Wooten, William 88344C

o*•°`COAS74tr.,9c iCAMA DREDGE & FILL No. 87982 A BCD
GENERAL PERMIT ID A -41 n s Previous permit
2 Date previous permit issued
New U Modification I I Complete Reissue 11 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 5A NCAC ' L-•,--- Rules attached. I 1 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 7'4' i'1—
Affected cw n EW _PTA ES I PTS Adj.Wtr.Body (nat/man/unk)
AEC(s): I]OEA n IHA UW SPIMA I PWS Closest Maj.Wtr.Body
ORW:yes/no PNA:yes/no
Type of Project/Activity -.rt..
. ,-t 1 i (Scale:)'- r
c, )
Shoreline Length ri )Z,. ,i 17• hoof(,c�
., I I 1 t.
Access Length U -Ia — �.. i�
tL
Pier(dock)length �.i I l f i r1:7 r �` { VN.t.'' . f IL
Fixed Platform(s) ,15'4*_L I1"-4 • ' t--'+► ._TO .— } # ry)o
1 y� •-t• yr s z.1) ly x Z't- b�. ,-, v a
•
Floating Platform(s) I __ __ i j r
- -- I I I t ---- j X" ,
Finger pier(s) T f' x Y`L� ♦ i
_ sL r
�� — 1`{�
-I — --ter-- c - v
Total Platform area I I i I Y S 4---r, >;V y"
Groin length/# Yk t ' ' ,
Bulkhead/Riprap length j ______ --- —-- — _r • �� f
f
Avg distance offshore --- I --• # —
Breakwater/Sill \ . • i
Max distance/length I i
Basin,channel 1 I ;` •
Cubic yards / , ._
Boat ramp i I _
.� 'Au,
Boathouse/Boatlift G X 1 I 1 I ;-h'-��,L I i'1
Beach Bulldozing 1 I 1 ^51`"\ �"�
Other t i#,....frel0 r z.r,,.b
SAV observed: yes no .'- '• r et ` w• S I _ w 1 - 2 `1
Moratorium: n/a yes no j�� rt f
Site Photos: yes no [` )' 1 r i
Riparian Waiver Attached: yes no I l I i;r ,7 7
.-":
�j�, 1 •
A building permit/zoning permit may be required by: '3f ..(1.-1•4-' /\
Permit Conditions ,
r -1/ 9 w J TAR/PAM/NEUSE/BUFFER(circle one)
nSee note on back regarding River Basin rules
;.1. /
r
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 q/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

•
ROY COOPER
Gwerear
•
MICHAEL S. REGAN
Secretary
Coastal
Rent BRAXTON DAVIS
IWAROMMI QUALM/
&lector
BUFFER AUTHORIZATION CERTIFICATE
FOR PIER AND DOCKING FACILITIES ACCESS WAY
A riparian buffer authorization is required for pier and docking facilities access ways through the Tar-Pamlico&
Neuse River Riparian buffer per Division of Water Resources (DWR) regulations 15A NCAC 028.0233 & .0259.The
Division of Coastal Management(DCM),through a Memorandum of Understanding with the Division of Water •
Resources (DWR) has reviewed your project proposal and has determined that the project as proposed complies
with the aforementioned regulations.
Those activities covered by your Coastal Area Management Act(CAMA) permit have received Buffer Authorization
provided the project is constructed in a manner that continues to meet all of the conditions listed below.Failure to
comply with this Buffer Authorization may subject the property owner and the party(contractor)performing the
construction and/or land clearing to a civil penalty by DWR of up to$25,000 per day per violation.
>. Crossing is Perpendicular: Pier and docking facility access way must cross the 50 ft. riparian buffer z
perpendicularly(which is defined as between 75 and 105 degrees)unless otherwise approved by DCM.The
alignment shall minimize the removal of woody vegetation to the greatest extent practicable.
2. Pervious Materials:All reasonable measures shall be taken to ensure the access way is made of pervious
materials like open-slatted wood or composite, mulch, or grass to meet the intent of the rules to the
maximum extent practicable.
3. Access Width:The width of the pier or docking facility access way shall be limited to six(6) feet.
4. Project Drawing:The drawing on the CAMA General Permit is considered the project drawing of your •
property indicating the relative location of the pier or docking facility and any requested access way.This
drawing will be used to aid in compliance and monitoring efforts.
• Pre-project site conditions: L.41t I bEVICJI •f & -, /y,Q,\—, i c-Q,
I ,b41,;�-� feJ;C".;...S i'Ll,alI
By your signature below you agree to be held responsible for meeting all of the conditions listed above and verify
that all information provided is complete and accurate.
Ok1/4h.ro xyz.glK�
Agent or Applicant Printed Name Permit Offi er's Signature
•
l5 << — Zoz�
Agent or plicant Signature Issue Date
CAMA GENERAL PERMIT#: 5
State of North Carolina I Environmental Quality I Coastal Management
Washington Office 1943 Washington Square Mad Washington NC 27889 I252-946-6481
Wilmington Office 1127 Cardinal Drive Ext Wilmington.NC 28405-3845 1910-796-7215
Morehead City Office i 400 Commerce Avenue Morehead City.NC 28557 1252-808-2808

-('
43
4'
) o
.c i r li --c-v) m kr , d
3 -9 -4. ,.. ___ c. ,
_0, ..R /
4, 0 d ?k v) c
t 1?:4 __—*
v. _c. 0 ‘4
ciso '� eke
s‘ - ..,
,z
....) q
S 0 V . S 1 ezz S
d � Q
X ► •'• to 0 J "-S 13 C S l --
s ,' is 4 .s 4 Sj a s
,`ot x 4- N ` �� s
1 0 a �-- I c�
t \

| - ---
�^
� .
� ~ ,
i
\ �
0
� .
^ ^
�
�
�
�
172-
� .
_-_ -- -
_
~ ' _

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: J IM°ram Cr,VZN ViZ"
Address of Property: f or 7 z J vpolXv.1 f1.ru
Mailing Address of Owner: Co '3 'Doo<<'r'"C ,,"r.,% ,r7/>. Cv,.)c'C 1 NC z?gzo
Owner's email: />X-i.0 t (3/14rt.ccr, Owner's Phone#:
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 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 943 Washington Square Mall, Washington, NC 27889. DCM representatives can also be
contacted at(252)946-6481. 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.)
Signature of Adjacent Riparian Property Owner
-OR-
I do of ish to waive the 15'setback requirement(initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: rX D D 2L� G . L I T
Mailing Address of ARPO: 5 3 4 m o 1 S W A Y Eta F),Q .-2 305` 9
ARPO's email: cj i -DTI C C j) l441. co n4ARPO's Phone#: `3-13 5-3 2 4 r I ll
Date: t a 13 / 2 'waiver is valid for up to one year from ARPO's Signature"
Revised July 2021

.�.�— —,t..mmmuirw, i:• n:;;:--as
`f!. '-7- ari"[' 111'%,1w,s `-!otk:‘m .ior.rli..-,.. i
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONANAIVER FORM
C ERTIFIFD MA i • RF'"IJRN R.LCLIF i R QUES 1 EU or HAND IALIVWY
(Ton portion to be compieled by Owner or their aceht)
Name of Property Owner: .)/41IW// betiri 4J'
4:1044 �'
Address of Prop ny' 6 / 1;ed4nr}`,?Airr .
Mailing Address of Owner. ( f .ly4Jt' //�7 Li.� . ,- 7;;''
Owner's emar: 41&LSI' ) 4 pwr}er's PFrur It l� `% V ��t0 '
Aye'i1's%rile. -- ° Agent Phonet:
Agent's Email
ADJACENT RIPARIAN PROPEERTy OWNER S CERTIFICATION
(Bottom portion to be competed by the Adjacent PropertyyOwner)
I hereby rer tify that I ow-;orope'tr adjacert to the above referenced property The!ndivrdusl applying fo,tri;�.
perrmnm' 'les described to me, as shown on the attached drawing. the deve'opme-it trey are proposing.
descript+cn or drawing, rwrith dimensions.must be provided with th-s letter_
-)' NO T r•evie .'bpect+ons tc this proposal. i DO have objections to this proposal
Jr you have objecfiurs to what is being proposed, you must nOrify the N.C. Division of CosstaJ
Management (DCM) in wrrtiny wrthtn TO day of receipt of this notice. Curreapondence shnisia be
mailed Iv 943 Washington Square i-la)!, Washington. NC 27887. 11CM representatives can also be
contacted at(252) 945-648?. No response is considered the same a nu obruc:tfon if you have been
notified by Certified Mail !, .
WAIVER SESsil6N
1 unders,.ard that ar.y proposed pier cock. mooring „msfngs box: -amp breakw boatnet;Se. lift, or
groin m..si be set bac+c a minimum distance of 15 my area of riparian - ss unless w-arded :,r me
(this does not apply to bulk! ads ui It}:rap iev� feats'. (It you w sir lc:w . e the setback, yell must sign
the appropriate blank below.)
I DO wilt in waivr. .^,cxnem11 of Mr 15' _ wa:k
•
Segr?afureof ,scent Rtt;ana.n ,firer:'/Owner
„ 1
1 do not wish to waive tie 15' setback requirement finical the bian�; -'�-- d ' ` "-'
ti
Signature of Ad:acerrt Riparian Property Owner. �,� �,-- f r ri' ., ._ r ,,
TypediPrinted name of ARPO: _ .1f/ ' ..S' • . '/+ l//C/ek .5-/P„e -
Mailing Address of ARPO: :i 374 #j/i' di" 1OP? X /t''1
1) G o',,- .
ARPO's email sr",' e -e. .. '., fT ARPO's Phoned: 30 j 2t' ''4 s -
� /o: ,4',r ( J�
Date: ,A,// �.3.;4 'waiver is valid for u1s to One year from ARPO's Signature'
Revised Ju!y 2021
_;,r /`1, ()r e cA-'y -V,/i" 1 41 `r ivt; L-- . 7L C (� �, - 1
r,,,,‘„-il,,,f, c.,:p4,, ,17.,..1„ /, ,/ „, p,,,,,,,,,f,/ ,,,,,,r4,/,.. .
.., f /I

,o*°“."5r4' 9c v LAMA DREDGE & FILL N9 87981 A C D
GENERAL PERMIT '=D `��75 4
Date prepe previous permitit ssued >v
Z /
ew ❑Modification ❑Complete Reissue ❑Partial Reissue Previous
As authorized by the StateL of
North Carolina,Department of Environmental Quality and the Co I Resources Commission in an area of environmental concern pursuant to:
t7 15A NCAC 0 • 114L) / 01-[l H . f 9 D"' ❑Rules attached. General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant ZI6ame Kr 1 LJ j/l jr .r0 se f zk1 Authorized Agent T l'r 5 Q(/J�J tE'
Address U Vr! t/2 Project Location(County): )3eati --k
City edik51 a 1441 wf State /1•1C-o- ZIP S 14- Street Address/State Road/Lot#(s)
r�� 7 Phone#( 41O Z- (4,54 $5 ga, -Ppt t
Email K r abet'SOr 2)36, /Ytco I•Coln^ Subdivisi ��(,
/ City DLll i'-11 / ZIP a T r
,....., ,
Affected ❑CW [i F -i I 75 Adj.Wtr.Body Tani j i e o (L)vfi/ e'man/unk)
AEC(s): ❑OEA piIHA n UW piSPIMA ❑PWS Closest Maj.Wtr.Body'Pa)0 1 1 C d �1 U e T
ORW:yes() PNA:yes/40
Type of Project/Activity T 5 i•1 t-.2,q6 0 1r1e..l_..) `k\i'l S\ 7akin, l (AL t.As t'"�
(C\WYt a- •rG�i1ili-„‘,S trail a<i � 11 b�C 6./ed `b-l Z' Z6 ' C yr 1--(scale:)'1—��'
Shoreline Length ±Z-'1 I/ ?id Coe) °3-6' ee,
Access Length 'LAfY1164 ✓1n 4Siik` Li,
Pier(dock)length Stott( . r J
Fixed Platform(s) V J i r- 0 gs
3 ` 3-� u _ I�1
Floating Platform(s) 11 2 ":-..,DJ J `
Finger pier(s) `O Q 4 V
4 - 01 o'
Total Platform area 1 +1 4
Groin length/ff Ct�J Z
�1�11 , p� $
�' Riprap length pl-7 ,° `f1`' `
to
Avg distance offshore S- i d 1" 3
Breakwater/Sill 4'( x . UN VI
N
Max distance/length _ N n
Basin,channel ^• a F-
Cubic yards -4-,,.3`). '� N le 4 •J
Boat ramp �� Z "N �t c a C
Boathouse/Boatlift H }1 43 N H
Beach Bulldozing
Other I l if T`
_./ )i
SAV observed: yes a dfr- g _ 'Au Y
Moratorium: n/a yes Cali .. -
Site Photos: yes r• p .x •'% ex• c' c-. 1,- �4Lln
Riparian Waiver Attached: a, rack bw jk 1.,�,' - `O
L _ PA building permit/zoning permit may be required by: � � f� u (.�'t 9�) 'sew �1`4h,'
I I L TAR/PAM/NEUSE/BUFFER(circle PemitConditio Lb 1 '' 1 i' tti\NP ia.�u(i tu'�( libiry .�
+r€e,S' I re)t � 1(e(� I/ Lif' OVe ►vLOL. D,/' I�e note on back regarding River Basin rules
(X' ) YrDife i4' - Wa4 a,b p(c— 13W L L.
lac ` `I- [/6h n See additional notes/conditions on back
!/-F ge ec nrocYr�, t�lb+l;•�- inv., -1L,.2�, 5c' , kt.,erl-7 lb es' gib lc i
I AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND IE ED COMPLIANCE ST TEM ENT. (Please Initial)c>Q—
Agent or Applicant PRINTEDA e MVepi
PRINTEDmeor y
Sig ure"Pled ead c pliance went on back of permit•• Signature
�, K I d WOO• O 1509 /3''' 7•cL - 26Z7-- -- t 3- } r 24123
Application Fee(s) Check P/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 (910-79617215).
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

ROY COOPER
Nr
Governor
MICHAEL S. REGAN
secr etu y
Coastal Management BRAXTON DAVIS
ENVIRONMENTAL QUALITY Director
BUFFER AUTHORIZATION CERTIFICATE FOR SHORELINE STABILIZATION
A riparian buffer authorization is required for shoreline stabilization activities within the Neuse and Tar-Pamlico River
basins per Division of Water Resources(DWR) regulations 15A NCAC 02B.0233 and 0259. The Division of Coastal j
Management(DCM)through a Memorandum of Understanding with the Division of Water Resources(DWR) has
reviewed your project proposal and has determined that the project as proposed compiles with the aforementioned
regulations.
Those activities covered by your Coastal Area Management Act(CAMA) permit have received Buffer Authorization
provided the project is constructed in a manner that continues to meet all of the conditions listed below.Failure to �.
comply with this Buffer Authorization may subject the property owner and the party(contractor) performing the
construction and/or land clearing to a civil penalty by DWR of up to$25,000 per day per violation.
i. Impacts: Impacts to woody vegetation from clearing and filling in Zone 1 (begins at the most landward of either
normal water line(NWL)or normal high water line(NHWL)and extends 30 feet landward)shall be minimized to
what must be impacted for the sound installation of the shoreline stabilization project. Unnecessary clearing and
filling in the buffer is a violation of the riparian buffer rules.
2. Clearing&Grading:Clearing and grading of Zone 2 (begins at the landward edge of Zone 1 and extends 20 feet i
landward) is allowed provided that it is re-vegetated immediately and Zone 1 is not compromised,which includes
maintaining diffused (non-channelized)flow of storm water runoff through the buffer.
3. Construction Corridors:Construction corridors are allowed for shoreline stabilization projects, but they must be
satisfactorily restored as described in condition 5 below.
4- Potential Overwash: For vertical shoreline stabilization projects(bulkheads)only;sites where wave overwash is
expected to be severe,the first ten (10)feet landward(unless specifically authorized otherwise by DCM) from the
structure may be maintained as a stable lawn in order to provide for structural stability. •
5. Temporary Stabilization: Immediately post-construction, bare soils must be stabilized as quickly as possible by
providing a temporary ground cover. Newly seeded areas should be protected with mulch and/or erosion matting.
This ground cover is a temporary measure used to address erosion until site restoration can be accomplished.
s. Site Restoration:At minimum,pre-project site conditions must be re-established.A site that was wooded prior to
this shoreline stabilization project must be restored with woody vegetation ata stem density of 260 stems per acre.
Non wooded sites may be re-vegetated with woody vegetation. Restoration must be completed by the first
subsequent planting season (November 1 through March 30)after completion of the bulkhead.
Pre-project site conditions: L i f nYli ; r 4 L .— (4 (
Project Drawing:The drawing on the CAMA General Permit is consi erect the project drawing of your property
indicating the location of the shoreline stabilization structure and any associated clearing, grading,and construction lt*IAC `r)
corridors.This drawing will be used to aid in compliance and monitoring efforts. A Gv4171
By your signature below you agree to be held responsible for meeting ail of the abov- listed conditions a .d verify that all
information is�co/mplete and accurate.
/ V �� . ',
ent or Applicant Pri d Name Pe t Dffi•-is Signature
1 3, o7.-,2
gent or Appl cant Si p L issue Date
CAMA GENERAL PERMIT 4: .1- I V) Cl
State of North Carolina i 5nvironmental Quality t Coastal Management
Washington Office i 943 Washington Square Mail Washington.NC 27889 i 52-946-5481
Wilmington Office 1177 C.arrifnal Drive EYt'Namh gtcr. NC 23405_384e• vn_-.o6-7215
Morehead City Office 400 Commerce Avenue Morehead:Icy.NC 28557 . 252-808-2808

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit k ris41v\ kj /Iv4sse/ &tkf
Mailing Address: sc Baty Ddii/e
CI
Vko co L✓i1n / AI( ?7$ F 7
Phone Number: Z5 2- 70 Z !l1111- (y&re/
Email Address: jL ro he-CQVl 2l'3 @ Tsviq/ •c owl
I certify that I have authorized S4 wyer M acrlvte Co n Setch 46
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA B rmits
t� 1k
necessary for the following proposed development: y � pre r
at my property located at K 4 BAy pnivQ r G Lto Ca AI 1 Al l /t KC
in ee iA ii4 County.
I �
I furthermore certify that I 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 lends in connection with evaluating information related to this
permit application.
Property Owner Information:
29114t Sign I :
Print or Type Name
owntr
Title
12 I / yin
This certification is valid through / /
i i

