85257_William & Rowena Bitar_20220526

(OA5t4$JtAMA ❑ DREDGE & FILL '-� 0� Na 85257 A C D
GENERGENEPrevious permit N1 1A .
AL PERMIT Date previous permit issued N(IA
•
( Lew ❑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:
15A NCAC C /1 • /20O _ ❑Rules attached. General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name W/(I/Qhtl d' lSbCVO1A $Lfvr Authorized Agent TJ s Q TY akv i 10 . CO',ICI.AddressQQ-Y� `+�5 Tuyl t br Project Location(County): U4244,Aa ell
City ibetk % State W C ZIP Street Address/State Road/Lot#(s)
Phone#( gto y' z oic( �a c1vAceo- "c:)t'''
Email Subdivision /�
City '+t ZIP a'1-7-2-451?
Affected ❑CW ❑EW I FTA ❑ES ❑PTS Adj.Wtr.Body 4 L ertmie.k. nan/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj.Wtr.Body m 4.4 e F i vee
ORW:yes/ACC) PNA l iio H tl
,= 1/ay
Type of Projects Activity ,.�1 i,ST41 t/ /tom(1(/61 r I:6u Cf D l42 r •eL 1 t -i+-Na, La44 r el-:f —
t. S✓ .S71ti
e ccir..✓c p -eye.e `S 6444.2, (Scate: I'(30/
Shoreline Length — SS Of
Access Length
Pier(dock)length 1L1'',I R!►i
aigellb
Fixed Platform(s) 5k41\
c.4 o e-; 0, PIAar�..•,
Floating Platform( .el<►s1-; j
Finger pier(s)
Total Platform area
Groin length/H ?;<_r
Bulkhead/Riprap leng 1(;..SA4''5
Avg distance offshore ate.rc
Breakwater/Sill
Max distance/length
Basin,channel
Cubic yards
Boat ramp
Boathouse/Boatlift
Beath Bulldozing Owi,
OtheWier'no f .s�Fir (-aye:" r<!ski+.,65 ask ,$) !dd
SAV observed: yes
Moratorium: n/a yes 4 yp� ,[L}�
Site Photos: eis..
i#i) 'f� ' ^r -0rU e /Riparian Waiver Attached: no L /� awn ,
A building permit/zoning permit may be required by: Nizi 11 C..D, /' �C
i ' [ \a �V TAWPAM/NEUSE/BUFFER(circle one)Permit Condilons to f /S /nQ/i 64lj�ye� if Lur, r��Af/ar L
S�My/t �,zs L � �'e sj 1 '!�" 7t JV 4 .f f See note on back regarding River Basin rules
nSee additional notes/conditions on back
eN
WI STATUT ,CR Z S A7 CONDI S THAT APPLY TO THIS PROJECT ANDREVIEWED COMPLIANCE STATEMENT. (Please Initial)
aI J6 , hlcr
�:jt or pi' RINTE m Pe it • er s PRINTED
Silti P r ad c pliance statement on back of permit Si nature
Application Fee(s) Check a/Money Order Issuing Date Expiration Dare

