Booth, William 84301C

oaJwur4l CAMA DREDGE & FILL NQ 84301 A B
W, 46 E N E L PERMIT Previous permit
Date previous permit issued �
ew ❑ Modification []Complete Reissue n Partial Reissue
As authorized
!b`y�the State of Nort"rolina• Department of Environmental Quality and the Coastal Resou Commission in an area of environmental concern pursuant to:
15A NCAC / �9"i�^ Rules attached. eneral Permit Rules available at the tollowing.link: www.deq_nc.gov(CAMArules
Applicant Name VU i
.r-
PP Authorized Agent
Address DhProject Location (County):
City rState - ZIP Street Addyyre�s-//State R
oad
/Lot #(s) `
Phone # /,��� i, ` ��(Jld�,
Email Subdivisi n
City. I �c ZIP _
Affected CW EW PTA ES PTS Adj. Wtr. Body b n (nat/ an,q� )
AEC(s): OEA MIHA UW SPIMA PWS Closest Maj. Wtr. Body r' L/
ORW: yes/,�d' j PNA: yes/q6� /
Type of Project/ Activity r '1 k L i
(Scale:��1 J
Shoreline Length ✓✓
Access Length '--
Pier (dock) length `
Fixed Platform(s)— —
Floating Platform(s) / �t
Finger pier(s)
Total Platform area �
Groin length/N
Bulkhead/ Riprap length Ll
Avg distance offshore'
Breakwater/Sill 7)
Ma distance/ length
.0
Basm, hannel �-� t
Cubic yards J j 1(
Boat ramp ��
Boathouse/ Boatlift J�`
Beach Bulldozing-----r/
Other .-. U /}� ; i_ � 0
SAV observed: yes no
Moratorium: n/a yes no
Site Photos: yes o
Riparian Waiver Attached: yes
A building permit/zoning permit y be required by: �(
Permit Conditions 4ir e TAR/PAM/NEUSE/BUFFER (circle one)
l
ElSee note on back regarding River Basin rules
— '— See add'¢jona�\ es/Eonditions on back
AWARE OF STATUTES, CRC RULES AND CONDITjpNS TW APPLY TO THIS PROJECT AND Rl�1(IEWED COMPJ�ANCE i1QTfJ11�ENT. `X (Please Initial)
7S' ase read compliance statement on back of permits*
Fee(s) Check tf/Money Order Issuing mate 1 Ex,AiratioJ Date

CAMA DREDGE & FILL N9 84301 A _ B n
GENE L PERMIT Previous permit
Date previous permit issued ----�
Q l ew ❑ Modification ❑ Complete Reissue []Partial Reissue
As authorized by the State of Nort�G rolina, Department of Environmental Quality and the�=it
Ress Commission in an area of environmental concern pursuant to:
15A NCAC �` 1�1J ❑ Rules attached. Rules available at the following link: www.deq.nc.gov/CAMArules
City _
Phone
Email
Affected ❑ CW EW PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA NIHA �Uw ❑ SPIMA ❑ PWS
ORW: yes/ oA PNA: yes/r
Type of Project/ Activity
Shoreline Length 1�
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
Ma distance/ length
Basin, hannel
Cubic yards
Boat ramp Y 1
Boathouse/ Boatlift
Beach Bulldozing°`
Other
SAV observed: yes no
Moratorium: n/a yes no
Site Photos: yes o
Riparian Waiver Attached: yes o
A building permit/zoning�p±e�rmit nAy/�be required, by:
Permit Conditions � i 1 fl f t tv�Y I ANV(
n
Street Address/State Road/Lot #(s)
1;0a 45A-k& y
City _ 1/•-114 11 Qf
Adj. Wtr. Body
Closest Maj. Wtr. Body
JAI
I _y
I 7 �
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS T_HAT APPLY TO THIS PROJECT AND
I
\gent or Applicant PR TED Name ( - Pe
15Y
TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additjgnal-m onditions on back
CE PYQTAKENT. y (Please Initial)
Signature * ase read compliance statement on back of permit** Si(gn{{at��t
—fir
lica on Feels) Check #/Money Order Issuing
Date

