as no objection If you have been nofiffed by C€=rtiPled Mall WAIVER SECTION I understand that any proposed pier, dock, mooriq pir;irtgs, boat ramp, brealcwzter, boathouse, lift, or groin rrust be set back a minimum distance of 15' from my W08 at riparian 2CM55 unless waived by Ine (this does not apply to bulkheads or riprap revetments). (I` you wish to waive the setback, you MUZ s' n the appropriate blank below.) I Da wmh to waive sonmlafi of the 15' seUmk Signatum of Aunt Ripadan Properly Owner I do not wish to waive the 15' setback. requirement (Initial the blank) Signatum of Adjacent Riparian Property Owner ew TypeWPrrinted name of ARP O: Jam- Go fT /2 I D&O U T Mailing Addrass set ARPO: 1 D S Ac-okrJ C op a r- PK S NG 2e'12 ARPO's email: , c-Ar i 4,0 cl^%dl�•ec� ARPUS phone#: Date: g - 30 -.21 •waiver is valid for up to one year frorn ARPO S Signature* Revised July 2021 RECEIVED or W j � �r roF r.'�urb! v ?� �'� • .p. .. e hA �� d r ; � ' ! �� } ' T tr Y'n Fy.� l i 3 , '�t.+ ��y ��: r.. i!n. 1 �,n:'. �, ��'�2� f55 �Y-�v� aYa f.7r �a'"•rvr ,.- �'yf NPj.y Yr r I' � �sY -. n s, I �f'��p1E,a'` � S� 4' � f i�- �r `�'r�l, it #:' , � r r �•. ;- { :.[ �-`r�'rt'#r!� ip.-..;�' t'!V �. •f. ��T}yf�y�'4-�+�yr rl`�, fm[4Lw�'�3+.r';�• r N 4.ryr ' _ � u -+F pard6 : � I s'a!'�3rL {, � r+, 1 y � � I ... „ i✓� � . �- ` 'A. - - I i V✓'s �F i4iu r -{ , � •� 'I � �,'i � � cr � �,�`'! p,�x , ��i . A '�'"•�'J�r '�ia�� •�y i"$5 �1!Y a Js� yak x i ol'f2 ��'�i, 09 ,r. b ',`.R' • 1 - , . `Ti k. _ ys•. S4r�,i..,. IA ' •"7d '`7 �rl k'R "�- glL'. i.:. , }, I s ✓ty� _ 3ti y h„- Ns' yR f - :. r �q so 1• rw , - � i3. i��r� 4 v _' yl r r M +�. ��. -.. � - �4 v � # I ' keikr •- t �;r . � „y � . 'S� - Y a r'i G s a � �'�'� v � S �, 3�#g,G��`# '�I3. '+� fi -- i�• fit-" � �� -r. �� r�9g',,1r {{�,b r�� i n r' �,,A °� - �I'� �ts'�°� ° �"is•� I .,1�: }4;.';, 'n`"f_V rord 5i.�`�" i ,•}r�„a1ay'4+„ ��yy?:'pa`�sb •'1 > �_1�2 ��" i .`'?_,+!,'�iC� - 4 ,R�S9 , t,zwx; Zr i�S �.! �,.�. :fix. C � - r Y - •!' -w`i ! v3y"6r 6.,r ,Y f - k _ '(� T '°IF r - -, - �� rS irl'Y T9u~ �" .�s,'!'1� '�'il � �� •" kt' �', � � IR'r`s . �F 'i-eR s , , s� -I i ' �f Z I 1 -- ! U � 1 -r �ITX.ini, z •x; i i�� i } ¢ _' h�f 3��r r k� �u'Y ? d :: o r f Z � I - l a Of - V _ rr lr „€{,a s'�, �. � .1'i �i at � F i �ny�i•� .'v� �'�, IV`. r .. �� . } Y,...� i � af. � ., • � rR•t - .,,. +.,n3Aa'� ��^� f6�+� '�r.-� •7�3 . . r �� f,: n5 I�rs,x,�� `� _ n rts r r� a F-.,I, T-"t- C _ • k'K.: f - C'.n��yr+'• �i�.,g i.. I }�',�� i A • t -� 6 ��i1V t y 9 '�4!k!v y��}'..c ` ii.' ..4��`�T��i�`•'�i �,;r�t .� �s' S V L� � fl ,� FI,�r �y _ 1 ` - ..alb u r xro� 33 r 3 +in rv.l,Y'i!a k U Mlj, r`.ro: �- `}Y�' iV' � u��'3�+s�� `�v,v� ,� i Jcq' r`hy� yi � `�j+ ri if 1 f � r 7 {i• _ tk, �q- s ,! P - r'.