85571D - Marsh

3ct°t`°"r1 CAMA DREDGE & FILL No 85571 AB C ;C
'GENERAL PERMIT Previous permit
Date previous permit issued
f 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 I H • I v U ❑Rules attached. ❑ General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name V"0V. 0 VbotA v HD Ar / g.0 xv 4 it/(d (Authorized Agent k) .(- < 1.Gva v C) /S)vi I (G�_''
Address -Y I(7 Y.-s Liti L Si
V- Project Location(County): )\I V'.1 C yTA 0 U ve`v
City G'C, 1.f k(.)1r State 1N) C ZIP )-1140Q c9 Street Address/State Road/Lot#(s) 3 1 C G J S C w{f L")
Phone#( 1 1 ) 1.,41- c 3 J A
Email Subdivision t(/1 V LX.) i S w v'{j CityV\ \C\VI SV ,\k (Sep' C tel ZIP ,a t d r/
u
Affected piCW 0 EW PTA III ES 0 PTS
Adj.Wtr.Body - v nn
k `a-1 CS kl t ca h C E , (nat/ nk
AEC(s): OEA ❑IHA ❑UW ❑SPIMA I I PWS Closest Maj.Wtr.Body Y "o-ii •c-1(-10 h h-ej (Cjv2_ORW:yes/no PNA:yes/no) .VI CI
Type of Project/Activity I t V f((VV\/ ,r f t VACA a 6(f t146\\O kV\ -t tax Scc, Pcri.h r s 1 r r Ca lied +'U ck YV1A1c
• S N t,W. (Scales II: 3J I
Shoreline Length_" t O 0'
Access Length
Pier(dock)length
Fixed Platform(s) -0p(Q 'ID ' '0Y
Floating Platform(s) a \ 4 — 1
Finger pier(s) ! }._ I _..... ........
PO 1
Total Platform area —+, M �'
II
Groin length/#
Bulkhead/Riprap length I II, I , , El Mill
Avg distanceoffshore W aBreakwater/Sill � mI____
Max distance/length : umumamisr� ��� ■
Basin,channel )4 T
Cubic yards+f- 1 4-S '- `I. --......i,. _._.._. 111Millallgre
11111=1 -.__
Boat ramp m111�� �
Boathouse/Boatlift '� � j��I ��
Beach Bulldozing Other ._... __... _.............
1All Ilk 1.111111111111111 111111
SAV observed: yes no ��" II
Moratorium: n/a yes knob' i /• • •I•A • - f
Site Photos: es rho J
no Riparian Waiver Attached: Y s 1111,41111Nimm...,
A building permit/zoning permit may be required by:1-Vi TOWN O'C' ,/\i V iJVt')f (2)0(k
Permit Conditions r 141 IL, ' oce ( , c a r a C, -¢i -1P *C`f`b-a i y Pu IGi�'I-z_' ❑TAR/PAM/NEUSE/BUFFER(circle one)
t`e 1 I I i -~ i rA. cs %,,,p,t Vl ,,, _,-i- j,;j ( V\d, j', i V'C.,�� ❑C Q Q S- See note on back regarding River Basin rules
Y ' a4I{��k(11 • C � TL
t G vc. � . C� YM' 1 US4 c t�v y\r(-f -t`• -) 7f tN+V(. 1y' '
fA i k r T=,), ;ry^G't c , c. , YIG 11 t'C r%t,. (,()\( ,ri Gln -A-,-A C 'V‘`Y14, ❑ 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)
' cI- t" S-f' ( .-or.-1 Inc.V l h-t 2-IL}`21-
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name i
' " Lp'14•ZZ

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:
'lease ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
)roject area and disposed of in an appropriate upland location.
)ivision of Coastal Management Offices
Vlorehead City Headquarters Washington District
100 Commerce Ave Morehead City, NC 28557 943 Washington Square Mall Washington, NC 27889
>-52-808-2808/1-888-4RCOAST Fax: [phone] 252-946-6481
Serves:Carteret, Craven—south of the Neuse River,Onslow Fax: [phone]
:ounties) (Serves: Beaufort, Craven—north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Elizabeth City District Wilmington District
101 S.Griffin St.Ste. 300 127 Cardinal Drive Ext.Wilmington, NC 28405-3845
lizabeth City, NC 27909 910-796-7215
152-264-3901 Fax: [phone]
Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford, (Serves: Brunswick, New Hanover and Pender Counties)

