DCM-Adjacent_Riparian_Property_Notice-GP-Smith

CERTIFIED MAIL · RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: Mark & Eric Smith
Address of Property: 1150 Seashore Drive, Atlantic, Carteret County
(Lot or Street #, Street or Road, City & County)
Applicant phone #: ________________________ Mailing Address: 299 Morris Marina Rd.
Atlantic, NC 28511
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 have no objections to this proposal. ______ I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at www.nccoastalmangement.net/contact_dcm.htm or by calling 1-888-4RCOAST. No
response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift must be set back a
minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to
waive the setback, you must initial the appropriate blank below.)
__________ I do wish to waive the 15' setback requirement.
__________ I do not wish to waive the 15' setback requirement.
(Applicant Information)
_______________________________
Signature
Carteret County
c/o Gene Foxworth
Print or Type Name
302 Courthouse Square
Mailing Address
Beaufort, NC 28516
City/State/Zip
252-728-8485
Telephone Number
Date
(Riparian Property Owner Information)
_______________________________
Signature
_______________________________
Print or Type Name
_______________________________
Mailing Address
___________________________________
City/State/Zip
___________________________________
Telephone Number
________________________________
Date