.'C,
'r'ct ROY COOPER
GOVOMOr
Sid. et
MICHAEL S. REGAN
.. Seaerary
CoastalManagement BRAXTON DAVIS
ENVIRONMENTAL QUALITY O
tector
BUFFER AUTHORIZATION CERTIFICATE
FOR PIER AND DOCKING FACILITIES ACCESS WAY
A riparian buffer authorization is required for pier and docking facilities access ways through the Tar-Pamlico&
Neuse River Riparian buffer per Division of Water Resources(DWR)regulations 15A NCAC 028.0233 &.0259.The
Division of Coastal Management(DCM),through a Memorandum of Understanding with the Division of Water
•
Resources(DWR) has reviewed your project proposal and has determined that the project as proposed complies
with the aforementioned regulations.
Those activities covered by your Coastal Area Management Act(CAMA)permit have received Buffer Authorization
provided the project is constructed in a manner that continues to meet all of the conditions listed below.Failure to
comply with this Buffer Authorization may subject the property owner and the party(contractor)performing the
construction and/or land clearing to a civil penalty by DWR of up to$25,000 per day per violation.
1. Crossing is Perpendicular: Pier and docking facility access way must cross the 50 ft. riparian buffer
perpendicularly(which is defined as between 75 and 105 degrees)unless otherwise approved by DCM.The
alignment shall minimize the removal of woody vegetation to the greatest extent practicable.
2. Pervious Materials:All reasonable measures shall be taken to ensure the access way is made of pervious
materials like open-slatted wood or composite,mulch,or grass to meet the intent of the rules to the
maximum extent practicable.
•
3. Access Width:The width of the pier or docking facility access way shall be limited to six(6) feet.
a. Project Drawing:The drawing on the CAMA General Permit is considered the project drawing of your
property indicating the relative location of the pier or docking facility and any requested access way.This
drawing will be used to aid in compliance and monitoring efforts. ( (
• Pre-project site conditions: ( elf / . /nQ/a-, (at(-rz1 (4 Lie-it -
rallri•signature rination p vi•ed nu igromplree to be anld d accurateble for meeting all of the conditions listed abov nd verify
ill
jo
A /.i ,�
r• rime/
ne ame Permit Off ersSignature
r Ai l // f / air Ira y - .Qfl
Age/or-'pplicant Signature - Issue Date
CA
MA GENERAL PERMIT N: r05a5 7 8
State of North Carolina I EmtroruoentM Quality[Coastal Management
washingtonoffice 1943 Washington Square Mall Washing ton.NC278891252-946-5{gt
• w@Nngton Office l 127Cardnalteve Ext.WdrnNptaLNC28405-384S 1910-796-Th3
Morehead City Office I400 Commerce Avenue Morehead City.NC 2855?1252-808-2808

°'"(4k R/CAMA DREDGE & FILL N° 85257 A ® C D
14 1 GENERAL PERMIT Previous permit N('r .
Date previous permit issued N I A
Qfiew ❑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:
I 5A NCAC if,I/T . / 0 n Rules attached. 14eneral Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name w f( I/aa het ItRb LA/e f 0 $��Qr Authorized Agent Y S Q Maar i r.,c Co,"L c+
Address QQ-�7 p( '�j /c1{i](Sar b✓ Project Location(County): V QQC..t�rL
T
City k State C ZIP -4-go8 Street Address/State Road/Lot` #(s)
Phone#(ZS2) 6 c-!' -Lois" ya3 /etinke.rc� �rr•
Email Subdivision S.M.�+1 G G
City M l ZIP .�O�o
Affected ❑CW ❑EW rV PTA ES ❑PTS Adj.Wtr.Body ?aril
CY7'C� na an/unk)
AEC(s): ❑OEA ❑IHA ❑UW / ❑SPIMA ❑PWS Closest Maj.Wtr.Body /am I,C 0 ' ale,/'
ORW:yes/c PNA el; 10 v 64 / 1
Type of Project/,Activity J i th ( /CD X !(n Cot_] G f 6 L A 'r �t 1 S.T 1,-, p tc:E T- r M
/)b s/ ( ,Sfiitcft✓L ?iD «• ` 66c4z. (Scale: I"'34'
Shoreline Length fi 35 .0f
Access Length
Pier(dock)length , l\ lar�I(yi
m �5
Fixed Platform
(s) T Xe V Vt.' 1 ► �..
j/ r✓bu it per}Zp f ?
Floating Platform( .e1C1 St't",
Finger pier(s)
Total Platform area
Groin length/# ('
Bulkhead/Riprap len lc;sA4-5
Avg distance offshore i�E
Breakwater/Sill
Max distance/length
Basin,channel
Cubic yards
Boat ramp
Boathouse/Boatlift_
Beach Bulldozing rlWl-
Other /irl1tlls,/ Goyei' / -E1tt4k'iv'‘65 $4.1lc. .4J Wd
0Utr - js4--c 9/ 4r-0-. ///
SAV observed: yes A
re
Moratorium: n/a yes `kr b t'14 t ��
Site Photos: s n �. U 4l//a
Riparian Waiver Attached: Je no /' P� q'
A building permit/zoning permit may be required by: geld,A/� `o
1 L ld / t TAR/PAM/NEUSE/BUFFER(circle one)
PermitConditjons Zes I S / rj/ -(_i i'i z lQGvr, kir,
3/h4 if ,r 6j.•c L%i1r� eYGG ►ii. �L 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)
4shI , G'e S y
Agent or Applicant PRINTED Name Pe it ' er's PRINTED
Sic u •'PI r ad co pliance statement on back of permit'= Si nature
l j l �1.� /��S3o -/Play —.2o zZ N Se if as zz
Application Fee(s) Check#/Money Order Issuing Date Expiration Ode

