85162B - Camp Don Lee

7-2 K5
TD It 7014 3
o°`t�'ti�` CJCAMA `i DREDGE & FILL Nit 85162 A 69 c
1s . GENERAL PERMIT Previous permit 4/11-
Date previous permit issued API
New [;Modification j Complete Reissue C Partial Reissue
As authorized by the State of North Carolina,Department of Env,ronrnental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I SA NCAC_7/ 02-74k° Cl Rules attached. y General Permit Rules available at the following link-,wives a-a�nc aovCJ4MAryks
Applicant Namegg `��[ _ Authorized Agent_- Y�-� �.__Sy
Address `/S Am� �C-- Project Location(Counry). ,,�'17 / �J,/
Gry_ a _ _ .State../�(� ZIP 2AS/a Street AddressAtate Road Lot*isl - �" s 4r / 'L�"�"r
Phone#( nyS8$ -#9 CY/ _
Email Subdivision J_ -- --
- City ZIP_ Z)B 5/O
t rnat/r�wJunk
Affected fl CW X EW PTA [II ES 1 1 PTS Adl.Wtr.Body_ / .Zi/�G� y�+ )
AEC(s): OEA 0IHA uUW USPIMA PWS Closest Mal.Wtr Body „440.. ee..✓4e
ORW.yes all PNA.yg,(r. /
Type of Project/Activity Are AGt, ffirriOn3�s 4 i h4p -0/5 / ,S//
(scale: A17-5 )
Shoreline Length ,2 grIt9 0
Access Length Nei' �,N C—
Pier(dock)length �i�v
e
Fixed Platform ►.s) N 7."Yt
J Qp 0 ,// �y
Floating Platform(s) • Gin %ice
00
Finger pier(s)
Total Platform area yy fl
Groin length/n L 0
Bulkhead/Riprap length ,U Drr y Y
Avg distance offshore4.rr.-1 e LEf
Breakwate/® .1 50 .1.• . -R i !�
max distance/length iiit
(1'
Basin,channel ___-_ Q 2
Cubic yards - r 0
Boat ramp -- s
Boathouse/Boatlift 0 •tg
Beach Bulldozing -- 1 f-
Other �o i
"7prt I e""
SAV observed Yes ° ?r-/l(-1r` a� v
Moratorium: n/a yes io \
Site Photos `vv
Riparian Waiver Attached: (yp� no
A building permit/zoning permit may be required by._ (A Ctz C..o
,/ H _N ®TAA/P BUFFER(circleone)
Permit Conditions__ J�.�1 64,14-5 7 o
/ �' i>I._� J ��� I j G. w, See note on back regarding River Basin rules
/Syf�L.� Po nnA!C.. � �� L 1 See additional notes/conditions on back
-..' ___voc CaQ NW(-- --
_ _rho'/ Initial(
1 AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEEW(,COMPLIANCE STATEMENT. (Please 1
Permit 0 e' '' 'TED
Agent or ppbcant PR IN Name - - _.
Sign�a"l�
Signatu •'Please read compliance statementon back of permit'' ! aMID / �9 ZO
Ap ication Fee(s)
Check a/Money Order Issuing Date fxpir .n Date