. emuk yjCAMA t4 DREDGE & FILL No 85571 A B c 0
it I GENERAL PERMIT Previous permit
Date previous permit issued
New ❑Modification ❑Complete Reissue ❑Partial Reissue
s 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 -1 `' • IS 00 El1 Rules attached. ❑ General Permit Rules available at the following link:wwwdeq.nc.govICAMArules
Applicant Name V44V51n -I r6 vI!�b l-A v it A- ' .43tir ()Ad authorized Agent N k C k Ca ht v oce t` 15OU-1 k Cat-)C..
Address 410 1O r S Ill k S-E %T/✓O- Project Location(County): N Q:NI OrktfkOVeV
City ta\(..kyek State h)C ZIP )-1to0 9 _ Street Address/State Road/Lot#(s) 31 S' C-61A-kt U. i`JCAS-3
Phone#(l el )II( ¶3 01
Email Subdivision C1(tIYW✓ lS1oe-C9-
cityVJY1�1&*SV 1111t ge.„0XCn ZIP '3-il(4 SN
Affected ❑CW ❑EW $PTA ❑ES ❑PTS Adj.Wtr.Body Sea f 4 V L C kilt 1 Ca A C (nat/ f�
AEC(s): ElOEA ElIHA ❑uW ❑SPIMA ❑PWS Closest Maj.Wtr.Body (M o (l{S c1,104144 tay.t;III-c
no
ORW:ye PNr�A:yes ) Vl
TypePU S of Project/Activity (ViA hCtN UL. af•t er5 t1n firv.. &a f 4-41 ES4a4 er CA Nal fv a M c9C
04' —SI\ft (Scale.H: 3O)
Shoreline Length 4,- 10 O
Access Length
Pier(dock)length
Fixed Platform(s) T (tatyf j,C,t-
Floating Platform(s) -5 Ne�L vAuS-1-cohvu4S-
\ to t4::.Q w�tw✓ LANAI.
Iger pier(s) ) �t�'�-
3C' 0 Total Platform area / /
Groin length/N i
Bulkhead/Riprap length \ram / / / / S/
Avg distance offshore f 7 / / / ,
Breakwater/Sill / / /
Max distance/length S J / /
Basin,channeell,✓S rX 3 5 ')(-5 IJ Nam/ _� C /
Cubic yards '/- ) }S cy ( 5
1z` l`� 1•� ---
Boat ramp
Boathouse/Boatlift v �� _
Beach Bulldozing / I. �`
Other
t / f(.- i.e.
SAV observed: yes J e�T V S
Moratorium: n/a yes no MACSt4 qAe V!Z �{
Site Photos: Gili no 3+� �Qu 140A- %IC
Riparian Waiver Attached: s a kr ti
A building permit/zoning permit may be required by: OINK � 11 t
Permit Conditions A1( 1'1'l- . 150 v ) i olA(i C•4 ft, c.-0t edt - , y tciu(0.'it-s—❑TAR/PAM/NEUSE/BUFFER(circle one)
r' V
a PI��• SA f GL �0/1\VNUA10 all tot C V:x.c`'1 jyy! Cods. ❑See note on back regarding River Basin rules
V1 �-4lAt V. E1.4Naked AYeAf VV US4 CONKS--io CkLew- Wet •
Alt Spokk Aelc-tem''ctshR(I lotcLS�kce of at.. \ItC -cta VV•vt• Q 3Dal,rro dN nVo
I AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial) A r• ,
Ticholas A. Cavarocchi V4h4t t rtF--t- ei
�/n/t or Applicant PRINTED NNa�mee�24- Permi cer' RINTED Nam7LQ/I/I{,
Signature"Please read compliance statement on back of permit" Signature
=At- A _.� . . .�_ ... I . ! I - _ 1 I.. I I ... l

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: u-a-�/ e _ /242.)
Mailing Address: 4/ , 'v- Q/
/
Lte,r, 7 /1/G 2
Phone Number: 9/7 - Ylf 9-7CF
Email Address: /-4 Zc B / f _�. Cor-
i certify that I have authorized /t/rf1 2aac..4 i. So,A /1-74i,.-.
Agent/Contractor
to act on my behalf,for the purpose of applying fbr and obtaining all CAMA permits
necessary for the following proposed development: ...
at my prope located at 3'6 CQv5d/ / ��, ,
�� �'"in / County.
I furthermore certify that l am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Inform n:
te - �� ,,
Signature
c se c/ 44-4✓ ��.0
Print or Type Name
77--110 ,2)-4-. c---72- /v/..csi-/-/4 .0,1-
Title
/ 13a 1 2oz z- 1
Date 1
This certification is valid through / 1
RECEIVED
1 �
FEB 0 3 2022
DCM WILMINGTON, NC
1
1

