Ammons, Stephen 88307C

❑CAMA ❑ DREDGE & FILL
GENERAL PERMIT
❑New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
N9 88307 A B C o
Previous permit
Date previous permit issued -
As authorized by the Ste of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
l (�
I SA NCAC I I 1 CX / �� - ❑ Rules attached. ❑ General Permit Rules available at the following link: wwwdeq.nc.gov/CAMArules
Applicant Name - Agent
11
�r: � -'� � �� 1 � L< t✓Authorized I I L
Address -' (' � 1 'r.. r 1 Project Location (County):
Ciry �_ L S to A) ZIP % Street Address/State Road/Lot #(s)
Phone# 111 T71 l)rY1—
Email
Affected ❑ CW M EW ❑ PTA Q ES
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA
ORW: yes/no PNA: yes/no
Type of Project/ Activity
Shoreline Length
Access Length
Pier (dock) length
Fixed Platforms)-'
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/A
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
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
Permit Conditions
❑ PTS
❑PWS
City
Adj. Wtr. Body CN (nat/man/unk)
Closest Maj. Wtr. Body
d
�V ❑TAWPAM/NEUSE/BUFFER(circle one)
❑ See note on back regarding River Basin rules
See additional
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT.
i
Agent or Applicant PRINTED Name. i
Signature **Please read compliance statement on back of permit*
fi23'iL$
Application Fee(s) Check N/Money Order
Permit Officer's PRINTED Name
Initial)
Sign ture
2
Issuing Date Expiration Date

❑CAMA ❑DREDGE &FILL N9 88307 A B p
Previous permit
3 .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: wwwdecnc.gov/CAMArules
Applicant Name
Address
i
City State ZIP
Phone #
Email
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City ZIP
Affected ❑ cW "11 EW ❑ PTA u ES ❑ FITS Adj. Wtr. Body (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Mal. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
(Scales' - .;? )
Access Length
Pier (dock) length—
,. Fixed Plafform(s)
Floating Platform(s)
Finger pier(s)
—.H._.
—L
-`
:;�
-
_
I
—
Total Platform area
Groin length/tf
I
I
i
Bulkhead/ Riprap length
-
-
—
—
--
—
I
-
- j
Avg distance offshore
Breakwater/Sill
_I
�{
Max distance/length
-_
Basin,channel
.
_..
3
Cubic
..
yards
- •�__
Boat ram
Boathouse/Boatlift
Beach Bulldozing
Other-
i-..
EE
SAV observed: yes no
Moratorium: n/a yes no
r
—
Site Photos: yes no
-
r—
i
I
Riparian Waiver Attached: yes no
H ummnig pennn/pmmig penm, indy uc rcyuueu
Permit Conditions
❑ 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)
I
Agent or Applicant PRINTED Name. Permit Officer's PRINTED Name
Signature **Please read compliance statement on back of permit**
Application Fee(s) Check A Money Order
Sign [ure ) -
Issuing Date Expiration Date

Rodney,
Please see attached survey of my property at 309 Bogue Sound Drive,
Cape Carteret. I am applying for a general CAMA permit to repair my
existing seawall (approximately 160') , construct a boat lift ( 24' x 10') ,
and dredge the area where the boat lift will be built and any areas
needed adjacent to the seawall.
I have attached a waiver form for you to fill out and sign so I can proceed.
I realize you have signed a form earlier this year but I didn't express my
intentions of dredging these areas. Sorry for the inconvenience but
please sign and return via email.
Thanks in advance and hope to see you soon.
Stephen Ammons
[e-mail]

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_ _ j09 9O6S.90- ZBK1d �t;�L e4f &y,;at7-
Mailing Address of Owner.194L YFfkftGADyyT Lhr"C.f 2 ff&-.Lr� Nc- -29'5`I i
Owners email: L.c-`r-a'be7, Q,bpt( -),,le- ,ner'sPhone#: g1q-y1?-gi?,Vq
Agent's Name:
Agent's Email:
Agent Phone#:
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
desgLiiption or drawing with dimensions must bQ Provided with this letter.
�( * 1 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 nofify 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 if you have been
noted 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
sm
Of
t
I do not wish to waive the 15' setback requirement (initial the blank)
�:_ I.-- . -- . - - - 'n h FN . -