4CAMA
fl DREDGE & FILL N9 85162 A ® C D
Previous permit V�
GENERAL PERMIT Date previous permit issued NA
I 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:
ISA NCAC 7// ,,,,776f3 n Rules attached. 154 General Permit Rules available atthe following link:www.deq.nc.gov/CAMArules
Applicant Name Authorized Agent 7G "<e5 t."4' c -g
Address 3/S eaten,'Doy%[« ` Project Location(County): /ill / s / -
City ~ ,�1,7'C__ ` State
AiC� ZIP $ 5/c) Street Address/State Road/Lot#(s) L C"
Phone#('O{/5 3$5 '9 C5/
Email Subdivision 1-
City I t ZIP
Off- 5/O
Affected n CW 1K EW PTA ❑ES LiPTS Adj.Wtr.Body )4t �,-t I ?G' /r l'"J at/�r an/unk)
AEC(s): n OEA ❑IHA nn�UW ❑SPIMA n PWS Closest Maj.Wtr.Body AA t r t.- i"tC
ORW:yet) PNA:yes/vo
Type of Project/Activity iirei,6-,04 Arpo'bGs j i-.•-S -r-C,%� /5 " / ,S///
(Scale: )
Shoreline Length -t *b 0 ✓
Access Length A, �� ei•i
Pier(dock)length lv
Fixed Platform(s) c
N 6c'';'1 ivy o 11
Floating Platform(s) /
It"
Q
Finger pier(s)
Total Platform area 8
Groin length/#
Bulkhead/Ripraplength73 ✓'P I!
Avg distanceaoffshore
ir-(" n ,-yl
Breakwate ig, I J n / �/ ' `
Max distance/length • t
Basin,channel Q 2
Cubic yards F
Boat ramp Ir O T
Boathouse/Boatlift
Beach Bulldozing S�
Other # 1 _
�� o
IP
SAV observed: yes sle-r" 1/I-49 4
Moratorium: n/a yes o
Site Photos:
Y
Riparian Waiver Attached: no
A building permit/zoning permit may be required by: CP��y...lt Gj C_b'
Permit Conditions r1p_.,2_ 9. / 64-, T 6..c. -A.1 et. �TARP•itart BUFFER(circle one)
` +ta'C S (�{�CL>� p-(--e-f �•c, w•Z�•l j� ErSee note on back regarding River Basin rules
PAL q rwr►-t-L� 0<z w.s-!`t. 4-1sa-_� —se' u.tii,lc,tf.�-alell—
pi1 / n N W L See additional notes/conditions on back
motI AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWS COMPLIANCE STATEMENT. (Please Initial)
ho
Agent or Applicant PRINTED Name Permit OT TE
Signature**Please read compliance statement on back of permit** Signat
f:;) G/� =- /S3 21-6 7 �y ,., . - •1 , zoZ zApption Fee(s) Check#/Money Order Issuing Date Expiron�9 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

,.410"" ` I—ICAMA I I DREDGE & FILL N9 85162 A B C D
GENERAL PERMIT Previous permit
f 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 ❑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 rim a EW n PTA n ES 1 I pis Adj.Wtr.Body (nat/man/unk)
AEC(s): n OEA n IHA n UW n SPIMA I 1 PWS Closest Maj.Wtr.Body
ORW:yes/no PNA:yes/no
Type of Project/Activity
(Scale: ; - )
Shoreline Length
Access Length qk,.f {� r
EY I 1 I
Pier(dock)length T
I .-& ',dt
1• e }Fixed Platform(s) r
Floating Platform(s)
X�-j- : 4
-.
Finger pier(s) ) T_.__.._ .._
fTotal Platform area ( .
Groin length/# T ' { I -- 1. -
Bulkhead/Riprap length _._ .9_�,, 2 ; r� _...__ .
1, I
r t�
Avg distance offshore i t�' —— r __� 1 L'CG j
(.tv
Breakwater/Sill I I i r-- i 1;‘
Max distance/length I A
Basin,channel 1�
j
Cubic yards r.. r C I I - I i .-
Boat ramp !
Boathouse/Boatlift - V /(
I Y f
I
Beach Bulldozing i---- ,- — _
Other �— I — r— '-r— i
I _ I j '— i r. I t
} — — •I 1 L.C '
SAV observed: yes no f
Moratorium: n/a yes no I--- i i,- }"n I-i,. ;
Site Photos: yes no I---._- —1—, I - �i_.---._ + \ �—_
Riparian Waiver Attached: yes no � ; ; I . I I � ' I \ ' i e:
A building permit/zoning permit 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 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 fl/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

