85040_Judith & Keith Delaney_20211216

,it°"rkrfOCAMA I I DREDGE & FILL )(1±1
VIM'
N° 85040 AB CD
a ) GENERAL PERMIT lV"' 0 Previous permit '
t Date previous permit issued •
[-[New [ I Modification H 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 [ 1 Rules attached. [7 General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name Authorized Agent
Address Project Location(County): ,
City State ZIP Street Address/State Road/Lot#(s)
Phone#( )
Email Subdivision
City ZIP
Affected n CW MEW []PTA ❑ES [--1 PTs Adj.Wtr.Body (nat/man/unk)
AEC(s): n OEA ❑!HA ❑UW ❑SPIMA fl PWS Closest Maj.Wtr.Body
ORW:yes/no PNA:yes/no
Type of Project/Activity
(Scale:I.'AO
Shoreline Length
Access Length ; ' - I T rr'� 1--i-
_
Pier(dock)length ! - t + 'H-,. f� l �+
i
Fixed Platform(s) I T
-1r. _ -_
Floating Platform(s) 'I 1 ' I
:::::area
( ,� i!I , il , ,-,"
--�-a'" [ j/. 11` I Groin length/# }- —— illill
1/7—
k
Bulkhead/Riprap length ��__.... 1 • ? : _. —_—_i____
-- .-__.—.
Avg distance offshore - ~ -- \ -4 . i - 1 '
Breakwater/Sill - - i j-', /) it. ..�, i
IMax distance/length i -ti -I 1,C j '
Basin,channel / - -._._ ; 1-.�_ . _
1
Cubic yards _� 11 F } L_.._...
Boat ramp � ! i '-�,.
Boathouse/Boatlift I I 1 ! I
mot r/
Beach Bulldozing ' i �,�
Other ,_. -K• i ',I/�I .-EN,• J Tn
1Ei �'` i
SAV observed: yes no ' ;.__.. _` - " -1 , -__1 -4—_ - ...._ 1 - _ _ _.
Moratorium: n/a yes no ' J I/ i \ `I V i i
t _ ___
Site Photos: yes no (I=—_�,C L; . •• -I -I ---
Riparian Waiver Attached: yes no . i 1 -.V�~': 1 I1
A building permit/zoning permit may be required by:
Permit Conditions TAR/PAM/NEUSE/BUFFER(circle one)
nSee note on back regarding River Basin rules
• n 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) JJL
.!) I_.
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature**Please read compliance statement on bad 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:
Tar- Pamlico River Basin Buffer Rules Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules
for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the
NC Division of Water Resources. If you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
Notes/Additional Permit Conditions:
Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland location.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave Morehead City, NC 28557 943 Washington Square Mall Washington, NC 27889
252-808-2808/ 1-888-4RCOAST Fax: [phone] 252-946-6481
(Serves: Carteret,Craven—south of the Neuse River, Onslow Fax: [phone]
Counties) (Serves: Beaufort,Craven—north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Elizabeth City District Wilmington District
401 S. Griffin St. Ste. 300 127 Cardinal Drive Ext.Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax: [phone]
(Serves: Bertie, Camden, Chowan, Currituck, Dare,Gates, Hertford, (Serves: Brunswick, New Hanover and Pender Counties)
Pasquotank and Perquimans Counties)
http://portal.ncdenr,org/web/cm/dcm-home Revised 6/01/2021

