Berry, Brad 84821C

❑CAMA ❑ DREDGE & FILL N9 84821 p A B. -C ,D
Previous ' mit
GENERAL PERMIT Date previous permit issued €
❑ New ❑ Modification []Complete Reissue [:]Partial Reissue
As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC ❑ Rules attached. ❑ `General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name
f
Address
City State ZIP
Phone # ( )
Email
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS
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
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
AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
r
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:
1-1 Tar - Pamlico River Basin Buffer Rules F-1 Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules
for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the
NC Division of Water Resources. If you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
Notes/Additional Permit Conditions:
Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland location.
Division of Coastal Management Offices
Morehead City Headquarters
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

,1*O'`°"Sr",&FICAMA El DREDGE & FILL N9 84821 A B C D
�,o
2 GENERAL PERMIT Previous permit
Date previous permit issued
❑ New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name _
Address
City
Phone # (_ )
Email
State ZIP
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
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: ,t� i fj
❑ 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 Offic er,'s PRINTED Name
Signature "Please read compliance statement on back of permit" Signature
Application Fee(s) Check #/Money Order Issuing DAte Expiration Date

Statement of Compliance and Consistency
This permit is subject to compliance with this application and permit conditions. Any violation of these terms may
subject the permittee to a fine or criminal or civil action; and may cause the permit to become null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for
compliance. The applicant certifies by signing this permit that: 1) prior to undertaking any activities authorized by this
permit, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the
local land use plan and all local ordinances, and 2) a written statement from the adjacent riparian property owner(s)
has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(s).
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
1-1 Tar - Pamlico River Basin Buffer Rules 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 Fender Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

nCAMA / ❑ DREDGE & FILL No. 73468 A B C D
GENERAL PERMIT Previous Permit #
ONew ❑Modification DComplete Reissue ❑Partial Reissue Date previous permit issued
iAs authorized by the State of North Carolina, Department of Environmental Quality dr'
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
[]Rules attached.
Applicant Name Project Location: County_.
' Street Address/ State Road/ Lot #(s)
City State ZIP
Phone # �__. Subdivision
Authorized Agent _. _ City,_ __ ZIP
Affected UCW DEW LIPTA nES ❑PTS Phone # ()_ _ ��. River Basin_
AEC(s): U OEA n HHF LJ IH ❑ USA n N/A Adl, Mr. Body i_ _ nat man unlcn
❑ PWS: _
ORClosest Maj. Wtr. Body.W: yes / no PNA yes / no — — --
Type of Project/ Activity
Pler (dock) length
Fixed Platform(s) _
Floating Platform(s) _
Finger pler(s)
Groin length _-
number
Bulkhead/ Riprap length_
1
avg distance offshore
max distance offshore
Basin, channel '
cubic yards____--__-�,
Boat ramp.,.-
Boathouse/Boatlift
Beach Bulldozing
Other
Shoreline Length — {
SAV: not sure yes no
Moratorium: n/a yes no
Photos: yes no
i
Waiver Attached: yes no
A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Special Conditions
Agent or Applicant Printed Name
PermitOfficer's Printed Name
(Scale: )
Signature "Please read compliance statement on back of permit Signature
Application Fee(s) Checlt # Issuing Date Expiration Date

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 adiacent 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: Mips://w,mv,,4v.sosnc.clov/searchlindex/coi-p. 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: ���` U� l "` 1` c °t t I
P� f / /
7D .% � t-c,1�v� f ; CF c"- fit`-1`O cerc�t�._1 �(c r j-
Address of Property: �
Mailing Address of Owner�v`'i
Owner's email: 6fo���C-`1.a�, ��'t �<<<?�jltrr .�?''Owner's Phone#: ZDG 6ca-
J
Agent's Name: t�� >) _fP� ..
t� 1
A ent's Email � � � Q' 0e_I-
Agent Phone#: %0C.-, G ,d ` b
f; ,
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent PropertOwner)
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 Coasta/
Management (DCM) in writing within 90 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 Adjacent Riparian Property Owner
-OR-
_
I do not wish to waive the 15' setback requirement (initial the blani<)irbdIL-
Signature of Adjacent Riparian Property Owner:
T d/Printed name of ARPO:
Ype
Mailing Address of ARPO:
(T �J�.t i/ r
Lr v"�(h�c% � � �,Atir,l,.,,: ,gRPC1's Phone#: c. `� � � (to
email: !
. ° 0'
Date.
a
*waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