BJuddAdjacentNghborform.jpeg 2/3/22, 10:47 AM
PLC,DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY RECEIPT OTIFICTED HAND IVER FRRM
CERTIFIED MAIL, RETURN
DE
(Top portion to be completed by owner or their agent)
taints as Pnmart,owner: Robert Judd
Andress al 318 Causeway Drive,Wrightsville Beach,NC 28480
d , 318 Causeway Dnve,Unit 2,Wrightsv4le Beach,NC 28480
oanK4 tow luddrobertmagmail corn owners Pesone't. 919-815-1141
Apats tote Nick Cavaroccht agora Phone. [phone]
ago**&no a outhcapemarnneagma1I corn
ADJACENT RIPARIAN PROPERTY OwNER'm CEI TM1CATtON
Oasis aterboo So Se aeteiaielsd Sr Ohs Adraoasibaoei v 01,11011
1 same mem/INS i caw property titiaoert to ewe above rafenword prosirly The lnaWWOwi POONINI for met
Penh*'etas dsscnbed as sham SW ee attarltea dtawinp,ass OMiaprrant tart we Dr000sing 8
of EDIrldsd•irlt EM_IsSE
1DO NOT rasa catiiast foist woos& IDO his*abj*Sions10MMStravois'.
tf you hive obyections m iTehat Is'brnrP prpv0aed 1rov nNMf 1Ae , i aistaf
Management(OCM)in%enema widen 10 days of receipt of Cab sodas. Correspondence should be
anted to 127 Cards**Orr*Est.NAnttoon,NC 2a406-3446.CCM rsprusenesdres can also be
contacted at(10107 7H-7Sra.No response is consldaerd the same as no objecMon K you hero been
nodded by Coronae aria.
WANER e[CT1ON
unovsx+0 that shy tropoaea ,bock moonlit psoot boat remit teakwater boaMouie.tR or
won crust be set beck a minimum denims of 15 from mr area et ripanen access wawa waived by me
(fete doe"rot Loper b t veMeads or romp revetments)Of you Nests tb wavy*01e Attie* roe nazism
'+he 1009000410 bunt below)
1 Da ass1s tC wanes worse to the is wreak / �'
,1/i/ „e ms_
oat Sg:wruA,of e'en/*roprr
I do not ales to move the 1 S'Seth sck toewwem*re'refit at*bterrk t
gn w*/of 04to eht Rceryr,Properly CAnee
TypaOhVt1msea Mine or AR►O: }�- {.w,;,,T?,u10
-_
Means nedeette of ARPO: _ ,y • •-
ARppy Many: + , •4 f :S
vsae nor up to ens year Mat ARPO"Y alenebatte
Romeo Juy 2021
RECEIVED
FEB 0 3 20?2
DCM WILMINGTON, NC

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 Marsh Harbor Villas HOA (c/o Robert Judd)
Address of Property: 318 Causeway Drive, Wrightsville Beach, NC 28480
Mailing Address of Owner 318 Causeway Drive, Unit 2, Wrightsville Beach, NC 28480
Owner's email: [e-mail] Owner's Phone#: [phone]
Agent's Name: Nick Cavarocchi Agent Phone#: [phone]
Agent's Email: [e-mail]
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.
V 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 127 Cardinal Drive Ext., Wilmington, NC 28405-3845. DCM representatives can also be
contacted at(910) 796-7215. 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 skin
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback
Signature of Adjacent Riparian Property Owner RECEIVED
-OR-
I do not wish to waive the 15' setback requirement(initial the blank) FEB 03 ,i(j
Signature of Adjacent Riparian Property
Owner: I A - DCM WILMINGTON, NC
Typed/Printed name of ARPO: c � 4- A . 4- y
Mailing Address of ARPO: 2 "7/ ci l (-c U c s Dr ,, 44 a I r L'tc 64 rr)/ tJ r- a..) ; 3,4
ARPO's email: Yc10-(r1- a� lrxk)r4y &c ARPO's Phone#: `7/Ci - 2 2 2 3 2 1 Z
Date: 1 - 34' • 2 1. *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
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: Robert Judd
Address of Property: 318 Causeway Drive, Wrightsville Beach, NC 28480
Mailing Address of Owner: 318 Causeway Drive, Unit 2, Wrightsville Beach, NC 28480
Owner's email: [e-mail] Owner's Phone#: [phone]
Agent's Name: Nick Cavarocchi 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.
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 127 Cardinal Drive Ext., Wilmington, NC 28405-3845. DCM representatives can also be
contacted at(910) 796-7215. 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 b )
f
Signature of Adjacent Riparian Property Owner: p�"
Typed/Printed name of ARPO: C(n ./� d rVyi Otila5 1
Mailing Address of ARPO: (Cf 3011 ,:TS C 11 l i. i ‘ ( "tpT'1e V r ' K
ARPO's email: C�n� _Sg pc,t\Lt{ ARPO's okle.co one#: 'lot(' 335 -9. SF'
����T
Date: f I - 30 - 21024 *waiver is valid for up to one year from ARPO's Signature*
Revised July 2021,,
FEB 03 2022