3 .''' ."\ CAMA DREDGE & FILL No 85162 AB CD
GENERAL PERMIT
8 Previous permit
Date previous permit issued
I '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:
ISA NCAC Rules attached. I I General Permit Rules available at the following link:www.deo.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 I CW EW PTA I I ES PTS Adj.Wtr.Body (nat/man/unk)
AEC(s): OEA I I IHA UW SPIMA I—I PWS Closest Maj.Wtr.Body
ORW:yes/no PNA:yes/no
Type of Project/Activity
(Scale: )
Shoreline Length
Access Length f' , !
Pier(dock)length - •
i '
f�
Fixed Platform(s) x! { Y I
Floating Platform(s) j
{ l AFinger pier(s) ` -- I — -
j
Total Platform area i ! '
Groin length/# j •--' • ) -$
Bulkhead/Riprap length !-..___• _--..-_., I
. I —..- _ ..4 1-I- •--.._. I I.:I,
t.
Avg distance offshore ! I �-'e_. (_ r C I r
Breakwater/Sill r A'''.
'
Max distance/length j i
Basin,channel I `' 1 I 5
Cubic yards - —)-- ___� __ _
Boat ramp ' {
• I
Boathouse/Boatlift I i
Beach Bulldozing
I 1
Other
I
SAV observed: yes no j — S I I- 1- I
Moratorium: n/a yes no
Site Photos: yes no I --1--- — - - ,
Riparian Waiver Attached: yes no I I `
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)
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

RESTORATION Restoration Systems, LLC
11E21SYSTEMS I LLC 1101 Haynes Street, Suite 211
Raleigh, NC 27604
22 March 2022
Mr. Kent Vaughan
NC Division of Coastal Management
943 Washington Square Mall
Washington, NC 27889
Re: Application for CAMA General Permit 2700
Camp Don Lee, 315 Camp Don Lee Rd,Arapahoe, NC
Dear Mr.Vaughan:
Please find attached copies of the necessary documentation to request a GP 2700 for installation of 150
linear feet of offshore sill at the above referenced property. The following is included in this packet:
Figure 1 — Location Map& Site Plan
Figure 2—Cross-Section of Proposed Offshore Sill
Figure 3—Existing Conditions Photo
Signed Agent Authorization for CAMA Permit Application
Adjacent Riparian Property Owner Statement for adjacent landowner with setback waived
$200 permit fee
Please let us know when you would like to visit the site and/or the permit is ready for signature. If you
have any questions, please feel free to contact me or Mary-Margaret McKinney. My contact information
is listed below. Ms. McKinney can be reached at 252.333.9852 or
[e-mail]
Sincerely,
RESTORATION SYST S, LLC
'44r'
Morgan Rudd
Coastal Scientist
m rudd P restorationsystems.com
804.385.4981
RECEIVED
MAR 2 5 2022
DCM-WARO

Project Location Map Project Description
..� --� - , An offshore sill is proposed to be constructed at 315
`" I Camp Don Lee Rd, Arapahoe, NC, as shown to the
1 00g ,,i left and below. The total length of the offshore sill will
be approximately 150 linear feet.
•114 The offshore sills will be constructed by layering
QuickReefTM units and/or oyster shell bags
2 +:t'1 -041, k, perpendicular to the shoreline as shown on Figure 2.
Property Camp Coir fiber mattingor equivalent will be placed
= Subject Pro ertDon Lewd q
underneath the material to reduce settling. The
w distance of the landward edge of the sill will be no
t more than 30 feet waterward of normal high water or
. no more than 5 feet waterward of existing coastal
* - wetlands. whichever distance is greater. Baffled gaps
i, at least 5 feet in width will be placed at least every
100 feet in the sills to allow water circulation and fish
� �` '..� passage per permit requirements. All other
applicable specific and general conditions outlined at
Neuse River 15A NCAC 07H.2700 will be met.
e Plan " ';
fl {•,y. i
_y
`J j
Mid: ' 1 -' f 'v .4. .
litio
x
4
�i f- Approx Subject Property Lines
iit r • Proposed Offshore Sill
Proposed Living Shoreline Figure 1 Restoration Systems
315 Camp Don Lee Rd Location Map & Site Plan S;aynes St
Arapahoe, NC Raleigh,NC 27504 Rs
Applicants) 919 755 9490
Camp Don Lee
Date Prepared: March 16.2022 315 Camp Don Lee Rd RS Shorelines Div RESTORATION
Mapping Sources: Google Earth 3/16/22 Arapahoe, NC 28510 252 333 9852 SYSTEMS LLC
NC OneMap 3/16/22 www.RSshorelines.com