Date: 2, f f ,cj J
Name:
Customer Contact Information
2
Phone #: / /
Street Address of the Subject Property (or location):
Town and County:
E-mail (Optional):
In Reference To (Please provide a brief description, such as "Need a permit for a dock. "):

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: 5(l3-
P
Address of Property: ��i� c��) j'�fL�c:: S Ca t' �.k•t'i �) f cc�Y�Clot 1�2t't'.
(Lot or Street 11, Street or Road, City & County)
Agent's Name #
Agent's phone #:
Mailing Address:'* ,0. ) i1c
I hereby certify that I own property adjacent to the above referenced property. The individual P J
applying for this permit has described to me as shown on the attached drawing the development —JI
they are proposing. A description oLdrawinwlth d(mensiorts must be proylded with this 1l\\attar.
I have no objections to this proposal. _-_ _ I have objections to this proposal
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
availableathttpf/www.ncconstAimar_nomront.net/web/gm(sta-Hatlnorbycalling 1-888-4RCOAST.
No response is considered the same as no objection if you have been notified q Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must
be set back a minimum distance of 15' from my area of riparian access unless waived by me. (if
you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
----------------
Signature
Print or Type Name
Mailing Address
City/state/Zip
Telephone Number Email Address
(Riparian Property Owner Information)
Sid>nrrtrn•c�
Print or Type Name
�Zy •
Mailing Address t,
city/state/zip b616n-le, Cry c/Q., 'n 6. e N'
q(Cr- q17- a.7c/o
Telephone Number / Email Address
i
Darr
(Revised Aug. 2014)

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171.CAMA / FI DplrDGE & F1U
No. 73468 A B, I C D
^�
GENERAL. PERMIT
Previous permit #
ONew ClModification OComplete Reissue
❑Partial Reissue Date previous permit issued
�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
r i
❑ Rules attached.
Applicant Name j _ I '_
— Project Location: County_,_ f -
Address r' I i ' t ' :
i �, Street Address/ State Road/ Lot #(s)�_-. _ —
! 1
City State ZIP
—,
j
k
Phone # (f ) _ .Mail __—_ . _
_ Subdivision
Authorized Agent - —_-._--
City ZIP
Cl CW ❑EW U PTA nES U PTS
Phone # (_) _ _ __ River Basin
�—
Affected
AEC(s): U OEA 17 HHF U IH n UBA rl N/A
Adj. Wtr. Body --_._.___, nat man unkn
El PWS:
Closest Maj. Wtr, Body.. —.-..-- - ---- -
ORW: yes / no PNA yes / no
j Type of Project/ Activity
Pier (dock) length_
Fixed Plat(orm(s) _
Floating Platform(s) —
Finger pler(s)
Groin length _.
number ._
Bulkhead/ Riprap length
avg distance offshore
max distance offshore _
Basin, channel
cubic yards
Boat ramp _
Boathouse/Boadift i
Beach Bulldozing
Other
Shoreline Length
I I
;
I
I
i I
i
i 1
I
I
'
SAV: not sure yes no
Moratorium: n/a yes no J
Photos: yes no
Waiver Attached: yes r no
I
A building permit may be required by; t
( Note Local Planning jurisdiction)
Notes/ Special Conditions
Agent or Applicant Printedf Name
(Scale:
� i
I
Signature t * Please read compliance statement on back of permit s*
Application Fee(s) Check #
PermitOfficer's Printed Name
Signature
Issuing Date
/Expiration Date

Date:
Name:
Customer Contact Information
0-
Phone It: / 6
` �1
Street Address of the Subject property (or location):
Town and County:
E-mail (Optional):
In Reference To (Please provide a brief description, such as "Need a ,permit for a dock. "):