Subject: permit
From: Kevin Tedder <[e-mail]>
Date: 2/12/2022, 5:37 PM
To: [e-mail]
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AGENT AUTHORIZAT ON FOR CAMA PERMIT APPLICATION
Name ( f Property Owner Requesting Permit: Sieph e n k AYYIn' on,!1
Mailing Address:
Phone Number: "I i "1
Email Address:
I certify that i have authorized
Agent / Contractor
to act c n my behalf, for the purpose of applying for and obtaining all CAMA permits
necess iry for the following proposed development: /�c��YID c9/Ct
ba ) #Ald l"046111UJ /(lee) alNe
at myproperty located at SDP
SGI»c�cayt✓
n 1' &- County.
I furthermore certify that I am aur, torized to grant, and do in fact grant permission to
Division of Coastal Management stW,, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit, pplication.
Propertj Owner Information:
Signatur
Print or Type Name
_V'�xNkLL,
Title
/0'-1-—
Date
RISC IVr
r,��2
This ce tification is valid through / �� I o�yG2 FEB 0 3 2
DCM-MHD CITY

th}o-t"h
N.C. DIVISIO14 OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOST DAorIHANDAIVER DEL VE YM
(Top portion to be completed by owner or their agent)
Name of property Owner:
Address of. Property:
Mailing Address of Ownei
Owner's email:Z&h
Agent's Name:
Agent's Email: h n e
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 forthis
permit has described to me, as shown on the attached drawing, the development they are proposing. A
description or drawirt with dimensions must be provided with this letter.
�( I DO NOT have objections to this proposal. I DO have objections to this proposal.
ff 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 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 towaive the setback, you must sign
the appropriate blank below.)
of the 15' setback
tlgnature of Acent Riparian
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property
Typed/Printed name of ARPO: ]k GfrQ Gt/
Mailing Address of ARPO: K p.o' Boer -i/2 v" IAIW I^'UC lV e 1470;?
ARPO's email:-�l✓RLLoiNr/98�aL C0 pRPO's Phonetf:x336 lq" 40640
Date: T /D'2/s'2/ *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:
Address of Property: x �yaG� Sod/y� OR ��c ,CAa N
Mailing Address of Owner �D.BOr 11124119�� �`�� �V C a7��'z
Owner's email:N / 1W1J44ayW&0AZ*Oo1)'Owner's Phone#: [phone] - y6 d t5
Agent's Name:
Agent's Email:
Agent
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.
VAU A� �O NOT have objections to this proposal. I DO have objections to this proposal.
Ir you nave 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) .308-2808. No response is considered the same as no objection if you have been notified by
Certifiec' 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.)
1 DO wish to waive some/all of the 15' setback
ME
a
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of
Mailing Address of ARPO:
ARPO's email: � �b i hARPO's Phone#`t
Date: _�2�*waiver is r alid for up to one year from ARPO's Signature*
Revd Jtt1 021
,

(CL� N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (MINOR PERMIT)
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERED
!c� I ZM P 1
Date,.. ,l
To Whom It May Concern:
correspondence is to notify you as a riparian property owner that I am a plying for a CAMA Minor permit to
a seau�a�l , lx f �t and -1iI i with So>,
Oil illy p openy at
in County, which ii adjacent to your property. A copy of the application and project
drawing is attachedlenclosed 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 addresshrumber listed below, or
contact (LOCAL PERh41T OFFICER) at (PHONE NUMBER), or by email at: (LPO EMAIL).
Sincerely,
Address
✓
Owner's
City
Number
State
I have no objection to the project described in this correspondence.
I have objection(s) to the project described in this correspondence.
jacent Riparian Signature
Prir or Type Name
a le z& -z/
Date
3.QG -f�G16- '_Y(oOIJ _
Telephone Number
Zip
Address ,.,
City
Stine
RECE-10-D
t
1„ h
RevisedJul�_ 2C)?i
� N f
FEB 03ZR?-
M-MWID CITY"