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 owne or their agent)
1.(0341
/ n z r f �j/
Name of Property Owner: I(p„n3'}'�y ► LGl�jj / NDCSS� Llt; j
Address of Property: O c e6L V V(17L
�n n �
Mailing Address of Owner 2 Sr- sk I /) t tie- '
IBC s l" cool
Owner's email: ,(D �� d� xi � r�wners Phone#: 25-Z - q6Z '60 /
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 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.
xI 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 943 Washington Square Mall, Washington, NC'27889. DCM representatives can also be
contacted at(252) 946-6481. 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) n,g
Signature of Adjacent Riparian Property Owner: i/�
Typed/Printed name of ARPO: 14V,I L, RtirtesS
Mailing Address of ARPO:, /DeC S 0 u`r-bek ,(jt G r'etrv1IL')/VC 971Sb
• ARPO's email: Acl,.lC>-+evr,5S&..r.1 11. (:)&"' ARPO's Phone#: a52`yqJ—Qat
Date: /2/1/12 *waiver is valid for up to one year from ARPO's Signature*
Revised July 2021
•
lOmLea 0vey536 roltA,Ca vn

•
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: ND`SI« !x" A g n547A . •
Address of Property: g9-6ky ��t e [�ocat't(17 ,ti c, 7 j7
Mailing Address of Owner gs -y ,Vc-- CtlGG61.4✓I1\I4 r ✓/C Z77 7
Owner's email: k(obz fs0,1--Mt tt•Swner's Phone#: Z c 2 - a 7 -- (t
ir-
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 ownproperty adjacent to the above referenced property.The individual applying for this
rmit has described to me, as shown on the attached drawing,th evelopment they are proposin �/
description or drawing,with dim /1Jnjt dimensions, must be provided with this le r. d� �rt j_�/ 1.4cJZZ
I DO NOT have objections to this proposal. I DO have objections to this proposal.
ff you have objections to wha! 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 943 Washington Square Mall, Washington, NC 27889. DCM representatives'can also be
contacted at(252) 946-6481. 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 somelall of the 15;seetback /t 7
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: •
Typed/Printed name of ARPO: l o t.,J (A (IN(w,r)
Mailing Address of ARPO: 2/1 3 w. Pi, t- anototc ,M i1
ARPO's email: }AN (,t IIcIv, ' t v01•104" ARPO's Phone#: L� Z.'j 7' t-t q 5
Date: w(5/ FIX' • `waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

'•.Is. -iA ["rslii:•ffiiW^.^._:,1M,yI•i'T:�t�*i:.rv.---}'-.Twt....�v...—..-"
0""` Previousc GENERAL PERM J
flCAMA ElDREDGE & FILL No 87980 A B C D
IT J 1 2•U,
ti Date previous permit permitissued
New Modification I I 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 5A NCAC 'i; % - • Rules attached. General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name , , -; •JQ✓1t S t Authorized Agent
1
Address ' -."4"r' t r✓ '.,-r7- r�i.,, Project Location(County):
City --i7.'
LL> State Iv C. ZIP .•4:S 4i • / Street Address/State Road/Lot#(s)
Phone#(.` - ) 1-.;-Z 14
Email r?%v j j)?�I I
D�Y1' Subdivision
City f'7 tC.,-L.,r t-b 'g ZIP
Affected CW I 1 EW I I PTA n ES n pTS Adj.Wtr.Body (nat/man/unk)
AEC(s): OEA I 1 IHA UW I 1 SPIMA I 1 PWS Closest Maj.Wtr.Body -
ORW:yes/no PNA:yes/no
Type of Project/Activity . nd2.0( ' , ' Y �;2- z ti ` • -4. (.• ,rr') ( is 1 I k c-1�
r- ;rt+rt,fr' 1; ;'r77U,t .,-/ ( /, tN cr i f,u.44,(Scale:I,r, 3 0
Shoreline Length • ' fi i lit i(' r/ -' G){ t1,-'Lc, I1^i 1 cl /VL.“. •.'rd1)YJ [Cpe... caj4?.
,t�ir. I I �,c..k
Access Length j-`. 1.. INEY�6 ( 7—4, ✓e•C
Pier(dock)length ' I t� { 1
Fixed Platform(s) - }
7-7-Floating Platform(s)
—
Finger pier(s) _
,_ .-
Total Platform area . Z
i Aar Q
Groin length/# •
• i j% �G4 G/XY►
Bulkhead/Riprap length ! — -
IIIIII
Avg distance offshoreill I 1; :rt��! 3 i - •
Breakwater/Sill 1�� R �3 ( ` J '
1 1
Max distance/length tan6^-�V'/ {mot \ ( x 41
Basin,channelk i
Cubic yards --._ _......__:: T_ �� r 5 )
Boat ramp
Boathouse/Boatlift Zip - , 'llit.. I: '''‘,' P 40- ' ': / , , .
I . ''i
i� 'ma
Beach Bulldozing •
Other r _ x 7
i •�.
l L �,
SAV observed: yes no I l of PS,e5 0=t Z"J
Moratorium: n/a yes no. I i111( 1 ( 1 i ( )
Site Photos: yes no F } j
Riparian Waiver Attached: yes no ; j i I j 1_ _
A building permit/zoning permit may be required by: • r)/
Permit Conditions k i r'P . I I TAR/PAM/NEUSE/BUFFER(circle one)
- j- - 45'` See note on back regarding River Basin rules
f /�
�7 �f L I I 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#/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

ROY COOPER
N
Governor
MICHAEL S. REGAN
Secretary
CoastalManagement BRAXTON DAVIS
ENVIRONMENTAL OUALI y Director
BUFFER AUTHORIZATION CERTIFICATE FOR SHORELINE STABILIZATION
A riparian buffer authorization is required for shoreline stabilization activities within the Neuse and Tar-Pamlico River
basins per Division of Water Resources(DWR)regulations 15A NCAC 02B.0233 and 0259. The Division of Coastal j
Management(DCM)through a Memorandum of Understanding with the Division of Water Resources(DWR) has
reviewed your project proposal and has determined that the project as proposed compiles with the aforementioned
regulations.
Those activities covered by your Coastal Area Management Act(CAMA) permit have received Buffer Authorization
provided the project is constructed in a manner that continues to meet all of the conditions listed below.Failure to
comply with this Buffer Authorization may subject the property owner and the party(contractor) performing the
construction and/or land clearing to a civil penalty by DWR of up to$25,006 per day per violation.
1. Impacts: Impacts to woody vegetation from clearing and filling in Zone 1(begins at the most landward of either
normal water line(NWL)or normal high water line(NHW L)and extends 30 feet landward)shall be minimized to
what must be impacted for the sound installation of the shoreline stabilization project. Unnecessary clearing and
filling in the buffer is a violation of the riparian buffer rules.
2. Clearing&Grading:Clearing and grading of Zone 2 (begins at the landward edge of Zone 1 and extends 20 feet
landward)is allowed provided that it is re-vegetated immediately and Zone 1 is not compromised,which includes
maintaining diffused (non-channelized)flow of storm water runoff through the buffer.
3. Construction Corridors:Construction corridors are allowed for shoreline stabhization projects,but they must be
satisfactorily restored as described in condition 5 below.
4. Potential Overwash:For vertical shoreline stabilization projects (bulkheads)only;sites where wave overwash is
• expected to be severe,the first ten(10)feet landward (unless specifically authorized otherwise by DCM)from the •
structure may be maintained as a stable lawn in order to provide for structural stability.
s. Temporary Stabilization: Immediately post-construction, bare soils must be stabilized as quickly as possible by
providing a temporary ground cover. Newly seeded areas should be protected with mulch and/or erosion matting.
This ground cover is a temporary measure used to address erosion until site restoration can be accomplished.
6. Site Restoration:At minimum, pre-project site conditions must be re-established.A site that was wooded prior to
this shoreline stabilization project must be restored with woody vegetation eta stern density of 260 stems per acre.
Non wooded sites may be re-vegetated with woody vegetation. Restoration must be completed by the first
subsequent planting season (November 1 through March 30)after completion'of the bulkhead.
a Pre-project site conditions:•/o G(h?2r t tvt1 hf WI g siren d' . •cca.L SCING I'�
7. Project Drawing:The drawing on the CAMA General Permit is considered the project drawing of your property
indicating the location of the shoreline stabilization structure and anyassociated clearing,g, grading,and construction
corridors.This drawing will be used to aid in compliance and monitoring efforts.
By your signature below you agree to be held responsible for meeting all of the abov listed conditions an erify that all
information is complete and accurate.
M MooRd
Agent or Agpiic nt Prints Name Permit Of er's Signature
Pe t
Age or licantSignature Issue Date /
LAMA GENERAL PERMIT th 3 f 98D S
Stare of North Carolina i Environmental Qualtry I CoastalManagemenr
Washington Office 1943 Washington Square Mall Washington.NC2788g 1252-946-6481
Wilmauwn Office 127 Cardinal Drtue wart 4u;i.,angto.. Mr 784053845I 410-79e-n5
Morehead City Office i 400 Commerce Avenue Morehead,ry.NC 285a7 ; 252-908-2808

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: 641,& On g<
Mailing Address: `f z4 ._& rOkray1
K•1 I^^l '1 1`1} \���\ C 0� \ \V 391501
Phone Number: z<` I�35
Email Address: C Attor-saI. -73 V^�'L'nil�.Cd7V\
I certify that I have authorized ". c 3r\c T`_DY\ V
(_)Agent/Contractor
to act on my behalf, for the purpose of applying for and obtainingni� all CAMA permits
necessary for the following proposed development: 'tn\ l P-e/
at my property located at ja" 6 D J.cArvej Pow 1—arJy kc+ + et/tow vi u c
in actvAtd4 County.
I furthermore certify that I 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 Information:
et<
/l Signature
l�t'1/412-5 t-- -, -Sbl�
Print or Type Name
Title
l� / 7 / ;-
Date
This certification is valid through . ' / / ��

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 /el1Q C / /� ) / I ^ I
Address of Property: / �(6 4�On�R• 1'l_V dodo(.U>UI 1t^�,,�!k . 62777 7
Mailing Address of Owner / 7SG:7 fie C1 ^! F Li,4 74,do>t, /V /C �S Sd?
. Owner's email:e `O-�nn c73°` UhQ Owner's Phone#: 0 hoc — S 0 d -alas
'Agent's Name: Agent Phone#:
-Agent's Email:
s
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�p or drawing, with dimensions, must be provided with this letter.
Jr O 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 943 Washington Square Mall, Washington, NC 27889. DCM representatives can also be
contacted at(252) 946-6481. 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: �,//SJJpt st g-Att fy
Typed/Printed name of ARPO: GRRY r) Iv4TL /FerJJJ��G.I�/L �c7
Mailing Address of ARPO: 671 L-O ftiT PD1A)'- go c�//cq-tc/OrIYD/g/c,i' ,1 C €Z? /7
ARPO's email: glory.6.f i iWa3m4 'CO/1)ARPO's Phone#: 7�Q '7 7 D-NMI
Date: 4) bee ff.7 ZZ *waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

•
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.• \
,t`• ,
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 potentialli'4bject.toa the proposed development,
' and to give DCM ari opportunity'to consider these dommehts/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 type's of proposed developments if they fall within a 15' 'setback area
along the riparian.accessarea 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.
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: (?k 4 t /J o—c j a
Address of Property: 46� 1(0 LOMS 1 d MBA/ iW IL WA- !IOC 62�dj 7
Mailing Address of Owner: /ga 7 ,(}eci Y 44 l�.tt • �✓h dim N C Pi
Owner's email: el v •73@$n j6 Phone#: a52-csb-31-25
Agents Name: Agent Phone#:
Agent's Email:
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.
• 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 943 Washington Square Mall, Washington, NC 27889. DCM representatives can also be
contacted at(252) 946-6481. 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
t.-OR
do
' I do not wish to waive the 15' setback requirement(initial the blank)
Signature of Adjacent Riparian Property Owner: ��
Typed/Printed name of ARPO: I O3LCA 6€/toii ,Q
Mailing Address of ARPO: > I c CO? r+ 12 Clib(pl,,,, { Nt 2 7 r17
ARPO's email: ) csb ,4i e Yur,w« ARPO's Phone#: Z U ?yr77s�_
Date: /2/6/t Z- 'waiver is valid for up to one year from ARPO's Signature`
Revised July 2021

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 coniments,(or potentially.object to)the proposed development,
and to give DCM an opportunity to consider these Cori mentslobjections 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 deveiopments 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.
t.
• 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 (HOAIPOA), 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.
S
Q
Revised July 20?1
}
a• .1

-
. r`�-' a!Ki_ ' ;at'" Ij i ,y ➢Y..Y Y .w4 �p33
•
4 i� � G'(, M j �„ .¢, a „Y 'r„ §vr ' . 'MCA
+� r Y M
,+ i 6rw,e Y,il - .
t ,° t' ;a"r a't F,, * ,'' .JKyt" { M q1+ t' .,a� ,
r. f Y�Y a�``� _
' -+ .a.du .4 3'>t �s ✓ vvx* + '.l`+ila (. twirl- '`yA i ./`.t;/vf A•rV; '.�• °a,
dSn k4" im 3 pr'}"„+v``i {fir S y�r k ,y dM t .• � •-a u^
j «P�«"Y'`x'c�t*�'�c�ra'tt' r,,,�S �,'"✓k''�` ``�� �'f M $�- 'pk` .� - 5!" .R t�' � ' . -• � K•.I�
• t * t 't�"a ""vt '4•. .a'' vtr"xt* 9- .rgpr'' .i¢ vit, • �" +'2' } ��w'
'� i � .+'+i'f`v'�' '1 xoxi �`P ka`{ 2r<5,'ert 'F`,,.,�`''n- 1° Z{. �' f� }' " ,..dr` p*„T " .r ! -
µ { rt `''�-- „- rm^'s, 44-fiy, •I^'`.b'i+;:4 rytf .it -time., Y� .,e e„ ri 'V''n X .i} .
_ 1 �, + Fre`'i r vt.ft;.f }} re,r•wr,Y t° •
`d.. ¢,➢, ..,0'O,w sr` ie Y�.F ,"+ y H�
a -j p-"' "" vd ➢y ' :kpro Wi # v 'k" i'£CN r ,sue =1,I f jr e%"'� I f `' i;
•
x p `� kr, §r"s fi�vt *' a „f�id` •�y4': h »2" ,,.,* " ''rr� _ x :'3'9 ? st kr
t+^r` aL a.-t' ; �e r.vq�,.rvm , r .r° 'l` r�tY ,4 :4 X.7P# R, „✓. ',, ° !'
L }x..�,-.�,o,,,,w, #• r r r;-, t''*I', 4fi• - ' ,FAA" r s.4t t fir".Yf? F` i -3, 11 qi
r i+- e-k ,f aT• +ved'2' `E F,[hy ,+ r a :-.. r . s- b rs..,: r 4`....t' as a a'Y
j.e d'' h i� Tf ,i4z hh b 9 z.,;'1' ,„ C` #.ram 4`ro�2�p.„0, { ,k1 C
' {�� »Xrr ,:� .▪ `r +iviek�� t'.g,'{?'"a�'nv% G }z' 3�`'t � '� yA,�¢` ,
-/��� .� r t ri s t .* :4 ' fit X -?7 d it
� (,f f� Fa< r ° at�'�F°� a4 `d Y < ,��y » 1'Y k ��a s �d'.
P Q7 a .t+-"y ,'9;4��1s ..t rq;� ja 04 , 4� b A: fir.,.}' !v 4 i
;ti ri r F I r. a ▪ ear t '4 e f"..11', 'X`";.'F'#"' .. r f tit brit r�i '. f{+��-v,, Y t'' j'�Y t t
t, 3 _ k�x�`i��•�, tad{ i{ 1 w r}�,', ,�"ssrt 7`7.r ,� G{ .� .+�.q tk s�j"� "" Y • ➢b^.
P P a7 r aj a ri J` s'Xa{r� Q` �,N f'`.� ,2 #� s :�' YY
.y x '7-, n-tt"s"k:x #,r r, °w , spf'kA'1 , e d .i s F 't # ,gyp ', : dF S-
-:P2��.. r� T- ets� ��> .&�f a�v ri {s' �" t 'r`ry t , 5Y
s '.fi., t#t �y a t yrtlA ''ia4 < i '„eft r k� €\. "`fx�;� x+,� Y. t `r,
ve'i.•� ,tY, `Yl'{ a� a ?`- ,3 4+ ""x ai .r"t 1; xx ::4,,?`§'.."i-.sY � � ab
;, + >�,Ft �r F _�e�0_ryXi•. -cr {.* :A4, xxet ,x-7,y66�>�x ti,",r p + ` 3 .,r'�y "' ' rt1
ertk'..924 ie„i a ,'„`• .?"4; s V".s x ?(Jtt,.�agitiZ' [,k 1,t'4Aj.i `+. .4 0;i4 7 n +,i•y ,: k 4 #?• a rx a--x
.47:-d»,3 ..t t« r4tr ,l"' Ap .-7..;,3{ .. � tt"3?'+u frw c9r "-r 9,,,c, 5, p��"{ kE.yi p - ::: , ys'i'S'
r ftr'%N! i *xr r a q • .,-)4k t,.A �+.- x / y• srs'f�c_.k r`�y. *I,' �`� ku WrtF,.' r n
a � X e: } x 4• r::," x,M }/{�i A`it•$ - ct4 w #�E rit' P Rsl.` y� d i - u`,.
3 F 9 ',.} 1' S"` sl A, rY S'� /Yp rn}
'➢ t �' T sd G�y4a � i
� },. -� � 2�.N �''rs ��t.>�r x'x°wd ��2� .i�SY� 'BF � � '±�.,+,�V,l
r. `,+�yG ; r ,-. ys';;;. "` '•" . e x. it j"017i?".i�t w "..41:k. - 4« ' .'�i '`ep5''.
' " r 1i{�t�u�,1 rt rr .. vP ru e.r +.t:4/44 €,b>•�d Y Y 'i3£. `" ' ,•; >+r>'. 1 r "3 v y
, ,d`xt ,, a d'.3;.'v 3 . T 4.. e,54 ;, k P+ 'Si S# r : * , ..gar t,a . ,.: ,
i g diT rn-• r s P5 ' i i >4-Y. ! �'� a1�sp. '¢ .w ..0..„ .'� $z.34' r 3r ,;
;� , °- .r'8r s"t ¢s �'.k` X r r rra ao s' >! ` Rf'' aX+ x e., �. a ;' "
r i x # S o f s vt a i it ;K AC > r•tl '� g x
,z,e 3 r r tk:
"" ` t't 4,Ps rgri r e4.€ r"+.'.=et ,_4 iu y { < iri
�, p S' x rP b k1 ,n a e}z.5Fi n�r s� a' � T',14 ° . >r ` � 8 e '. c'1�
° . r "r 5 7 •' r9{:y ry• r'>t .� r.?�,.-..' s xjtj;' n' ,:iwr F'tc . ' .�"
.r ;?r a , ti v'. fy Mh-§- r 1 w 3'y.YFy tia ." 4• an`' ' ± {•
itastk
r 9>'.' xv h r• x v<r F X x° ,y�..;d} a n76}•-7 tr r -c `` i-•c
1 wF' * k't� P j�i 3 4 h i y;Y. �t rt .. e{ $�,„ Cdy}
h ## ,h�
P aP s r L t+f 4X, s 4 aap^1 ,3 +G p r5 ,. a,ii. + § i •4"'' �> t of fk {q .�. t q Vlt' tY ��? 4 t'3- A.> i
i" ''_r x g v h'a i:r-hair ..x+p ,•�qy ,pi. �3 t. k u r k:' u :sr k .}
}" !t t t w r r �+.�. =t' + ,„4.Y - h U E,% +' ..p f .}^ �' r �., 0 - '4
4 t " '*� v % sy9{y
Eik- y ry f t}Y� 72 i ('` .424 tty a�t ,1• -, , ? P'I i •{ it YA _
i r r� •
» O. tr,,si ri 3 rt'P t� -,`s r' ' . t- `'o-22,4.
f; .ik'y'F (r a .i X rs r -,4 a't _ �, z zv ' V,^d
-. { E+E a s7;114 i to q r fa `-4- • t
fi
^ sue k • "' r - s " `i § _° e 'er t h i,r :-ty
k
5 +� :i9,� `tt a "��k r6a-..e i sa ( ,: 7C i e5 x .� y r } � �t'� r • .y
, , ;'Prat Xj! C.r'" tr sr %k b1:1"„p' 4 Y a r, lz+ a + {"
i E.
t .3i sr..7 Tx
%
°44 NF . F', .T r ta tt „ y ([ h"Ki J' frv` i 0 P
...• kij .4':, f. ffe„, Y 2 y'AYa ,Y
Vi
C ' v• a f p°V a �' n'41- a
- t . ' v n '• .✓"�..+�" a
t - ,,
. )
. ___.............._.....w__" _ Y ... a �_