Statement of Compliance and Consistency
This permit is subject to compliance with this application and permit conditions. Any violation of these terms may
subject the permittee to a fine or criminal or civil action; and may cause the permit to become null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for
compliance. The applicant certifies by signing this permit that: 1) prior to undertaking any activities authorized by this
permit, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the
local land use plan and all local ordinances, and 2) a written statement from the adjacent riparian property owner(s)
has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(s).
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
1-1 Tar - Pamlico River Basin Buffer Rules 1-1 Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules
for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the
NC Division of Water Resources. If you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
Notes/Additional Permit Conditions:
Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland location.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST Fax: [phone]
(Serves: Carteret, Craven — south of the Neuse River, Onslow
Counties)
Elizabeth City District
401 S. Griffin St. Ste. 300
Elizabeth City, NC 27909
252-264-3901
(Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford,
Pasquotank and Perquimans Counties)
Washington District
943 Washington Square Mall Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Craven — north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext. Wilmington, NC 28405-3845
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER i OTIFI ATIO NIWAIV R FORM
CFTIt (vtAl F'Tt1i F�Ei4T #�UTtrHANi C�i� YRY
(Top Portion to be completed Iy ownear or their agent)
Marla of Property Owner _ t��' z � • �� Y •��, � �' �� � � �
Address of Property: I 'u
O
v ner's email:
iCwners i56an
Agent's Name: �.._ � ,..._. Agent Phone
Agent's Ennail, t
ADJACENT RIPARIAN PROPERTY OWNEW CERTIFICATION
{ott.,_,_ t�t�aegr€iaara tcs� ctsceiote€i kay the 4�%'a4tt4�,_ P.Cra,.,�aL,�,�,raP�r
I hereby certify tha! I c3wn prapeily adjaeen to the above. referenced properly. l #t� ee;riiuis�tt�i a�?pi} tc� tt r t#,i
permit has, deacribed to me, as abown on the attacned drawing, the. development they. are pro Caosing.
Ae_av itaticin ar € ravvrnq A1 ctiirian'sirar?s� L%qt tte O c -A � th the s e er.
--- i DO NO T hr�vp objections to this proposai __ I DO have objections to this, proposal,
T]tt3�i hF`Fv"NG'R d, j/fi16 f00St nta2ifjr .tfiQ N,C, DfViSA`QPd Ui` Ct3€tSda1
Management (C ) in writing wath;n tQ stays of receipt of thfs notke. Cttrm.`tpondence shoufd be
maifedti>400 owmemo ve- Moreheatf0fy, NC y 5 7. VCM representatives can ats be o tact€
at () 8 -2808. No response is considered the sarne a� no objection lfyou have been not€tred by
Certified Mail,
WAIVER SECTION
l understand that any proposed pier, docx, rnooring pilin€gy, boat ramp, breakwater, bo theaua , lift. ,r
groin statist €ie set back a rttiraimutt? distance of 15i from my tar€*a of riparian access unless .n:a uecf { me-
t
(this do s not apply to hulkheads or riprap mvrtrments). (If you wish to Waive the setback: you must
the appropriate blank below.)
i DO with to wahie somelaai of the is , se3tbat;k
at�ttttae? r arstxs�rat Ftpxaa€irt pf€aerfy�Wler
i do not wish to waive the 15. setback rr-ctaiiremett (initial the blank!
Mailing Address of ARPO: ._ ,.. � � �.. �' ot. 10c
ral 'C 's arrraii tU40 lfa,.wk A PCP`s Phoma#�2"L7,, -Aa4
Date: _ / : _..._...°w tiara is valid for up to one year from ARPOss ignaa; aria"

kC. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFIGATIONAgAIVE FORM
G kTiFIE� iv' !€ sE i RN R CQP P<F uEsi i .r HAIVo O[L[ %Ei'Y
ITrp pOt' On to be completed by owner or ttlelr ayarq,,
P
Ftarne r,` Property twrrr.
,kdd(esso"rProperty: 1 G £ •a y r.. __.
tf,(i8llirt fli:GlrF{5S'Jf Vr�net. �i �., t' ';.•.; ,.
Il € ! f n n
Owner's art sit: ,�%.�.�..bt 7X�€ �`rner s Ftio;z�;.1d. Cf �
Agr n€'s iVarte Agmnt Pltci,efi _.i' I ifi Ff F I E1
M
ADJACENT RIPARIAN PROPERTY O NEWS CERTIFICATION
s�zattoat �rtk�fa 8,� I� c�3 n iet� ttte Ad ac:�r€# F'eer��rAwt t3;vr�er,
hwgby'kerrify that I ,pan proparty adjawrf to the aiw rafc.. 3rer d pro r y_ iho ir; jluia taI app yi £e, : =.:a
permit has descnbed as me, as 'Stlown On the atta,hac dr xWin% the aiersehapmenT the; as prrroeing, gi
IgAgg2to—n r r u€ i ,arch timers t o t t e kravtc3c €i jit ih ggr.
i Cv NOT hav .)t jectirrr?s t tt is uM2oaab. . ; ui '2a a;sE {a z rs tn,hfir p oGcsrai.
f ysau €aa ofip � any €s whai ke ng prm�rc� di ya�u must
nati y tads N s issvzr of Ga sPua
Management (ri(.'M) dra wrffing r✓athin 10 daYs Of receipt of this notice. Correspondence should he
rnaried tit 400 Conrnrerc:e Ave., Morehavd City, tYC 2$85T TICNI representatives gen also he contacted
at (2841808-280& No t'esponse is considered the same as no objssii€ n it you have be t�otifia d byCarti�ed. rai€
WAIVER SECTION
r�'er zxxrx9 tt1 aY ,Iny �Pasud s pr, €iv ;k, mooring ptlinga, ooat fW
Mp, tie c;akwa€er, �casihcscrna ii :�r
3rrs r r:rua; I e ae s K s mff." �rH diwan cat 2.°"s fatna my ;area of ripana'I ac,Gess onj waived t , me
is does not appe y ic" bulkheads or riprap ra vetnpp.nfa). (If you with to waive the satFac you asazas aiz rs
Rhe appropriate oiarak I e?ow-
I DO Ish iya waive 3orr fai: rl U,.e ! `"` sell k
.. , ddtu€19 r3Y,eXy°a rr? r ;c r. f3£�Fsy ldb4fnal, ~_
-(its_
Ietapu)iwlsit r usivettp 'I °setbai r - iryi
{' airement al#eb.anF'-
- -
_ ..._............_�_.._. �.__ _ ..._ ....._ ....._...:. ..... ..........
Signature of AcjarA nt Riparian Property Owner:
T$IxotilFrirste€I psrczp of APti:'f ai r} "
4SMailing A.dt{s. c'Jt'. Ai�,PO:.v.-.ieL.2;�..W��
ARRo°s 43Taarzii:�?::..f Pl5iffiia2.#'':
Oat" }_�.` „L �_......_ .. ';+aalvcr as as iid far up to One year horx APP€l'a kStgyraturo^
R&WSW .Judy 2021