9van.c�-
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOT►FICATIONfWAiVER 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:
r
UFAMAINN
• . - � t F ! I
Ac a G
; Phone#: 1`?-tJttJ 'TiL
Agent Phonefr:j`1r2� Zt70�
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
t
f f description or drawing with dimensions must be provided with this latter.
.� � 1 DO NOT have objections to this proposal. I DO have objections to this proposal.
If you have objections to what is beftrg proposed, you must noruy me rv- WIVIMU11
we
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
aroin must be set back a minimum distance of 15' from my area of riparian access unless waived by me
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback
of
M
I do not wish to waive the 16 setback recdirement (initial the blank)
Signature of Adjacent Riparian Property Cwner: )C_ 0 r-
Typedff'rinted name of ARPO: k lzr, G f A
Mailing Address ofARPO: <oe�j \t et% A fDr Ivs, 0,4 A t
ARPO's email: & Cof wnA CMt qI t,Cot',ARPO's Phone#: v �- 08
Date: k 1 d� >� *waiver Is valid for up to one year from ARPO's Signature*
RevisERBMVED
FEB 0 3 201.2
DCM-MHD CITY

N.C. DIVISION OF COASTAL MANAGEMENT
t� ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (I
CERTIFIED MAII RFTt IRM RF('FIOT Dr;nt ICCTCfl —, unntr
To Whom It May Concerm
This correspondence is to notify you as a riparian
tit my property at
OR PERMIT)
that I ant applying font CANf:1 Minor permit to
in _,( j- _..Y County, which is adjacent to your property. JA 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 tile as soon
as possible. If no comments are received within 10 days of receipt of this notice, it will be considered that you ha%c no
comments or objections regarding this prgicct.
If you have objections or comments, please mark the approprirac s!atentcnt b0mv and send your correspondence to;
(LOCAL PFRXI:T OFFICER, NAME OF LOCAL GOVERNMENT. MAILING ADDRrSS CITY. STATE, ZIP CODE)
If you have any questions about the project, please do not hesitate to contact meat my address.'number listed below. or
contact (LOCAL PERMIT OFFIC'LR) at (PIIONL NLAlilkR ). or by email at: (LPO EMAIL).
Sincerely,
'n R A
Owner'. Name
Adthr . C'ity State Zip
I have no objection to the project described in this correspondence.
I have objeetionW to the project described in this correspondence.
` I171 I
:ltljacc Riparian Signa m -
Datc
4 Print orType Name
Address
City
rciephone Number
State
Zip
RECEIVED
FEB 0 3 2022
E)CM-MHD CIl
Revised July 2021

Legend:
A/C . Air Conditioning
'
do - Computed Point
D.B. Deed Bask
hper
c
-
MB 5P965
„
ECP - Existing Concrete Monument
EIP - Existing Iron Pipe
"a 8
EMN - Existing Mag Nail
MBL- Minimum Building Line
See
M.B. - Map Book
NH WL - Normal High Water Lire
Pg Page
-
Ret. Wall - Retaining W II
Vicinity Sketch
R/W - Right-of-way
5IR-set Iron Rod
::
Boat tT a s l n Not to Soule
C C�N�L
SMN - Set Mag Nail
—
Ripaep a
5 38°59'W E 4.21'
g41s
8
a . 4.87'
11.44'
$D nT , t sP QL tTj•'' 5#m372
#361
#3
In Ret, Wail
Lots: A/C
7, B, Part of z0.8' ❑
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t
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139.93 e
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Mete 3
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CO1'r
IF Cons.N,
309 Rogue Sound Drive Mk
Bogue Sound Drive ZI E
60' Public R/W I516°29'55' W Nm�
'00"t104�94'�
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CPN 370046 5384J
7/16/2DO3.
-
GRAPHIC SCALE: 1"=30'
NO RECORD SEARCH DONE BY
OR FURNISHEDTO SURVEYOR IN
0 10 20 30 60 ALLD35TANCESARE f
REGARD TO ZONING, SETBACKS,
HORIZOWAL GROUND,
FEET US SURVEY FEET.
EASEMENTS OR RESTRICTIONS.
MIS MA
PHYSICAL SURVEY AREACADINATEE1�G
RECORDING
ECOR IN PURPOSES
INO PURPOSES
BTCOORDINATES
11;0yth.t6'.m.,—down und.. my mpar.i.i.n fmm.n .Au.l moq m.d..."a.r
my mpervi.b. with r.F«.m. w°me.Ad; that th. h.und.A.. not..r .y A .relediotd
Let Na. 10, tt, 126 PARTOF9 BlockK
..dnh.dlmm."F.mrd«en..r...i th.t W, m.p m.a.tb myuimmenM.Rha
SUED. SECTION NOA OF BAYSHORE PARK
TOWN OF CAPE GRiERET CARTERET COUNTY, N.C.
mnd.d.ef pn°Ue. f« L.nd SumryirY in NC521NCAC56.160D). R.tie.f
pmei.ienLrmB. p..iriew.l.=....ry i. 0_1e
SURVEY FOR, STEPHENAMMONS
P.
SURVEY DATE: 7/2212021
TIDEWATER ASSOCIATES, INC.
Engineers - Surveyors - Planners
Cade, Point, North C... lin.
604E Ced.r Point Blvd.
Phsne(252)393.6101 - wwtv.Tidew.t.,ENC.com Ea 1961
N.C. Firm U.en3e Number: F-0108
UPDATE
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AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name if Property Owner Req
Mailing Address:
Phone Number:
Email Address:
I certify that. I have authorized
motsbive bel_ I th.00f
ol,J rl�f>7S ,
Agent / Contractor
to act cn my behalf, for the purpose of applying for and obtaining allCAMA permits
necess iry for the following proposed development: aea sI//y(w GUQ//
C?;MbCa) Aid aPd61i?u,Z a/evi V Ln-t� /';� 0
at my property located at� fx�1LD[' S GInCX GtC'�l�C
in - A � County.
1 furthermore certify that 1 am au,, iorized to grant, and do in fact grant permission to
Divisioi of Coastal Management st 3ff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
Property Owner Information:
57c f fly^' K, tj MM�
r� Print or Type Name
Title
Date
FED 0 3 20l?.
This ce tification is valid through 1v7 I �� IU�Z
DCM-MHD CITY

