86335A_Owens, III, Robert & Julie_20220511

�I CAMA ❑ DREDGE & FILL n
GENERAL PERMIT r �h335 Q B C p
T Previous permit _ _
ti
Date previous permit issued
'`. .New ❑ Modification ❑ Complete Reissue
P ❑Partial Reissue
As authorized by the State of Nottarolina, Department C
apartment of Environmental Qua)ityand the Coastal Resources Commission in an area or environmental concern pursuant to
I SA NCAC ? d! 2 ':> -, ->El Rules attached. Vf6—al Permit Rules available at the following link. www.deq.nc RovJCAMAj ules
Applicant Name Avb a- t"r U.
Address R1 V f Q s F%V n (A,
City A( QQy i 1 fA/'4tate Nc_ zip Z- 7 7 V $r
Phone #
Email `
Affected CW
AEC(s): ""��� OEA
ORW: ves,ttto
[REW O.PTA
�IHA []UW
PNA: yes rto
Type of Project/ Activity
cr,n� a. S,� 'l -,\(,
Shorelineeline L�S S i_
Access Length am'
Pier(dock)length 7-5X s
Fixed Platforms) 2. O x 2 J
FloatingPlatform(s) -.
1-1ESOPTS
11 SPIMA PWS
r
v C. Lam' 6 it
�0.g"I<
S��r,57
I N-- �✓
Finger piers) ' l
Total Platform area �7 G
Groin length/q
Bulkhead/ Riprap length _
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel _
Cubic yards _
Boat ramp
Boathouse/ Boat lift
Beach Bulldozing_
Other
CS rtr
Nkl
SAV observed .._--, yes no
Moratorium\ n/� ye no /FIFD
Site Photos: ye no EX. 06ettt<
Riparian Waiver Attached: yes no T
A building permit/zoning permit may be required by: I ) -
Permit Conditions
LAM AWARE OF STATUTES, CRC RULES AND
or Applicant
Streeet`Address/State RoadXot #(s) 5 Z
CIV �.t � — --- ZIP Z.79s y
Closest M4 Mr. Body /l o v- e\ oKe- 5
r
it 1 +a. i- r i 'T 4- .3 r , 2 2� r /--
Aw-Cl-R11
P il r R r�
U'g Zt!.'
P Xrk l' /
ur►FN,S'
�Aiv14�
Fk
Fill tM46AI'AEa 5 yt a
THAT APPLY TO THIS PROJECT AND
Sigrlpltre "Please read compliance statement o back of permit"
Ap ication Feels) Check M/Money Order
(Scale: Al 13)
jJN
X SIN
I ONACR
(WA r V4`0,
ll►l'^t- -'� G-7[/STraICt fl a�K/tr Fl
TAR/P�USE/BUFFER (circle one)
See note on back regarding River Basin rules
See additional notes/conditions on back
(Please Initial)
i V is A r+_ Ve V
Permit Officers PRINTED Name
So lure
Issuing Date Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address:L�I\t
Phone Number:
Email Address:
I certify that I have authorized '�� 1 �. R) —� 0 C_ ,
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all (CAMA permits
necessary for the following proposed development: `F' C
at my property located at �i
in _�� �' o County.
l 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
RN o w F -)S
Print or Type Name
Title
Date
y�kut���.TT.1IN
Revised Mar. 2016

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: i , C x } `-
Address of Property:
Mailing Address of Owner:
Owner's email:
Agent's Name: i'. L f- )a r' t oe-
Agent's Email: ;, f : �-
(41
Owner's Pho1' ut
Agent Phonelk .;� L--) a v7 co i _ ,
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
214 q q U
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 dimensionsmust be orovided w' h this letter.
WCA
I DO NOT have objections to As 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. 200, Elizabeth City, NC, 27909. DCM representatives can also be 1 Wb ��-
contacted at [phone]. No response is considered the same as no objection if you have been E
notified by Certified Mail.
WAIVER SECTION 4•� C .E u L, 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
-OR-
Signa3A of Adjacent Riparian Property Owner
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Proptft Owner.
Typed/Printed name of ARPO: C4
Mailing Address of ARPO:
ARPO's email: 4as'f_ aSki f"S • CIIARPO's Phone#: 73Z -/3IV-
Data. _ Z Z *waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