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
4015.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

• . �t°"44,t, —ICAMA fl DREDGE & FILL N9 85257 A ,B'. C D
GENERAL PERMIT Previous permit
Date previous permit issued ' (
n-New Modification n Complete Reissue n 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:
•
I 5A NCAC C,% 7`!;{ • f�"'- = n Rules attached. f General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name k,t '/<.'Wi 1 , ' i V Authorized Agent •
Address '( ;1( ) . cs</'),‘[a, c" Project Location(County):
City ';:114-\•-•• State ( ZIP -2 X:T Street Address/State Road/Lot#(s)
Phone#("''S I/Y/ 7C.'5 -I '--C3 ,1—, •r ,•, - f
Email Subdivision -
City ZIP T—7
4s QQ 5S -
Affected rim n EW El/PTA ❑ES 0 PTS Adj.Wtr.Body r - 1 (nat/man/unk)
AEC(s): n OEA ❑IHA n UW n SPIMA ❑PWS Closest Maj.Wtr.Body k r
ORW:yes/no PNA:yes/no
! l
Type of Project/Activity L�<+ I I f!-. 71 I(r, :t) e. ,, Li-G' r- 1 <,) ' '1 `'Cr r� I /f,
r1 G/i S f-1.�,.. 71z -,<'y r - Y� (Scale: 7.
Shoreline Length 3S'.'
Access Length a— ( —-) ., j• + _ _l_
E — I- I
Pier(dock)length f iI * i
Fixed Platform(s) i 1 j^j "}v
j ,. Go uF 1/ '+ice j j�,}?a 7o
Floating Platform( - w't a,t •
i :
Finger pier(s) I
Total Platform area i --- ._. _;
. •
Groin length/# , ^. C f
Bulkhead/Riprap lengtti i --I— , 4,Y•''.5!
Avg distance offshore — — - '--I-4' - ---- — j t.
Breakwater/Sill I
Max distance/length )
Basin,channel •
Cubic yards I _t —
Boat ramp t
Boathouse/Boatlift
Beach Bulldozing •i'=i }
r 1 I--Other '/ 116. ' , .
y. S�,— /!GY tip..► � r.
SAV observed: yes (ray l, I
Moratorium: n/a yes Ytii� k , � f c d r ,.— i I �'
Site Photos: y e i'nq d- 6 Y r - l if t t,
Riparian Waiver Attached: Ne5< rio it' { i �i+'� /
A buildin permit/zoning � y requiredby: r ,gp / gpermitma be gr -, /S� / �U
Permit Conditions • • •1,) �, n. 'TAR/PAM/NEUSE/BUFFER(circle one) /J
•
l':..... %!,J 4'4- ? D See note on back regarding River Basin rules
ElSee 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

''''''' } 'CAMA _. DREDGE & FILL N9 85257 AB CD
i
..oGENERAL PERMIT Previous permit
Date previous permit issued
New I Modification 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:
I5A NCAC I I Rules attached. 1 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 I I CW EW n PTA ES PTS Adj.Wtr.Body (nat/man/unk)
AEC(s): _OEA IRA I 1 UW 0 SPIMA PWS Closest Maj.Wtr.Body
ORW:yes/no PNA:yes/no
Type of Project/Activity
(Scale: )
Shoreline Length
i
Access Length I ' I -I -- --—
I
r:
Pier(dock)length `* } f j -.e i` j
Fixed Platforms) j .1ii
— e 1 (- -- - -- r
t V ,
•
Floating Platform(s) r t`; '
Finger pier(s) _1 -J-- _
i
•
—--� { If
4 _
Total Platform area . ) ! ' F y
1
Groin length/# --; I (
Bulkhead/Riprap length i _1— — r t�
t I
Avg distance offshore I I .- , —I �__._
j
Breakwater Sill •
Max distance/length
4 j
Basin,channel I — a l
—_._- . _
Cubic yards + } __..._,._._ _
Boat ramp — — 1 I
Boathouse/Boatlift I I
Beach Bulldozing �I '-.;
Other • `— ; .�i- - j
ISAV observed: yes no _j /1
Moratorium: n/a yes no 1 iJ r .� �+ J I + A. .a
Site Photos: yes no - t { ,
i ! .. r!
Riparian Waiver Attached: yes no `� i ^1..,
A building permit/zoning permit may be required by:
I TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions
7
I I 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