{ahh
/ N.C. DIVISIOI,1 OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OW NRER NOT -I FICCAoTrIHANDAIVER DEL VERYM•
r_F_RTIFIED MAIL • RETURf
(Top portion to be completed by owner or their agent)
�ie e R. Atm�ilqe
Name of Property Owner: ,�eAddress ofProperty:y
Mailing Address of Owner: 5 n'
5 o t@bet �Sfx�.Y ner's Phone#:
Owner's email: n I��
Agent's Name: t�%h (1 A m MQ Agent Phone#: t (qA
Agent'sEmail: � hnen5c���
cry=a �
ADJACENT RIPARIAN
PROPERTYtWR'S CERTIFICATION
letedby L(Qotom portion to becmpAetcaner)
—
I hereby certify that I own property adjacent to the above referenced property. The individual applying for this
permit has dascribad 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.
IJ x 100 NOT have objections to this proposal. I DO have objections to this proposal.
you i.:ave objections to what Is belrig proposed, you most notify gillsN.C. Division of Coastal
if
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 Mail.
,WAIVER SECTION
I understand that any proposed pier, dock. mooring pilings, boat ramp, breakwater, boathouse, Ilft, or
groin must be set back a minimum distance of 15' from my area of riparian access unless waived by men-
(thls doest appty tto nobulkheads orriprap revetments).. (If you wish to waive thesetback,- ou-must
ust-sio
the appropriate blank below.)
I DO wish to Waive some/all of the 15' setback
Property
-OR-
I do not wish to waive the 15- setback requirement (initial the blank)
Signature of Adjacent Riparian Property
TypediPrinted name of ARPO:
Mailing Address of ARPO:
ARPO's email:
Date:.? /02G 2/ ._*waive
A70;
Re57ffeli�rhj4t021
FED 03 200
D CITY

tih
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: x' Qlz�e
Address of Properly:/N/� lJR //rPc CAt N
Mailing Address of Ownerx /?O.�Ur �l12 i�11 r/%Ca✓f /V C Oz
Owner's email:-,/lAf4l4VVy9gCA4'Z.COMOwner's Phone#: 336'1106"116d6
Agent's Name: Agent Phone#:
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 properly. The individual applying for this
permit has described to me, as shown on the attached drawing, the development they are proposing. A
description or drawing with dimensions, must be provided with this letter.
DO NOT have objections to this proposal. I DO have objections to this proposal.
If you -have objections towhatis 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 If you have been notified by
Certlfiec' 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
(4_
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of
Mailing Address of ARPO:
ARPO's emlanll:L���)ARPt
Data:*Waiver i s,mIld for uN
e
to one year from ARPO's Signature*
6 13
L)cj1A.,4Vltita