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner:(
rr-
-1 f f� 'y
Address of Property: 0 X) J'� -JAc: S C4-e e.k `�ri ,) l' . / —vtile Citi�. -I s�� �l�t �'et'i'.'�.Y
(Lot or Street It, Street or Road, City & County)
Agent's Name #: f cll�4`Ct/.t'=t`C� Mailing Address:
cicc tuAgent's phone #: 'f,
I hereby certify that I own property adjacent to the above referenced property. The individual t :r
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 have no objections to this proposal. I have objections to this proposal, �\
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at http;//www.ncaoastalmanao►er„{o_ntnof,ivek/gm/sLa( lis M or by calling 9.888.4RCOAST. 7
t)�c,A-
(n
No response is considered the same as no objection if you have been notified by Certified Mail. _
WAIVER SECTION .1.)C'c-k'-
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must
be set back a minimum distance of 15' from my area of riparian access unless waived by me. (if
you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
�z
� i do not wish to waive the 15' setback requirement.
(Property Owner Information) (Riparian Property Owner information)
Signature Signature
Print or Type Name
Mailing Address
city/state/zip
Telephone Number/Email Address
/-)urn'
/31 t (- i5t A tom,/
Print or Type Name
(Z 0 •- F W�elg 1Or>ZS S i
Mailing Address
citylstate/zip U /cink 6•4 do -,'A c. to
6((?- (1/17- 017`ly
Telephone Number/Email Address
(hNe
(Revised Aug, 2014)

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner:
L,C 1- t--
Address of Property: ��a , trC-��8d'S �t-e jc 4��'rJC-i.�:t�JStlr'. ,C���I�r�?
(Lot or Street #, Street or Road, City & County)
c- /�
Agent's Name #: - •1�>rz�� ��' ''� MailingAddress:�a% �t'L. ('SS G!'PPK•�
tf j
Agent's phone #:
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 letterT
r✓ I have no objections to this proposal. _ I have objections to this proposal. j7c
0% °
if you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) In writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at http-.& vw.nccoastalmonausmentneo eb/cm(staff iistintt or by calling l-888.4RCOAST.
No response is considered the same as no objection if you have been notified by Certified Mail,
WAIVER SECTION �c�K
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must ? P"j 1 o
be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If --C
you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Property Owner Information)
Signature
Print or Type Name
Mailing Address
City/State/Zip
Telephone Number/Email Address
(R'p rian erty Owner Information)
.J
gnature
JOAI
Print or Type Name
yoo lft4f od Df
Mailing Address
4 zle_A AaG ` --
City/Slate/Zip
Telephone Nuni6er/Email Address
(Revised Aug, 2014)

Oavenport, Ryan
From: Weychert, Curtis R
Sent: Friday, December 7, 2018 9:32 AM
To: Davenport, Ryan
Subject: Berry Project
I did a site investigation on 11-7-18 and I found that there was at least 3 feet of water at NLW, more than sufficient for a
slip. Let me know if you need anything else.
Curtis Weychert
Fisheries Resource Specialist
North Carolina Division of Marine Fisheries
North Carolina Department of Environmental Quality
252-808-8050
[e-mail]
3441 Arendell Street
Morehead City, NC 28557

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER 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:
Mailing Address of Owner: "pc'•, '. ` . ''
Owner's email: `�' i r ` ` `, Owner's Phone#: t
A.2c--a
Agent's Name, + Agent Phone#
r
Agent's Email:
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 A-) 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 M.C. Division of Coastal
Management (©CM) in writing within 90 days of receipt of this notice. Correspondence should be
mailed to 400 Commerce Ave., Morehead City, NC 28557. DCAR 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
I DO wish to waive some/all of the 15' setback J' '
..s t
Signature of Adjacent Riparian Property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank) k l
Signature of Adjacent Riparian Property Owner
,1 ,
Typed/Printed name of ARPO
Mailing Address of ARPO
ARPO's email: lklh- ` 1 i �'.?°'� ARPO's Phone#:
t t!! +
Date js `�7� =*waiver is valid for up to one year frorrr 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://+n pv.sosnc.c�ov/search/inch dcoi- . 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 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:��
1 ��
Address of Property: 7N 7 r 'rc e r.5
Mailing Address of Owner:
Owner's email: �ijTJ 6,A.O\kerr. f'!zr 7),, Owner's Phone#: 2DG 66 o f
Agent's Name: r-eJ\ r 'Y Agent Phone#: %d� r `E �
Agent's Email: brzj�e��
MNZ
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom Portion to be completed by the Adjacent Pro a Owner)
i hereby certify that I own property adjacent to the above referenced property. The individual applying for this
permit has described to me, as shown on the attached drawing, the development they are proposing. A
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 90 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 Adjacent Riparian Property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO:
Mailing Address of ARPO:��
t ) 's phone;_
ARPO's email: -),e �D,-�r,�ed t �r�Er� �r EL it 4
Date: `-��' t�� *waiver is valid for up to one year from ARPO's Signature*
Revised May 2021
t

