Everett, James & Scott 84526C

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MCAMA � DREDGE & FILL �✓
Previous permit
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GENERAL (PERMIT Date previous permit issued
New [JModification [JComplete Reissue El Partial Reissue
As authorized
�bsy the
i iState
�ojf �North care". Deflum rmnt of EnvirorotwMal Qt�ty and the Coastat Resources Ca "Wilhawn in an area of emirrxunentzl tr�kcern purvrant to:
I SA NCAC.L:... C1._.:_S..'._"\.G---..�..— © RuMn attached. � General Per»Nt Rvles avaziahle at the faEowing MM: yG.riST,>�1._RS E ms"
Applcant Name
Address ._`L�
cat, Sivc�A
Phone Y ( tI)
Email _ 4
Affected []CW
AECDE F-1 OEA
ORW: yei,&,j
Type of Project/ Activity
-_GM'S.il__.._.-_- Authorized Agant„SL6�®ltt�t
Ly 5Hagr yw . Project Location (Caunty): 1(t fi1T%
`i State --AC(,— Zip Street Address/Stxa Roa o #(s)
EW NPTA
IRA []Uw
PNA. yef0�
MES OPTS
[]SPIMA [ PWS
Subdivision
City
Adl, Wtr, Body
Closest Mal. Wtr. Body
Shoreline length W—q t--
A,(w;x lengthy„_
Pier {dock? Mngth / „ _
fixed
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floating PWtfwmis)
Finger pter(s)
tiU
Total Platform area
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tkhaa ��y"vYt'�'
ante offshore --------
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Ma. dnorioe/length
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ards"__
Cubic yards­,","',
Roar tamp._._..:,-/
Boalhousel Boatlft
Beach Buffdonng-----�_.._....._,._._.
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Morahwourk, nja yes
Site Photos VB
Riparukn WA,w Attached Yes i
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TWAMlNEUSUBLIFFER (C.hu one)
See win on back segardmg Rtrer Baton rute5
See atbVlMrwl naesjutndrtiune an vaek
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�CAMA DREDGE & FILL
GENERAL PERMIT
No 84526
Previous permit
Date previous permit issued
A B 0 D
New ❑Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized/,M I by the1S1tateom f North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC OT ' lln ❑ Rules attached. M General Permit Rules available at the following link: wwwdeq nc.gov/CAMArules
Applicant Namet� NICE Authorized Agent YFL MA2� �N (oN&f,
Address '29I1CHAUwYL SHoaes Va, Project Location (County): C)AALOW
City SNapAK F87L2`j State �ZIP?94(00 Street Address/State Road/Lot #(s) Sf1M,C
Phone#(/Itlp) ' S 15
Email Stq QS LL& Sn F.GriS (fry 4R5 co, CvyYI Subdivisions A
City ey �dQ� ZIP /0q(60
Affected ❑ CW VIEW PTA XES ❑ PTS Adj. Wtr. Body ffu /A�t p'' t� �4iy'CJ� `astlman/unk)
AEC(s): ❑ OEA rD IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body lJf Ir At) w1 LY GM
ORW: ye no PNA: yes
Type of Project/ Activity
Shoreline LengthN'
Access Length r
Pier (dock) length
Fixed Platform(s) Vti
Floating Platform s)
Finger pier(s)
Total Platform area i
Groin length/#
ulkhea Riprap length L�
s ante offshore
Breakwater/Sill
Max distance/ length
Basin, channel i
Cubic yards /
Boat ramp i
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed: yes n'1(i,.tVC
Moratorium: n/a yes
Site Photos: yes
Riparian Waiver Attached: yes
A building permit/zoning permit may be required by:
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❑ TAR/PAM/NEUSE/BUFFER (circle one)
eA0 &1(oNAMeW CH*-L- 16C SOW _b _ ❑ See note on back regarding River Basin rules
THAT APPLY TO
❑ See additional notes/conditions on back
(Please Initial)
Agent or Applicant PRINTED Name Permit flictPRINTEn
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Signature **Please read compliance statement on back of permit`* Signa re �
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Application Feels) (neck Money Order Issuing Date Expiration Date

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AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Jimmy and Scotty Everett
Mailing Address: 519 Chadwick Shores Drive, Sneads Ferry, NC 28460
Phone Number: 910-358-7757
Email Address: [e-mail]
I certify that I have authorized Josh Barber/PFL Construction
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: replace exisiting wall
at my property located at 519 Chadwick Shores Drive, SF NC 28460
in Onslow
County.
/ 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
4� dS�'—(
P int or Type Name
Title
I/ / 3 ol�
Date
This certification is valid through

DocuSign Envelope ID: 4BF8EAF8-AC48-4A9E-9FC5-t E99D600569B
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:
Mailing Address of Owner:
Owner's email: Owner's Phone#:
Agent's Name: Josh Barber/PFL Construction Agent Phone#: [phone]
Agent's Email: [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 to the 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.
x 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.G. urwsron or Lroasrar
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 [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
-OR- Ds[]3
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property
Typed/Printed name of ARPO: chri sti a Yarb
—DocuSigned by:
QwJmw ywu ge4+r64
Andrew Jason Yarbrough
Mailing Address ofARPO: 2117 sheriff 7ohnson Rd, Killington NC 27546
[e-mail]
ARPO's email:
ARPO's Phone#: [phone]
Date: 1/8/2022 *waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

DocuSign Envelope ID: 4BF8EAF8-AC48-4A9E-9FC5-1E99D6005698
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 de/iveryof notice) are needed, or any other method which satisfies the Local Permit Officer
(LPO) that a good faith effort has been made to provide notice.
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 potentially object to) the proposed development,
and to give DCM orthe LPO an opportunity to considerthese comments/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 types of proposed developments 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 orobjections
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 bV 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.ciov/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 May 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 Jimmy and Scotty Everett
Address of Property - 519 Chadwick Shores Drive
Mailing Address of Owner
Owners email sfgasl@sneadsferrygasco com Owners Phone#. [phone]
Agent's Name Josh Barber/PFL Construction Agent Phone#.[phone]
Agents Email [e-mail]
aRil
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. 1 DO have objections to this proposal
N 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 000 Commerce Ave., Morehead City, NC 28557. 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, breakwaterboathouselihor
groin must be set back. a rpimmum distance of 15' from my area of riparian access unless waived by me
(this does not apply tc bulkheads or nprap revetments). (If you wish to waive the setback vo❑ must sign
the appropriate blank below )
100 wish to waive somelall of the 15' setba k
Signature of Adjacent Riparian Proper& Cwner
-OR-
1 do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owne 11 f,'
Typed/Printed name of ARPO: � 4,,il N' ��' ✓ / ',c
Mailing Address of ARPO: _—. 5/ `>_. L_�'� if lu < _ S �r![1 ��r ,..'n r,rJ>
ARPO's email: loch 1{, ILr. ,.,✓(� ARPO'o Phone# (Nil
'waiver is valid for up to one year from ARPO's Signature'