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (MINOR PERMIT)
CERTIFIED MAIL RETURN RECEIPT RE9UESTFD or HANQ DELIVERED
Date,-, I
To Wham It May Concern:
dencc is to notify you as a riparian property owner that I am a )plying for a CAMA Minor pennit to
1 a ,�t?adull . "1 4t ud flit I; W'Ith Sol
on illy p operty at 1 l.J.� rl
in '� Cot nty, which i§ 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. It' no comments are received within 10 clays of receipt of this notice, it will be considered that you have no
commons 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,
Address
City
Telephone Number
State
I have no objection to the project described in this correspondence.
I have objection(s) to the project described in this correspondence.
jace it Ri/pari/an Signature
ZAR/1 allwlz1`
Pri or Type Name
Address
Date
le 334 4W y644
zip
hevisedluiy 0.?I
,. FEB 0 3 2022
DCM-MPID Gfr

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL • RETURN R CE PT REQUESTE(1 or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: C Jj
Address of Property: dC c"Vc/, / y�/" n I �f (� /���i
Mailing Address of Owner: � 6 �� 1 Mle— ��n' I�` ��
Owners email: MP04F rner's PhoneM —1M" Utt� ItL�' 1
,,
Agent's Name: DU to Ile. AgentPhone* `2DGG
Agent's :_mail: _.L��Cj__ L1S� S!I_L�cf iv i r_jL-Qm
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to -to completed by thft Adjacent Property Owner)
1 hereby certify that I own property adjacent to the above referenced properly. The individual applying for this
permit has described to me. as shown on the attached drawing, the development they are proposing. A
t
Jyj� f L:t\fDO NOT have objections to this proposal.. I DO have. objections to this proposal.
1/ you have objacHons to what is behrg proposed, you must notify the N.C. Division of Coastal
Management (DC" 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.iparian access unless waived by me,
appropriate blank below.)
I DO wish to waive somelall of the 15' setback X 'K trr C J
Fignalure
-O R
I do not wish to waive the 15' setback recuirement (initial the blank)_____.
Signattre of Adjacent Riparian Property C•.wner: A1.E --
Typedil'rinted name of ARPO:
Mailing Address of ARPO: f, °y \ �4` t e Ic t IS Vw
ARPO's email: > f T�&) CM eiL0:,�%' ARPO's Phone#: �4S zl
Date: l oJl_`waiver is valid for up to one year from ARPO's Signature`
RevisERIZISMI)
FEB 0 3 2022
DCM-MHD CITY

N.C. DIVISION OF COASTAL MANAGEMENT
-p�A ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (MINOR PERMIT)
CERTIFIED MAIL . RETURN REGEiPT REQUESTED or HAND DELIVER/EDII
_ (�Ghcn.._g_Arn moms ale
'a t ,I'Ac' ctul N),ari;m Propvh U„n0r
City. state rip
fu Whom It May Concern:
1 �`I b l '.f L_ �_ " I )W•inglin i(a\•I:1\iinurpnniit,
f sic co„•es,undencc is to nntily you as a i n,un;m ,ro,crty owner Ihal I ant •t„ h i `1 `i o
�nsperiv A -o9-1. c� 1 v f l
„tt mY ,rt„er,vai 3Q�_ �0�4�� . d�.� -L�._CG;f�LfC.i- NG _
CuuntY. ,ehich i. ndiacent 10 Your propene. A copy ui'fite nppliealinu and project
drn„int; is :1 aebetllenclosetl for your revle,..
It \(in have no objeclions to the proposed activity, please mark the appropriate slalemenl below awl return to ute ns soon
a+ pussihlr. If no comments are received within Ill clays ofreecipt of'this notice, it will Ile considered thus pntt line no
comments ur objections regarding Ibis proiecl. - -
If volt have objections or comments. please stark the appropriate stalcnlent helrnc and a:nd pear conrospondenee w:
(LOCAL. I)HR\11- OFFICER, NAME OF LOCAL GOVHAN\1FNT. MililLING ADDRESS CITY, ST,\ IT, Z,IP COX,)
If you have any questions ahuul file project. please do not hesitate to contact me al n,y uddre..'mm�hcr listed bolo„'. or
conlnctlLO(':,I PE MITOFFICLR)atlPltONI.\l'\Ilil•:f2Lurl,�comilat:IITOL,IAII.t.
Sincerely.
f�.�n �� Ammons
I' openv Ow'ncr, s lanm
Tcl:phnnr \unthrr
Addrr�s City Suuc /m
r�
I have no 01 jectiun In the project described in Iltis correspondence.
y� 1 ha,c ubjerlinnla n, the Pruiect d00'ibed in This rorrespondeoce.
( � )c I"ia II -- RECEIVED
— -
:\djacc Riptn'tan Si='tta re Dale
__.._s- i 158. _. 2.
Print to l)pr Name FEB 0 3 202
I.!" phOlIc \un,het
DCM-MHD C17
Addles.; City state Zip
d et4secl /af y ?O, )1