zv44 7-1 g 7S
rdu\NtAIVIA C7 DREDGE & FILLI<) ii7�)7�`� ® C GENERAL PERMIT
[4 New ❑Mod canon ❑Complete Reissue ❑Partial Reissue
As areh«ued by the Scam
of North Carolina,Departmutt of Emtorrnnrul Queer and the Coastal Resources Cormrtxbn es an area of e+...rem lded concern prsuan o0
1 SA NCAC C T R • (Z V° / • _ ❑Rules attached [ Ge iral Pe ni Rules wadable al the'plowing link\ /� JWs
t 1) VAS l l l+ba�l Authorized Agent ►3. r�'�+Q L' ' $,t�4. L.o+e'
AdMss➢S 7 G'st� 2 � IR�0��I Protect Locauon(County): eedg.4ID..T _ .___
City 'Drat state_1y[,e_ZIP ca,1410,0 sows Pss Lot/( --_ ------
Phone a(E6% 1l'4 t3ii -AI�' o. 2J ._..
Errol ro►Ltri rt.bdlces'€ eJYT bout afar __C'_pets sredhrl nn i 5.1e 0.I.e tit tea
C.ty MW-e,r', .._ZIP AI
So4:1
Alrecc.d ❑0" [ { ❑n El►is A4 Wtr Body Said-4 /) i/7 ' k" -garra/tank)
AEC(s): ❑ORA ❑IHA ❑UW ❑sPIMA Elms Chow„a;-Wtr.Body%th 5 s el'••'V
ORW:Ses/ie ►NA Yea/-
Type
fP�� (ty . 1f /I/JXar tOv4rte� bAQ)-M4 ,ve.�
-54 (Scale:l`-i ar
Shoreline Length 'II4 i' r �. iA{sS sr Mso„.is.-t ?old'_
Access Length .� ?WSW.
-i i t r 5iOs t1 .e t. Cv -
Pier(dads)Wraith &)S sJ 1 J
Reed PlatIonn(s)
•
Ile
floating Platform(s) Er. .00.W 4 `t .Ll/yS gat()
iy"s.Zsr
fmtet por(s) ' .� Go to+.-teb ba.d(--J
Total Platform area i Co(cb.c. , G Vej- "ex5 (T Ff
Grain length/a
Bulidread/Maas lemon ((J
Avg distance offshore
Breakwater/Sill
Use distance/length
Basin,channel iT /
Cubic y rds I at..ELLt.,C.� A.5L egivisis..
Boat ramp
aa+l/IMAM!Y'x Zsc' (ousrt) bvit"as IX Rs- Rf'7
Beach Bulldozing�_ ��r I Sr `�r u.R.r• y yi a,��:-.�.
Other •. ` ' I
f— p
al
4i r
SAY observed' Yes '. a •S
ttaoraMrerrr. nh yes It:• _�(��•�/ a
Site
eurwi Waver Attached yes ac SCoe�e 6%y p/^1T� f gb9 9�
A building permit/toning pert d may be required br t�ex/4Y'O l—p '::P
L ` r R TAR/PA aNEUSE/BUFFER(sae one)
Prirmt Conditions_l0 C _�.4_ 4 "l—t- - (4A1t!1 ..__IA,i -L 1ST
A_ 7` "��� J--tC. . �SC _ Y q- ...._ _ P'i__R7liS 3 r �ee rote on bad regarding Rlver Basin rules
eikeDill"' �(a�(_h:, I __S_ App11 c T USih &it6. _L_CNA
` -}OQ y'�.•-. �-- 0 See additional notes/conditions on back
if bW R Of STA,t/TESS�c.c C'AND
��CONOETt NS MAT APPLY TO MIS PROJECT ANO S�' ED PtINeg STATEMENT. Meese WW1_ APJ2 -
AttpIuw IUNTtD tN J� y� (jAI`iv
!a ial,�( ��%4 e�arc�+ri� a ��Pei!! t`+ r RINTED ie
••P4 ad cnr+h w stamp on beck of c� D Permit'• Signature
- �A2 µ_— -- _ 13 -Dec_-3oZ� = 13 —' —ao2
Applratron tee(si CMh P/Moray Quiet hsuay Dale, I peration Date
r

- ROY COOPER Gear
RE
MICHAEL S.REGAN
Semen .
l Comfit BRAXTON DAVIS
•
BUFFER AUTNORIZATION CERTIFICATE .
•I FOR PIER AND DOCKING FACRITIES ACCESS WAY
A riparian buffer authorization is required for pier and docking facilities access ways through the Tar-Pamlico& •
IC Neuse River Riparian buffer per Division of Water Resources(DWR)regulations ISA NCACO28.0233&.0259.The
Division of Coastal Management(DCM),through a Memorandum of Understanding with the Division of Water
Resources(DWR)has reviewed your project proposal and has determined.that the project as proposed complies
ji with the aforementioned regulations.
Those activities covered by your Coastal Area Management Act(LAMA)permit have received Buffer Authorization
provided the project is constructed in a manner that continues to meet all of the conditions listed below.Failure to
comply with this Buffer Authorization may subject the property owner and the party(contractor)performing the
construction and/or land:clearingto a civil penalty by DWR of up to.$25,000 per day per violation. •
g t. Crossing is Perpendicular. Pier and docking facility access way must cross the 50 ft.riparian buffer '
4 perpendicularly(which is defined as between 75 and 105 degrees)unless otherwise approved by DCM.The
ils alignment shall minimize the removal of woody vegetation to the greatest extent practicable.
7. Pervious Materials:All reasonable measures shall be taken to ensure the access way is made of pervious
I) materials like open-slatted wood or composite,mulch,or grass to meet the intent of the rules to the
maximum extent practicable.
t
3. Access Width:The width of the pier or docking facility access way shall be limited tosix(6)!feet
1 •- Project Drawing:The drawing on the CAMA General Permit Is considered the project drawing of your
t property indicating the relative location of the pier or docking facilityand anyrequested access way.This
drawing will be used to aid in compliance arid monitoring efforts.
• Pre-project site conditions:Jo# ;75 prld;Hgl"sr r� QGZ. //-it/
i t
come e
By yoursignature below you agree to be held responsible for meeting all of the conditions listed abov and verify -
that
�allll�in�foorrmaatiion provided is complete and accurate.
Agent or AppOan�rinted.. ante t P0 tees nature ,
i Dece 1% , Atli"
Agen torAppiirantSignature Issue Date
CAMA GENERAL PERMIT If: D tri 11 12,
•
-bate ofka4Only I rmt:v.®:ai@uarf Coastal Maarten:
} Wrdt¢m O!&e 1 ewa9rgca Square Nil YastinsnKZr58913534*6aa
fr WikoNcaONaI IV C tl w 1st wdmtmm.*C3D4OSX 4I70-fl6Rn
( MattadOSyORtt:a00 CLemnsra A+crara/ru.hvd Rr.ic msf7I 3S34.06-11308
I
.. G.. ....r ^.".✓_e'..`ewM.*..�.:r«+-'.'Y.+.Y e.:�.S 'c..4.:..K' .rtaa_"n `.'_-. ...

W B Prescott Marine Construction,LLC
PO Box 874
Oriental, NC 28571 US
[phone]
[e-mail]
Estimate
ADDRESS ESTIMATE# 2099
Ray 8 Julia Wainwright DATE 10/31/2022
215 Gifford
Aurora, NC 27806
AMOUNT
Boat House Pilings:2) 10"x 30',2 @$600.00 1,200.00
I CAMA Permitting Fee-Boat Lift, 1 @$200.00 200.00
Permit Processing Fee, 1 @$75.00
75.00
ALL
AND MAY BE UPDATED ARE ABEDFFOR
E 90 DAYS TOTAL $1,475.00
CONSTRUCTION BEGINS.
I
Accepted By 7ati H/:4-1-"t
A Accepted Date // �. - 7
9a4 rh, LOPM / r'kA
)c_ ,CI
FO--
,
t
IL..... .

•
From: Lamle \Vo ( l�l n `r 1 I
Sub James m m
[e-mail]
� : Re Wainwright Project I I}
Date: November 30,2022 at 2:20 PM 1 v L'1(�'
To: Brandi Robertson brandiprobertson@gmail corn (��
a
Received,thank you Thank you
ant from v w - f- Lt'hon--
On Wednesday, November 30, 2022, 12:00 PM, Brandi Robertson
<[e-mail]>wrote:
Dear Mr James.
When we are there to install your dock we will also
He is proposing adding a Roof Systembe installing a couple of pilings for
He liop the roof to his existing Boat Lift We ere addingyour neighbor.Mr Wab Wright.
have included a rough As pof the Permitting Process we are r ftwo more tthe proposed
he will be
drawing below squired to Notify you about the proposed project. I
Please respond to this email confirming that you have been Notified about the project.
Please feel free to contact me if you have any questions
Sincerely,
Brandi Prescott Robertson
B Prescott Martine Construction,LLC
2'4,93141er�pn rttta 1 Com
252 249 0149

N.C.DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOIWICATTONiWAJVER FORM
CERTIFIED MAIL-RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed Eby bwner or their agent)
Name ofhtopeflyOwner: UTAjjCI *t9 Qckn'IWir
Address
eaTaopeny: Q 15GIIii a Rd urDrd t , I\LG
+ nfaErigAddtrssatower. PO B X oc��ftto 31-1, 1 e4he(, NV. a-nt a
Owners ems Q,rn��� �)� ,y���Ow�Pl : aB,a--7 W-9351 �S
AgentsEJrWvut P Robeft5on Agent Pignvk a5rX-ayq-oltiq
Agent's Erna/ brawl, probev4stn@grvi tl, ram'
ADJACENTRIPARUN PROPERTY OWIR'S CERTIFICATION
(Bottom portion to beeemptakrd Were Minot Owner)
thereby cagy Matt own property adjja it to the above referenced pWedyThe hdnl&mlapptjdng for this
permit has desaited to me,as shove,at the attached drawing.the development they are proposing.
--- dnoctiion crdravvitn. ti w ddarrenv nst orsdbe onaidedwah Orb;We(- ,
`
. I DO NOT have objeaSas to this proposal. I DO have ahleo&xs to this pmposaL
• if you have dyee6oas to what is befog Peps,you must nod&the MC.Division of Ceased
managem_d(D011 bi owing vrTbir 10 days ofrecedpt al this notice. Cornsporide to sbotdd be '
mailed to 943 Washington Swath Mat Ndsbiagtes NC 27839.DCV rapesetd$Gves can also be
' contacted at(752)9r6af8L No=sponse is considered the same as no older on&you have been •
ad by Certified Mail.
YIJAN44SECTION
1 rademtad that any pt W osed pQ dock mooting pings,boat tamp,brealavater.boathouse.WI.or
glom must be set back a midnmm distance oh&from my area ottipatian access ides waived by me
o is dpropata blankbe �a-rl rrwebnnm+b).01,w sh to waive the you
must s[mj
I DO wish to waive wmefa0 of the 16 setback
Signtnef4 RpmianAOvaN
MR-
I do not wish tombs the lg se0adcregidrarnerd NOM the blank)
SiOmWe ofMacert Riparian Pmpedy ovate.
TypadPdrted inns ofARPO:
Maahr9 Addis's ofARPOt
ARAMs matt ARPD's Phmrfk
Des: 'waiver b valid for up to one year hom ARPO's Slgtmbne•
Revised May 2021
_--,_.�=+«. '.:z.• _ _yam._

SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
# ■ Complete items 1 , 2, and 3. A. Signat
■ Print your name and address on the reverse / / 0 Agent
so that we can return the card to you. X `, / %l' AJ D Addr
essee
■ Attach this card to the back of the mailpiece, = - ::%` /ay(P� . !l: =) . Date f Dell ery
or on the front if space permits. / / 1"°.P7
1. Article Addressed to: i,4/� ,,
D. I deli ' ad. . d :. item 1
Jae ..Scm If YES, enter delivery :ddress below: • 'o
To ,5)( icl
NcottFotert- n c-oistek
limi mail 1 Iiiiiiinimiimiii . Service Type ❑ pity Mail e6
duff Signature 0 Register Mar
It Signature Restricted Delivery 0 Registered Mall Restricted
9590 9402 5134 9092 1448 51 o Certifi Certified Mall Restricted Delivery 0 Return Receipt for
0 Collect on Delivery Merchandise
2. Article Number (Transfer from service label) D Collect on Delivery Restricted Delhrery- 0 Signature conifrmatfonm'
Mall ❑ Signature Confirmation
7019 0160 0000 7850 2800 Mall Restricted Delhi" Rricied Delivery
PS Form 3811 , July 2015 PSN 7530-02-000-9053 kV j/01 L4.Jrm - IPtP i

...--1,--) ' .,,\y-nOg
--.
7) P-em ,T
ft j!11-bog fr o I
v\i '--)
1'1 �2OC� • paagw-
0...„5„, , "I's tw`ti - +d h lical
fl.t-sb(a Ivsodoaa
Voikt CSC"A0 I.)-f,o6 9.y, --HC1M 00 1\4\ SAA\O
Uosl )DI

a$ra uoue I .lap fu w+ssi ..p.o A+uon/�4 .0 okaaa wpneaur
-- r. . i ':un,- *,&- W — _pp•
J(j�_
amieupS _Awed p'peg..s w aFn a ,Rid..+M1�+vi
l4a '� )771472,41v
uwe 31MIdd g d , L if osa W,Ia*
'7�—(MOM xeaid) �d1Y15 133 611d AfU.O!Al%d1i 1YF41 SI/OLLWN00 ONY snot' AIIIIV S ao rot 1
Mnq uo%vosyp.o/sasou KuouWPe aaS
�._�. JSJ
sari ulses.am„9upmfa,,peg uo oou aaS� ---J( - v -_ 17--_� 74 - F1i` L ��M ��( ten)113iirler3sn3wr Vd/VVA —��—�? t� in-Iv 1 si r
2 vag +�Pa r+ba�Anu Puuor/1N.xd wppry to4)4Q..
VC41 � �J P I VadA,Muruedgtl
voi 4 s, epwa M solo4da>K
saA .pasiaYpRys
r 'A`°pwe',A+'
ow,woo
yueA sups)
t P�'nP'Will
I '-,.
Ain)
' (Oval/ sew
uNSNalaguIRa4
( 5.1". � aoNslp lAV
/gavel dvidAt/PmflIng i
1/43200i WO*
' uO»1w K7M
,.t& $sz tale u
islividiVavil
....WIN/ J)1
itistir
W.a at IS1suw laai
ri .�' a .o.viti 1 4- Gv vs Q q ads O)1[
='i Z7 1-4'+°S - . ,El 1 F! ?(s� CI 6 X J v "I PPuPI,a!d
..,,,,t.},,�i0 %1. uz 26 .; 'l'>w.a,pus
S> 'j,�l�S! ry 'let
liro, 5 jO 1 h' Iti.��+7I r.A/ ''&'Xf67d 9r''if--L ,q1 Y,£1 ' -"-"Ill ,fix s )1 lI- a to
••••>a i %,/1`L1t7.1 MOgAM-kw> n sMdlp "vamp 'Ann lot*p leo0 :(Ib
hp•rMsufea .07-!0
ul_k--►VS 1•Pos AAA ire S1d❑ s30 vldn MI Mv0 cionsvo
d¢ ,S7Ir ca,>
77 ' .- �l
rr�� � 49AS ✓Nd7 ' cQ7 f7U�1117 W1CO{Mu+3
Wit wvp.mi eveismaapev Pans
r
.ram +-'52-' ""'" � rx s 'In I-- s '-- .�� • a
#9 LM"o!W RP 30 WM",lard Muugu Kggu'3 L__t P•113m%gyro 0 --- (7,02 i 1TEO—3riiN VS
w*mumd uwaw,K uoinuo Nua p a+us ut uoKarw.o3 saunas,'Kgsro3 sty put 4eK^D ypasysysyys3 p ausumsclso vuolowo V+syv p s'Kss asp M pas se sV
Onsslmll te1ued❑ anssloy []aloldwo uoge>glpow C1 ^"at ]
_ ._4 eliV` 1W 1Ii3d '11d"b13N3J
0 D v L/6/..K oN 111A V 3DC31i0 1 1 ewv i ,r,.,)