�r��1 i. �r2 r �`• `axsF OUTER BANKS MARINE CONSTRUCTION Tim Grimes. 252-240-2525 . Cell 252-241-6455 1501 First Avenue. Morehead City. NC N-1 RECEIVE® OCT 0 4 2021 . www. outerban`95rWea"ction.com f 'k - 1, N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORK! CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY (Top portion to be completed by owner or their agent) Name of Property Owner: 2/274 t Y /�,/a //&CO Address of Property - Mailing Address of Owner: Owner's email: i �I11/�, ��LL Owner's Phone#: Agent's Name: Agent Phone#: Agent's Email S'ar'�uon ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion to be completed by the Adjacent Property Owner) I hereby certify that 1 tern property adjacent to the above referenced properly. 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 he provided with this letter. X I CMG NOT have objections to this proposal. I DO have objections to this proposa . If you have objections to what is being proposed, you must notify the N.C. Division of Coastal Management (DCM) in wriring within 10 days of receipt of this notice. Correspondence should be mailed to 400 Cominerce Ave., Morehead Ciry, NC 2855T. DCM t"epresentarives can also be contacted at (2521808.2808. No response is considered the same as no objection if you have beer) 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 rip inan access unless waived by me (Mis 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 somelall of the 16 setback Signature of Adjacent Riparian Property Owner -OR- I do not wish to waive the 15' setback requirement (initial the blank) VJ Signature of Adjacent Riparian Property Owner_ Typect Printed name of ARPO: ^'�" s, w 9/•L��is r-. Mailing Address of ARPO: )oc. S e%D'le-5.e- ARPG's email:��01•��Lso�@ r�e.cah ARPO's Phone#: Date: 1 Ia? I� 'waiver is valid for up to one year from ARPO's Signature - SEP 2 9 2021 DCM-MHD CITY Revised h4ay 2021 A 7 ti 011-1�,MXA 4" 1,4 . bf�r,,JM n �- , '-. olj TV- U.4 A� vs-- ok, a. fl2lz r4..,;f4jl:WA.) wa--, q ex % ZoA T 0 -R- I I v k kN14 vl,� vk'v*ll- ILI NP, S71•a f All OUTER BANKS MARINE CONSTRUCTION Tim Grimes. 252-240-2525 . Cell 252-241-6455 1501 First Avenue. Morehead City. NC4 v� co 0 r I I Q,� vwwv.outerbanksmarineconstruction.com — RECEIVED SEP 2 9 2021 DCM-MH® CITY OUTER BANKS MARINE CONSTRUCTION Tim Grimes. 252-240-2525 . Cell 252-241-6455 1501 First Avenue . Morehead City. NC ioc, 14 ic 4' rn LA-) www.outerbanksmarinewnstruction.com I RECEIVE[ SEP 2 9 2021 DC&1J-MHj) CITY 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: //'/e✓h L! S /OrI CcC✓s Address of Property: A� w azr& n,/✓e W Mailing Address of Owner: -3fJ/ /W Z7S-�/ Owner's email: 4A.11 & /IC'Sc , Owner's Phone#: Agent's Name: /� [s r'iAgent Phone#: Agent's Email: S&rl�u�/ZZ Cdin�'o% rom 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 (252) 808-2808. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me (this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign the appropriate blank below.) , f, f I DO wish to waive some/all of the 15' setback" RECEIVE[) Signature of Adjacent Riparian Property Owner SEP 2 -OR- 9 2021 I do not wish to waive the 15' setback requirement (initial the blank) DCM-&1HD CITY Signature of Adjacent Riparian Property Owner: Typed/Printed name of ARPO: Mailing Address of ARPO: ARPO's email: �L'f I ��'ARPO's Phone#: -" - �"` ��> Date: L *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 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 OUTER BANKS MARINE CONSTRUCTION Tim Grimes. 252-240-2525 . Cell 252-241-6455 1501 First Avenue. Morehead City. Nq vLA co O I I www.outerbanksmarineconstruction.com — SEP 29 2021 ')N'4H,) OUTER BANKS MARINE CONSTRUCTION Tim Grimes. 252-240-2525 . Cell 252-241-6455 1501 First Avenue. Morehead City . NC r � �OL) - j25 Cv'j�iL LfT26S '�O1 ` 0 www.outerbanksmarineconstruction.com ReCEIVeo SEP 2 9 202, CCA4-A4H® CITY ? .,;t ", tX 7 r f ey : ; jAcA_M to r� (Nam of proms �= Cll OUrtty ' s Sil-�-tAn �!ow, the d '',` .,� } # �1f €I't_ i Cf`t atJ f #glue, no OtIk.1M`i w dos proposal TM a,s r; pry OSM ��i &Opmwnt rjrAf,v`� Off cis a�ta��a1 {rkf �r or 3t'1r r` c r• urt�r R P71 �3lop 1 he set I rr r 'Opam 3f t '?E'''y,fi�a h f w 3 t °-. nItt St iIIj�ijI i i .ipr,ro do ash to wa Ne We do not p, .warty Owner of-or� " `4Gh [� F Yv . aa5`'•S4 X: _•j -� -a`{ i1'V F`A bpi cPP. ml �� -V d 0lgib Y-1 ��•. r Zr_ x r� a 5 i] { Fi' 4'ii �. 'M 1 G hye WE 41 P- t - S AM AW �y k � r - St ?may 311. �S of Sy � tRn 'gypview 1 e aw- Y.` ��` fir'+-• t,tz sit �i r, `q;''c F r°`!v lte ,b �' L, - _�ttr t �;}y43, �?.g, J.ey r t9A WWI b: • t -.1 r ;r �.. { . , „ �'-s'1 ,^curt ",y#Fr3p,.. �}-, - c"; - - r Sp ` NO A ] ,r, $" ,'�3� rr`'>,a z• ..=5`"`��i s I #� lY r N"�1''t * i 1 §•: �'fi Rd,.,i i- }� ...r,:,t3{ t �y r 1 -F� itj6 r} +� i + a �' r � `t � ,.Es�S�� z �S r :. i' � a-� � �, o Z rS •7 _ r r WATT :AST^ �� S_.��'�h� ' � F "��3 Y � �^ k a 1 � I �� Y}F� Y-� f pVJ<.. � •2 6 . 'oTrs ",..-:. w. ('P .f"1YZ� WIN — NEW L A+L kxY rk� . �;�� QQ��, �1yN }tz x7.-�+ s art Lcs y'1 s-ic 'M��Tu,`ri`rC'J' � S �>1:Y'W � � _ 11 � at •`vim � r d •� � *-� ._> rr � �'�+� fa, R �,+ +�'w .� , y t r � � In - � •gip. 1❑ >, y, �� S � .t�� ; � - 1. v r t E� `� �tv •!� � l P �`r �.� *.F � >>��-- � ' ,,may m�''•}��y' ly awl we- -415 '., �,+• ,l- �7 y� t, . :r�, eta - 'SA. �x¢ s c f t J rY 'I k� Cr ,fir$ t�a � d. 1 l fil �y„� '{ � �.f r�• 1'C. i 5 �•,•. _ '� !l ' � +J''-h��Y`° `S �'� 'C��+�I' f,,,,. I l `S v+ � ;ys`xa€ g 1 pp S M `"wYi 1T 'KIM�r a S� :-