°``°Asr^` CAMA DREDGE & FILL i(4 l No. 85040 A B c D
GENERAL PERM 1 T �-� �� `'
o41Previous permit
i Date previous permit issued
n New , Modification Complete Reissue n 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:
I5A NCAC I I Rules attached. General Permit Rules available at the following link:www.deo.nc.gov/CAMArules
Applicant Name Authorized Agent
Address Project Location(County):
City State ZIP Street Address/State Road/Lot#(s)
Phone#( )
Email Subdivision
City ZIP
Affected I I CW I I EW PTA I I ES _PTS Adj.Wtr.Body (nat/man/unk)
AEC(s): OEA I IHA UW I I SPIMA n PWS Closest Maj.Wtr.Body
ORW:yes/no PNA:yes/no
Type of Project/Activity
• • (Scale: . )
Shoreline Length
Access Length J
Pier(dock)length -t___ I I,: i-. ili • I
Fixed Platform(s) •i•M■ j_
Floating Platform(s) I 11111111
I Hill1111111111111 1111
IMIIII ■iii
R UN ii� ■■■�wII11��
Finger pier(s) ii•iii'
iii'
II M
Y �
Total Platform area
Groin length/tt
Bulkhead/Riprap length
11111
Avg distance offshore
Breakwater/Sill ' i
Max distance/length - III
Basin,channel
- I
Cubic yards I
Boat ramp
Boathouse/Boatlift
Beach Bulldozing _
Other i; _
SAV observed: yes no I
Moratorium: n/a yes no
Site Photos: yes no
Riparian Waiver Attached: yes no 111111111111111111 +
A building permit/zoning permit may be required by:
Permit Conditions / I 1 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
Application Fee(s) Check tt/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 Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules
for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the
NC Division of Water Resources. If you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
Notes/Additional Permit Conditions:
Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland location.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave Morehead City, NC 28557 943 Washington Square Mall Washington, NC 27889
252-808-2808/1-888-4RCOAST Fax: [phone] 252-946-6481
(Serves: Carteret, Craven—south of the Neuse River, Onslow Fax: [phone]
Counties) (Serves: Beaufort, Craven—north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Elizabeth City District Wilmington District
401 S.Griffin St.Ste. 300 127 Cardinal Drive Ext. Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax:[phone]
(Serves: Bertie,Camden, Chowan, Currituck, Dare,Gates, Hertford, (Serves: Brunswick, New Hanover and Pender Counties)
Pasquotank and Perquimans Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

i.
r. ‘4;..„ , # �M. __....------- pr. . ' -44 /
Web Map
MAPID:L07-31-I5A OWNER ADM:386 GILLIKIN DEED ACRES: 1.2
CALACRES: 1.34462078 RD DEEDBOOK:000575
1i
�' ACRES: 1.13 OWNER_CTTY:BEAUFORT DEEDPAOE:542
•
1 . 4 OWNER NAME:ALFORD OWNER STATE:NC SALEDATE: 12/31/2012 Scale= 1: 600
leiejliv
ANDREW OWNER ZJP:28516
�'� OWNER NAME2:null SITUS_ADDR 400 CABIN
Not intcndcd for legal usc.

• PAMLICO COUNTY 2022 REQUESTED BY PMLAURENM RUN 9/08/21 TIME 8:16:38 PAGE 1
t- -1 ccp t.,KA-. '1..-
BOATSLIP 15A & 1/2 INT 15 ALFORD ANDREW a ALFORD ANDREW PARCEL: L07-31-15A
PCA 147-17 386 GILLIKIN RD 386 GILLIKIN RD 7501992739000
0015401 BEAUFORT NC 28516 BEAUFORT NC 28516 400 CABIN CREEK RD
Current ID#: 30411 Jan.' ID#: 30411
Bldg No. Exemption Code: LAND VALUE 2,297
Appraiser: SUM LND ACRES: 1.200 MISC VALUE 15,201
Appr Date: DEED ACRES: 1.200 BLDG VALUE 0
Imp Desc : MAP ACRES: 1.200 IMP VALUE 15,201
Grade TOTAL VALUE 17,498
Act Yr Bt: VALUED BY RCNLD METHOD
Effect Yr: PRIOR YEAR 17,498
Stories
Rooms APPRAISER MIC
Bedrooms : APPR DATE 10/10/2019
Bathrooms: 1/2 Baths: USE CODE 4 DIRT PRIVATE
DISTRICT 102 FL/WHORT - FIRE
NBHD 2015
PARCEL EXEMPTION CODE
FINISHED AREA
.RCN
QG RCN
DEPR .00
ADD PHYS DEPR
• FUNC OBS
ECON OBS
LOCAT OBS
BUILDING
PROPERTY NOTES: BOOK PAGE DATE QS SALES PRICE
000575 000542 12/31/2012 12,500
DEED TYPE: WD
000485 000742 12/21/2006 M
DEED TYPE:
PERMIT NO TYPE DATE AMOUNT
BLDG CODE DESC UNITS EYB DT PCT ADD.DEPR PCT VALUE EXEMPTION MODS
1 25 BOAT SLIP 16 X 20 320.00 D1 50.00 4,000
2 22 PIER 5 X 120 600.00 D1 50.00 11,201
.00
.00
.00
REC LUSE DESC EXEMPT FRONTAGE DEPTH UNITS. ACRES PRICE ADJUSTMENTS VALUE
1 AC 25 CANAL WF 1.000 1.000 45,000.00 SZ OT 2,250
2 AC 22 BLDG SITE RESIDUAL .200 .200 2,000.00 SZ OT 47
L07-31-15A 400 CABIN CREEK RD