•
I
ROY COOPER
&sec
MICHAEL S. REOAN
:carts
Coastal u eat BRAXTON DAVIS
gam Men
1 BUFFER AUTHORIZATION CERTIFICATE
FOR PIERAND DOCKING FACILITIES ACCESS WAY
A riparian buffer authorization is required for pier and floating facilities access ways through the Tar-Pamlico&
i' Neuse River Riparian buffer per Division of Water Resources(OWN regulations 15A NCAC 028.0233&.0259.The
Division of Coastal Management(DCM),through a Memorandum of Understanding with the Division of Water
Resources(DWR)has reviewed your project proposal and has determined that the project as proposed complies
with the aforementioned regulations.
!1 Those activities covered by your Coastal Area Management Act(CAMA)Om*have received Buffer Authorization
provided the project is constructed in a manner that continues to meet all of the conditions listed below.Failure to
comply with this Buffer Authorizatlon may subject the property owner and the party(contractor)performing the
construction and/or land clearing to'a civil penalty by DWR of up to 525,000 per day per violation.
t. Crossing is Perpendicular:,Pier and docking facility access way.must cross the 50 ft.riparian buffer c
I perpendicularly(which is defined as between75 and 105 degrees)Unless otherwise approved byDCM.The
alignment shall minimize the removal of woody vegetation to the greatest extent practicable.
a :. Pervious.Materials:All reasonable measures shill be taken to ensure the access way.is made of pervious
V materials like open-slatted wood or composite,mulch,or grass to meet the intent of the rules to the •
maximum extent practicable. ,
s, Access Width:The width of the pier or docking facility access way shailbe limited to six(6}feet.
e. Project Drawing:The drawing on the CAMA GeneralPermitis considered the project drawing of your
property indicating the relative location of the pier or docking,facilityand any requested access way.Thls
drawing will be used to aid in compliance and monitoring efforts. \ / .
• Pre-pr ject site conditions: 4. I S 4 fa i te&i i e�J la tie, S
�I a . y
By your signature below you agree to be held responsible for meeting all of the conditions listed above nd ve j
. that all information provided Is complete and accurate. - - a
- Agent or Applicant Printed Name Permit OlE s Signature - •
Agent or Applicant Signature S Issue Date
CAMA GENERAL PERMIT N: $ / S
i
iStzednuR,Oren I rmtmroeinr Quaky ICcam1Wuymnu
'xe,tdinmoea4QCYA94cern3qu re IUtwadr;mnr1CW331 sr4/aan 1
w *E 3%Otkrl IR Crt db,M fat tyki gtznIC234O5-38431910-196-1215 1
Iimebe4 CityOfke 1 M X COrnerce Ammo Y4,dniel y,CMa 12$-S0t-1608
4
i s
1

Ja 0 A Iho ;*a
/111(7-
From: jamle lames jamiejames20QTyahoo com
Sublact: Re:Dock Project
Date: November 30,2022 at 2:19 PM
To: Brandy Robertson brandiprobertson@gmail corn
Yes,please proceed
Sent from Yahoo Mail for iPh4RQ
On Wednesday, November 30, 2022, 11:55 AM, Brandi Robertson
<[e-mail]>wrote:
Dear Mr James
I have received the Notification Confirmations from your neighbors and wit soon be ready to schedule the Site Visit
with the CAMA Field Rep. Please respond to this email granting me permission to act as your Authorized Agent
This will allow me to obtain the permit on your behalf and you will not need to be present at the time of the Site Visit.
I have updated our calendar and it may be the end of December before we begin construction on your project
know that this is later than we originally thought,but I assure you we are working as hard and as fast as we can to
get to you. Unfortunately,this is how it often goes in this business. There is lust no good way to account for
weather issues that arise
Please feel free to contact me d you have any questions
Sincerely
Brandi PresCDt1 Robertson
B Prescott Marne Construction,LLC
'Neilson s'gmei:corn
252 249 0149

I-ZOZ Ae►ry pasrnae1
„alrgeu6lg s,pdjy wog.leafs auo of do jo4 phew sr lawrem, talon
4auogd s,OdJV :Irewa s.OcDtitr
:OdZIV to ssaIPPV 6ul1leyll
:c DJy}o aw u PaluudIPadAI
vo/ \r\ \ l auirp r(yadoid ueued! 1uaoeipy jo ainleu6!s
\pkicyry
()pep aqt ie4!ur)luawannbat mpegtas.c L eq anrem W gsrnqk lou op i
JaUMQ AJadold ueuedrd luaoelpy/o arryeubirS
jeglas,g I, atn to!le/awos°NNem or ysrm 00 I
(-moraq mueiq aleudwdde atll
ti6�s}snw noA`Ypeq}as atp aniem of tastm noA}!) -(sluauganai deidu Jo speagolinq of Aldde lou swop slyl)
aw BSc panlem ssaiun ssaooe ueuedulo ease Aw woii SL.do aouelsrp wnw!u!w a koeq las an lsnw u1oJ6
ao '1l!! `esnogpeog'ralemOlewq'dwei leoq's6u!d 6uuoow 'loop'uald pasodoid Aue legl puelstapun i
NOLL3 S 213AIVA 1
uaaq aAerq noA p uogaafgo ou se arises atg paiaprsuoo st asuodsa,o '9-9 ��4 you
!t� "L8i'9-965 (zsz)# Pa;oe#uoo
aq owe us-3 saAge3uasaidat WOG '688a ON `unibu!UseM 'I1W aJenbs uo36uufseM £76 o paperu
aq Plnogs aouapuodsauoO -aogou srrp to jo srsep of up.imm 6u_qum ur (Wa);uauta6eueyi
O felseo3 Jo uoiswa -3 N atg Ajgou lsnru nos! 'pasodoud 6urag sr;eq to; suotpalgo aweq nod jj
6",I DWA� 'lesodaid slyl of suogoa(go aney 00 ! 'lesodwd sttp of suogoa{go aneq ION Ofl I A
CJ /
_Jogai s!t{I LAgAk PapIAato aq lsnw -suotsuawlp t{}rm'butmeJp JO uogduosap
y -6ulsodold aie Aayl luawdoianap atll `6urmeJp patpege atg uo UMOgS se 'aw of paquosap seq *wad
41.tol 6uu(idde ienpinlpu!euI'A_radwd paouarala t anoge atg of luaoefpe Apadoid umo I tog Agpao Agataq i
(JauMO A}rad ud lue3e1PV aq}Aq palafdwoo aq of uorpod wolio8)
NOLLV3HLL833 S.213NM0 AIN3dO21d NVRIVdIN IN33Vf'1V
W t�� 'If bw& utO 1ago dlTung s,luabd
b t 9-'b6 -rtel: bald luabv ,L4,34 1„6 :atueN s,lua6y
-#auoyd s w 0 112 &O1,°S,WIb I)tuA =llewa s�atwtn
ll rv9- r/ a vjldryA +—b.) l.J O L I :taww0 to ssaippF/6ugleN
u ( "�?�C7 (1 v r FAocti. �J :AJada1d to -LPPtt
SavaY)r 14' 1 -p. F.W Y](") Jeu dJoaweN
(Tua6e JIal.p Jo JOUMO Aq pappdwoo eq uo pod do!)
A213A{13a ONVH Ja Q31S3fO1N Id13Q321 N)1f1132! - 11VW Q31311.830
P IO3 213A[V/WNOLiVOt3LLON 213NMO Al?I3dO21d N`dR3ttdRi IN33VTap
1N3W39VNVW 1V1SVO3 3O NOISING -O-N

dhev561/ Ja I�Iaihwr
P e� '1 pM9e�y 3Ur
I
PvvpoSeo\ p c
wu\kww{- 5' cY
lat �' Vw.- (3,x),„/

.a+veubts UMW w woi iiM aq pua as do+aq papa CIZ'(,0'1 1 *awl
'los it -0 N 13 n) fl 0p°awio•sswe w
r SS S 71,7�G a a)5•TOcAre P44idfPatiA1
" (1
Oluelt1 eta Iea!+.u)itsawainban vecoass l aka antes at 49OR wu op
o Aliedaki uetleatTi
StaaiPfa/au a at4 +00I
CMOtaq Wan ateudnidde clap
i>nTu not(',pumas mu a,ieM Ot t not(il)-i Y 1I r deli spea<ppg loads tau seat)441)
aw411PaAden ssalui ssame ueuedu 0 sale Am wuq Sop aweisP urwi!u a Veq>ps act Tsai uxii6
JO 1.P.I`aAta41eoq'iatem l e q'dui wog`s6ugd 6 ulo°uu'pop'.i d Pesodojd hue mg Ptietspin i
NO1103S NAAR
Z�eff Pe0 A4 Pam+
eaaq awe('rm.( uogoak o ou se awes ayi pamplaaoa sz asuodsai oN t9 9-9i6 f`LSZ)je P
a9°Me IiwsaAgapueseudna ffi9a vif1Z 7Ntoathunosem`loll aienhS 00161171110411 Eft as Pollen'
aq toys aanapnodsaua0 -e?gou sPA pn 7draaa+po sAM 51444-1.0 u(MOW PseuxtBeaulf
,—'17xxd u� »jo -3N eta ;snip rink' •d sit ru no(R
N Y7.10 lae0da'd sill at suoSaafgo Ime4 00 I lesndoid stgl at sugpaioo aAoq ION 00 1- --
- 19a qt!lk pappolla aq to'iti°LSVaU�4!M*buyalalp JO uogd!nsa¢
V"GIlsodoid ue Ana liaaudatafan ata'64A0Aeip Pa rune aia uo uonous se'OM at pactuasep se1 woad
ally cola!Riddr!ir rlpgp14 ay1-mid avow ma aluszoeipe ltadnid Limn nett;Al4rr3 Agway
P ia0!Modal d illatof.PY 041•q pa!arlmoo eq a4 uoelod u�ogp
NOLLY3H 12P3 S.24311MO A1l8d02k1 NVRNVdRI Ji 3VPQV
1 St4A10a 3 sdu
bh10-b}7e ‘433111GI - r = i sv
ell- 042 :01)"°448 5.1311100744&Ors.)t•uY-2 !Kt Ste,
u tv 01. 61 a id�1 M ', J O L I Ila"r"o suppv
U -MIMI Nicl .128 ph-zji. ' ) LbIIttiadald to sEaJppv
P euleN
(wale imams JO JaUNd Aq ta1aldwo)a4 w uosiod doi,)
A)I3Af IA0 tJNvl-1 l0 03is3nb3a"doom'kaki-11,64 CEUALLa30
raiO3 213AIVAINNOLLV3I31ON 29NM0 AlkEldOlid trinkrikimil433Y117V
1N3p39VNV1,I 1V15Y0°d0 NOISWO-011

From: raannboxer raannboxer@embargmahl corn
Subject: RE James Project
Date: November 23.2022 at 3 46 PM
To: Brandy Robertson brandtprobertson®gmahl corn
Yes.we have received the information on the James pier and agree
Ray&Julia Wainwright
Sent from my U S.Cellular)Smartphone
Original message-----
From Brandi Robertson<brandiprobertsonCNgmarl corn,.
Date 1122f22 12 03 PM IGMT-05 00)
To raannboxereembargmatl corn
Subject James Protect
Dear Mr Wainwright
Attached below is the drawing for Mr James Project Please respond to this email confirming that you have been notified about the
protect Please feet free to contact me I you have any questions
Thank you
From:Brandi Robertson<[e-mail]>
Subject:James Project
Date:November 1,2022 at 9'18'23 AM EDT
Tb:raannboxerigs r'tbaramall.com
Dear M' Wainwright.
I sent the estimate and drawing for your project yesterday afternoon Please let me know if you are ready to move forward as soon
as you can so that I may start the permitting paperwork Please feel tree to contact us if you have any questions
As you know,we have been contacted by Jamie and Lon James to construct a new dock As part of the permitting process we are
required to Nobly Adlacant Properly owners about any proposed development Please respond to this email confirming that you
have been notrtrad about the project I have included a drawing
Again please reel tree to contact me if you have any questions on either item
Sincerely
Branch Prescott Robertson
B Prescott Martine Construction LLC
252 249 0149

f
jerfv: o kvArt
Pi'i5_uropd"}S
,cH)cci --M0 -4Vd
,Og x,S -►mm-,I\vrvil
o1.23Q1-4)M4) Y�soc 3
Voi Iry;60 Jo
I "1 w ,
4
1

-- •Wit UOgrnd+.3 attc Bums% lapip Aadoy�tflt Vag? ISl�ad OOOE7gt tl
27 —r— -Pel if _z 0"-Z12{' -- -7c1 e9�,LL I cat -)
.O
-_--_..__- _ •,nlou9,5 ..awtoa)o n.,4 a,-aeu rf,a>unidwo>.•aseaki du3.5
- ---fill rg grAie?".44 GI/
- !IWIN111.1% •34, rtwrd - fp t� .�trl,rntir2r.C. '` u,d;,
•
-oeu•tg'55,101 '1 ii I3ii1s 3JM/ndWoiciim miloiltl rotki IH1 O 7• -, r W4•t.$u.lint!DLO'53 n1tl1S IO 38 filiir 1�1
veq uu suo.rpuo wlou Iruup PPr dP S L 1 ---
-..t..,.,..,.n. ..0 ru.pnrsaa,t>cq uo.,tuu a:•g f'X'7 ___.__ ... - —.__-
......„.„/_.
...p,..3.iad
ibue or."4113idn83s113W Vei --'-- ------..------ - ` • -- - A4 ponnbar aq Arm squad Huror/uut,:.d a.nPPn9 tl
7 <2 saA -p.•t peyp lame\uriJed,y
,K I ) 1 saA sulogd al•S
J� A siA eiu -w1OlWJOty
I 1 �� j { n,.- Piwwfgo/VS
li
1' tiv:_)oy.3 -L aa4lO
- --- //) i !� ,l duuopRng%W ag
C� " fr`� dtur,wog
spwk•1tgn)
-- -- puui p utsea
-.— - ---.p3u:q/a>uentpsen
--- - ------tt.ti/,4trm+ea,8
_.---- - ----.1Qg4J'.)uep,,PgiV
17f+t7j/-7 ----- - glruai(Whirs/pt',>431nti
Q A7,�,I10,y�j ---- -------0418uai woo.)
ir
o \ . w-_ ___-.---
ab C>L9 a��n p� i\ I __ -Is}tatd,as,wd
-t----' ` 9/ X Q` --_y._ ..
JT (s -- -ItiSu„airw8wp.11
L?, o� -a y. CD 0 �, f/I'7, y)1 CC ( /�K�L�T/ E .�2i� !/ :)Wiulir,d Pa•l!
(tT ; .alms) — T__
/Z/a,, 67- /rj ..732 ,_G i7 1` 5 ESQ . 7011i- A!A!v/33a[oad to adxj
{/ Qi,'s.•`. VNd •.` MMO
-- --- t- -ird/ _42 ` _ �ipog 4ti{.IrW,vsol) SMdG man 1Nn`.J VHI t3O . ' .J3t-'
( w 7r �!^rail -Apog,,M-IP,p Sid Li S3 Vtd21 M3Y NO ''.`::aiit`
C7/81--7i d¢_ j,g A>.j
-- — /,,i r ucs.upgnS - --- y,� ;`� 1/1 - - Pe 23
------4 - S '`°'*3 ice' .�v SZ 4. 7ti3r0;auc:�
�N'� We•/_�_.-Isig 301-PL'eN alr,S'ssa+ppy laa»5 g- �d-� dZ f% alrl5-- • j/,��; �r]
— — 1 Aiunsr3)to v7-I a o,d J '7 � s�"P9
at'- VI -----.. -1,403y p,z,;otony -------- - T,!-=l- -wry- u.:,rN auo.:a
7a3iL-bopAv .%.11,1:Sumo:pi a.41 X o,g,cAr son 1,,truad patlag,� pq ursalny Li _..._.-_-._--.---- ecr / ) 3y-yN`dsI
.ot luenund u.sawoa itfuatuu0nsua io raiz ue u,uo.ss.urtua,saa:nosaa;asto a41 put AuirnO,eluatuuo,isu3 p luatuurd,1Q'1wio,r7%ato1V jo owls ayl:q p:,aorta sr
anssiaa plied: anssiaa a3aIdwoD ' uon>ippoN -? ,tnaN
er/y pansp W,ad=Jad s oaaid ll Waid 1VU3N3D
i
a D 67)v CLAD? oi\ 11ld V 39a3HC] b►Wd ,,m,>i
122 i L.- _-

r
ROY COOPER
Gamer
MiCHAEL S.REGAN
r+a4ry
Coaswl Management • BRAXTON DAVIS
rNY•RJRrel:'.♦l:..'>l 1 Y
BUFFER AUTHORIZATION CERT1FICAT:
FOR PIER AND DOCKING FACILITIES ACCESS 'NAY
a nparan oufser at.tnorzation is required for pier and dockcng facilities acces nays thrcugh the Tar-Pamlico&
Verse River R;parian buffer per Division of Water Resources( WR)regulations 15A NC'AC J2B 0233&.CZ59.Tie
Oivis:on of Coastal Management(OCM),through a Memorandum of Understir ing wide the Division of Water
Resources;OWR)has reviewed your project proposal and has determined:hat she project as proposes complies
.vth the ifarementioned.regulations.
Those activities ctri'e!'ea,by your Coastal Area?Management Act(CAMA)perr;i:^ave received 3:t'`er Authorization
:coridea the^roject is constnIcted in a manner that continues to meet al at a condition lister:below.Failure X
=••--r''• .ti irh this R..ffe.r Autncrization may subject the property owner and tte party;con tact ri perfornirg the
°I --, =.r a-:..'cr and sea-ing to 3 civil penalty by DWR of up to 52.i,000 aer da r cer vclation.
i - ..assirg:s Per,r dicular• Pier and dock ng facility access way must cross the 5J ft. -ic3riar,.;:ffe.r
oirpendic Marl];.which is deflred as between 75 and 105 degrees}'iries; -i-.rh e acr- h,`...`CM T`e
it g,--pent i"a!!m.ntii:ze re'emova!of wood'.vegetation to the great-'St ex-.'ir et.t b.e.
1,1aee- ls:Al:reasonable measures shall be taken,o ers.rethe 3Cccii wi',7i i a'? of oer1r`-ct s
�- • •;;.t<e )aer-slatted Ivaco or composite.mulch,or grass to 71 ;the rater' ..
m.i. .'1:1.7'i extent practicable.
i s,t,.ess Width:71-e w•oth of:he pier or docking facility access way sil oe'I Teed to ill(nil eel...
1 P-r;je-:DiaV.'rr...T^o drawing on the LAMA,:leeral Permit is c 1si ki:i:the pro.e.:;drawiig of pour
.1r?party irdi.-atn3 the re alive location of the pier ,r i,ckrag facility anc ar•.-N_-Este., 31:-,:ess wa•r.Ths
drawing wi.l oe uses::to aid in compliance and monitoring efferib.
• °r -rr-),rct Ate rnr.ditn,rs:_ _p C'eesl f _// ?!/Y$�--
/n'id-..,"-,�4 Cam►--f—
3`, r'Li;ggrature,b i-•h yu..agree:o be i'41 reSpOr SIb'e for(1't eurg ail of tte ennditions:•stall 'bow-:•c ve,,i;;
:/ .al i fr,ar.or? *Mil::: :is_i; lete and accurate.
_ark _ _
r -• o 'pp! nt r n e ',lame Permit � ,nature
c -
`-`t .r ,ppl nt gnaturotfj4V issue Date ' � Z
CAMA GENER,IL PERMIT*: . '9 3_
,arti4ormCx'& ;wYrcnrerd,i. Ll i.'Mil Mlry;'MN
Aa14,7A:.nr,ter ill W.cray.-.-q..are wJ Ae....racn'.::•.66) , Ur.a4(
wihmingivnOfkl 17.7Lr.fral':me t-..t t.iver.y..'.'C M... WI 'i C,-)..^j
M.:4,1. i(t,ar 9:Antrece.\snn.e V.crMeaJ-it,v-`R.,• •:.,-•3...74.0.4
.- .t..-.*+u

gpP- fLa,-e,t --
Authorized4gerat CoaaseaatAgreement
herby authorize Tobin Jay'Tetterton
(Progetj.Owue:ta)
Ws Marine Construction,LLC to act on my behalf in obtaining CAM&perms
• the location listed below.
PROPERTY ADDRESS:
L OL_rrf Ii.> >,ty ci a sv6Dr✓ig
DPWcy_ 4 r
,FECAWa/.1 nlc... 2. 7RM
PROPERTY OWNER'S MAILING ADDRESS:
MG xz
phone No.
•
PROPERTY OWNER'S SIGNATURE:
G sT —1
A1JIMORI ED AGENT SIGNATURE•
o$ TETTERTON
DATE: /f g_ zo&2
wimummaeg Agent Consent Agree,
( i