Address of Property
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner: 1 }
i �t �.t �t,�c rzIrl� slc� , &y fe c
(Lot or Street #, Street or Road, City & County)
f,
r Zl bCc°,�� i' Address: _%(�i� 7 A
Agent's Name #: •�� � Mailing
Agent's phone #:
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 d
they are proposing. A description or drawing, witch dimensions must be provided with this letter.
JAI, — 1 have no objections to this proposal. I have objections to this proposal. o�"Q j7e
if you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) In writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at htta //www nccoas almanatrement net/web/cm/steff-IlsNna or by calling 1-888.4RCOAST.
No response is considered the some as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must )fir P' i-v
be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If .f(�;
you wish to waive the setback, you must initial the appropriate blank below.) 0- oJ`—
I do wish to waive the 15' setback requirement.
`5&- 1V I do not wish to waive the 15' setback requirement,
(Property Owner Information)
Sid,>>rctlrttc�
Print or Type Name
Mailing Address
City/State/Zip
Telephone Number/ Email Address
Mae
(R'p rian erty Owner Information)
gnature
Print or Typo Name
%-Do Imb-'t-0 1�r
Mailing Address
city/state/[zip j `'
Telephone Number/ Email Address (J
Dan,
(Revised Aug. 2014)

Davenport, Ryan
From: Weychert, Curtis R
Sent: Friday, December 7, 2018 9:32 AM
TO: Davenport, Ryan
Subject: Berry Project
I did a site investigation on 11-7-18 and I found that there was at least 3 feet of water at NLW, more than sufficient for a
slip. Let me know if you need anything else.
Curtis Weychert
Fisheries Resource Specialist
North Carolina Division of Marine Fisheries
North Carolina Department of Environmental Quality
252-808-8050
Curt.We chert ncdenr. ov
3441 Arendell Street
Morehead City, NC 28557

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: C�,• '� ''' \' " " �'_:� t } !
Address of Property:
Mailing Address of Owner: 5x}�k'� }
el•;�r'l.; ! , �. to - '?'i; •',1�, ; �\ i' ` �,$);'
Owner's email: '��'GCGe� i � , _ �t�.i [ *.c �. �.f Owner's Phone#: "'tr=•i c. c: r:t.
R
Agent's Name:�k= J{F: '�..0 i �` Agent Phone#; - i .
Agent's Email: c.a , 1 1A,
f• ..:. F
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.
C;'_
(' 1 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 IV.C. Division of Goastal
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 hail.
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 16from my area of riparian access unless waived by me r
(this does not apply to bulkheads or riprap revetments). (if you wish to waive the setback, you must Sian ,
the appropriate blank below.) ' E
I DO wish to waive some/all of the 15' setback 2--
:r? `,
Signature of Adjacent Riparian Property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)s
Signature of Adjacent Riparian Property Owner i
Typed/Printed name of ARPO >'
E'
' ` is ` ! ` ! 3 '1 ' ! A-} —�_ r
Mailing Address of ARPO: { „i :.y
T.
ARPO's email�tr t e t .: r'1 ARPO's Phone#:
Dated s `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 developmentlo 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.
a 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://Nnnnnw.sosno.gov/search/index/corgi 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,
Address of Property:
Mailing Address of Owner:
Owner's email: i,Y-Jk�C`1 ' 6f r "< t'(tr ,0,"Owner's Phone#: zD(,
Agent's Name: Agent Phone#: 766 6��
Agent's Email: �t�'1 •Q�.lea'+—�� c} ci,ra_; , ��^�,.�.
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(bottom onion to be completed by the Adjacent Property caner)
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 Coasts!
Management (DGM} in writing within 10 days of receipt of this notice. Correspondence should be
mailed to .400 Commerce Ave., Morehead City, NC 2855i. 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 1;�i [�,� r E ,
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback
Signature of Adjacent Riparian property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO:'����
Mailing Address of ARPO: v
ARPO's email: �.V`'�����`r�,1�'"�•f'r,�F ARP6 s Phone#:,5
Date: �'l�- *waiver is valid for up to one year from ARPO's Signature*
��U� f •I.
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 lip site: https:,'/wiiri.sosn.c.cio%i/-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