00113
pA Doc ID: 002700540003 Type: CRP
�� Recorded: 09/10/2021 at 12:17:52 PM
1 R Rt,ED ti� TO: Fee Amt: $26.00 Page 1 of 3
RETU Revenue Tax: $0.00
Pamlico, NC
DATE RETURNED: °' \3 4-1 Lynn H. Lewis Register of Deeds
BK687 PG113-115
Prepared by/Retum to: Sara L. Delamar, Delamar& Delamar, PLLC, Attorneys at Law,
P.O. Box 411, Bayboro,N.C. 28515
N.C. Excise Tax—$0.00
NORTH CAROLINA
NON-WARRANTY DEED
PAMLICO COUNTY
This deed, made and entered into this Qv day of &fkrYtbP-Ar , 2021, by and
between Judith A. Delaney hereinafter referred to as "Grantor"; and Judith A. Delaney and
husband Keith Delaney, hereinafter referred to as "Grantee". Grantor and Grantee's mailing
address is 12 Arapaho Drive,Lakeville, PA 18438.
WITNESSETH:
That said Grantor, for and in consideration of valuable consideration paid to Grantor, the
receipt of which is hereby acknowledged, does grant, bargain, sell and convey unto the Grantee
in fee simple all that certain tract or parcel of land lying and being in Pamlico County, North
Carolina, and more particularly described as follows:
TRACT ONE:
A one-half interest in Lot 15 as shown on that map entitled "CABIN CREEK SUBDIVISION
SECTION THREE" by Herbert J. Nobles, Jr., dated June 24, 2003, and recorded in Map Cabinet
A on Slide 143-11, Pamlico County Registry.
TRACT TWO:
Boatslip 15 A as shown on that map entitled"CABIN CREEK SUBDIVISION SECTION THREE
BOAT SLIPS" by Herbert J. Nobles, Jr.,dated November 7, 2005,and recorded in Map Cabinet
on Slide 147-17, Pamlico County Registry.

00114
TRACT THREE:
BEING all of Lot 19 of Cabin Creek Subdivision as shown on that map entitled"CABIN CREEK
SECTION THREE"by Herbert J.Nobles,Jr.,dated June 24,2003 and recorded in Plat Cabinet A,
Slide 143-11,Pamlico County Registry.
TRACT FOUR:
Being all of Lot 20,of Cabin Creek Subdivision,as shown on that map entitled"CABIN CREEK
SECTION FOUR AMENDMENT TWO" by Herbert J. Nobles,Jr.,recorded in Plat Cabinet A,
Slides 174-14 and 174-15,Pamlico County Registry, reference to said map being hereby made
for a more complete description.
There is also conveyed herewith,as an appurtenance to Lot 20,a perpetual, non-exclusive
easement for the installation and maintenance of an underground septic waste disposal
system over Lot WA as shown on the plat recorded in Plat Cabinet A,Slides 174-14 and 174-
15,Pamlico County Registry.
There is further conveyed herewith a non-exclusive,perpetual right-of-way for Ingress,
egress,regress and access to and from the above-described Lots and N.C.S.R. 1324,over and
upon that 60'right-of-way depicted on the plats recorded in Plat Cabinet A,Slide 4-3,and Plat
Cabinet A,Slide 19-4,Pamlico County Registry.
Said property is a portion of that property acquired by Grantor by deed recorded in
Book 578, Page 278, Pamlico County Registry.
To have and hold the aforesaid tract or parcel of land and all privileges thereunto
belonging in fee simple forever.
And Grantor covenants with 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 ail
persons whomsoever, except for the exceptions hereinafter stated.
Title to the property described above is subject to ad valorem taxes for the current year
(prorated through the date of closing); utility easements and unviolated restrictive covenants
that do not materially affect the value of the Property.
The designation Grantor and Grantee as used herein shall include the parties hereto,their
heirs,successors,assigns and legal and/or personal representatives.
In Testimony Whereof; said Grantor has hereunto set her hand and seal, the day and year
first written above.