T.J.'s MARINE CONSTRUCTION LLC
P.O.Box 125
Pantego,N.C.27860
[e-mail]
NC General Contractor's Licenses No.68281
252-943-6677 Office 252-944-5555 Cellular 252-943-3949 Fax
November 8,2022
CERTIFIED MAIL— RETURN RECEIPT REQUESTED
Rose Acre Farms Inc.
PO Box 1250
Seymour IN 47274
To Whom It May Concern:
Enclosed you will find"Adjacent Riparian Property Owner Statement". Your adjacent property
owner Gary Foote would like to have our company construct a 180'(+/-)Pier, 120 sq.ft,of a"L"
shape Platform, install two (2)morning piling in front of the platform on his property located at
Lot 54 Dowry Creek Fast, Belhaven North Carolina in Beaufort County.
You are the adjacent riparian property owner to the aforementioned project,I am required to notify
you of this project in order to give you the opportunity to comment on the project. Please review
the attached permit application and drawing.
Please complete the attached form,there are three (3) areas that will need to be completed. #1
Objection, #2 Waiver regarding the 15' setback and#3 sign name,print name,mailing address,
email address,phone number and date. A self addressed stamped envelope is enclosed to return
this forms to our office.
Should you have any objections to this proposal,please send your written comments to District
Manager, Washington Regional Office, 943 Washington Square Mall; Washington, NC 27889
within 10 days ofyour receipt of this notice. Such comments will be considered by the Department
in reaching a final decision on the application. No comment within 30 days of your receipt of this
notice will be considered as no objection. If you have any questions on this project,please call me
at 252-943-6677,or email me at [e-mail]
Also,should you have any questions or concerns,please don't hesitate to call our office. Thanking
you in advance for you time and camidawtinn"a6a"a'a6 ar,:...naktvr.
Sincerely,
11.11's Marine Construction LC
(ipicArJ9j>.:4
Phyllis B.Woolard
Office Manager
/pbw
Budosur

11H5'22,1227PM USPS.mm®-USPS Tradm,g®R�
LISPS Tracking® $ FAQs >
c\Q
SGs
to P 0314� vms, $5e� P5` / R44,
a\ � ; rF` �p v
V l, o ti'
G des � �`i "9n� n
(P aevie q\\ rosd (P ;
le Qttlzw4, P +.
racking Number 6c� r" o"' � �. ' z
70183090000193918870 0000 6b,
p O- Go 1 5
Copy Add to Informed Delivery p er
(https://infonneddelivery.usps.con� �p t` f ►' �"�
�ry� 00
C �jFom.�B.
Latest Update �
Your Item was picked up at the post office at 11:04 am on November 15.2022 in SEYMOUR,IN 47274. T
m
m
xcmv
m
Get More Out of USPS Tracking:
LISPS hacking Plus® a.
Delivered
Delivered,,Individual Picked Up at Post Office
SEYMOUR,IN 47274
November 15,2022, 11:04 am
See All necking History
Text&Email Updates V
USPS Tracking Plus® V
Product Information V
.
i
See Less /\
Mack Another Package
htlpsJ/tDols.usps.com/ga/TrackConfinnAdion7gfc riabels1=7018 3090 0001 0391 8870# 1/2

Ta's MARINE CONSTRUCTION LLC
P.O.Box 125
Pantego,N.C.27860
[e-mail]
RTC General Contractor's Licenses No.68281
252-943-6677 Office 252-944-5555 Cellular 252-943-3949 Fax
November 8,2022
CERTIFIED MAIL—RETURN RECEIPT REQUESTED
Dennis or Denise Jones
' PO Box 399
Marshville NC 28103
Dear Mr or Mrs.Jones:
Enclosed you will find"Adjacent Riparian Property Owner Statement". Your adjacent property
owner Gary Foote would like to have our company construct a 180'(+1)Pier, 120 sq.ft.of a"I."
shape Platform,install two (2) morning piling in front of the platform on his property located at
Lot 54 Dowry Creek East, Belhaven North Carolina in Beaufort County.
You are the adjacent riparian property owner to the aforementioned project,I am required to notify
you of this project in order to give you the opportunity to comment on the project. Please review
the attached permit application and drawing.
Please complete the attached form, there are three (3) areas that will need to be completed. #1
Objection,#2 Waiver regarding the 15' setback and#3 sign name,print name,mailing address,
email address,phone number and date. A self addressed stamped envelope is enclosed to return
this forms to our office.
Should you have any objections to this proposal,please send your written comments to District
Manager, Washington Regional Office, 943 Washington Square Mall, Washington, NC 27889
within 10 days ofyour receipt ofthis notice. Such comments will be considered by the Department
in reaching a final decision on the application. No comment within 30 days of your receipt of this
notice will be considered as no objection. If you have any questions on this project,please call me
at 252-943-6677,or email me at tobinna,rsnet.org
Also,should you have any questions or concerns,please don't hesitate to call our office. Thanking
' , you in advance for you time and consideration regarding this matter.
Sincerely,
r'�(°5 Marinei.'®nri®nn
I AS- L�\
Pity I s B.Woolard
Office Manager
/pbw
Enclosures

11/1 I/,12:28 PM USPS.com®-USPS Tracking®Results
it .
USPS Tracking . e�p` FAOs >
�\ce e SEC srs�°0
EDM q,�
V•�� t" urn ��4�, '' r . paw
Ci omega het°"c9 (,;=? ll �����a VVrF
1n D wleeel�Ilya ti ;J o) 14 e 0
n
' Q�„ ry „spy 5
Wading Number. ,a ° °O6 R Pam° ° * t < x
70183090000193918863 0 0 . •
0 e'eri �,� �et�,sa.,.
�} ,se.
copy Add to Informed Delivery co s ..:' No eQcye
(htfpsdhJntormeddeliveryusps.com/) s 1 ca �4 `. e, Q,co
i 'D �e *;pu.
TO ,;Q jye.s s�
r
f 3
%s e
Latest Update
i Your item departed our CHARLOTTE NC DISTRIBUTION CENTER destination facility on November 14, e
2022 at 6:44 pm.The item is currently in transit to the destination. I a
k
0 x
Get More Out of USPS Tracking:
USPS Tracking Plus®
i ; Processing at Destination
Departed USPS Regional Destination Facility
j CHARLOTTE NC DISTRIBUTION CENTER
i November 14,2022,6:44 pm
• In Transit to Next Facility
November 14,2022
1
111/1 I
See All Waeking History
I ,
f ' '
Text&Emait'Updates V
LISPS Tracking Plus® V
Product Information,
I
.MtpsJ is.usps.con✓go/ReckConfrmActlonTgtc tLabels1=7018 3090 0001 9391 8863 1/2

Beaufort County,NC
2,00A N. -5
(2:O6A) N.
74
i, c?.. 5.7.--- /
1
I/a
t
%1 D��RY FREE
f r w K►iy�Sr
74 �r1ti1�/
(2,59A) \• ir
55 `,\' hca
`V —64 \sr� ��e_
69• --53— --__3Q�
44/,
L ; ic. /0 fy ..
1 1.y9 IV
Y$
0.tre -Y,99),_
Sri-� 1:1,128
11/7/2022, 12:38:56 PM 0E?,,,,__. ! d5 o o.o1 o.oti o.asr
Parcels if-- (/ " I + I I
0.01 0.02 0.04 km
------ Earl Community Maps Contributors, State of North Caroline
Centerlines CpenSheelMap,Microsoft.Esri.HERE,Gamin,SafeGraph,Gears
Inc.METUNASA,USGS,EPA NPS,US Census Bureau,USDA
Annotation
DISCLAIMER:Content is not intended to constitute a legal record.The County and Website Host disclaim all liability for information on this map.User agrees that the County and its Assigns shall be held harmless from all actions arising out of the use of f

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONmAIVER FORM
. CERTIFIED MAIL- RETURN RECEIPIREQUESTED or HAND DELIVERY
,, . (Top portion to be completed by owner or their agent)
Name of Property Owner.5 . /'us is-- `� eA( /R{`1't!� a7tM
Address of Property: /-'D l V 7 3)00 'y ( 'hfr (tle/hnt'n /v
•
Mailing Address of Owner.�j q1 c�,'If e,t CAI —G/144 f/1/e- lilt a7t2cv'
Owner's emai• r y foist I II@ycAoa'roOw`Jners Phone#:0t.�egn rim
//
Agent's Name: a}fik 47 al/Ira.6 Agent Phone#:G�iid- /pp 13- 6"4.l7 • .
Agent's Emelt: r O h r t)A rSnef: in'
1
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 943 Washington Square Mall,Washington,NC 27889.DCM representatives can also be
Contacted at(252)946-6481.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
Vi
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 somelall of the 15'setback ,
Signature of Adjacent Riparian Property Owner
-OR-
do not wish to waive the 15'setback requirement(initial the blank)
i ' Signature of Adjacent Riparian Property Owner.
i
Typed/Printed name of ARPO:
Mailing Address of ARPO: -
ARPO's email: ARPO's Phone#: •
Date: 'waiver is valid for up to one year from ARPO's Signature
Revised July 2021
•

•
Authorized Agent conseneAgreement
4/-V A. poor, ,herby authorize Tobin Jay Tetterton o
(Property Omer(s))
Ti's Marine Construction,LLC to act on my behalf hi obtaining CAMA permits to
the location listed below.
PROPERTY ADDRESS:
L 0 T i-f /b ath Y C&Fic suer,di 4i,
ilar Dow t y r'ay oaf
nc. 2 7810
PROPERTY OWNER'S MAILING ADDRESS:
YOs 9 467 en
Fuu.ci NC-- 27828
Phone No. 2 SL Z Yf 0 91j
PROPERTY OWNER'S SIGNATURE:
G F Sr E AUTHORIZED AGENT SIGNATURE: t
0 TETTERTON
DATE: /I .- g 2012
II
W/Authomcd Agent Consent Agee. t j
i

Beaufort County,NC
401
\ ------)/))//)
cLt: ci/1 .Ft-2 —57 P.
icCit",/—
—-----U\...--/7
•
\9
/. '.`380` I
\--
7," \\ (2...59A) /
--111
o
I� bOWRY
GRFgK Tw�s ~
• �55 106
// \ �` l 54 ' sT N.
1 \ —53—
t --...,..52��
.6_,100
1� i''
,
.F �f93J, .
. .
O
,__.., Y88J,
Pia D ,
1:1,128
11/7/2022, 12:38:56 PMro" ��_- +„ offR\ 0 0.01 0.01 0.03
Parcels je ,-
I ,t , t 4 1 I
0 0.01 0.02 0.04 km
Centerlines
(0Esri Community Maps Contributors, State of North Carolini
A �} OpenStreetMap,Microsoft,Esri,HERE,Garmin,SafeGraph,GeoTe
'1: ‘( 1:' Inc,METIMASA,USGS,EPA,NPS.US Census Bureau,USDA
Annotation '
DISCLAIMER.Content is not intended to constitute a legal record.The County and Website Host disclaim all liability for information on this map.User agrees That the County and its Assigns shall be held harmless from all actions arising out of the use of

T.J.'s MARINE CONSTRUCTION LLC
P.O. Box 125
Pantego,N.C. 27860
tobin@,gotricounty.com
NC General Contractor's Licenses No. 68281
252-943-6677 Office 252-944-5555 Cellular 252-943-3949 Fax
November 8,2022
CERTIFIED MAIL— RETURN RECEIPT REQUESTED
Rose Acre Farms Inc.
PO Box 1250
Seymour IN 47274
To Whom It May Concern:
Enclosed you will find"Adjacent Riparian Property Owner Statement". Your adjacent property
owner Gary Foote would like to have our company construct a 180'.(+/-)Pier, 120 sq. ft. of a"L"
shape Platform, install two (2) morning piling in front of the platform on his property located at
Lot 54 Dowry Creek East, Belhaven North Carolina in Beaufort County.
You are the adjacent riparian property owner to the aforementioned project,I am required to notify
you of this project in order to give you the opportunity to comment on the project. Please review
the attached permit application and drawing.
Please complete the attached form, there are three (3) areas that will need to be completed. #1
Objection, #2 Waiver regarding the 15' setback and#3 sign name, print name, mailing address,
email address,phone number and date. A self addressed stamped envelope is enclosed to return
this forms to our office.
Should you have any objections to this proposal, please send your written comments to District
Manager, Washington Regional Office, 943 Washington Square Mall, Washington, NC 27889
within 10 days of your receipt of this notice. Such comments will be considered by the Department
in reaching a final decision on the application. No comment within 30 days of your receipt of this
notice will be considered as no objection. If you have any questions on this project,please call me
at 252-943-6677, or email me at tobin@u,rsnet.org
Also,should you have any questions or concerns,please don't hesitate to call our office. Thanking
you in advance for you time and consideration regarding this matter.
Sincerely,
T. 's Marine Construction
(AiLscA
Phyllis B. Woolard
Office Manager
/pbw
Enclosures

04(°1641 ❑CAMA Li DREDGE & FILL No 87970 A B ' C D
J.
1 GENERAL PERMIT Previous permit
Date previous permit issued
n New ❑Modification n Complete Reissue I I 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 :///✓ `r ❑Rules attached. 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 ❑CW EW ❑PTA I I ES ❑PTS Adj.Wtr.Body (nat/man/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj.Wtr.Body
ORW:yes/no PNA:yes/no
Type of Project/Activity ''5 e'_, ‘ - ' - '
(Scale: )
Shoreline Length
i
Access Length ' — .-- -}- } _ ; ,. {�_ _, a-,-; - .-_..-
I
Pier(dock)length �`�
Fixed Platform(s) i . +"•'
l ±
Floating Platform(s) '
Finger pier(s)
_— 1
Total Platform area ! , / t a,a f�
Groin length/# j -tf.,— , 1'"�..
Bulkhead/Riprap length - ----- i ------ I—
Avg distance offshore —- --- —-- --=- --- _.—- ----- ---
Breakwater/Sill { . -
Max distance/length ! I I/'
Basin,channel i I
Cubic yards
—._i- ._-.r.-... . t....,�, f �_I Boat ramp --4 �_ — 1
f, 1 -
Boathouse/Boatlift - i
iii
Beach Bulldozing 6 , l; �* �v;,
Other i, /yam VI * 4_�`lf ir Lr-r' .._
v .
SAV observed: yes nQ i- .`, A.f_,f' } . r" C,
Moratorium: n/a yes nod) ± ' ± - ,�{f+ * r '�9
i i
Site Photos: yes no-', { *� / U
Riparian Waiver Attached: yes no r y ` � )
A building permit/zoning permit may be required by: '! �`
Permit Conditions ❑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) b It
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
! r / .
Signature"Please read compliance statement on back 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

f ROY COOPER
,�. t Gonmor
MICHAEL S. REGAN - -
.. - seoermy
Coastal Management • BRAXTON DAVIS
ENVIRO?MEN[AL auurrr 0aamr
BUFFER AUTHORIZATION CERTIFICATE
FOR PIER AND DOCKING FACILITIES ACCESS WAY
A riparian buffer authorization is required for pier and docking facilities access ways through the Tar-Pamlico&
Neuse River Riparian buffer per Division of Water Resources (DWR) regulations 15A NCAC 028.0233 & .0259.The
Division of Coastal Management(DCM),through a Memorandum of Understanding with the Division of Water
Resources(DWR) has reviewed your project proposal and has determined that the project as proposed complies
with the aforementioned regulations.
Those activities covered by your Coastal Area Management Act(CAMA) permit have received Buffer Authorization
provided the project is constructed in a manner that continues to meet all ofthe conditions listed below.Failure to
comply with this Buffer Authorization may subject the property owner and the party(contractor) performing the
construction andfor land clearing to a civil penalty by DWR of up to$25,000 per day per violation.
Crossing is Perpendicular: Pier and docking facility access way must cross the 50 ft. riparian buffer
perpendicularly(which is defined as between 75 and 105 degrees)unless otherwise approved by DCM.The
alignment shall minimize the removal of woody vegetation to the greatest extent practicable.
2. Pervious Materials:All reasonable measures shall be taken to ensure the access way is made of pervious
materials like open-slatted wood or composite, mulch, or grass to meet the intent of the rules to the
maximum extent practicable.
3. Access Width:The width of the pier or docking facility access way shall be limited to six(6) feet •
4. Project Drawing:The drawing on the CAMA General Permit is considered the project drawing of your
property indicating the relative location of the pier or docking facility and any requested access way.This
drawing will be used to aid in compliance and monitoring efforts.
a Pre-project site conditions: � T/' 5 C�aS VY-oi��-�
dQ
By your signature below you agree to be held responsible for meeting all of the conditions listed abo and verify
that all information provided is complete and accurate.
-Dakicsna, iCekrus4c
Agent or Applicant Printed Nam*X Permit 0 icer's Signature
ZTh Pie)
lip
Agent or Applicant Signature • I e Date
CAMA GENERAL PERMIT ft: 6 ll°
State of North Catarina I Environmental Quality 1Coastal Management
Washington Office I94a Washington Square Mall Washington NC 27889I252-946-648I
Wilmington Office 1 127 Cardinal Drive Ext wikmington,NC28405-384519t0-106-7Lt5
Morehead City Office i 400 Commerce Avenue Morehead City.NC 28557 1252-808-2808