L_e'gend:
A/C - Air Conditioning
CF- Computed Point
�rty,4er b5
C 8 e
°
D.B. - Deed Boob
M'
ECP- Existing Concrete Monument
Existing Iron Pipe
5
3
EIP-
EMN- Existing ARE Nall'
MBL- Minimum Building Line
M.B. - Map Book
NHWL - Normal High Water Line
Pg. - Page
4
Vicinity Sketch
get. wa6-ReroiringIII
R/ W- Right-of-way
SIR - Set Iron Rod
,
g 0 Q t rT Q S 1„ 4 Not to 5cale r
C Chf.IhL
SMN- Set Mag Will
v9oP CP
5 38'59'56' E 4.21'
^5 l86'34' 6 W 30 • ^ ^ 414 I
4.87'
11.44•
1�
�p n'1 ;)I•,P I,j•T $NMN
SIN
I' AM W.11
0361
Lem A/[
7, 8, Port of roR' 0
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i., ood Story 3o cAMA O
1.rfI E Wood Geroge 13
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t 1 eppar ment ;.
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Portion of i
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65
M.B. 5 Pg.. 65' n
D.B. 1310 Pg. 294 2
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f 19,226 Sq. Ft.In I
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�139.95' 3%
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M359 N16. 08'58'--0
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watt' N 16a19'02" E 1 3' Tw Ma.
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ranrt IVc*w.Piye
co
$09 Bogue Sound Drive M
Bogue Sound Drive zl
60' Public R/W �516'z9'55'W P ��
_
a364
—
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Subject Property is in
.�(J l�OryA,C SOUI. s
a ► o .a R-TVt
Flood Zane'AE'(EL 11'hp fERM-
CPN 370046 5384J
7/16/2003.
SCALE, 1"= 0'
NO RECORD SEARCH DONE BY
GRAPHIC
0 10 20 30 60 ALL DISTANCES ARE
OR FURNISHED TO SURVEYOR IN
HORIZONTAL GROUND,
REGARD TO ZONING, SETBACKS,
S. SURVEY FEEL.
EASEMENTS OR RESTRICTIONS.
THIS MAP NOT FOR
PHYSICAL SURVEY AREACALCULATEIJ)C9
RECORDING PURPOSES
BYCOORDINATES
I•nti(y rho thi.m.p...dr•wnundn.ny wpn.;dsn (nem•:. •uu.l•unry m•d•undn
my wpmbwnvek ,.fumae uu..n.I.J;i kdnbeund.de, net--ircd... 14aaed
Len Ho. 10,11,0LPARTOF9 BIx4 K
nd••bdleempwd hem n(•r.nrne:.reph•, al,
n•p mutr rk•r•qub•m•nr. ofW
SUBD. SECTION 140.1 OFLAYSHORE PARK
TOWNOF CIPE Gg1ERfl CAR1ERfl COUNTY, N.C.
u•nduda...... nforL•"d Sunry;ng in NCOINCAC56.16001. Rule.!
I t I O.it
pnri,ien nenge pad ion..a"..ry n _.
SURVEYFOR. STEPHENAMMONS
PI-
S U R V Ey DATE:7aw-0I1
TIDEWATER ASSOCIATES, INC.
Engineers - Suireyors - Planners
Gder Point, Nerth Clued..
604E War Point BIYd.
Phone [phone] • vnnY.TidewaerENC.wm Ea 1961
N.C. Firm Ilcensr Num6er: F•0108
UPDATE
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