f �� 00115
AlLitribi
an( (s$Ai,)
Judith Delaney
if marked or initialed,the property includes the primary residence of at least one of the
Grantors,otherwise,note as N/A. (per NC GS § 105-317.2)
Pamlico County,North Carolina
I certify that the following person personally appeared before me this day, acknowledging to me
that he voluntarily signed the foregoing document for the purpose stated therein and in the
capacity indicated:Judith A. Delaney.
Date: 9/ /0-6�,L(
a kfarAria
i� \4ggfN4011141y1II
Official ' lure of Notary / � ��. �NHITpiw'
�,VVIIIIy,,,n
Notary Public E f ediAR1"'a�0
612M lobo~iiil -
Notary Public Printed Name 'fl p
Ve
°wa'Co C;,n''
410
4L111:now
Notary Seal or Stamp Must
�� Appear In Above Box
My commission expires: tt/ant

00714
1111111111111111111111111111
.
Doc ID: 002699490003 Type: CRP
Recorded: 09/03/2021 at 03:38:23 PM
n �r Fee., Amt: $153.00 Page 1 of 3
RETJ„P. D TO: Revenue Tax: $t27.00
Pamlico, NC
DATE RETURNED: 4.77— ( Lynn H. Levis Register of Deeds
BK686 PG714-716
Prepared by/Retum to: Sara L.Delamer,Delamer&Delamer,PLLC,Attorneys at Law,
P.O.Box 411,Bayboro,N.C. 28515
N.C. Excise Tax-$127.00
NORTH CAROLINA
GENERAL WARRANTY DEED
PAMLICO COUNTY
This deed,made and entered into this 315`day of August,2021,by and between Andrew
Alford and wife,Dawn Dingwall,hereinafter referred to as"Grantor"; and Judith A.Delaney,
hereinafter referred to as"Grantee". Grantor's address is 308 Cabin Creek Road,Blacksburg,
VA 24060. Grantee's mailing address is 12 Arapaho Drive,Lakeville,PA 18438.
WITNESSETH:
That said Grantor,for and in consideration of valuable consideration paid to Grantor,the
receipt of which is hereby acknowledged,does grant,bargain,sell and convey unto the Grantee
in fee simple all that certain tract or parcel of land lying and being in Number Three(3)
Township,Pamlico County,North Carolina,and more particularly described as follows:
TRACT ONE:
A one-half interest in Lot 15 as shown on that map entitled"CABIN CREEK SUBDIVISION
SECTION THREE" by Herbert J.Nobles,Jr.,dated June 24,2003,and recorded In Map Cabinet
A on Slide 143-11,Pamlico County Registry.
TRACT TWO:
Boatslip 15 A as shown on that map entitled"CABIN CREEK SUBDIVISION SECTION THREE
BOAT SLIPS"by Herbert J.Nobles,Jr.,dated November 7,2005,and recorded In Map Cabinet
A on Slide 147-17,Pamlico County Registry.

1!0715
TRACT THREE:
BEING all of Lot 19 of Cabin Creek Subdivision as shown on that map entitled"CABIN CREEK
SECTION THREE"by Herbert!.Nobles,Jr.,dated June 24,2003 and recorded in Nat Cabinet A,
Slide 143-11,Pamlico County Registry.
The property described above was acquired by Grantor by instrument recorded in Book
575,Page 331,and in Book 575.Page 542 County Registry.
To have and hold the aforesaid tract or parcel of land and all privileges thereunto
belonging in fee simple forever.
And Grantor covenants with 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.
Title to the property described above is subject to ad valorem taxes for the current year
(prorated through the date of closing): utility easements and unviolated restrictive covenants
that do not materially affect the value of the Property.
The designation Grantor and Grantee as used herein shall include the patties hereto, their
heirs,successors,assigns and legal and/or personal representatives.
In Testimony Whereof,said Grantor has hereunto set his hand and seal,the day and year
first written above.