Normal High Water
f
/ Line Slone
V / :1to2:1
�( NHW
���- _ NLW
Spartina patens Spartina alterniflora .-z.
planting(optional) planting (optional)
' Max 6 ft
Max 30 ft
Oyster Shell Bag Offshore Sill
Normal High Water
Line
VV \i1.5:1 to 2:1
V NHW
C t •Y QuiatReei Base Volt- _ •
• � NLW
Spartina patens Spartina alterniflora — — — -I— --- -• - - •
planting (optional) planting(optional)
I Max 6 ft
, Max 30 ft
Cross Section of QuickReer" Offshore Sill
a, .yam '
+f [re: i� in sg
' 'nY'
1 yt i' • )"i r.
Ar
--- -'-'--- -4,--,:.., Mirolik: - •' •.h... - •'At 1:::::,:t-:;;- ..,..4..,--- . _
Example of Example of
Oyster Shell Bag Offshore Sill QuickReefTM Offshore Sill
Proposed Living Shoreline Figure 2 Restoration Systems
315 CampDon Lee Rd Suit S Haynes St
Cross-Section suite 211 RArapahoe, NC Raleigh,NC 27504
Applicants) 919.755.9490
Camp Don Lee
Date Prepared March 16,2022 315 Camp Don Lee Rd RS Shorelines Div RESTORATION
Mapping Sources. Google Earth 3/16/22 Arapahoe, NC 28510 252.333.9852 SYSTEMS I LLC
NC OneMap 3/16/22 _ www.RSshorelines.com

4�4
•
T..
�. �
i y. \% f
w _ -
^` c
r f�.,:f11111 A
—�._.. is r ?..L /. t
r` _ "
Op. r .
Proposed Living Shoreline Figure 3 Restoration Systems
315 Camp Don Lee Rd Existing Conditions Suite 21 Haynes St
Arapahoe, NC Raleigh,NC 27504 R
Applicant(s) 919.755.9490
Camp Don Lee
Date Prepared: March 16,2022 315 Camp Don Lee Rd RS Shorelines Div RESTORATION
Photos Taken:: March 1,2022 Arapahoe, NC 28510 252.333.9852 SYSTEMS LLC
www.RSshorelines.com

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Camp Don Lee
Mailing Address: 315 Camp Don Lee Rd
Arapahoe, NC 28510
Phone Number: 252-249-1106 ext. 23 (Kate Metts, Director)
Email Address: [e-mail]
I certify that I have authorized Restoration Systems, LLC & NC Coastal Federation
Agent!Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: living shoreline
at my property located at 315 Camp Don Lee Rd, Arapahoe, NC
in Pamlico 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
Tint or Ty Name
r✓)Le cAlu-c C -U/r
Title
Date
This certification is valid through 02 i 28 1 2023

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Came Don Lee 's
(Name of Property Owner)
property located at 315 Camp Don Lee Rd, Arapahoe, NC
(Address, Lot, Block, Road, etc.)
on the Neuse River/Alligator Creek , in Arapahoe , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
x I have no objection to this proposal.
Check Here
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
An offshore sill is proposed as shown in the attached Figures 1-3.
WAIVER SECTION
I understand that a 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. (If you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
Initial Here
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property Owner Information)
��. 22 (L aaa
Signature Signature*
Agent for: Camp Don Lee Don Elbert Lee III
Print or Type Name Morgan Rudd Print or Type Name
Restoration Systems 149 Camp Don Lee Road
Mailing Address Po Box 1873 Mailing Address
Morehead City,NC 28557 Arapahoe,NC 28510
City/State/Zip City/State/Zip
804-385-4981; mruddArestorationsystems.corn 252-671-2725;[e-mail]
Telephone Number/email address Telephone Number/email address
03/16/2022 03/16/2022
Date Date*
(Revised Aug. 2014)
*Valid for one calendar year after signature*