ROY COOPER
Governor
MICHAEL S. REGAN
Seaemry
Coastal Management BRAXTON DAVIS
ENVIRONMENTAL QUALITY Director
BUFFER AUTHORIZATION CERTIFICATE
FOR PIER AND DOCKING FACILITIES ACCESS WAY
A riparian buffer authorization is required for pier and docking facilities access ways through the Tar-Pamlico &
Neuse River Riparian buffer per Division of Water Resources (DWR) regulations 15A NCAC 02B.0233 & .0259. The
Division of Coastal Management(DCM), through a Memorandum of Understanding with the Division of Water
Resources (DWR) has reviewed your project proposal and has determined that the project as proposed complies
with the aforementioned regulations.
Those activities covered by your Coastal Area Management Act (CAMA) permit have received Buffer Authorization
provided the project is constructed in a manner that continues to meet all of the conditions listed below. Failure to
comply with this Buffer Authorization may subject the property owner and the party(contractor) performing the
construction and/or land clearing to a civil penalty by DWR of up to$25,000 per day per violation. •
>. Crossing is Perpendicular: Pier and docking facility access way must cross the 50 ft. riparian buffer
perpendicularly(which is defined as between 75 and 105 degrees) unless otherwise approved by DCM.The
alignment shall minimize the removal of woody vegetation to the greatest extent practicable.
2. Pervious Materials:All reasonable measures shall be taken to ensure the access way is made of pervious
materials like open-slatted wood or composite, mulch, or grass to meet the intent of the rules to the
maximum extent practicable.
3. Access Width: The width of the pier or docking facility access way shall be limited to six(6) feet.
4. Project Drawing: The drawing on the CAMA General Permit is considered the project drawing of your
property indicating the relative location of the pier or docking facility and any requested access way. This
drawing will be used to aid in compliance and monitoring efforts.M (
• Pre-project site conditions: (�c7� IS /� (Q/ti )�'r�t) (4 (.1/4)(A
By your signature below you agree to be held responsible for meeting all of the conditions listed abov and verify
that all information provided is complete and accurate.
Agent or Applicant Printed Name Permit Off er's Signature
fray -
Agent or Applicant Signature Issue Date
CAMA GENERAL PERMIT#: Vc/as 7 13,
State of North Carolina I Environmental Quality f Coastal Management
Washington Office 1943 Washington Square Mall Washington.NC 27889 1252-946-6481
Wlfrnington Office 1127 Cardinal Drive Ext.Wilmington,NC 28405-3845 1910-796-7215
Morehead City Office;400 Commerce Avenue Morehead City,NC 28557 1252-808-2808

Authorized Agent Consent Agreement
1, ,.. ..-E/2/fkg,herby authorize Tobin‘lay Tetterton of
tf'rqperty Over()) --
VS Marint COnitrUeti011,TIC to net on iny behalf 11 obtaining CAM it, pennlis ior
the location listed below.
PROPERTY ADDRESS:
_. _,,.,2 3 ---Thh kcci Dr
c 7 6 6 1 r"
PROPERTY OWNER'S MAILING ADDRESS:
41 .
?2/7- /e 9-3
OPERTY OWNER'S SIGNATURE:
A UTROR(ZED AGEN1 SIGNATURY:
- '11 -BIN 17`r filefeA-
7
DATE: ..,5". —.92)/ 2Q22-7
witaahorimi,Agent CarLcal Azree. •