`1e)716
•
L)
w Alford
All (SEAL)
Dawn Dingwall
If marked or initialed,the property includes the primary residence of at least one of the
Grantors,otherwise, note as N/A.(per NC GS § 105-317.2)
---+ County, 4(4h 0,0,2 State
I certify that the following persons personally appeared before me this day,acknowledging to me
that he or she voluntarily signed the foregoing document for the purpose stated therein and in the
capacity indicated: Andrew Alford and wife, Dawn Dingwall.
Date:
4/Z/zo21
•
ANDFEW NEWBOLD
G� teal Si nature Nota NO PUBLIC I
g ry WAKEE COUNTY.NC
Notary Public
Anita.0 r/a y bd4
Notary Public Printed Name
Notary Seal or Stamp Must
Appear In Above Box
My commission expires: ,A11 f ifito2a

AGENT AUTHORIZATION FORM FOR PERMIT APPLICATIONS
Name of Property Owner Applying for Permit:AA JOB tiff 4 �t iT r VZL'`I
Mailing address: id ,Z,�r-4ND LIC
LfrgitAtt-k Pt- IS'!36
Telephone Number: 570 .- LBO �O4'01
I certify that I have authorized Bobby Cahoon Construction, Inc (agent/contractor),
to act on my behalf, for the purpose of applying and obtaining all CAMA permits
necessary for the proposed development of ,T..n Sf-a..0 6 0 2+ I
+- Alt 60YIr r4 pi tl.' r c S /n1
at my property located at 14�a C't W CruK R/ f'cetor NG 55,h
This certification is valid through 9 - 1 L, - a a (date).
•
(Property Owner Information)
C''Llt6
Signet re �1 IL
�J Ud I� ��.Wan 6.1 R Rill ,/i r
Print or Type lame •
014/W S
Title, co. owner or trustee for property
9lldla1
Date
• 570 t(3Q 06 0\
Telephone Number -
KD NuAtrate PTD 0 Nle
Email Address

N.C.DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWANER FORM
CFRTIFIEQ MAII.RET,LJ$N RECEIPT REQUESTED or'HAND D_F�IVE�Y,
(Top portion to be completed by owner or their agent)
Name of Property Owner. Keith Delaney
Address or Property: 400 Cabin Creek Rd., Merritt, NC
Mailing Address of Owner. 12 Arapahoe Dr., Lakeville, PA 18438
Owner%email: kadhunter omail.com Owner's Phone#: [phone]
Agent's Name:BobbjCahoon Construction, Inc. Agent Phone#: [phone]
Agents Email: bobbycahoonconstructiongyahoo.com
ADJACENT RIPARIAN PROPERTY OWNER'S.CERTIFICATION
030thmtinVonio be completed by the Adiaec4 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_pmvided with this.letter.
X 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 MC. Division of Coastal
Management(DCM)In writing within 10 days of receipt of this notice. Correspondence should be
malted to 400 CommerceAve.,Morehead City,NC28557.DCMrepresentstives can also becontacted
at(252)808-2808.No response is considered the same as no objection if you have been notified by
Certified Mall.
WAIVER SECTION
I understand that any proposed pier,dock,mooring pilings,boat ramp,breakwater, boathouse, lilt,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 mi
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. k'-. ` �I )y
TypedlPrinted name of ARPO: ea9 1 ON 1-3rA t V eAN
Meiling Address of ARPO: 1 S42 Bet�kaACOS (U• M'+ DV't9c-N•G. 263 62S
R
ARPO's email: V Ai,e4 ens viAL,►0G FliARPO's Phone#:♦ i) eQott A I l
Date: i 0/..Ob I21 'waiver Is valid for up to one year from ARPO's Signature*
Revised July 2021

