86271A - Foster, William C & Betsy R.

'*casra [CAMA ' ❑ DREDGE & FILL
GENERAL PERMIT
f 4 86271 OB C D
`w Previous 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:
1 SA NCAC .L qw
t Q-� [] Rules attached. General Permit Rules available at the following link: ww.deq.nc.ggy&6nArules
Applicant Name tt_ vtl + t 1" 5.'—�4 _ ff Authorized Agent ._ h—..=K-1 _...
Address 2- [ o 'e IIt _ Project Location (County): `e—
City !I!t �� T ct. State _ _ tl �_. zip _ 3 Street Address/State Road/Lot #(s)
Phone # ) S (3 (ea<t �2�` Es�. Z��Z-4LS%
Email.�j_4 Ia, Z�s� oin�0.S'i its�� Subdivision 41JItc.,
-a C, ci
City �izip 2 '7c/ a..._._ --
Affected ❑ CW ATA T] ES [� PTS Adj. Wtr. Body t G fh r G 'S �.r.. n _ (nar/i nJunk)
AEC(s): [] OEA ❑ IHA �❑ UW SPIMA 0 PWS Closest Maj. Wtr. Body f0 0./K /r G' J b\nr_ L _—
ORW: yes w PNA: yes/Es
Type of Project/ Activity !- A
Shoreline Length r%
Access Length
i r
Pier (dock) length _� P 7
Fixed Platforms).
Floating Platform(s)
Finger pier(s)
Total Platform area % .Z-
Groinlength/#
Bulkhead/ Riprap length
Avg distance offshore.._
Breakwater/Sill '
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/Boatlift _
(Scale: �� )
N-�'
v., f
4 Ad
Beach Bulldozing tjC-- Q
SAV observedon/a
yes no 4
Moratorium: �^y;e�s no
Site Photos: cy +" no
Riparian Waiver Attached: yes
A building permit/zoning
/permit
may be required by: ��ey �A,Lo ',4
Permit Conditions
r-._ ................... _._
l, S
0 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) j�
Y
�V
A ntior plicont`}P�INT
%"
Permit fficer'S PRINTED Name
l�G
Signature ""Please read
9.2 �,U
mpli nce statement on back f permit '
Signatu
.3 A S /2-- .
_
Application Fee(s)
--
Check g/Money Order
_
Issuing Date
Expiration Date

,2 � d Ca, W n 3 /H / Z Z
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5o19z T reasure C�.

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY MAR 2 4 2022
(Top portion to be completed by owner or their agent)
Name of Property Owner: - PFM-C
Address of Property: 01 . r-fi 4 Y7 � �Cc�
Mailing Address of Owner:
Owner's email: rcizt-n
wner's
Agent's Name:
Agent's Email:
Agent Phone#:
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 401 S. Gr ffin St., Ste. 300, Elizabeth City, NC, 27909. DCM representatives can also be
contacted at [phone]. No response is considered the same as no objection if you have been
noted by Certified Mail.
WAIVER SECTION
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or
groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me
(this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you mus__ t sigh
the appropriate blank below.)
I DO wish to waive some/all of the 15, setback
Signature of Adjacent Riparian Property Owne- 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: K'4,-u=
Mailing Address ofARPO:-1- U1+C.&"-Cw 7_9,i�
ARPO's email: z ua ,,1)— II
I-ARPO's Phone#:
Date3 ' Z.3 ` 1Z_0_-_Z— `waiver is valid for up to one year from ARPO.s
Signature*
Revised July 2p21

RECEIVED
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM MAR 2 4 2022
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent) DUO -EC
Name of Property Owner: William & Betsy Foster
Address of Property:
50192 Treasure Ct., Frisco, NC 27936
Mailing Address of Owner: 3821 Solebury Ter., Midlothian, VA 23113
Owner's email:
Agent's Name:
Agent's Email:
Owner's Phone#:
Agent Phone#:
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.
3e /'?
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 401 S. Griffin St., Ste. 300, Elizabeth City, NC, 27909. DCM representatives can also be
contacted at [phone]. No response is considered the same as no objection if you have been
notified by Certified Mail.
WAIVER SECTION
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or
groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me
(this does not apply to bulkheads or riprap revetments). (If you wish 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
Si7:a
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: Ramiro M_ C;ort _z
Mailing Address of ARPO:
We
11512 Links Dr, Reston, VA 20190
ARPO's email: marcelocortezg@gmail .corpRPO's Phone#: [phone]
Date: 03/23/2022 *waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

Carver, Yvonne
From: Marcelo Cortez <[e-mail]>
Sent: Wednesday, March 23, 2022 7:39 PM
To: Carver, Yvonne
Cc: [e-mail]; Amanda Pedersen
Subject: Re: FW: [External] Photo of Cortez riparian form
Attachments: 2021 Adjacent Riparian Owner Notice -Waiver Form - Foster - Cortersigned.pdf
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
Report Spam.
Ms. Carver,
Please see attached as requested. I signed the form electronically, I hope that's OK, if not I'm happy to send a
scanned copy with a wet signature.
Best,
On Wed, Mar 23, 2022 at 4:39 PM Carver, Yvonne <yvonne.carverLdncdenr.gov> wrote:
Good afternoon Mr. Cortez,
Betsy Foster forwarded to me a copy of the new adjacent riparian notification form that you signed
on behalf of her changes to the proposed pier at 50192 Treasure Ct., in Frisco.
Unfortunately, the copy has a bad shadow, and I'm not able to print a good, legible copy.
Betsy's property information should have been included at the top, but was left blank —not sure why.
The original form you signed had the following data inserted:
Name: William & Betsy Foster
Property address: 50192 Treasure Ct., Frisco, NC 27936
Mailing address: 3821 Solebury Ter., Midlothian, VA 23113
Would you mind rescanning/resending another copy of the updated form for our permitting records?
Please and thank you.

(Top portion to be completed by owner or their agent}
Name of Property Owner:
Address of Property-
Mailing Address of Owner
Owners email: Owr - 's Phone#
Agent's Name=
Agent Phone#
Agent's Email
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(bottom portion to be completed by the Adjacent Properiy 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 ihe,sttached drawing, the development they are proposing.
description or drawing with dimensions mast 6o provided with this letter.
A t DO NOT have objections to this proposal. 100 have objections to this proposal
if you have objections to what is being proposed, you must notify the N,C. Division of Coastal
Management (ACM) in writing within 40 days of receipt of this notice. Correspondence should be
mailed to 401 S. Griffin St_, Ste. 300' Elizabeth City, NC, 27909_ ACM representatives can also be
contacted at [phone]. No response is considered the same as no objection it you have been
notified by Certified Mail.
WAIVER SECTION
I understand that any proposed pier, dock m -oring pilings, beat ramp, breakwater, boathouse, lift, or
groin must be set back a minimum distance Of -15` from my area of riparian access unless warveo by mG
(this does not apply to bulkheads or riprap revEtments). (If you wish to waive the setback, you m��t si n
the appropriate blank below)
I DO wish to waive someJali of the 15' setback
signature of Adfacont Rap;xrian Proporry
,OR -
I do not wish to waive the 15' setback requirenivnt {initial 1ho blank
Sgnature of Adjacent Riparian Property Owl! r
�r /�,h 1
TypedlPnntod name of ARPO: —Awl,
Mailing Address of ARPO: /1 'r' !-f`.'.^- �•�_/'�. � :-"%'�'.r
ARPO's email: d wr ��� / _ ys : p GPO's Pt1nne4:
Date: — `waiver is valid for up to vile y�sar front ARPO'& Si
gnature'
/7crvrsc�d lu!y P02 t

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
FEB 2 3 2022
DCM-EC
Name of Property Owner Requesting Permit: �h FO eY'
Mailing Address:
Phone Number
Email Address:
p0�-q.j -
I certify that I have authorized
Agent / C ntractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: r �0 (1
at my property located at S-0�►"—
in c--- County. F cc)
--:;�-%9
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:
Signature
Print or Type Name
Title
,:I-_/ �-j /—2�
Date
This certification is valid through I /
Revised Mar. 2016

m
0
•
i

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address: 3 do
M ,d l z
I sue
Phone Number: �d G - I �_ 4o ?�O� - s7-3to-a, 1�-,,
Z
Email Address:
I certify that I have authorized GC L r .i r �C- (t.
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Y'� ij e.t1+ i C j
at my property located at f-o I P n t JL r cam. �t _r, C I ,
in �nr� County. r't'�5Cp) ni-C- � I79.34,
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
' "L5a- I F-64te- r
Pfirif or Type Name
Title
Date
This certification is valid through I I
Revised Mar: 2016

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PROPOSED
RAMP
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LOT 440
APO:
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CORTEZ
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LOCATION SKETCH, NOT TO SCALE
9
PAMLICO SOUND
CAMA PLAN FOR:
FRISCO,
NC
WILLIAM C. FOSTER
BETSY R. FOSTER
eeoo>ER cr �
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9
r»IRiAINS cT
LOT 440
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SN ARsoROR
BRIGANDS' BAY
50192 TREASURE COURT
S\�
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FRISCO, NC 27936
09/20/21
4
30
20 10 0
30

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: !,WLL1AM d 9, T 1
Address of Property: 6L-19 2 TCLAIWR9 C %.. FRIS CCU N C.. T MH3
Mailing Address of Owner: 3FZ1 SCILL'RUKY 'TER . /idMUO Tla]Ak, VA, Zfl'
Owner's email. Owner's Phone#:
Agent's Name: —URY PR)LE Agent Phone#: ZS L' 30-7: fv?'0
Agent's Email: %AG'1#'Gra7SSLr'F cl Y.:he . LtiLY^
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
I hereby 'fy that I own property adjacent to the above referenced prope a individual applying for this
permit has cribed to me, as shown on the attached drawing, the velopment they are proposing. A
descri tion or dr in with dimensions must be provided with th' etter.
I DO NOT h e objections to this proposal. I DO have objections to this proposal.
If you have objections to at is being pro sed, you must notify the N.C. Division of Coastal
Management (DCM) in writing 'thin 10 d s of receipt of this notice. Correspondence should be
mailed to 401 S. Griffin St., Ste. zabeth City, NC, 27909. DCM representatives can also be
contacted at [phone]. No re; a is considered the same as no objection if you have been
notified by Certified Mail.
I understand that any oposed pier, dock, mooring pil s, boat ramp, breakwater, boathouse, lift, or
groin must be set ck a minimum distance of 15' from m ea of riparian access unless waived by me
(this does no ply to bulkheads or riprap revetments). (If yo ish to waive the setback, you must sign
the appr late blank below.)
I e'b 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
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: �ak+i/ry // f�?J�/per
Mailing Address of ARPO:��
ARPO's email: lst Bve5, oCor*t� •/ re` ARPO's Phone#:
Date: 1C9L 119a,,Zz *waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

Postal
CERTIFIED MAURECEIPT
,a Domestic Mail Only
Certified Mail Fee
$
Extra Services & Fees (check box, add lee as appropriate)
❑ Return Receipt (hardcop),) $
p ❑ Return Receipt (electronic) $ Postmark
❑ Certified Mal Restricted Delivery S - ,.Here
O ❑ Aoull Signature Required S /jJ r1
❑Adult Signature Restricted Delivery S
Postage
Q- $
fU Total Postage and Fees
Ir $
r-9 Sent To cro
o �r' ►�1 or ?Bor �'G� ----------------- Street and Apt. No., x No. nn
4- ---- L----- --� V rl----------------------------------
G7ry-Sfate,Zl�+4//��-------

GUNITEDSTATES
POSTAL SERVICE
December 14, 2021
Dear gary price:
The following is in response to your request for proof of delivery on your item with the tracking number:
7019 2970 0001 7696 4916.
Item Details
Status: Delivered, Individual Picked Up at Post Office
Status Date / Time: December 13, 2021, 5:22 pm
Location: RESTON, VA 20190
Postal Product: First -Class Mail®
Extra Services: Certified MailT11
Return Receipt Electronic
Shipment Details
Weight:
Recipient Signature
1.0oz
Signature of Recipient:
11512 LINKS 131:1
Address of Recipient:
Note: Scanned image may reflect a different destination address due to Intended Recipient's delivery instructions on file.
Thank you for selecting the United States Postal Service® for your mailing needs. If you require additional
assistance, please contact your local Post OfficeTm or a Postal representative at 1-800-222-1811.
Sincerely,
United States Postal Service®
475 L'Enfant Plaza SW
Washington, D.C. 20260-0004

A 7- UNITEDSTATES
PMW POSTAL SERVICE
November 24, 2021
Dear gary price:
The following is in response to your request for proof of delivery on your item with the tracking number:
7019 2970 0001 7696 4893.
Item Details
Status:
Status Date / Time:
Location:
Postal Product:
Extra Services:
Weight:
Delivered, Left with Individual
October 25, 2021, 3:56 pm
SOUTHPORT, NC 28461
First -Class Mail®
Certified MaiITM
Return Receipt Electronic
1.0oz
Signature of Recipient:
Address of Recipient:
Note: Scanned image may reflect a different destination address due to Intended Recipient's delivery instructions on file.
Thank you for selecting the United States Postal Service® for your mailing needs. If you require additional
assistance, please contact your local Post Office TM or a Postal representative at 1-800-222-1811.
Sincerely,
United States Postal Service®
475 L'Enfant Plaza SW
Washington, D.C. 20260-0004

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