A.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIirD MAIL - RETURN RECEIPT REQUESTED QC HAND DELIVERY
‘..Top p ijon to be completed by owner or their agent)
Mame of Property Owne _ �. __ ► C
Address of Property: .33
Mailing Address of J C-.6Owner /
Owner's emaliblihj r 66 e /A) Owner's Phone :,fA'
Agent's Name / s'11;27 j ; e Agent Phone#;c: 1 9 if —{�-,l .,"` •
Agent's Email: C,'f)
.,..-._.._._�.�'..�u.. -_..rs�.-..._- .- _-._ _.. -pram-.sue^>_.-..._-�.^.-..�Av-� .-_...`....t.,--+wrli,.�!1�fX�P�"7.r-<:: "'^'_ .. .. — •_. _
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICA T IOV
(Bottom portion to be compi_t¢d by the Adiacent Property Owner)
i hereby certify that t 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
descripiion,or drawing,with dimensions,must be orovided with this letter,
i DO NOT have objectons 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 Coast
Management(DCYI) in writing within 10 days of receipt of this notice. Correspondence sprout#bd
mailed to 943 Washington Square Mall, Washington,NC 2788P. DCM representatives can also be
contacted at(252)946-8481. No response is considered the same as no objection if you have been
notified by Certified Mali.
'. AIVER SECTION
understand that any proposed pier, dock, mooring pilings, boat ramp,breakwater,boathouse,lift, or
groin must be set back a minimum distance o€15'from my area of riparian access unless waived by me
2its" 's doss not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you muse skin
the appropriate blank below.-;
I DO wish to waive some/ail of the 15'setback
Signature ofAdjacerri Riparian Properly Owne,
-OR-
do not wish to waive the -1 b'setback requirement(Initial the blan 4 _ �_.�..._...
Signeiure of Adjacent Riparian Property Owner.
Typed/Printed name of ARPO: 1 t.1t�x-!L tpr Lr
Mailing Address of ARPO: 445-T(, x kan:i 3),(tve._ l�czLk K.) 2.788
•
ARPO's email: +tfl1 * 4 j.6wn ARPO's Phone?: 3 -5-40 9zJ��i'o-`�70 25-
e5a,„.ti l s5 co ►� ;
Date: 2-4 )21JZZ%waiver is vaEid for up to one year from ARPO's Signature-
Revised,i ui v 2021

I.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
•
ERJf_FiED MAIL - RETURN RECEIPT-REQUESTED or HAND DELIVERY
:Top p Jon to be corn feted by owner or their agent)
Name of F'aperty Owner" —fr- I / d
ItkiLet)
Address of Property: zi.-.34 /a 1l AG!chi ,.. i _ .
Maiiinc Address of Owner ____
-__ ._._ .ZI
Owner's email' r ed /I!o.CO,) Owner's Phonet ttAV: y6-. /. , rJ 1
Agent's flame: //0 i/1 _c•-ei1 r,./C`C Agent Phone#:: .7J 1 ' 7-` ,2`"66v` .7%'
Agents Email: . /)r'1`7 t f JIie/�6 pci
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
;Bettor;,portion to be completed by the Adlacent Property Owner;
c
hereby certify that I own property adjacent to the above reerenced property The individual applying for this
ermit has describe]to me, as shown on the attached drawing, the development they are proposing.cserioten or drawing.with dimensions must be nrovirfzd_ j h�isJelte.
ll l DO NOT have objections to this proposal._ I DO have objections to this propose].
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 b6
mailed to 943 Washington Squ rs Mail, Washington, NC 27389.DCM representatives can also bo
contacted at(232) 946-6481.No response is considered the seine as no objection if you have been
notified by Certified .Mail.
WAIVER SECTION
. I undergtynd that arty prop"-: dock,moor?nLT gift .,boat ramrrp,breakwater,boathouse, lift, or
groin roust be set IAA a :=ni ; . - ..'.itranut o'IT!Ion J area cif Madan uTi;.,;,,
-
.02"-- (ifs clot not apply tobulkf'+taus ut ripretp ri3norrlla). Cr you`iViSti tO waiy�s�tlrC sett:1ao14,you Yip Ili jtir:A SIgi1
The app,oprtate blank.below4
UU wish q waive some/ail of io 15'st!^locl � �� fue., J OA) e.(�/14 .
-OR-
{ do not wish to waive the 15'setback requiremont(initial the blank)
Signatwo of AUjacer:t.;t;u�.r ter. F:up:✓r iy Own : _ J1.wl .____
2 c
Typed1Printed name of ARP0: "({e U a Ix_ t'. �a n K 4- ___-_..-.... --
Mailing Address vrARPO: If f f -ra✓t K 7 D e. V`�4 Ii.eti'en , Ai C. 2. -ia
e
__.....-__
( � ram+
ARPO's email:+C'eQe t-civ� c3 .Ca Atom's Phone#: aS 2--4 y '_S Ste 6
Elate: .5"-oZ.S:0201 Z.._-"giver Is valid for up to ono yoar from ARPO's Signature'
Rovised.July 2021