&CAMA
❑ DREDGE & FILL n
GENERAL PERMIT Pre 86335
O
Previous permit
ECD
t?W ❑Modification Date previous perissued
mit
❑ Complete Reissue ❑ Partial Reissue
As audtaized by the State of North Carolina,
Dpartinent Of Emirorirnentai Quality and the Coastal Resources Commission in an area or environmental concern pursuant to:
I SA NCAC TI ! / 2 Ja Rules attached. l Permit Rules available at the (clawing ink: wrwv dea n�¢ov/CAM6 WlN
Applicant Name A ob Z , o kt ¢¢� e � ' - 'D t 4
Address, _=' �2 0 / f N . Pro. S f, af" O n
�y Va ✓i I JAI I ate NC_ zip 7-7
Email
Affected ❑ cw
AEC(s): ❑ OEA
ORW: yes,lno
[)qEW OPTA
❑ IHA ❑ UW
PNA: yesfioo
Type of Project/ Activity _(L!-,;Z
Shoreline length i S -z,
Access Length
Pier(dock)length 75 X S
Fbeed Platforms) O 7t. 2 =�
SX Z--- �u s c%:
Floating Platform(s)
Finger pler(s) _
Total Platform area �.
Groin length/N v-
Bulkhead/ Riprap length _
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift _
Beach Bulldozing `
Other
SAV observed:
yes Cno
Moratorium. n/a
YY� no
Site Photos:
a no
Riparian Waiver Attached:
no
A building permit/zoning permit may be
Permit Conditions
ES EIPTS
❑ SPIMA ❑ PWs
r, C, k- e.
6W ikl vaO
S Authorized Agent rJ � e a.S 4260. MCr-i n
Project Location (Courq): CL. t'^s-4—
Street Address/State RoaNLot #(s) 5 jZ // U t 3L-,
?%/ &! -4-1 4sr o u � r r/ ''o UJ
Subdivision
ah /%'tL.t ----- zip �--7c Y
Closest Maj. Wtr. Body looc tz� ,., n oKk-
X.S Ain. �s�Th 'fir
Pie �-
0 4AFNS
CAA4 r4
yr- L 1A17- nv1no,Qt7tdD S yt Z
required by +r— C-o u
N
za -�►�0.� E.rr+,
(Scale: A) 7- `j)
MN
X "4
ewAI✓a:o)
Cl!aaXl��gTie1G fl aeKA
TAR/PgM/NEUSEBUFFER (circle one)
See note on back regarding River Basin rules
See additional notes/conditions on back
1 AM AWARE OF STATUTES CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. ' (Please Initial) .
1 II e,
eo-rplicant PRIN EDmePermit Officer's PRINTED Name
t
w- C
Sig re "Please read compliance statement o back of permit '4 ture
Appncatiot�Fee(s) Check II/Money Order Issuing Date
Expiration Date

. N

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address:
Phone Number:
Email Address:
I certify that I have authorized '��� �_ ��� lr� n c ,
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: �J % .'7_
at my property located at
inJCounty.
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:
b 0
Signature
Rv (')L0 e.rns
Print or Type Name
V-
Title
3 1 3I , aoa'�).
Date
y��nr•i+.�.TINI
Revised Mar, 2016

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 y� • lr `rs` ) i rk � '�I(1 (1.10111 K tJ IT t NC
Owner's email:
Agent's Name: I"i C_i 11 )(,t r t l ly
Owner's Phone*
Agent Phonelk .mot ,
Agent's Email: i {
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 us ovide wi h this letter
;�;i _ ir' .� [":.'i,.. 6.. �,..Y...� 10 J� 10 -S !i CA
I DO NOT have objections to �is proposal, 1 DO have objections to this proposal. , T
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. Gin Sf., Ste. 300, Elizabeth City, NC, 27009. 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
-OR-
Signa?fe of Adjacent Riparian Property Owner
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjaoent Riparian Property Owner:
Typed/Printed name of ARPO: ,Q„ , t-)" ) s Z-
Mailing Address of ARPO: 3-c A40 v,.y,¢c� u •tiT�� G(;'r✓
i
ARPO's email: kasfz 2 S �(Ar W4,VAS . Cd,%4RPO's Phone#:
Data' _ - Z Z _*waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

y•am.S , �1
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�r
Address of Property: J (D { 4I cAI rx rt c) 1
Mailing Address of Owner �i h��(j�a ( t h i -A- 1 KD14i NC 2qq `j
g
Owner's email: Owner's Phone#:
Agent's Name: 1—
Agent's Email.
Agent Phone#: S Oti ' vC w I 3,pg
f n Yl'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 drawin-g, with dimensions, t be Provided with this I er + w
I DO NOT have objections tot is proposal. I DO have objections to this proposal.le,
If you have objections to what is being proposed, you must notify the N.C. Division of Coastal Q
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be �
mailed to 401 S. Gruen 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. Anti
WAIVER SECTION (' arxa,`
1 understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or —5, -1
AQ—
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 G 0 ----
-0R-
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: George G. Bonner IV
Mailing Address of ARPO: PO Box 302, Manteo, NC 2794-0302
ARPO's email: [e-mail] ARPO's Phone#: [phone]
Date: _ 513/22 *waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

Carver, Yvonne
From: George Bonner <[e-mail]>
Sent: Friday, May 6, 2022 10:53 AM
To: Carver, Yvonne
Subject: [External] Re: Adjacent riparian property owner notification for R. V. Owens
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
Report Spam.
Mrs. Carver,
Yes, this is my signature authorizing waiver. This was digitally signed using Adobe.
Yours truly,
George G. Bonner, P.E.
On Fri, May 6, 2022, 9:46 AM Carver, Yvonne <yvonne.carver c;ncdenr.gov> wrote:
TO: George G. Bonner, IV
Good morning Mr. Bonner,
Our office was contacted by Northeast Marine in regard to obtaining a general permit for a pier/dock
request for R. V. Owens at 361 Mother Vineyard Road in Manteo. Julie, the office manager for the
contractor, provided me with the attached, signed notification form as proof of your receipt of
notification and signature on the waiver section. Upon inspection, the signature appears to be
potentially `inserted' versus a regular signature, and does not match your signature from a prior
notification through a major permit. We have been advised by our attorney that we must have
original signatures on these waivers.
It would be greatly appreciated if you could confirm this waiver, sign and date the attached
notification form, and forward us a copy for our records.
Please don't hesitate to contact me if you have any comments or concerns.
Best regards,

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