OUTER B,AT'I%;,KS
MARINE CO�NSTRFUCTION
'rim Grimes, 252-240-2525 ;, Cell 252-241-6455
tP
f7,
SY

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: -iji
Address of Property: j 0 7
Mailing Address of Owner: : c, rj ! . (: fA t f'F 2 `z
Owner's email: i s czc, t tic zc.- QWners
Agent's Name,. ' ; m S f u t Agent Phone#: `>� tot
Agent's Email: i 0t-rk(; 1 L _ at t'c'Ckb :sd-Oti1 Q: r` �Z
- _..... - - -. - ■l III 591 F1I-M 1111 �I F3 -
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(BQttarD pardon to be completed tsy the Adjacont 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 aiiached 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. 1 DQ have objections to this proposal.
If you have ob . Lions to what is being
Y � g pmpvsed, you must notify the AI.C. Division Af Coastal
Management (DGM) in writing within 10 clays of receipt of tills notice. Correspondence should be
mailed to 400 Commerce Ave., Morehead City, NC 28557 t?CM representatives can also be contacted
at [phone]. No response is considered the same as no abjection 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 somalair of the 15' set ac— Lfe'�(Sb?
ignatur a s3f Adfac' t Rip anan property+
-QR-
or
bwn
I do not wish to waive the 15' setback requirement. (initial the blank)
Signature of Adjacent Riparian Property Owner: i77c2r &e&
Typed_IPrinted narne'of ARPO: _ /V! ,c , . l Me- U
Mailing Address of ARPQ: �(�.� S,o ct 4 d {I A7�A/UT`�°
AR.PQ's e►naik Z` /f -- AJt s Phane#i ��
Date: waiver is valid for up to one year from ARPO's Signature'
Revised July 2021
OCT01 2021
DCM-MHD CITY

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIOWWAIVER FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTED,, or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Naine of Property Owner. t i ; 11 iy�rv� 1 e IYtP l r ' (t 1^
.Address of Property: _ (O '7 jet„ -fir{ i,i r�lye_
Mailing Address of Owner: _TI G t'�+4 X j �i (r, Ape >U C, , -�
qtt Cyr
Owner's email:�cecet c' (7wners Phone#: Ei I Cl --3 e< A - ( 1 (o
Agent's Name: LL M Agent Phone*-, Gt { r - C104 - 4 0 9,6 -
Agent's Email: 4 r rrn&tCo I }-ru rs Ezra(, r_SAtrAc (. en,
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(1 ISM portion to be compteted 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
descdol onr avhng o, with dimensions must be provided w
✓ Iith this letter_
wDO NOT have objections to this proposal. I DO have objections to this proposal.
If you have objections to what is being proposed, you must notify the N.C, Division of Coastal
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted
at [phone]. No response is considered the same as no objection Ifyou have been notified by
Certified Mail.
WAIVER SECTION
1 undersstand 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 sometali of the 15' setback . fl
rS"gnatuuris ofAitlI nt Rip
-OR- an O� pertY�LOwnor
I do not wish to waive the 15- setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner: T . t
TYPed/Printed nameof ARPO:
p _.
Mailing Address of ARPO- A C
ARPO's email; pp +.3N7 Mi APO's Phonom !jy ,5
Date: A.g� — 2 1 1 'waiver is valid for up to one year from ARPO's Signature -
Revised July 2021
RECEIVED
OCT 01 2021
®CM-MHC CITY

RI
Tim Grimes. 252-240-2525 , Cell 252-241-6455
1501 First Avenue. Morehead City. NC
www.outerbanksmarineconstruction.com
RECEIVED
OCT 01 2021
DCM-MHi) CITY

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.
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 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.goy/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 July 2021
OCT 04 2021
DCM-MHD CITY