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: Robert Judd
Address of Property: 318 Causeway Drive,Wrightsville Beach, NC 28480
Mailing Address of Owner: 318 Causeway Drive, Unit 2,Wrightsville Beach, NC 28480
Owner's email: [e-mail] Owner's Phone#: [phone]
Agent's Name: Nick Cavarocchi 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
descripti drawing,with dimensions,must be provided with this letter.
I DO NOT have objections to this proposal. I DO have objections to this proposal.
If you have objections to what is being proposed, you must notify the N.C. Division of Coastal
Management(DCM)in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 127 Cardinal Drive Ext., Wilmington, NC 28405-3845. DCM representatives can also be
contacted at(910)796-7215.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 Properly Owner
-OR-
I do not wish to waive the 15'setback requirement(initial the blank),,
Signature of Adjacent Riparian Property Owner: gli--
Typed/Printed name of ARPO: E. �,-,/// ,&
Mailing Address of ARPO: 'V/0 r�iLsx4.- .s/ s,.c7/ /✓G Z 5
ARPO's email:/f..rN_vs....z Q,..c.tvn ARPO's Phone#: y/I- Ill'.1,?aq
Date: '�s/z/ *waiver is valid for up to one year from ARPO's Signature*
Revised July 2021
RECEIVED
FEB 03
DCM WILMINGTON, NC

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 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: https://www.sosnc.gov/search/index/corp. For Condominiums or
neighborhoods with an owners'association(HOA/POA),send notice to the association(which is usually a
corporation,for which you send notice to its registered agent).
What is Notice,and how do I ensure it is received?
• You can meet with your adjacent property owner,provide a description or drawing of the
proposed development,and ask them to sign this form and return it to DCM;OR
• You can hand-deliver this form and a description or drawing,and ask your neighbor to return it to
DCM(consider providing them with a stamped envelope);OR
• You can mail this form by USPS Certified Mail,return receipt requested(the Green Card).If you
choose this option,you must provide either the signed&returned green card OR track the
certified mail package number on USPS.GOV's online tracking system,and provide the tracking
print-out as proof of delivery to DCM
If you have any questions about this process,please reach out to DCM Staff and DCM Legal Counsel
and we will work to answer your questions_
RevisedJuly 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 Marsh Harbor Villas HOA(do Robert Judd)
Address of Property 318 Causeway Drive, Wrightsville Beach, NC 28480
Mailing Address of Owner: 318 Causeway Drive, Unit 2, Wrightsville Beach, NC 28480
Owner's email: [e-mail] Owner's Phone#: [phone]
Agent's Name: Nick Cavarocchi 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.
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 N.C. Division of Coastal
Management(DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 127 Cardinal Drive Ext., Wilmington, NC 28405-3845. DCM representatives can also be
contacted at(910) 796-7215. 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: / A - Cauc
Typed/Printed name of ARPO: �f'� A _ t't-h-i`c 7 S
Mailing Address of ARPO: 2 i7t01 2'v oU(S Dr. 't$at iticloaro f S 34
ARPO's email: Ycbcri-c) lex'ti- •e'c w, ARPO's Phone#: ) I q - 2 2 2 - 3 Z 2 L
Date: i 30 -2 2 `waiver is valid for up to one year from ARPO's Signature`
Revised July 2021