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: iC *repsb *reps £l
Mailing Address: 307 5to4alr Bonnet ),
H,r ys+eaal, NC 2-99113
Phone Number: ZS/ -ti0 y - 93 7[o m1/ II
Email Address: C,r,s./Yrrl)er` eoll4 . toIr
I certify that I have authorized Bobby Cahoon Construction. Inc.
Agent/Contractor
to act on my behalf,for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development P;ae Y d` 17oa 4 fa m f •
at my property located at We S n.t y Po.n 4 ft4 P2errl41, lit 2t 55t ,
in Pam ilia County.
1 furthermore certify that 1 am authorized to grant and do in fact grant permission to
Division of Coastal Management stag 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 Information:
*711,191%-
Signature
�1,ris}'eber E In:Thar
Print or Type Name
Ownef
Title
Os' t ZS / ao2Z
D
This certification is valid through S / a S 1 a a a3

•
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
•
■ Comptet�items 1 _;:aitd 9. ` A Slenaone _ - . . - r .i
■fdnt'younmma: d addiesa on the reverse. R O newissee
so that He can return the cant to you.' &ReWived.6y(PNMedNama) C.Dale Of Dativary
• MI Attach this earth to tieback of the maliplece, . .
or on the front lt spice pemlts. . 1/I a eA•Fit1
. 1. Ankle Addressed to:. .' D.:Is deA'eryeedress dlfelenttmm item I? ❑Yes ..
d "�' ,, " IrY6__,enter de0very eddtess below nit ..
1 ay Qts a s�wres ?�
iu au,;�Lt,:i c ass, . • •
III I� '110IIIIIIIIIIII1UIIUI11III1 o ' o
9590 9402 70391225 2718 94 0 CertIlled Mae ReYdWtl Dray 0Osmium Cadkna1ION$
DCdaton Delivery ' 0 Slgutln Cadartekin
2. . ..... .. .... _ ne... yRic blateci Dalvny Rubtebd Delray
7021 0950 0000 1368 8590 edp rwarpletelivery. .'•
• PS Form 3811.July"2020 PSN 7630-o2-0DD-so59 . ' .Domes*?Retmn,Recdpt :
•
•

N.C.DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWANER FORM
CERTIFIED MAIL• RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner. Chris Miller
Address of Property: 46 Sandy Point Rd., Merritt, NC
Mailing Address of Owner.307 Scotch Bonnet Way, Hampstead, NC 28443
Owner's email:[e-mail] Owner's Phone* 251-604-8376
Agents Name:Bobby Cahoon Construction, Inc. Agent Phone#: [phone]
Agent's Emeil: [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 tote 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 drawing.with dimensions.must be provided with this letter.
A 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 Malt
WAIVER SECTION
I understand that any proposed pier,dock,mooring plunge,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 dprap revetments).(If you wish to waive the setback,you must elan
the appropriate blank below.)
I DO wish to waive some/all of the 15'setback , 9
Signature of Adjacent Riparian Property Owner
-OR-
I do not wish to waive the 15'setback requirement(Initial the blank)
Signature of Adjacent Riparian Properly Owner SILL ofwg
Typed/Printed name of ARPO: Mr✓k 5 Sc14
Mailing Address of ARPO: 2 f 1 NL. L S co ��a. A/c .. /ref.. AX 2n it 0"
ARPO's email: rus ksc.a 4E9'05r-4 cy(QpO'ePhonerh 4.S2.- 64a-Srfft
Date: -1 t, , oa 21 %valver Is valid for up to one year from ARPO's Signature
Revised July 2021

CHRIS MILLER
46 SANDY POINT RD.
PARADISE SHORES
MERRITT, NC
DESCRIPTION
We propose to install a new concrete pier consisting of a 5'wide x 20' long
walkway connecting to a 5'wide x 40' long Tee.
We propose to construct and install a 15' wide x 40' long boat ramp to extend 20'
waterward of the normal water line.

Drawing by Bobbytehoon Construction for.
Chris Miller
46 Sandy Point Rd/ Paradise Shores k.
10 000# Boat Lift
a`r ,
( :
t •
_ — A \ O J
(�I\)�
5' x 40' Tee AS
61` '> 5' x 20' Walkway
This drawing Is the sole property of
HI] :• * (9 I Bobby Cahoon Construction Inc.
,'n.;an s zro...l and.is not Intended for use by any other entity.

PAMLICO COUNTY 2023 REQUESTED BY PMLAURENM RUN 8/04/22 TIME 16:59:32 PAGE 1
OFF 1328 HOLLAND WADE E JR HEIRS. HOLLAND WADE E JR HEIRS PARCEL: L091-88
105 OLDE OAK CT 105 OLDE OAK CT 7419586785000
0007640 LEXINGTON SC 29072 LEXINGTON SC 29072 46 SANDY POINT RD
Current ID#: 2439000 Jan.1 ID#: 2439000 •
Bldg No. 1 Exemption Code: LAND VALUE 38,200
Appraiser: MIC SUM LND ACRES: .653 MISC VALUE 0
Appr Date: 8/24/2018 DEED ACRES: BLDG VALUE 14,523
Imp DeSC : 01 RES-SINGLE FAMILY MAP ACRES: .653 IMP VALUE 14,523
Grade : C- AVERAGE QUALITY TOTAL VALUE 52,723
Act Yr Bt: 1965 VALUED BY RCNLD METHOD
Effect Yr: PRIOR YEAR 52,723
Stories 1.00
Rooms : 4 APPRAISER MIC
Bedrooms : 1 APPR DATE 10/29/2019
Bathrooms: 1.0 1/2 Baths: USE CODE 4 DIRT PRIVATE
EXT WALL 01 WOOD FRAME DISTRICT 102 FL/WHORT - FIRE
" FLR COVER 03 SOFTWOOD NBHD 2053
FOUNDATION PL PILING PARCEL EXEMPTION CODE
HEAT & AIR 13 NO HEAT RCN 54,029
AREA 672.00 54,029
HEAT & AIR 18 NO AIR
INT FINISH 01 DRY WALL QG RCN 45,384
PLUMBING F- 1 FULL BATH DEPR VP 68.00 30,861
ROOF COVER 01 COMPOSITE SHINGLE ADD PHYS DEPR
ROOF TYPE 01 GABLE FUNC 0B5
ECON OBS
LOCAT 08S
BUILDING 14,523
PROPERTY NOTES: BOOK PAGE DATE QS SALES PRICE
000163 000370 11/01/1977
DEED TYPE:
DEED TYPE:
PERMIT NO TYPE DATE AMOUNT
BLDG CODE DESC UNITS EYB DT PCT ADD.DEPR PCT VALUE EXEMPTION MODS
.00
.00
.00
.00
.00
REC LUSE DESC EXEMPT FRONTAGE DEPTH UNITS ACRES PRICE ADJUSTMENTS VALUE
1 AC 25 CANAL WF .653 .653 45,000.00 sz 38,200
L091-88 46 SANDY POINT RD

PAMLICO COUNTY 2023 L091-88 PAGE 2
+ 24 +
•
•
•
2
8 2
8
•
•
•
+▪A+ 24 +-+
B
8 B
+--4--+
C
4
+--4--+
B= AC 108 FRAMED SCREEN PORCH C= AC 112 WOOD DECK A= MA 01 RES-SNG FAMILY
PAMLICO COUNTY LAND RECORDS•PROPERTY RECORD CARD

Pamlico County, NC
Tor
L
.r
...")
•
7
�`� - ,
Ogg
\. -;0r
\
. \ • ...
• ')1007-11110
- ,
-
• 1,0
o '... v SANpyPQ1N“
w
1N
• i h \ �s,
, f -40/it I g3
___40 .,10.4.? eljr01111°— 73
1:600
8/31/2022, 10:49:19 AM 0 o 0.01 0.02
Roads Imagery 2020 n Green: Band_2 I ' ' '
0 0.01 0.01 0.02 km
Parcels M Red: Band 1 III Blue: Band State of North Carolina DOT. Esri, HERE. Gain, GeoTechnr
_ Gamin.USGS,EPA.USDA.NC OneMap,NC Center for Geographic Ink
Analysis.NC 911 Board
Nol

e`°"` CAMA . _I DREDGE & FILL N° 87969 A B • C D
\LI D
GENERAL PERMIT . b4-- T 77-- Previous permit
Date previous permit issued
New n Modification n 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:
ISA NCAC f/c/. !>,:)r n Rules attached. El General Permit Rules available at the following link:www.deq.nc.gov/CAMAruIes
Applicant Name t,/ Authorized Agent
Address j' Project Location(County):
City State -ZIP Street Address/State Road/Lot#(s)
Phone#(_)
Email Subdivision
City ZIP
—
Affected C CW EW n PTA I I ES n PTS Adj.Wtr.Body (nat/man/unk)
AEC(s): Ei OEA n IHA n uW n SPIMA n PWS Closest Maj.Wtr.Body = -eyJ
ORW:yes/no PNA:yes/no
Type of Project/Activity jar- �'j: /� /_ !ff , ,1
(Scale: 20 )
Shoreline Length t�
( 1
I
Access Length 21 / , L I / 1 4 I
Pier(dock)length 1/r z -� I.-
I
Fixed Platform(s) t ('' L.
t //
Floating Platform(s) I 1 ,` I /rl
Finger pier(s)
�— . - ____�_ i
I
_i_. --1_ IT,' 11 ,I,, --r-,_,_ , , 1,_ ---- 1
Total Platform area i
Groin length/#
Bulkhead/Riprap length _._ _ I I ,
Avg distance offshore -- ------ --- -- -_ _.
Breakwater/Sill -
•
Max distance/length I ` ' I
Basin,channel
Cubic yards
i
Boat ramp — -- t--
Boathouse/Boatlift I
I
Beach Bulldozing } ( I
Other . .._1,y t I — —_. ;.._�
SAV observed: yes no r l ' ' ; I r
r
Moratorium: n/a yes no r �;�<17 ' I w S 1 ' I ' ' '•�
Site Photos: yes no ` i f l_.-f -�
Riparian Waiver Attached: yes no , I i ., , iv t I 1 ' r,
A building permit/zoning ( '' ` s c.r e'perrhit may be required by:
Permit Conditions n TAR/PAM/NEUSE/BUFFER(circle one)
nSee note on back regarding River Basin rules
See additional notes/conditions on back
I
1 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
.
2-3
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

I
ROY COOPER
+•awv
Co'O'narAran ngemen: MICFIAEL S.REGAN
ee.+wn.o.;,. arAi,n •NC-
svniin
�._.__ 9RAXTON DAVIS
BUFFER AUTNO IR zATIO FlCATF oo
--FOR PIER AND DOCKING FACIUT[ES ACCESS WAY
4-matter suffer authorization is required for pier and docking facilities access ways through the T
Neuse River Riparian buffer per Division of Water Resources(DWR)reguiaems 15A NCAC 028.0233&.Cyy.The
i Division of Coastal Management g ar•Dam!ico&
Resources(DWR) (DCMI,through a Memorandum of Undersondirg with the Derision of'Neter
has reviewed your project proposal and has determined that the project as
w!th the aforementioned regulations.
•
proposed complies
Those activities covered by your Coastal Area Management Act(CAMA)pe:nit have received 8a`'er Auti+cnzat on
provided the project is constructed m a manner that continues to meet alof the conditions listec be ow.rai'ure to
(
comply with this Buffer Authorization may subject the property owner and the party(contractori
performing the
onstruction and/or and Bea-ing to a civil penalty by DWR of up to$25,000 3er day per violation.
t Crossing
ross ngIis Perpendicular'
endicular' Pier and docking facility access way must toss the SO ft npariar.ouffer
Pe, y,which is defined as between 75 and 105 degr
3I:gnrnenr shall minimize the removal of theees craws ex end p approved try MIA The woody vegetation to the greatest extent practicable.
acticable.
Pervious Materials:Al;reasonable measures shall be taken to ensuethe access way is made of pervious
maaerie's like open-slatted wood or composite.mulch,or grass to meet the intent of the r les Sc the
...,:
-nax�rtwm extent practicable.
1 Access Width The width of the pier or docking facility access way shad se limr:ec to six(61 feet.
'rOjec:Drawing:The drawing on the CAMA General Permit is considered the project drawing oriour
_rope y indicating the rerative location of the pier ordock'ng facility and any requestee access way This
r.awing will be used to aid in compliance and monitoring efforts• Pre-project site conditions'__,5j _ISt-""• Z t/J
f/yroy36. •
>;tour s gnature below you agree to be held responsible for meeting all pl Cie condition Iisted ab a and ve'
{{ll
X �Igforma funs a.ip is complete and accurate. Lis
Agent 1oLr 11 Permit Officer's Signature
►x�11�� ....
Issue 7� 2e'zZ
AgrMei I intSign,atur- c IssucDate
CAMA GENERAL PERMIT 0: 8 791^ /
9: swear Oilll Ca Ala I WM:0.mral Qwliy'eo.aMwMwy
Wnfyi�gi driire i W www e,Sityare wW'Aad a c 2 !R 1Mv iio.r bras
wYningen Mkt t W Ca in.�pnvr to wynm"F.�\M.larnt•\Nt'11P.`!TIS
Mosehaid O11'Office 100 Cammrtee Ar.rvr w,rrhear:ay.vC!1V7::scans asra

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: £ i7 X- Z47 ?Ds'drrtwlRh,l l f G
Mailing Address: 3v7S UAW v lt&- VAC- 2 793 (f
Phone Number: 9 6)/7, 573 ' r
Email Address: 6/ l I y A D !/m c SIC.cbto l-� C yi it tx),CO
"'
I certify that I have authorized <( 5 - Hi' 14c -\
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
at my property located at P1',w“y ¶ -54 61at,,-uni I 1A), ,
in c `46 O County. ( '
I furthermore certify that I 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 Information:
Signature
Print or Type
me me
Ovnarr�
Title
If I I G V
Date
This certification is valid through // l 2 b /

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: (-i.t�/. j�✓A1 1te F:wi cykkm,Z`4-d _-C
Address of Property: lip`' 55 4 JIcy 1l W4 fl kit Cc
Mailing Address of Owner: 36 5 J)4rA-0l''')6-- D • �KIZZ(eo Ysi(I t&-)'C- 2793
U�(J4,likk -,1 ,cow
Owner's email: OR::/ z�T' Owner's Phone#: aS�- / — /0 Gco
Agent's Name: '
I�`4 i' U I4o 14vh Agent Phone* oZ�—(o(7-3973
h Agent's Email: t L1 1140 1 (al� 401 cT�L i tst 11 L Q /�t o.) . C'c N.
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 943 Washington Square Mall, Washington, NC 27889. DCM representatives can also be
contacted at(252) 946-6481. 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 oe 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 phorx. '
.0Sif0j.._.
Signature of Adjacent Riparian Property Owner
-OR-
1 do not wish to waive the 15'setback requirement(initial the blank)A
Signature of Adjacent Riparian Property Owner: % dfir)
Typed/Printed name of ARPO: Z1-• 641ii% fl.
Mailing Address of ARPO: 4b 7 ! 1 , `'s.'fe'
r3)41Vf kV, )4g
ARPO's email: ARPO's Phone#: a,
Date: M c2t . *waiver is valid for up to one year from ARPO's Signature* r ►
/f
Revised July 2021

X
It
1\
__777 f-n do"msa
1 int.es 7.1 §4...,2
q , ), ,,C
,/

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portionor/� to be completed by owner or their agent)
Name of Property Owner: £Z'l% co , LJ Dp..va 10` wrwrac-
Address of Property: frail
'3S e45F 51 ht iri_W 1/, WIC' �(/
Mailing Address of Owner: 3675 l I*ttt&/is OK. te- -v `I g_ Iw. C` 279
�� /L o2 -Y''hsiPhon1Atl.�.Ow.
Owner's email: cp-e r /-9Ra � Owner's Phone#: V-C-2 -53I —ct'o$t
Agent's Name: II/--�((; L1 I 46 11-I- 1 Agent Phone#: 252 -L(1-3 73 .
Agent's Email: k 1I y 11O)AY-,ro,laztictoki lc.") yraL O ' G01-7-
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/ 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 943 Washington Square Mall, Washington, NC 27889. DCM representatives can also be
contacted at(252) 946-6481. 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 ner
-OR-
I do not wish to waive the 15'setback requirement,,, (initial///JJJ the blank) j� .e�
Signature of Adjacent Riparian Property// Owner: �� ,i,Q� at/
Typed/Printed name of ARPO, /i /V4l ' O 2
Mailing Address of ARPO: [yY�1�rv5E. /�1) / �/ ��y��' �/ -'
ARPO's 3email: ARPO's Phone#:��.G /�,/,,d 4 /
Date://'t2//7i *waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

