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HomeMy WebLinkAbout85283B - Robey, Ruth �caurq� � 5 N� 85283 A B C D o� �I )CAMA I-I DREDGE & FILL ( = GENERAL PERMIT °#f7d`760 ermit DatPrevlpreous vouspermitissued 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: I5A NCAC ❑Rules attached. General Permit Rules available at the following link:www.deq.nc.gov/CAMArules Applicant Name t-.sA 4 i- Authorized Agent Address -`'7- T .cl-'s . O Project Location(County): City -- State I ZIP 7-7" > Street Address/State Road/Lot#(s) Phone#( .:1.) '5 �" 1-0'f7 e Email .'+C C IOC'y(:::->'' Y'Y''Cs C f C, . C i:n'^ Subdivision City —ZIP :-2 i'S k; Affected n cw n EW n PTA ❑ES ❑PTS Adj.Wtr.Body (a/man/unk) AEC(s): E OEA n IHA n UW n SPIMA PWS Closest Maj.Wtr.Body ORW:yes/no PNA:yes/no Type of Project/Activity _11 P7 5 t e-, II A -�' -.-,, .. ,. ,.., .;. 16 ' ,.f ? .. :—, < c.1 t./ r * c,.-. L--- - y'►e"-: +6 k -,w^ , c l x 19 ' C 4- (Scale: ' Shoreline Length C Access Length .Ik. . _.._._. -# 1- #atf .... { - 1- -- -- -F...'+e Pier(dock)length ''• -t —' fSi �a t- hP`fs _ / v1/JLlttta Fixed Platform(s) F•E'c�r'► \ ,c i ' p j _;g_. _ t� r •tP-e'er.._ • �,P v Floating Platform(s) 4,4 TM ; 121 / I Finger pier(s) 1 A__ .- e-1$�r\ ' k .X �G I Total Platform area r�? 4,1 X\c.),, .., L - j Groin length/# _ kit-.'bt' , ,,L , - I Bulkhead/Riprap length - ����'4�� i ' ._.'---- i Avg distance offshore , �._...... Breakwater/Sill ' 6 `/ .-, ' s r ` C-x ) Max distance/length wit'' 1 4`5 <.\ ' x I " Basin,channel i I Cubic yards r — Boat rampo / 4-z 2 Boathouse/Boatlift �� X �' 0,f'1'i,v-re �' Beach Bulldozing5H__, — I . — i I �w Other ,./`/Inic w C ..._le., ........„,..i t SAV observed: yes no ' • • • i p��r I Q •`t Moratorium: n/a yes no 4 \ r'1CJ %��d(� f ' ' �" _ � Site Photos: yes /t=' (r�L ,IG1\ ' - 1' 4 t Riparian Waiver Attached: yes no r!icsi, ': 1 I _ I I ,, A building permit/zoning permit may be required by: • � n 1 J n TAR/PAM/NEUSE/BUFFER(circle one) Permit Conditions;,;. . L-` '-. - ( > 1 `)WY Gf E:, ; ,Y -1 I ' (-4 1 1V4(' T {t/i�- 1. [J See note on back regarding River Basin rules l i`I �Ci/,- ( 1 Orr F -'.t f <4 I 7 ll I . r t n See additional notes/conditions on back . l� !tr'p1^4 Sk.n 4� jc2 E r- C <:'+ , , - : , ... 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: 252-247-3330 252-946-6481 (Serves: Carteret, Craven—south of the Neuse River,Onslow Fax: 252-948-0478 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:910-395-3964 (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 sso`°As CAMA ___I DREDGE & FILL ' ' No 85283 ABC D .4 701U 0 Previous permit GENERAL PERMIT � Date previous permit issued 7New 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. I I 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 (nat/man/unk) AEC(s): OEA n IHA n UW _SPIMA I I PWS Closest Maj.Wtr.Body ORW:yes/no PNA:yes/no Type of Project/Activity '� t et, 4 , .. _.1- t (Scale: Shoreline Length E ! , Access Length ; +TT• 1 - u - ti ^._;. .f._e„-.1G. Pier(dock)length _ �` t; IL- ' ^-- "" -- Fixed Platform(s) r. �.3; et,t. . x I.-„-- Floating Platform(s) �__ i _ Finger pier(s) _ I fr "' i_ ? , 1 i. , 4 I • 1_ ( f jj , —..—�1 j �c i._ : -� tt.�._ .._. ._ ._._..T—,_ �-._� _.._.._...—...._.— Total Platform area , X�`t +✓, j i j , , Groin length/tt i Bulkhead/Riprap length - - ,r,`' ) ---------- -• • ; I Avg distance offshore ,`-— ----4, 4 r Breakwater/Sill 1 4. , Max distance/length i ;., t•,\ '� Ki Basin,channel I - I ' j ' j . .. Cubic yards — r Boat ramp I b i �j� + —� le • z .? