122-18 Minor Mod Worrell, Robert

Permit Class
MODIFICATION/MINOR
Permit Number
122-18
STATE OF NORTII CAROLINA
Department of Environmental Quality._
and
Coastal Resources Commission
Permit
for
X Major Development in an Area of Environmental Concern
pursuant to NCGS 113A-118
X Excavation and/or filling pursuant to NCGS 113-229
Issued to Robert M. Worrell,101 Hastings Dr., Moyock, NC 27958
Authorizing development in . Currituck County adi. to man-made canal leading to Roland
Creek, at 101 Hastings Dr., near Moyock, as requested in the permittee's letter dated 1/9/19, including the
attached worknlan drawing (1), dated "Revised 1/8/19".
This permit, issued on February 4, 2019 , is subject to compliance with the application (where consistent
with the permit), all applicable regulations, special conditions and notes set forth below. Any violation of these terms may
Ue SuUJecL,LV titles, unpnsonment or civil action; or may cause me permit to oe nun ana voia.
Boathouse
1) Unless specifically altered herein, this Minor Modification authorizes the boathouse and boat lift, all
as expressly and specifically set forth in the attached letter and workplan drawings. Any additional
development activities may require a modification of this permit.
2) This permit authorizes a maximum of 1 formalized boat slip.
3) The boathouse shall not be completely enclosed or have side coverage more than one half the height
of the side, from the roof waterward. The footprint of the boathouse shall not exceed the dimensions
on the authorized workplans.
(See attached sheet for additional conditions)
This permit action may be appealed by the permittee or other
qualified persons within twenty (20) days of the issuing date.
This permit must, be accessible on -site to Department
personnel when the project is inspected for compliance.
Any maintenance work or project modification not covered
hereunder requires further Division approval.
All work must cease when the permit expires on
December 31, 2021
In issuing this permit, the State of North Carolina agrees that
your project is consistent with the North Carolina Coastal
Management Program.
Signed by the authority of the Secretary of DEQ and the
Chairman of the Coastal Resources Commission. -
Braxton e Davis, Director
Division of Coastal Management
This permit and its conditions are hereby accepted.
Signature of Permittee

Worrell
ADDITIONAL CONDITIONS
Permit No.122-18
Page 2 of 2
The authorized boathouse shall be single story, and shall not be designed to allow for second story use.
General
The permittee and/or his or her contractor shall meet with a representative of the Division prior to
project initiation.
The permittee shall maintain the authorized work in good condition and in conformance with the terms
and conditions of this permit. The permittee is not relieved of this requirement if he'or she abandons the
permitted activity without having it transferred to a third party.
This Minor Modification shall be attached to the original Permit No. 122-18, which was issued on
10/31/18, as well as all subsequent modifications, refinements, and renewals, and copies of all
documents must be readily available on site when Division personnel inspect the project for compliance.
All conditions and stipulations of the active permit remain in force unless specifically altered herein.
The U.S. Army Corps of Engineers assigned the proposed project COE Action Id. No. SAW-
2018-01587.
The Division of Water Resources assigned the proposed project DWR Project No. 2018-11141.
A minor modification application processing fee of $100 was received by DCM for this project.

Coastal Management
ENVIRONMENTAL QUALITY
February 4, 2019
Robert M. Worrell
101 Hastings Drive
Moyock, NC 27958
Dear Mr. Worrell:
ROY COOPER
Governor
MICHAEL S. REGAN
secretary
BRAXTON C. DAVIS
Director
The enclosed permit constitutes authorization under the Coastal Area Management Act,
and where applicable, the State Dredge and Fill Law, for you to proceed with your project
proposal. The original (buff -colored form) is retained by you and it must be available on site
when the project is inspected for compliance. Please sign both the original and the copy and
return the copy to this office in the enclosed envelope. Signing the permit and proceeding
means you have waived your right of appeal described below.
If you object to the permit or any of the conditions, you may request a hearing pursuant
to NCGS 113A-121.1 or 113-229. Your petition for a hearing must be filed in accordance with
NCGS Chapter 150B with the Office of Administrative Hearings, 6714 Mail Service Center,
Raleigh, NC 27611-6714, [phone] within twenty (20) days of this decision on your
permit. You should also be aware that another qualified party may submit an objection to the
issuance of this permit within twenty (20) days.
The project plan is subject to those conditions appearing on the permit form. Otherwise,
all work must be carried out in accordance with your application. Modifications, time extensions,
and future maintenance requires additional approval. Please read your permit carefully prior to
starting work and review all project plans, as approved. If you are having the work done by a
contractor, it would be to your benefit to be sure that he fully understands all permit
requirements.
From time to time, Department personnel will visit the project site. To facilitate this
review, we request that you complete and mail the enclosed Notice Card just prior to work
initiation. However, if questions arise concerning permit conditions, environmental safeguards,
or problem areas, you may contact Department personnel at any time for assistance. By
working in accordance with the permit, you will be helping to protect our vitally important coastal
resources.
Enclosure
Sincerely,
dA
Do�iglas V. Huggett
Major Permits Manager
N.C. Division of Coastal Management
State of North Carolina I Environmental Quality l Coastal Management
Morehead City Office 1 400 Commerce Avenue I Morehead Oty, NC 28557
2528082808

DCM Coordinator: ?)CA>
Permit #• t 22l8 S�
MAILING DISTRIBUTION SHEET
Permittee: (90%r• k W.. wort,60
Agents:
DCM Field Offices
Elizabeth City
Morehead City
Washington
Wilmington
US ACOE Offices:
Washington:
L'Ila �iocl�cY
(with revised work plan drawings)
Raleigh Bland (Beaufort, Camden, Chowan, Craven, Hertford, Hyde, Perquimans,
Tyrrell)
Josh Peletier (Bettie, Currituck, Dare, Gates, Pamlico, Pasquotank, Washington)
Tom Steffens (NC DOT- Beaufort, Carteret, Craven, Pamlico)
Bill Biddlecome (NC DOT -Remainder ECity/Washington District)
Wilmington: Tyler Crumbley (Brunswick, New Hanover)
Liz Hair (Carteret, Onslow, Pender)
Brad Shaver (NCDOT-Brunswick, New Hanover, Onslow, Pender)
Cultural Resources:
Public Water Supply:
Marine Fisheries:
NC DOT:
Shellfish Sanitation:
State Property:
DEMLR/DWR:
Renee Gledhill -Earley at [e-mail]
Heidi Cox (WIRO)
Shane Staples
David Harris
Shannon Jenkins / Sharron Gupton
Tim Walton / Mike Moser
Sheri Montalvo I
Clif Whitfield (WARO)
Curt Weychert
Washington: Anthony Scarbraugh-401
Roger Thorpe-Stormwater
Garcy Ward- (NCDOT-Beaufort, Bertie, Camden, Carteret, Chowan, Craven, Currituck,
Dare, Gates, Hertford, Hyde, Pamlico, Pasquotank, Perquimans, Tyrrell, Washington)
Wilmington:
Wildlife Resources:
Natural Heritage Program
LPO:
Robb Mairs — 401 (Carteret, Onslow, Pender)
Chad Coburn — 401 (Brunswick, New Hanover)
Christine Hall - Stormwater
Joanne Steenhuis - 401 (NCDOT-Brunswick, New Hanover, Onslow, Pender)
Maria Dunn (WARO)_j
Rodney Butler
(NCDOT) Travis Wilson
Fax Distribution: Permittee #: Agent#

Request for Minor Modification to Major Permit #122-18
Project Title: Replace existing bulkhead and build a roofed 12'4" X 32'4" boathouse
Minor Modification Request: Change location of boathouse
Date: 1/9/2019
Robert M Worrell
101 Hastings Dr.
Moyock, NC 27958
757-651-4355
Mworrell1966Cdamail.com
The purpose of this modification is to request changing the location of the proposed boathouse from the
south side of the property to the east side of the property.
The new location will be placed in the east side canal of the property, starting 8' inward from the north
side property line.
Please consider this my written request for approval to build a boathouse in the proposed new location
as described in attached site plan.
Thank y ,
_IV hM6J
Robert M Worrell
Received
JAN 11 7019
DCM-EC
RECEIVED
JAN 2 2 2019
DCM-MHD CITY

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Permit Number
122-18
STATE OF NORTH CAROLINA
Department of Environmental Quality
and
Coastal Resources Commission
Vermit
for
X Major Development in an Area of Environmental Concern
pursuant to NCGS 113A-118
X Excavation and/or filling pursuant to NCGS 113-229
Issued to Robert M Worre% 101 Hastings Dr., Moyock, NC 27958
Authorizing development in Currituck County at adj. to man-made canal leading to Roland
Creek, at 101 Hastings Dr., near Moyock, as requested in the petmittee's application dated 7/17/18, including
attached workplan drawings (1), dated 7/12/18 and email correspondence dated 9/20/18.
This permit, issued on October 31, 2018 is subject to compliance with the application (where
consistent with the permit), all applicable regulations, special conditions and notes set forth below. Any violation
)i uiese terms may oe suoject to nnes, imprisonment or civic action; or may cause the permit to oe nuu aria voia.
1) In accordance with commitments made by the permittee in email correspondence dated 9/20/18, the
originally proposed boathouse is hereby deleted from the application and all reference to the
boathouse shall be null and void.
Shoreline -Stabilization - Bulkhead
2) The bulkhead shall be constructed in accordance with the alignment depicted on the attached
workplan drawings.
(See attached sheets for Additional Conditions)
This permit action may be appealed by the permittee or other
qualified persons within twenty (20) days of the issuing date.
This permit must be accessible on -site to Department
personnel when the project is inspected for compliance.
Any maintenance work or project modification not covered
hereunder requires further Division approval.
All work must cease when the permit expires on
December 31, 2021
In issuing this permit, the State of North Carolina agrees that
your project is consistent with the North Carolina Coastal
Management Program.
Signed by the authority of the Secretary of DEQ and the
Chairman of the Coastal Resources Commission.
U C i I ore -
Braxton C. Davis, Director
sion of Coastal Management
This permit and its conditions are hereby accepted.
Signature of Permittee

ert M Worrell Permit No.122-18
l Page 2 of 3
ADDITIONAL CONDITIONS
The alignment of the authorized bulkhead shall be staked by the permittee and verified by a
representative of the Division of Coastal Management within a maximum of 30 days prior to the start of
construction. Failure to initiate construction within 30 days, or erosion of the shoreline by adverse
weather conditions, shall require the alignment to be re -staked by permittee and verified by DCM within
a maximum of 30 days prior to the new expected start of construction.
The bulkhead shall be constructed prior to any backfilling activities.
The bulkhead shall be structurally tight so as to prevent seepage of backfill materials through the
structure.
The fill material shall be clean and free of any pollutants except in trace quantities.
All backfill material shall be obtained from a high ground source and confined behind the permitted
bulkhead.
No backfill material is to be placed within 30 feet of the normal water line, except that which will be
used to backfill the area behind the permitted bulkhead.
All fill material to be placed below normal water level shall be confined behind the permitted bulkhead.
Sedimentation and Erosion Control.
,A ground cover sufficient to restrain erosion shall be provided within 30 calendar days of any phase of
grading on cut or filled slopes. At a minimum, a silt fence shall be properly installed immediately
landward of the bulkhead cap immediately following completion of backfilling activities.
General
This permit shall not be assigned, transferred, sold, or otherwise disposed of to a third party without the
written approval of the Division of Coastal Management.
The permittee shall maintain the authorized work in good condition and in conformance with the terms
and conditions of this permit. The permittee is not relieved of this requirement if he or she abandons the
permitted activity without having it transferred to a third party.
The permittee and/or his or her contractor shall meet with a representative of the Division prior to
project initiation.
This permit does not eliminate the need to obtain any additional state, federal or local permits,
approvals or authorizations that may be required.
The U.S. Army Corps of Engineers authorized the project by way of Programmatic General
Permit 198000291 (Action ID SAW-2018-01587) issued 10/31/18.
The N.C. Division of Water Resources authorized the proposed project by way of General Water
18 Quality Certification 4144 and assigned the project DWR Project No. 20.
111

Robert M Worrell Permit No.122-18
Page 3 of 3
ADDITIONAL CONDITIONS
NOTE: Future development of the permittee's property may require a modification of this permit.
Contact a representative of the Division at [phone] prior to the commencement of any
such activity for this determination. The pernuttee is further advised that many non -water
dependent activities are not authorized within 30 feet of the normal water level.
'NOTE: An application processing fee of $400 was received by DCM for this project. This fee alsc
satisfied the Section 401 application processing fee requirements of the Division of Water
Resources.

ROY COOPER NORTH CAROLINA
Governor Enwkwu rniatQuaft
MICHAEL S. REGAN
Secretary
BRAXTON C. DAVIS
Director
October 2, 2018
Mr. Robert Worrell
101 Hastings Dr.
Moyock, NC 27958
Dear Mr. Worrell,
This letter is in reference to the application for a Coastal Area Management Act Major Permit to
undertake development activities to replace an existing bulkhead in Currituck County.
Although processing of the application is nearing completion, additional time is needed for this
office to complete the review and make a decision on your request. Therefore, it is necessary that
the standard review time be extended. An additional 75 days is provided by G.S. I I3A-122(c)
which would make December 16, 2018 the new deadline for reaching a decision on your
request. However, we expect to take action prior to that time and will do so as soon as possible.
In the interim, should you have any question on the status of your application, do not hesitate to
contact me by phone [phone] ext. 215) or e-mail ([e-mail]).
Cc: DCM Elizabeth City
Sincerely,
Gregory W. Bodnar
Assistant Major Permits Coordinator
aw . 7D_WQF
North Carolina Department of Environmental Quality '.. Division of Coastal Management
Morehead City Office 1 400 Commerce Avenue I Morehead City. North Carolina 28557
252.8082808

ROY COOPER NORTH CAROLINA
Governor Environmental Quality
MICHAEL S. REGAN
Secretary
BRAXTON C. DAVIS
Director
MEMORANDUM
TO: Greg Bodnar, Assistant Major Permits Coordinator,
Division of Coastal Management, Morehead City
FROM: Ron Renaldi, Field Representative, DCM
THROUGH: Frank Jennings, District Manager, Northeastern District, DCM 10-q
DATE: January 16, 2019
SUBJECT: Request for Minor Modification of Major Permit #122-18 issued to:
Robert M. Worrell
REFERENCE: (a) Letter from Robert M. Worrell (received January 11, 2019)
requesting a Minor Modification to Major Permit #122-18
(b) 15A NCAC 071.0405, Permit Modification
(c) DWR Project #2018-4111
(d) USACOE Action #SAW-2018-01587
Minor Modification to Maior Permit
1. Robert M. Worrell has requested a Minor Modification to Major Permit #122-18, which
was issued on October 31, 2018 and expires on December 31, 2021. The original major
permit authorized the construction of a new bulkhead waterward of a failed/sunken
bulkhead. The original submitted application included a boathouse located in a section of
canal on the south side of the property that violated the Y4 water body width rule. A request
was made by the applicant to remove the boathouse from the application so that a permit
could be issued for the bulkhead.
2. Robert M. Worrell has requested to modify Major Permit #122-18 to again include the
proposed boathouse with a change in location to the east side of the property that will not
violate the 1/4 width rule. The proposed boathouse dripline measures 32' 4" x 12' 4" (399
ftz). Water depths within this area are ±3' below normal water level (NWL) and are void of
submerged aquatic vegetation. RECEIVED
JAN 2 2 Z019
North Carolina Department of Environmental Quality', Division of Coastal Management DCM-MHD CITY
Elizabeth City Office 401 South Griffin Street, Suite 301 1 Elizabeth City. North Carolina 27909
252.264 3901

North Carolina Department of Environmental Quality
Division of Coastal Management
MEMORANDUM
Page 2 of 2
3. I conducted a site visit on January 15, 2019 to review the Minor Modification request
pursuant to the provisions of reference (a) and have determined that the request meets the
requirements contained in 15A NCAC 07H .0208 USE STANDARDS. Specifically, the request
for the boathouse will comply with 07H.0208(b)(6)(D), 07H.0208(b)(6)(F) &
07H.0208(b)(6)(G)
4. The required fee of $100, paid by Check #1005 was received by the Elizabeth City
District Office on January 11, 2019.
5. It is recommended that the Minor Modification request be granted, provided all the
Permit Conditions of the original permit issued on October 31. 2018 remain in effect.
NOTE:'Circulated to NCDMF, NCDWR, NCWRC, USACE
Attachments: Copy of Minor Modification Request, including work plan drawings

ROY COOPER NORTH CAROLINA
Governor Envlronmenlal Qual ty
MICHAEL S. REGAN
Secretary
BRAXTON C. DAVIS
Director
January 17, 2019
MEMORANDUM
TO: Raleigh Bland, USACOE
Anthony Scarbraugh, DWR-Water Quality ACt
Shane Staples, Fisheries Resource Specialist, DCM AtC-
Marie Tripp Dunn, NC Wildlife Resources Commission AI C-
FROM: Doug Huggett, Major Permits Coordinator
Division of Coastal Management
SUBJECT: CAMA Minor Modification Request to Major Permit #122-18
Applicant: Robert M. Worrell
Project Location: 101 Hastings Drive, Currituck County
Proposed Project: Changing the location of the proposed boathouse from the south side to the east
side of the property.
Please indicate below your agency's position or viewpoint on the proposed project modification and return
this form by 02/07/19 to 400 Commerce Avenue, Morehead City, NC 28557. You may also send your
comments by fax: [phone] or email. If you have any questions regarding the proposed project,
please contact Ron Renaldi at [phone], ext. 237. When appropriate, in-depth comments with
supporting data are requested.
REPLY: This agency has no objection to the project as proposed.
This agency has no comment on the proposed project.
This agency approves of the project only if the recommended changes are
incorporated. See attached.
This agency objects to the project for reasons described in the attached comments.
SIGNED DATE
RECENED
JAN 2 2 Nl1
C►TY
North Carolina Department of Environmental Quality I Division of Coastal Management
DCM-MHD
Elizabeth City Office 1 401 South Griffin Street, Suite 300 1 Elizabeth City, North Carolina 27909
252.264.3901

ROY COOPER,
Caverriar '
MICHAEL S. REGAN
Secretary
BRAXTON C. DAVIS
Director
January 17, 2019
MEMORANDUM
NORTH CAROLINA
Environmental Quality
TO: Raleigh Bland,_USACOE
(Anthony. ScarbrauglCDWR-Water Quality
Shane Staples, Fisheries Resource Specialist, DCM
Marie Tripp Dunn, NC Wildlife Resources Commission
FROM: Doug Huggett, Major Permits Coordinator
Division of.Coastal Managemdnt
SUBJECT: CAMA Minor Modification Request to Major Permit #122-18
Applicant: Robert M. Worrell
Project Location: 101 Hastings Drive;'Currituck County
Proposed Project: Changing the location of the proposed boathouse from the south side to the east
side of the property.
Please indicate below your agency's position or viewpoint on the proposedproject modification and return
this form by 02/07/19to 400 Commerce Avenue, Morehead City, NC 28557. You may also send vom
comments by fax: [phone] or email. If you have any questions regarding the proposed project,
please contact Ron Renaldi at [phone], ext. 237. When appropriate, in-depth comments with
supporting data are requested.
REPLY: % This agency hasmo objection to the prcject.as proposed.
This agency has no comment on the proposed project.
This agency approves of the project only if the recommended changes are
incorporated. See attached.
This agency objects to the project for reasons described in the attached: comments.
SIGNED "°R �S"�^ 1' DATE ONI-WaM CEiVE®
JAN 2 8 2019
Oe,Fn.YbuO,nW pYtl�
North Carolina Department of Environmental Quality I Division of Coastal Management MP SECTION I1 HD
Elizabeth City office 1 401 South Griffin Street, Sulte300 I Elizabeth City, North Carolina 27909
252.264.3901,

ROY.COOPER
GOVe nar
MICHAEL S: REGAN
Secretary
BRAXTON C. DAVIS
Director._. - - -
January17, 2019
NORTH CAROLINA
Environmental Quality
TO: Raleigh Bland, USACOE
Anthony Searbraugh, DWR-Water Quality
Shane Staples; Fisheries Resource Specialist, D.CM
Marie Tripp,Dunn, NC Wildlife Resources Commission
FROM: Doug Huggett; Major Permits Coordinator
Division of Coastal Management
SUBJECT: CAMA Minor Modification Request to Major Permit N122-18
I
Applicant: RobertM. Worrell
Projeef Location: 101 Hastings Drive, Cutrituck,County
jA^.12isiJ
nq,yMAfcAr..r1
,Proposed Project: Changing the location of the proposed boathouse from, the south sideJo:the east,
sideofthe-property.
Please indicate below your agency's position or viewpoint on the proposed project modification and return
this form by 62/67/19 to 400 Commerce Avenue Morehead City NC 28557. You.mav also send your
comments. by fax: [phone] or email. If you have any questions regarding the proposed protect,
please contact Ron Renaldi at .[phone], ext. 237. When appropriate, in-depth comments with
supporting data.are requested.
REPLY: This agency has no objection to the project as.proposed..
This agency has no comment on the. proposed 'project.
This agency approves of the project only if the, recommended changes are
incorporated.See attached.
This agency objects to the project for reasons described in theattached comments.:
SIGNED-- DATE ��LT=2r�19 ECEIVE®
EJAN 2 4 2019
YyvbW hvmaf 1pebl,�
North Carolina Department of Environmental Quality I Division of Coastal Management IVIP SECTION MHD
Elizabeth City Office 1401 South Griffin Street, Sautee 300 1 Efaabeth City, North Carolina 27909
7527643901

r
ROY COOPER
GOYemar
MICHAEL S. REGAN
Secretory
BRAXTON C. DAVIS
DVector
January 17, 2019
MEMORANDUM
NORTH CAROLINA
EnvironmentafQuallty
JAN 2 2 2019
TO: Raleigh Bland, USACOE
Anthony Scarbraugh, DWR-Water Quality
Shane Staples, Fisheries Resource Specialist, DCM
Marie Tripp Dunn, NC Wildlife Resources Commission
FROM: Doug Huggett, Major Permits Coordinator
Division of Coastal Management
SUBJECT: . CAMA Minor Modification Request to Major Permit #122-18
Applicant: Robert 1VL Worrell
Project Location: 101 Hastings Drive, Currituck County
Proposed Project: Changing the location of the proposed boathouse from the south side to the east
side of the property.
Please indicate below your agency's position or viewpoint on the proposed project modification and return
this form by 02/07/19 to 400 Commerce Avenue Morehead City, NC 28557. You may also send your
comments by fax: [phone] or email. If you have any questions regarding the proposed project,
please contact Ron Renaldi at [phone], ext. 237. When appropriate, in-depth comments with
supporting data are requested.
REPLY: _This agency has no objection to the project as proposed.
t/ This agency has no comment on the proposed project.
This agency approves of the project only if the recommended changes are
incorporated. See attached.
This agency objects to the project for reasons described in the attached comments.
SIGNED DATE 1A5, If -----RE CEIVE®
pEQ� JAN 2 5 2019
North Carolina Department of 6ltvlronmental Qyaaty 1 D10M.noFO..tEd M..9eWaot MP SECTION ION M/- D
Earabeth CityOffice 1 401 South Grant Street, Suite3001 Elfzabeth City, North Carolina 27909
252.264.39M

' I DATE: a y a 9
NAME:`` r ndA .7 I!1 ; neon �� 'p�
ADDRESS;..� / 50 V 5 f<"t � koy /_
CITY: dam cf e4 STAI(- ZIP a 79a I I
RE: V40 M Il — CtgMtq Perm! L- t I0-a — Ai (PR0TJE0T!RFiN1E)
To Whom It May Concern: This correspondence is to notify you as a riparian property owner that 90 6A /y t Y/ Ort-115l)Is applying for
¢nseitlpropertyjownei�me�d_r company}
a CAMA Major permit to
0
5oo-t7 sdc of ttie P(-yertyseA09' crofer�Va.fe � o ftie" nerdy proposed
e4s� 5;de loeck iDA d
on property located
which is adjacent to your property. A'+copy of the apphcaCion a06 oject drawi g(s)�s encldsed_far you review. If you have no
objections to the proposed activity, please mark the appropriate statement below and return to:
as soon as possible.
I(fnd•commerits�'are'treceivediwithin"30idaysrbf,recelbttdUttiisiriotice, it will be considered that you have no comments regarding this
project. If you have objections or comments, please mark the appropriate statement below and send your correspondence to the NC
Division of Coastal Management at 401 S. Griffin St., Ste 300., Elizabeth City, NC 27909. If you have questions about the project,
please do not hesitate to contact me at 757- G5/-N3SS[nsert pfionein mu r) or the Division of Coastal Management at 252-
264-3901.
Sincerely,Q
INSERT NAME
I have no objection to the project as described.
WAIVER SECTION
I have objection(s) to the project as described.
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. I do not wish to waive the 15' setback requirement,
,L���1 ib�,cc��d.�i�C-�
Print Name Signature of Adj cent Property Owner
15o05IMW.e.NG�9al
Mailing Address and/or Email Address
Date
a50?-yato I V E D
Phone Number
JAN 2 8 2019
MP SECTION MHD

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NAME: Ronald S S1ezQx
DATE: a y% go 9
ADDRESS: 3 NaSy-1/1-5 710
CITY: OLIO X STNC zip 67 7 6-9
RE: W0E-a'j� Gtq(4A Perm;L- t 101 I$ Ml-RQJECTNAME}
To Whom It May Concern: D L
This correspondence is to notify you as a dpadan property owner that h� berL M W OrJis applying for
{inse.rtjproperty wne�gffik-ncdmpany}
a CAMA Major permit to
5ouf t7 Si(�C of the (1f-oppa.�tvsenpn,per a`eO1 oaG4 4C i'0 �'�re /1f uily pfOPosed
ews� 5�de Ioca�iol--A 1 / H d I
on property located at
which is adjacent to ourproperty. Atco of fheka licalibn and' roe tc draW s asjenclosed>for"ourreView. If you have no
1 Y J 9i-) Y_ -w_ _
objections to the proposed activity, please mark the appropdate statement below and return to:
as soon as possible.
mmenTs-,arerreceived:withiii�30,days.df.receibtlofdthis.notice, it will be considered that you have no comments regarding this
project. If you have objections or comments, please mark the appropriate statement below and send your correspondence to the NC
Division of Coastal Management at 401 S. Griffin St., Ste 300., Elizabeth City, NC 27909. If you have questions about the project,
please do not hesitate to contact me at 767- L51-�%3SS{in"s rt p ihdne number} or the Division of Coastal Management at 252-
264-3901.
Sincerely, j�J
k // / Vv
[FJSERT NAM11E�
►' I have no objection to the project as described.
WAIVER SECTION
I have objection(s) to the project as descdbed.
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin must be set back a minimum distance of
15'fronyTny area of riparian access unless,waived by me. (If you wish to waive the setback, you must initial the appropriate blank
bet
I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement:
r
Print Name Signature of Ad cent Prop rty Owner
,7 J4a rnAS �D r. M 6 i, lac a7957
Mailing Address and/or Email Address
1411
Date
JAN 2 8 2019
MP SECTION MHD

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RECEIVED :DECEIVED AAP LW 3 Pam aP
1,NeJ Boost 1351 P,0611L wlr r x!'l
AUG 0 8 2018 ed Pa92, 333- l0! klrs4oq, 'gr
JAN 2 8 2019 I> o� si TuLy rz, a�18
JCM-MHD CITY
MP SECTIO, N MHD