_ N\ - r .-, ( (,) ii_9(-Edv1/4_ ce.,, ,,AL, Le_ c
CO tire'
, Ey‘it
AN 7,, ,
,i - vc/
\ / 0, , .,„
7 ,,
. c.
, , /
, /
, , , .
s—
Is „,
,,,,,
- ( ._..,_
/ , ,_
��-
..., , ,

s.*`°u'k4/,,-1CAMA I I DREDGE & FILL No. 87968 A ' C D
GENERAL PERMIT T P* �l g Previous
p g3
Date previous permit issued t
r I New n Modification n 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:
I 5A NCAC "1 I'/ ' ( Z 1'L' n Rules attached. 0 General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name -- c i -t I 2r-1 1.•- ) /('7 q j i Authorized Agent \' V ter ,',�'' "
2
Address {' I U Project Location(County): '; /-4 L-4 ` :. r'4
L' r I
Cityt ' t-^ State 1-- L.- ZIP / 7'
Street Address/State Road/Lot#(s) i 1
Phone#(—) ' Tr +
Email .. ,_ ,i _ 9i i1 it• is d✓h Subdivision
City `1.-'' / 1-tel ZIP 7- '5 I }
Affected n CW n EW n PTA n ES n PTs Adj.Wtr.Body t t C t (nat/man/unk)
AEC(s): OEA ❑!HA n UW n SPIMA n PWS Closest Maj.Wtr.Body i - (Vr
ORW:yes/no PNA:yes/no
Type of Project/Activity '1 1 Cp( � X C-7 c p l r ' Zl ,r Z '
--)=.,, I I «<11:,., (c ,,Jf' r
" j- 14"x8 I �- --1 c-� I J Scale:I>>.. '/
Shoreline Length
Access Length _. I _.-_/...4 ' I P t+� 1?5 17-4-L
Pier(dock)length �' x `�S' 2L I
Fixed Platform(s) 7 "" x 2.O' l c(c - i
tul
4 1 i `�
Floating Platform(s) I t' i_c,tICCLi I
..._.._...._.. __.._._ _. _
Finer pier(s) c. -�
j
— L_
Total Platform area -1 `1 ' i .:_1-- '
Groin length/#
Bulkhead/Riprap length j /
Avg distance offshore -_ -- _- ,- ,4r1 ` r15 95 I`�
Breakwater/Sill I t ) I ' i - I '
Max distance/length I 1 I
Basin,channel i !
t-_
Cubic yards __1 j
Boat ramp i I___
Boathouse/Boatlift / y' , ?_ i i '., y ,�� "4- A)�`
Beach Bulldozing J�yb;lr ( "'"-
Other A� Ci
- -._. . r_� - _1 - .- ,.._. i_._.----�.._.._._...__— .....___..._ lf....-..ter..._._._ .-_•.---
SAV observed: yes no r1j I '0 l
Moratorium: n/a yes o'? '_�t ��// - ' ' I .' ' /
Site Photos: yes Do, 'V tv, /� f { I t f 'Of)17)4�`
Riparian Waiver Attached: yes no , i "7�q
A building permit/zoning permit may be required by: c -�:< tZ. '' 1
Permit Conditions (�o� ill
TAR/PAM/NEUSE/BUFFER(circle one)
( . ' ���t n See note on back regarding River Basin rules
1 0 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#/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

RQY COOPER.
Governor
MICHAEL S. REGAN
Secretory
Coastal Management BRAXTON DAVIS
ENVIRONMENTAL QUALITY Director
BUFFER AUTHORIZATION CERTIFICATE •
FOR PIER AND DOCKING FACILITIES ACCESS WAY
A riparian buffer authorization is required for pier and docking facilities access ways through the Tar-Pamlico&
Neuse River Riparian buffer per Division of Water Resources (DWR) regulations 1SA NCAC 0213.0233 & .0259.The
Division of Coastal Management(DCM),through a Memorandum of Understanding with the Division of Water
Resources (DWR) has reviewed your project proposal and has determined that the project as proposed complies
with the aforementioned regulations.
Those activities covered by your Coastal Area Management Act(CAMA) permit have received Buffer Authorization
provided the project is constructed in a manner that continues to meet all of the conditions listed below.Failure to
comply with this Buffer Authorization may subject the property owner and the party(contractor)performing the
construction and/or land clearing to a civil penalty by DWR of up to$25,000 per day per violation.
1. Crossing is Perpendicular: Pier and docking facility access way must cross the 50 ft. riparian buffer
perpendicularly (which is defined as between 75 and 105 degrees)unless otherwise approved by DCM.The
alignment shall minimize the removal of woody vegetation to the greatest extent practicable.
2_ .Pervious Materials:All reasonable measures shall be taken to ensure the access way is made of pervious
materials like open-slatted wood or composite, mulch, or grass to meet the intent of the rules to the
maximum extent practicable.
3. Access Width:The width of the pier or docking facility access way shall be limited to six(6) feet.
a. Project Drawing:The drawing on the CAMA General Permit is considered the project drawing of your
property indicating the relative location of the pier or docking facility and any requested access way.This
drawing will be used to aid in compliance and monitoring efforts.
� r'P
• Pre-project site conditions: [�/ � / $ 4 j
By your signature below you agree to be held responsible for meeting all of the conditions listed above and erify
that all information provided is complete and accurate.
Agent or Applicant Printed Name Permit Offi is Signature
•
2oz1_
Agent or Applicant Signature Issue Date
CAMA GENERAL PERMIT l#:
State of North Carolina I Environmental Quality f Coastal Management
Washington Office 1943 Washington Square Mall Washington.NC 278891252-946-6481
Wilmington Office 1127 Cardinal Drive Ext Wilmington.NC 28405-384S 1910-79(3-7215
Morehead City Office i 400 Commerce Avenue Morehead City.NC 2855? 1252-808-2808

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: r'`e_4 6 kt ryvtart 4- 8 e ,S hrl?'llih
Address of Property 30 eXI-. PP;rdr- Rd CnOon to:al i'. j ( �-1 31 1
Mailing Address of Owner: 21.3 1/c rot+! FL_ 3 4.2 7
Owner's email:, r,Slle-r�� GA-. Owner's Phor..e#: 34&--_60 — g.925
Agent's Name: Ri Ck.f Jpr u.e. Agent Phone#: _252 — 7 /7"5.7 Z 6
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 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 WC. Division of Coastal
Management(DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 943 Washington Square Mall, Washington, NC 27889. DCM representatives can also be
contacted at(252) 946-6481. 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 rue
(this does not apply to bulkheads or nprap 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 �k�
Typed/Printed name of ARPO: \'4 ; 11 l f _ thrC1 J
Mailing Address of ARPO: \ W )_ \--\ \‘`\) 1 (2) .�i� 1 yi
`� Lp
ARPO's email: ARPO's Phone#: `"
Date: l?'waiver Is valid for up to one year from ARPO's Signatures
Revised July 2021

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: recce-el
c Qtwtc,
Mailing Address: 21\ V 1Sr!t G Dr-
Nor19t 10o#'1-, FL OLt io
Phone Number. 3M-26b- gV g
Email Address: J pp S'henletGtvrlt tbvt�.i : LD t�,..
I certify that I have authorized K1 L\9 Sprouse
Agent/Contractor
to act on my behalf,for the purpose of applying for and obtaining all CAMA permits
necessary for`the following proposed_ 1 development inc Ill Cl
bu Ulecte ei-, ��F haute 1 .p`aA-CP , 4- .k a- 11 C4
at my property located at IS as .q Qoin4 Rom! CX btaiAJind4-7
in u-cD 4- County.
I furthermore certify that I 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 Information:
+PJS
� SignatureI
e—cGpy cshettlIt&t.
Print or Type Name
6 tUhf?
Title
2 /,2-7 /�
Date
This certification is valid through / 1

I.

f11
°``OAS fICAMA 1 1 DREDGE & FILLNo. 87967 A B c D
GENERAL PERMIT ZD A*�I5
Previous permit
� Date previous permit issued
n New El Modification n 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:
I 5A NCAC '-'4 ii • i l Gz ❑Rules attached. ❑ General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name l Authorized Agent
Address Project Location(County):
City State _ ZIP :> 1 ' Street Address/State Road/Lot#(s)
Phone#( ) `�� �e
Email Subdivision f'.)I k)
City ' !)t;5 i-i,i, 7 - ZIP
Affected ❑CW ❑EW ❑PTA ❑ES ❑PTS Adj.Wtr.Body 4'S3:T iS' (nat/man/unk)
AEC(s): ❑OEA 0 IHA ❑UW SPIMA ❑PWS Closest Maj.Wtr.Body
ORW:yes/no PNA:yes/no
Type of Project/Activity ,
! (Scale:. :,)
Shoreline Length
I
Access Length r : / . _, -- - �{ 's•.IMAIIIN
Pier(dock)length 1 �r� i —�I 1-- t + .Fixed Platform(s) i —� Y _ .
'1."-
Floating
Platform(s) �Cp
i r I 1 �� )
Finger pier(s) — — t-
Total Platform area _ 4;
Groin length/# 11 , 1.111111111111 M---
MIIIIIIM
Bulkhead/Riprap length 2 CJ e - - -- - + i i, ,
Avg distance offshore G " +- - - - ` fi - ill �`
Breakwater Sill 1 v l - G
Max distance/length • `3
Basin,channel i '
Cubic yards - I -,
Boat ramp • i i . , pi ,_ , 1
Boathouse!Boatlift /3, A 1 3i �S ,
Beach Bulldozing f �"'
Other
S'1 -' ---t ' - - -/ - .MI
SAV observed: yes no'
Moratorium: n/a yes no � � � e� ?�,<� � �I.�'�� - - i I I IMIllallirali�
Site Photos: yes no 9 ,11 a j 6' T I � ���
''') ` IM
Riparian Waiver Attached: yes no ( L.1 i' i I/ i/
A building permit/zoning permit may be required by: ! �T, i-1 ( n *4 n '(- Wei '.5
q -.PP ' /' `1��', ❑TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions / 2 k 9! i
l Ni'. 't rl,L'--L- ,,,�y / c,, �! pi See note on back regarding River Basin rules
- 1 'f64...a --, rY 'ri z. kk
❑ 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#/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

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
Coastal Management BRAXTON DAVIS
ENVIRONMENTALQUALrt'! Director
BUFFER AUTHORIZATION CERTIFICATE FOR SHORELINE STABILIZATION
A riparian buffer authorization is required for shoreline stabilization activities within the Neuse and Tar-Pamlico River
basins per Division of Water Resources(DWR)regulations 15A NCAC 02B.0233 and 0259. The Division of Coastal
Management(DCM)through a Memorandum of Understanding with the Division of WaterResources(DWR) has
reviewed your project proposal and has determined that the project as proposed complies with the aforementioned
regulations.
Those activities covered by your Coastal Area Management Act(CAMA) permit have received Buffer Authorization
provided the project is constructed in a manner that continues to meet all of the conditions listed below.Failure to
comply with this Buffer Authorization may subject the property owner and the party(contractor) performing the
construction and/or land clearing to a civil penalty by DWR of up to$25,000 per day per violation.
Impacts: Impacts to woody vegetation from clearing and filling in tone 1(begins at the most landward of either
normal water line(NWL)or normal high water line(NI-IWL)and extends 30 feet landward)shall be minimized to
what must be impacted for the sound installation of the shoreline stabilization project. Unnecessary clearing and
filling in the buffer is a violation of the riparian buffer rules.
2. Clearing& Grading:Clearing and grading of Zone 2 (begins at the landward edge of Zone 1 and extends 20 feet
landward) is allowed provided that it is re-vegetated immediately and Zone 1 is not compromised,which includes
maintaining diffused (non-channelized)flow of storm water runoff through the buffer. •
a. Construction Corridors:Construction corridors are allowed for shoreline stabilization p'Pojects, but they must be
satisfactorily restored as described in condition 5 below. •
4. Potential Overwash: For vertical shoreline stabilization projects(bulkheads)only;sites where wave overwash is
expected to be severe, the first ten(10)feet landward (unless specifically authorized otherwise by DCM) from the
structure may be maintained as a stable lawn in order to provide for structural stability.
s. Temporary Stabilization: Immediately post-construction, bare soils must be stabilized as quickly as possible by
providing a temporary ground cover. Newly seeded areas should be protected with mulch and/or erosion matting.
This ground cover is a temporary measure used to address erosion until site restoration can be accomplished.
O. Site Restoration:At minimum,pre-project site conditions must be re-established.A site that was wooded prior to
this shoreline stabilization project must be restored with woody vegetation at a stem density of 260 stems per acre.
Non wooded sites may be re-vegetated with woody vegetation. Restoration must be completed by the first
subsequent planting season (November� 1 through March 30)after completionm of the bulkhea .
Pre-project site conditions: I.' IS Men e.- ,wd AAA! 'ci �/ft�
7. Project Drawing:The drawing on the CAMA General Permit is considered the project drawing of your property
indicating the location of the shoreline stabilization structure and any associated clearing, grading,and construction
corridors.This drawing will be used to aid in compliance and monitoring efforts.
By your signature below you agree to be held responsible for meeting all of the aboy li ted conditions an verify that all
infoinformaii.jonfis coommplet and ccurate.
Agent or A - ant r�d Permitl
0 ar's Signature
Vet. 2 OS
Agent o p Dram ignature /— Issue Date
y4
CAMA GENERAL PERMIT#: S I / (Y7 - .
Slate of North Carolina I-nvironmenml Quality I CoasmlManagement
Washington Office 1943 Washington Square Mall Washington.NC 278891 252-946-6481
Wilmington Office I In:ardinai Drive rwilmin;to.;NC 26405g84514!O-7961215
Morehead City Office 1400 Commerce Avenue Morehead City.NC 285a7 52-508-2808

Peed 9ve
\ann Ctrcien,
NTS
?totVorm size it vvvas
S e, Ber le,nr up-Iv I25'm.o.x
i Atsheo, 126' Ovnoy
xa®'
0
O ace(' L
C itzS
takkmeta
125. gad

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:'I e.}-ln rrt f LtQkt risks �ce4
Mailing Address: a OS A3a )n Qn C1 re`
39
Phone Number: 'J a -t/k6'- 5q
Email Address: OA a r rt Q1�u1 1Dd, cow)
I certify that I have authorized C d f o non
Agent/contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA "permits
necessary for the following proposed development: pier ) dock w'
at my property located at Be1OSVN t` e-
in be,aucort County.
I furthermore certify that I 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 Information:
Signature
ri64en ��ed
Print or Type Name
Title
19 / 5 / aoaa
Date
This certification is valid through . / / I / 40a3

City;" Or CITY OF WASHINGTON
Wah1nfton ZONING COMPLIANCE
CAROLINA
CERTIFICATE
DATE: 12/6/2022 PERMIT NUMBER: 0268234A2022
ISSUED TO: Richard Peed
ADDRESS: 208 Belann Circle, Washington
ZONING DISTRICT: Residential
SCOPE OF WORK: Bulkhead, Dock and Boatlift
APPROVED BY: Glen Moore ,�

,o,c0--r�` riCAMA DREDGE & FILL No 87966 ABC D
a GENERAL PERMIT I. S1.3 Date previous permit issued
n New n 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 D 7 H • 12-ULL n Rules attached. 0 General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name ►^j E(i U C 4. -- L_A Authorized Agent
Address I L� 1 ir a i 1 C�j n P.-1 ! '•.) Project Location(County):
City ,i-)C')ke Fri 3 4 State i I L ZIP Street Address/State Road/Lot#(s)-
Phone#(C4 1 C1 ) //U
�C�lB -J .�3(,S
�/
j ( , !,t
Email JD C. kl Subdivision •r
City c... 4 ZIP
Affected 0 CW n EW n PTA ❑ES ❑PTS Adj.Wtr.Body %2 i t :(nat/man/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj.Wtr.Body ' ' I 1 -J t_ I
ORW:yes/no PNA:yes/no
Type of Project/Activity
(Scale:! .-34)
Shoreline Length `
t ,
Access Length 10 X an � -- —• (.._... ._..�_ .__ mooIRt -4s!.
Pier(dock)length _• I__' " __ ,_,,1
Fixed Platform(s) _ . !1 :]5a..' / 1 N i
Floating Platform(s) 2 +--- 0 14 f
c
t,�+rl.'(/ 1 I b
Finger pier(s) ) s+-4 (� f t
Total Platform area y t�
3. i
� 1 l C I
Groin length/# - . ,
r
Bulkhead/Riprap length ----i {-- — a
\
Avg distance offshore t `. _ j 1 {
Breakwater/Sill _ V - T I i #
Max distance/length ? I
Basin,channel ,. ` \ .- , 4
Cubic yards --
Boat ramp i '`,..:
Boathouse/Boatlift
Beach Bulldozing ri (7? I J + t1 1
Other l��, ¢ � � ..._.. _. _.._..- --�.. }........._._..._._
1l t `4(Cf 1 a i _,
SAV observed: yes no; ° l�R�%T' { .._ ' 1 + t
ri f
Moratorium: n/a yes l � I � �s
Site Photos: yes T q l't , t L t.e'�5 i �`t [�k+c .
Riparian Waiver Attached: yes o i 1 //{ L t y ylC
A building permit/zoning permit may be required by: 'r7G-/ 't'i i �/)1 fil
Permit Conditions i( '1 Iw / .5 D I'j l( f7 '1 --`Y..l,--+ [1 TAR/PAM/NEUSE/BUFFER(circle one)
( . pfp/r Alto I ✓�i I( i'1V{ (n'See note on back regarding River Basin rules
i '.7 - 1- -:4 ).1r '-.
nSee 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 I/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

A ROY COOPER
40 i Governor
MICHAEL S. REGAN
Secretory
Coastal Management BRAXTON DAVIS
ENv1RoNimeNrAI.QUALITY Director
BUFFER AUTHORIZATION CERTIFICATE
FOR PIER AND DOCKING FACILITIES ACCESS WAY
A riparian buffer authorization is required for pier and docking facilities access ways through the Tar-Pamlico&
Neuse River Riparian buffer per Division of Water Resources (DWR) regulations 15A NCAC 028.0233 & .0259.The
Division of Coastal Management(DCM),through a Memorandum of Understanding with the Division of Water
Resources (DWR) has reviewed your project proposal and has determined that the project as proposed complies
with the aforementioned regulations.
Those activities covered by your Coastal Area Management Act(CAMA) permit have received Buffer Authorization
provided the project is constructed in a manner that continues to meet all of the conditions listed below. Failure to
comply with this Buffer Authorization may subject the property owner and the party(contractor)performing the
construction and/or land clearing to a civil penalty by DWR of up to$25,000 per day per violation.
i. Crossing is Perpendicular: Pier and docking facility access way must cross the 50 ft. riparian buffer
perpendicularly(which is defined as between 75 and 105 degrees)unless otherwise approved by DCIVM.The
alignment shall minimize the removal of woody vegetation to the greatest extent practicable.
2. Perilous Materials:All reasonable measures shall be taken to ensure the access way is made of perilous
materials like open-slatted wood or composite, mulch, or grass to meet the intent of the rules to the
maximum extent practicable.
3. Access Width:The width of the pier or docking facility access way shall be limited to six(6) feet.
4. Project Drawing:The drawing on the CAMA General Permit is considered the project drawing of your
property indicating the relative location of the pier or docking facility and any requested access way.This
drawing will be used to aid in complianceand monitoring efforts.
• Pre-project sit onditi s: t.#0t 6 bedLv fdvU-
mai i tacvk r- f., ct C t- ems-
By your signature below you agree to be held responsible for meeting all of the conditions listed abo and v rify
that all information provided is complete and accurate.
?LAB L)
Agent or Applicant Printed Name Permit icer's Signature
a - e6, - ' ,b
Agent or Appl (.... ..-......-'----
' g4 . u Issue Date
CANIA GENERAL PERMIT it: w(a
State of North Carolina I Environmental Quality I Coastal Management
Washington Office 1943.Washington Square Mall Washington.NC 27889 1 2 52-946-6481
Wlfmington Office 1127 Cardinal Drive Ext.Wiknington,NC 28405-384S i 910-796-7215
Morehead City Office 1400 Commerce Avenue Morehead City.NC 28557 1252-808-2808