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
1TIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: Keith Delaney
Address of Property: 400 Cabin Creek Rd., Merritt, NC
Mailing Address of Owner. 12 Arapahoe Dr., Lakeville, PA 18438
Owner's email: [e-mail] Owner's Phone#: [phone]
Agent's Name:Bobby Cahoon Construction, Inc. Agent Phone#: [phone]
Agent's Email: [e-mail]
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
I hereby certify that I own property adjacent to the above referenced property.The individual applying for this
permit has described to me, as shown on the attached drawing, the development they are proposing. A
description or drawing.with dimensions, must be provided with this letter.
Nil\
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 Mall.
WAIVER SECTION
I understand the: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 mu t sign
the appropriate blank below.)
I DO wish to waive some/all of the 15'setback
Signatu ofAdj en !parisn Properly Owner
-OR-
I do not wish to waive the 15'setback requirement(Initial the blank)
Signature of Adjacent Riparian Property Owner: ._. 11 , .
Typed/Printed name of ARPO: G cv-yy 161 , 4- C\It 13 A,
Mailing Address of ARPO: )— C C C Q �+ n II C /e e k 1 l w i'V A" C 2 e i J
ii yYIU, l• - CGf- /
ARPO's email: a n�, ifs') ,-k C h e 1 S Gn ARPO's Phone#: 2 y 2 �`', G t- Sr 1-
Date: I r Ge I -( 'waiver Is valid for up to one year from ARPO's Signature*
Revised July 2021

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
(,,ERTJJED MAIL . RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner. Keith Delaney
Address of Property: 400 Cabin Creek Rd., Merritt, NC
Mailing Address of Owner. 12 Arapahoe Dr., Lakeville, PA 18438
Owner's email: kadhuntereomail.com Owners Phone#: [phone]
Agents Name:i3obbv Cahoon Construction, Inc. Agent Phone#: [phone]M.7
Agents Email: bobbvcahooriconstructionavahoo.com
- - - - — - - ADJACENTRIPARIAN PROPERTY OWNER'S CERTIFICATION- ------
(Bottom portion to be completed by the Adlacerit Property Owner)
I hereby certify that I;-own property adjacent to the above referenced property.The individual applying for this
permit has described to as shown on the attached drawing,the development they are proposing. A
o s b ro id dwth is lefts . -
1
`,i 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 notly 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 28557.13CMrepresentatives can also be contacted
at(252)808.2808.No response is considered the same as no objection Hyou 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 rlprap revetments). (If you wish to•waive the setback,you must slag
the appropriate blank below.)
I DO wish to waive some/ail of the 15'setback -
Signature of Adjacent Riparian Property Owner
-OR
I do not wish to waive the 15'setback requirement(Initial the blank) L". -
Signature of Adjacent Riparian Property Owners r4'; ! `,n��j. '
TypedlPrinted name of ARPO: 1. 2np, c. e to
Mailing Address of ARPO: Alga CA9)Io4 ( —at'9r,r; 'K1Zr'-r,Kif 2W5 '
ARPO's email: L tiAlvtV'P,1 e J'tirtli r$$RPO's Phone#: 9 t2.-7-ag--3431/
Date: in A-I zep2_(- `waiver is valid for up to one year from ARPO's Signature
Revised July2021

KEITH & JUDITH DELANEY
400 CABIN CREEK ROAD
MERRITT, NC
DESCRIPTION
We propose to install a new boat lift. This will include the installation of four (4)
new 30' long pilings.
We propose to pull and reinstall two (2) existing mooring pilings closer to the
shore. These mooring pilings will remain on the northwest side of the pier.

Drawing by Bobby Cahoon Construction for:
Keith Delaney
400 Cabin Creek Rd. Merritt
New Boat Lift on North Side of Existing Pier
Relocate 2 existing mooring pilings to this location 13,000# Boat Lift
• • wl 4- 10" x 30' Pilings
tAtil
♦ Existing Walkway
To Shore
This drawing is the sole property of
Bobby Cahoon Construction Inc.
and is not intended for use by any other entity_