r
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit 4 _ _ ,e tZgj
Mailing Address: 4 5.f`d' ? " .•lam•
iI, %c/c 2•09
Phone Number: 9/7- . ''ff'k 9,7
Email Address: .S.d i ic.. Cory,
I certify that I have authorized . , .',¢-O•{a-,e oer-4.+ -00 �', n.744?•'e r-''
Agent 1 Contractor
to act on my behatf,for the purpose of applying - r and obtaining all CAMA permits
` s"_. " 1
necessary for the following proposed developm ►t: "' '
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at my prop located at .ate/e l.4,-.5,4 4,:rr7 -+^'.e_,
iry 4,' i" '- County.
I furthermore certify that I am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the LocalPermit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Inform n:
1
7
Signature
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Print or Type Name
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/ /14 i Z/Z.Z
Date I
1
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Ttht certification is valid through t .
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N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (MINOR PERMIT)
CERTIFIED MAIL, RETURN RECEIPT REQUESTED or HAND DELIVERED
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s n� �( D to
N e of Adjacent Riparian Pro Owner_
_� C4iSc.'i/1/ ivc
Address
f��►Gif is vi�c 1/, At aq8ygo
City,State Zip
To Whom It May Concern:
This correspondence is to notify you as a riparian property owner that I am applying for a CAMA Minor permit to
6 B�R66- 40, �l� G✓A-T�� /ESS
on my property at t' /Ay —lye)✓G ti)g /1-0✓1Li ,&23//, ,UC_ a gYe0
in JV E J MNOV ie._ County,which is adjacent to your property. A copy of the application and project
drawing is attached/enclosed for your review.
If you have no objections to the proposed activity,please mark the appropriate statement below and return to me as soon
as possible. If no comments are received within 10 days of receipt of this notice,it will be considered that you have no
comments or objections regarding this project.
If you have objections or comments,please mark the appropriate statement below and send your correspondence to:
(LOCAL PERMIT OFFICER,NAME OF LOCAL GOVERNMENT, MAILING ADDRESS CITY,STATE,ZIP CODE)
If you have any questions about the project,please do not hesitate to contact me at my address/number listed below,or
contact(LOCAL PERMIT OFFICER)at(PHONE NUMBER),or by email at:(LPO EMAIL).
Sincerely,
/oB í � 9/ — his= 'Hi
Property Owner's Name Telephone Number
Address City State Zip
I have no objection to the project described in this correspondence. NO tWo4;k' r-.404,1 ideb., ,s
I have objection(s) o the project described in this correspondence. AJ j oi?!zth,
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Adjacent Riparian ignature Date
Seeps Inc.
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Print or Type Name %1 Wnghisvdk ecac NC 28480 Telephone Number
Address City State Zip
Revised July 2021

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Check
nod Dab Deposited Check From(Nemo) Name of Permit Holder Vendor Check number amount Permit Number/Comments Receipt or Rerund/Roslloceted
Column2 Column.] Calumet Column5 Columns Column7 Column8 Column9
)22 David Grice Money Order Robert Roy USPS _ 2.64E+10 $400.00 GP#85579D BB rct. 16986
)22 David Grice Money Order Robert Roy USPS 2 64E+10 $200.00 GP#85566D BB rct.16990
)22 Alexander Torello Jr. same BB&T 5923 $400.00 GP#85598D KE rct.16590
)02, Jerry Ennett Edna Lockamy Coastal Bank and Trust 4489 $200.00 GP#85591 D JD rct.16565
122 Carolina Bluewater Construction,Inc.,David Aucello BB&T 24517' $200.00 GP#85568D BB rct.16991
1221 Carolina Bluewater Construction,Inc.Ashley&Jackson Trent BB&T 24516 $200.00 GP#85567D BB rct.16992
)22 1 South Cape Maritime,LLC Marsh Harbour HOA Wells Fargo 1148 $400.00 GP#85571 D KE rct.16588
)22' Richard Penny Construction,LLC Eagle Point HOA Navy Federal CU 2658 $200.00 GP#85570D KE rct.16587
122 bennett Boys,LLC Matt Bennett • First Citizens Bank _ 1128 $200.00 GP#85559D JD rot.16811
122 Sea Dog Marine Construction Edgar Garber II First Bank 1629 $200.00 GP#85373D BB rot.16989
122 Meadowbrook Investments LLC Debell BB&T 1396 $200.00 GP#85581D BB rot.16988
122'. Rhonda McCall Tony Alexander Bank of America 1131 $200.00 GP#80195D PA rct.16541
122 i Roy Smart Same Wells Fargo 5783 $400.00 GP#85450D PA rct.16502
)221 i South Cape Maritime,LLC Daniel Bowman Wells Fargo 1358 $200.00 GP#85406D BH rct.16260