84426C - Wiederhold, Paul

;`°AS'V c❑LAMA El DREDGE & FILL NO. 42 A B C D
z =GENERAL PERMIT Previous permit
Date previous permit issued
El 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:
15A NCAC ❑ Rules attached. ❑ 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 ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (hat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
Shoreline Length
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/#
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 no
Moratorium: n/a yes no?
Site Photos: yes no
Riparian Waiver Attached: yes no
A building permit/zoning permit may be required by:
Permit Conditions
(Scale: p� )
❑ 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)
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

i
t CWk& ❑ CAMA ❑ DREDGE & FILL 4426 A B C D
GENERAL PERMIT Previous permit
` Date previous permit issued
❑ New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
l
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 ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name _
Address
City
Phone # ( )
Email
State
ZIP
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
P
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
Shoreline Length.
Access Length _
Pier (dock) length
Fixed Platform(s) ,
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/# ;.y.
Bulkhead/ Riprap length
Avg distance offshore _
Breakwater/Sill
Max distance/ length
7
Basin, channel
Cubic yards
r
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed: yes no
Moratorium: n/a yes no
Site Photos: yes no
Riparian Waiver Attached: yes no
A building permit/zoning permit may be required by: _
Permit Conditions
(Scale: )
1
❑ 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)
Agent or Applicant PRINTED Name
Permit Officer's PRINTED Name
Signature "Please read compliance statement on back of permit"
Application Fee(s)
Signature
Check #/Money Order Issuing Date
Expiration Date

M T
AUTHOO17
900-0sk! COAMA PSURMIT AU010- I-K.-VATION
Name of Property Owner Requesting Permit: v%%ANw
Mailing Address: -l"a t t Z T
Phone Number:
Email Address: � 4L *V*N
I certify that I have authorized
�wc-x.
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all LAMA permits
necessary for the following proposed development:
at my property located at 1
in 4&f V-S V. County.
I furthermore certify that / 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
per y mn it application.
Property Owner Information:
Signature
Print or Type Name
Title
J U N 2 8 2022
Date
De"-MHID CITY
This certification is valid through

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (MINOR PERMIT)
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERED
06/17/2022
n r Date
Name of Adjacent Riparian Property Owner
� �-' c Mp,7.voe
Address
Harkers Island, NC 28531
City, State Zip
To Whom It May Concern:
This correspondence is to notify you as a riparian property owner that I am applying for a CAMA Minor permit to
Build a dock with boatlift
on my property at 132 Maxwell Drive, Harkers Island, NC 28531
in Carteret
County, which is adjacent to your property. A copy of the application and project
drawing is attached/enclosed for your review.
If you have no objections to the proposed activity, please mark the appropriate statement below and return to me as soon
as possible. If no comments are received within 10 days of receipt of this notice, it will be considered that you have no
comments or objections regarding this project.
If you have objections or comments, please mark the appropriate statement below and send your correspondence to:
(LOCAL PERMIT OFFICER, NAME OF LOCAL GOVERNMENT, MAILING ADDRESS CITY, STATE, ZIP CODE)
If you have any questions about the project, please do not hesitate to contact me at my address/number listed below, or
contact (LOCAL PERMIT OFFICER) at (PHONE NUMBER), or by email at: (LPO EMAIL).
Sincerely,
Paul Wiederhold & Jessica Henderson
Property Owner's Name
Address
252-205-8977
Telephone Number
City State Zip
I have no objection to the project described in this correspondence.
I have objection(s) to the project described in this correspondence.
, V4"111, kL
Adjacent INpWrian Signature
Print or Type Name
2vLZ
Date
2 g z ) 13 1 � (,i �: c
Telephone Number
C S 1
Address City State Zip
M
_M
0
Revised July 2021

TIPS FOR ADJACENT RIPARIAN OWNER NOTIFICATION
CAMA Regulations require notice of proposed development to the Adjacent Riparian Property Owners (15A NCAC
710204(b)(5)). Proof of actual notice (a sign -off by the owner on this form) or certified mail return receipts (showing
delivery of 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 or the
LPO an opportunity to consider these comments/objections before a permit decision is made. "Permission" of adjacent
property owners is not necessarily required for DCM or the LPO to issue a permit. It is in the applicant's best interest to
provide comprehensive and accurate notice so that any concerns or objections 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 by 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 or the LPO- 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: littps://www.sosnc,(Yov/scarcIVindex/c'o . 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 the LPO; OR
• You can hand -deliver this form and a description or drawing, and ask your neighbor to return it to DCM or the
LPO (consider providing them with a stamped envelope); OR
• You can mail this form by LISPS 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 or the LPO
If you have any questions about this process, please reach out to the LPO, DCM Staff and DCM Legal Counsel and we
will work to answer your questions.
JUN 28 ZOO
DCM-MHD CITY Revised July 2021

-1 Z-0IT

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (MINOR PERMIT)
CERTIFIED MAIL, RETURN RECEIPT REQUESTED or HAND DELIVERED
06/17/2022
0AWDate
W C, Awjo2,.E5t
f Adj
acent jacent Riparian Property Owner
3 � M
Address
Harkers Island, NC 28531
City, State Zip
To Whom It May Concern:
This correspondence is to notify you as a riparian property owner that I am applying for a CAMA Minor permit to
Build a dock with boatlift
on my property at 132 Maxwell Drive Harkers Island NC 28531
in Carteret County, which is adjacent to your property. A copy of the application and project
drawing is attached/enclosed for your review.
If you have no objections to the proposed activity, please mark the appropriate statement below and return to me as soon
as possible. If no comments are received within 10 days of receipt of this notice, it will be considered that you have no
comments or objections regarding this project.
If you have objections or comments, please mark the appropriate statement below and send your correspondence to:
(LOCAL PERMIT OFFICER, NAME OF LOCAL GOVERNMENT, MAILING ADDRESS CITY, STATE, ZIP CODE)
If you have any questions about the project, please do not hesitate to contact me at my address/number listed below, or
contact (LOCAL PERMIT OFFICER) at (PHONE NUMBER), or by email at: (LPO EMAIL).
C 14
Sincerely,
JUN 28 av
Paul Wiederhold & Jessica Henderson
Property Owner's Name
252-205-8977
Telephone Number
aUl„''�'
Address City State Zip
I have no objection to the project described in this correspondence.
I have objection(s) to the project described in this correspondence.
Ad cent Riparian Signature
, U*o �- A 0 o � P, Se,
Print or Type Name
3q, Moocilu)4 00-e-
Address
c, /1a- a.
Date
%Iq-3<09-
Telephone Number
City State Zip
Revised July 2021

TIPS FOR ADJACENT RIPARIAN OWNER NOTIFICATION
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
delivery of 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 or the
LPO an opportunity to consider these comments/objections before a permit decision is made. "Permission" of adjacent
property owners is not necessarily required for DCM or the LPO to issue a permit. It is in the applicant's best interest to
provide comprehensive and accurate notice so that any concerns or objections 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 by 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 or the LPO- 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: litt��s://www.sosne.aov/search/inde /coru. 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 the LPO; OR
• You can hand -deliver this form and a description or drawing, and ask your neighbor to return it to DCM or the
LPO (consider providing them with a stamped envelope); OR
• You can mail this form by LISPS 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 or the LPO
If you have any questions about this process, please reach out to the LPO, DCM Staff and DCM Legal Counsel and we
will work to answer your questions.
RECEIVE[)
,JUN 2 8 2022
Revised July 2021
DCM-M D CIT y

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'OAT
JUN ? 8 a
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