. 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. 9 1 ttiFl J_i
tit
Address of Property: .3 z 3 (AAA `hO"(d L n/ r Aa C.0 W.it % 4 ., N C
Mailing Address of Owner:
:��i? 71 Me So n L.-n/ , uoo4e PY�'k- / A.1C
Owners email: /s J l� law d p• Ceebwner's Phone#: ' i t g g g aj GS
Agent's Name: Agent Phone#:
Agents 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 property.The individual applying for this
permit has described to me, as shown on the attached drawing, the development they are proposing. A
descripttiioJ� 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 943 Washington Square Mali, Washington, NC 27889. DCM representatives can also be
contacted at(252) 946-6481.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)
� LL
Signature of Adjacent Riparian Property Owner: \(.0 ,' {�(.J, 4SI-CCIL
TypedlPrinted name of ARPO: ic4kr.7' (..).73Yt)C.L
Mailing Address of ARPO: cHIn L-D Get�oac( et AA.It.e_t--c_01bU
ARPO's email: r-breict5 o rri&l•ccr) ARPO's Phone#: Oa)-I P4-89%f 1
Date: III ZaI Za ZZ '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
CERTIFIED MAIL.• RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: -3-tQ CIA .1 t
Address of Property: 323 ( it a'rc( j GfwclJW, t✓C
Mailing Address of Owner: j L ( gaj le 5 °^ LP/ Watke. itteii4. ,c/C
Owner's email: . ) itto9 6, ('ULo 00,nTwner's Phone#: ''/ 9 g gC 2-3 62
Agent's Name: Agent Phone#:
Agent's Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adlacent 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.
71 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 943 Washington Square Mall, Washington,,NC 27889. DCM representatives can also be
contacted at(252) 946.6481. 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) �79
d ,
Signature of Adjacent Riparian Property Owner:
fteit/vlrit 1-taltficiff4R007z.
Typed/Printed name of ARPO: COg 4t_ J. Wit I CHA RD
Mailing Address of ARPO: /i5 £D6tB' eaary i,E !r1E vvi ilt, 4< a a 285Z
ARPO's email: G 1404 I CJ�A29e5u-71Jr,UliRPO�'Ph ne#:02 2~355-3
Date: /1-30-.202-7— *waiver Is valid for up to one year from ARPO's Signature*
Revised July 2021

•
t - l _al • "'+'.`.'1 .f ' t. •
' .1 t , i '1
f ._ . , .,., - .. ,. . '
., . ., , •
•
.
I . ' , , .
•,f .S Y
t ' . . f ,

0`°" ❑CAMA Ill DREDGE & FILL No 87965 ABCD
1 1 GENERAL PERMIT pttr-4-1�52_ Previous permit
Date previous permit Issued
FTNew n 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:
I5A NCAC C--%'/ i'i • 1 2_C=4-) n Rules attached. n General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name ti r'C' 1•-N y r x\ r—1 K t} Authorized Agent
Address •-: sk` C Oak(-c} /_N5 Project Location(County): •_ • -
City )': <r.W 4 4-1; State N_' t- ZIP i S 1 1- Street Address/State Road/Lot#(s)
Phone#(..-S ?.) 7•c14- '1L1 (,.,+ Lc'
�7
Email ')J 1 \r 1,(5 l°' Y 411i f). C DWI Subdivision �`X 4%> --1
City 0 ()ht-,V 01,-4i-- ' ZIP ~.-4-c-i 1
Affected fl CW n EW n PTA n ES n PTS Adj.Wtr.Body r�1 '' I 1 4- 1 ✓ i na man/unk)
AEC(s): C OEA n IHA n UW ❑SPIMA ❑PWS Closest Maj.Wtr.Body eV" t I u, '
ORW:yes/no PNA:yes/no
Type of Project/Activity /?t x /2,' )7 ,:, /i 'F- 11<:',S f�1 1;! w
13 ' x t'; (Scale:l"—30'
Shoreline Length '
Access Length f ....,..._ �t t� P ! —
Pier(dock)length y L �� trl?r.SQt1,1 i ��
Fixed Platform(s) l �� w• ii ♦ I f ..�M
t)t'CA:1'-ir - 161
Floating Platform(s) I
( ♦ — `,
t l t.r ; r 1.- ' _''_'
Finger pier(s) V� i
---� . I .
Total Platform area 1„�c Wit' 1 I I �_.._.._. .--_
Groin length/# �V , c`. ,�147 j. . I t
Bulkhead/Riprap length / �=7 .` --,— • I .
Avg distance offshore - I . - --.
Breakwater/Sill - _- I S
Max distance/length : I
U
Basin,channel 4J
Cubic yards
Boat ramp ! i —
Boathouse/Boatlift a.'__-___. _, '
1 'ktc,r, �.
Beach Bulldozing i
Other 1- gL C
SAV observed: yes Z ; i S (.4 —? ; I , {I y:A1 r
Moratorium: n/a yes N...) '--1 t ! ' r j - .,
Site Photos: yes _I 1 �:C.
~( :t` C�' j \�0
Riparian Waiver Attached: yes I ,fi. _
I
A building permit/zoning permit may be �
required by: - `!"{�� •
❑TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions ^.
5 • ❑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#/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

,�„q ROY COOPER.
. Governor
MICHAEL S. REGAN
- secretary
Coastal Management BRAXTON DAVIS
ENVIRONMENTAL QUALITY Dvechx
BUFFER AUTHORIZATION CERTIFICATE
FOR PIER AND DOCKING FACILITIES ACCESS WAY
A riparian buffer authorization is required for pier and docking facilities access ways through the Tar-Pamlico&
Neuse River Riparian buffer per Division of Water Resources (DWR) regulations 1SA NCAC 02B.0233 & .0259.The
Division of Coastal Management(DCM), through a Memorandum of Understanding with the Division of Water
Resources (DWR) has reviewed your project proposal and has determined that the project as proposed complies
with the aforementioned regulations.
Those activities covered by your Coastal Area Management Act (CAMA) permit have received Buffer Authorization
provided the project is constructed in a manner that continues to meet all of the conditions listed below. Failure to
comply with this Buffer Authorization may subject the property owner and the party (contractor) performing the
construction and/or land clearing to a civil penalty by DWR of up to $25,000 per day per violation.
1.. Crossing is Perpendicular: Pier and docking facility access way must cross the 50 ft. riparian buffer
perpendicularly(which is defined as between 75 and 105 degrees) unless otherwise approved by DCM. The
alignment shall minimize the removal of woody vegetation to the greatest extent practicable.
2. Pervious Materials:All reasonable measures shall be taken to ensure the access way is made of pervious
materials like open-slatted wood or composite, mulch, or grass to meet the intent of the rules to the
maximum extent practicable.
3. Access Width:The width of the pier or docking facility access way shall be limited to six(6) feet.
4. Project Drawing: The drawing on the CAMA General Permit is considered the project drawing of your
property indicating the relative location of the pier or docking facility and any requested access way. This
drawing will be used to aid in compliance and monitoring efforts.F
• Pre project site conditions: LI I S 6,1( 1^\ 1^. d /4' k't ..
By your signature below you agree to be held responsible for meeting all of the conditions is d above an rify
th I information provided is complete and accurate.
t' 7,/,6;„2..,0:A.,
ge t or Ap cant Printed Name ermit Offic s Signature
—5- "De 2/ Zo2'L
A ent or A plicant Signatur Issue Date
CAMA GENERAL PERMIT It: ' ''"3V 14'-5 13
State of North Carolina I Environmental Quality i Coastal Management
Washington Office I°43 Washington Square Mall Washington.NC 27889',252-946-6481
Wilmington Office 1127 Cardinal Drive Ext.Wimington.NC 28405-3845 1910-796-7215
Morehead City Office 400 Commerce Avenue Morehead City.NC 28557 1252-808-2808

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: /67 LAJn;, A a,d Z.vr/ P �4jL4i r ;// A/c 7,,f
Mailing Address of Owner: JS 7 L,/L1/c Lx.v/ 4,d, ��>Drow; n i ly A/C r 7,y/1
Owner's email: /14/1e s-i)/jd o.�i-., Owners Phone* ZS2 5 '7 196'
Agent's Name: l' 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 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 dr ing, 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 943 Washington Square Mall, Washington, NC 27889. DCM representatives can also be
contacted at(252) 946-6481. 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
I do not wish to waive the 15 setback requirement(initial the blank)
Signature of Adjacent Riparian Property Owner:
•
Typed/Printed name of ARPO: ufGA/4S C01----
Mailing Address of ARPO: /0 i 1/ 21( ( Qac..! t✓404-A)
ARPO's email: 11-014 p[WI` ARPO's hone#: q (q • 664 Sa��
Date: ( 2 • f • ' Z L *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: 444. , N/EB'/
Address of Property: /S7 toil;e A, -,/ ,�i�.,. -P// liUCo wZ77ly AG
Mailing Address of Owner: /S 7 h.IA /11, <-
Owner's email: ,ei'je da le ,owner's Phone#: Z�� 3�/ 7 9 '7
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 property.The individual applying for this
permit has described to me, as shown on the attached drawing, the development they are proposing. A
description • 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 943 Washington Square Mall, Washington, NC 27889. DCM representatives can also be
contacted at(252) 946-6481. 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 t e setback, you must sign
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback
Signat re of Adjacent Riparian rty 0 r
-OR-
I do not wish to waive the 15' setback requirement(initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: Z . \c„.717,191
Mailing Address of ARPO: /2-0.3 W►�T-C-FA""Pra-D C-OC.0 -Y^� !vc-71E 1
ARPO's email: C.Jciesi: QCe^-1,r%"1\. & -."ARPO's Phone#: - -it 4- cis ,
Date: 2-— I `Z2 *waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

From: Redding Elks [e-mail] g
Subject: Screenshot 2022-12-01 at 11.52.33 AM
Date: December 1,2022 at 11:53 AM
To: Neil Elks [e-mail]
1152
PCEMS •
0

,
' .
. .
4.
4 .. ,
• I .
•4 4,
•,
•
F., . •40111
" Maps • , Leg -
Attt 40.0.
*
A
m 000
N.,
MENNIMMIND

12-01-2022
To whom this may concern,
I thank you for reviewing my request, and I write this to you and your agency
to express my great need to have this approved. Living on the river,
and with a pier and boat lift at its current height, and especially at my
current age, has now proven to be of great concern for myself and my wife's
safety. Getting on and off the boat with the existing low profile poles for the
lift are not adequate now. We have more difficulty getting on and
off than years past, and falls could more traumatic on our bodies, etc... I
humbly request that your agency allow me to replace the existing poles with
new 7 ft. poles. This would allow me to raise my boat lift up granting me
safer access for us. Also, hopefully this would help with
storm surges not destroying or damaging our motors on the lift. We had to
replace them just two years ago at a burdensome financial cost. I thank you in
advance.
Redding Neil Elks

°`°"'° ❑CAMA ❑DREDGE & FILL N9 88344 A B C %D
Previous permit
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: wwwdea nc cov/CAMArules
Applicant Name
Address
City
Phone # (_ )
Email
State ZIP )
Authorized Agent
Project Location (County):
Street Address/State Road/Lot
Subdivision
City J
Affected ❑ cW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
(Scale:
Access Length
Pier (dock) length """""
Fixed Platforms)
�
`
'F-.
,
y
Floattnlatfo((s) \ y
�l
t-
..
Finger pier(s)`.._._
1
__. i- -
_—
!
_
_
..__
•._.(
-
—
Total Platform area'
Groin length/ri
Bulkhead/ Riprap length
Avg distance offshore—
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing_
Other
` I
-
-
--
--
-
-
-
� —
_
I
. ,
—
I
'
i
SAV observed: yes no
Moratorium: n/a yes no
Site Photos: yes no -
RioarianWaiver Attached: ves no
i
—�'
--
-
-
T-
_
-
..
-
-
t,.
❑ 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 perm *• Signature '
Application Feels) Check JI/Money Order Issuing Date Expiration date

41(w, ❑CAMA ❑ DREDGE & FILL N9 88344 A B C D
GENERAL PERMIT Previous permit
Date previous permit issued
❑New El 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:
I SA NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deo nc eov/CAMAn les
Applicant Name
Address
City State _
Phone#(_)
Affected ❑cW ❑EW ❑PTA
AEC(s): ❑OEA ❑IHA ❑UW
ORW: yes/no PNA: yes/no
Type of Project/ Activity I
Shoreline Leneth
ZIP
❑ ES ❑ PTS
❑SPIMA ❑PWS
numonzeo Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
Adj. Wtr. Body
Closest Mal. Wtr. Body
Access Length
Pier (dock) length
Fixed Platform(s)
........
. _ _
OMEN
ON
■■■m
.=n
■...
n
�C
Floating Platform(s)■n
■
■■■�
1a[!/■■■
■■■■■■■■Finger
■
■■■■■■
■
■
■■'�
■II!�i■■■■■
■inn■
■■■■■■■■
pier(s)
Total Platform area
Groin length/#_
■
��;
■rr�■r
■gin■■
■■■
Bulkhead/ Riprap length
Avg distance offshore
Max distance/ length
channel_
'Ubic yards
!oat ramp
reach Bulldozing
■.n.=
.C.■.�►C■
w
..■
No
®■n■■lasin,
�■■■■■■■■i
a■.��in■■■�■■
n■�
�C■
■■
.■
�,
.
::Fther
:..�..:::
;AV observed: yes no
vloratorium: n/a yes no
Photos: yes no
Riparian Waiver Attached: yes no L
0�®
■�����
r�n®Ae
®�
■�
A building permit/zoning permit may be required by:
L
❑ TAR/PAM/NEUSE/BUFFER)2Ir`le 0 a)
❑ See note on back regarding Rid asin 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, iPermit Officer's PRINTED Name -
Signature **Please read compliance statement on back of permit** Signature '
Application Feels) Check#/Money Order Issmng`Date Expiration Date

Styron, Heather M.
From:
Derek smith <BBMC71 @hotmail.com>
Sent:
Friday, February 25, 2022 2:42 PM
To:
Styron, Heather M.
Subject:
[External] 2 new applications.
Attachments:
Billy Wooten forms to Heather 2-25-22.pdf, William DuBose to Heather for CAMA
permit 2-25-22.pdf
CAUTION: External email.
Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
Report Spam.
YAY I I I
I'm sure that is what you said when you saw this email ..... lol
I have 2 more for you besides the one you have and Littlewoods ( I'm still waiting on initials for it )
Lemme know what you need.
Have a great weekend! I I
1

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: " j OO76
Mailing Address: aU, / 1 p
Phone Number: a 5,2— j`% }?' — p2 ?ZT
Email Address:
I certify that I have authorized
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: — Co X 3l% ���/"uP
at my property located at, /O S ti O.,vt L�f-Eet Xe4&j,'f /i%G
in 441-tpe�e7 County,
1 furthermore certify that I 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 Information:
/ f Signature / T
/a Woo 4,y _
Print or Type Name
I Title
Date
This certification is valid through-2 1_6 1_423

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: __ 6t_J(-/��rr7 /X �/,41 C60
Address of Property: /d 5 /' r�lyy7' LJ'ke y- fj,-4 � 4-1 h'f�
Mailing Address of Owner: _ 2 spot.. Ie lyai !- XL 4 L-a zV,� d Vdtp
Owner'a email: ii%r✓�Wo� e�J Ownees Phone#:
Agent's Name: -A p ,(m,17 Agent Phone#: ail—"U5- a`/
Agent's Email: % 5 /�/
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
I hereby certify that 1 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. 9
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 (DCM1 in writing within 10 days of receipt of this notice. Correspondence should be
malted to 400 Commerce Ave., Morehead Clty, NC 2855L DCM representatives can also be contacted
at [phone]. 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, 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 dprap revatments). (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 Rlpar/an Property Owner
-OR- A
do not wlsjh to waive the 15' setback requirement (initial
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO:
�• 1..t7?t.c=.W�R.7D
Mailing Address of ARPO: l—I Reyot, j7a, Pi., . i�t�rka wt N G Z.Z 7 0"%
enr e r tote �a �q,�°"¢ • cam.
ARPD s email: `a _ ,y }I� IRPO's Phone#: t@ • 5�i9 0-)6
Date: i 3 I 2Y *waiver is valid for up to one year from ARPO's Signature*
Ror/ovd ".J, ¢OPT

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONlWAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion /to/ be completed by owner or their agent)
Name of Property Owner. Gtlf jJiGirrt 1�/, �QTP/r1
Address of Property: lt1&/c�t/�P7 �eaorT lt�C
Mailing Address of Owner:�e
/�d v� /t+' z&1/ LZ r e IVC v2 zdy(/
Owner's email: _tyWisn,u/vie%ca,e•-, owners Phone#:
Agent's Name: /. ere L,-Zh / Agent Phone#: r% $_.�- r%a 5 — 3:,U
Agent's Email: %� 7i�a 1J06yt/C-0/"
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(B2Um portion to be completed by the Adjacent Pronerty Ownerl
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.
4-- 1 DO NOT have objections to this proposal, I DO have objections to this proposal.
if you have opiscuons to what /s being proposal, you must notify the N.C. DlvisiOn Of Coastal
Management (DCM in writing within to days of recelpt 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 some 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.)
100 wish to waive sometail of the 15' setback z%
r
OR
Signature of Adjacent Riparian PropbrfyOwner
_
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner
Typed/Printed name of ARPO: Vlc-hL( Or
Mailing Address of�ff/ ARPO: _ M a PI ��_ysy _
ARPO's email: 111 ARPO's Phone#: •JIL " S
Date: —,-)I�waiver is valid for up to one year from ARPO's Signature'
rtv,-�coe Mc,p eoPf

prv�pSe �ci trfrvJS
Propose-
Z—( f x -50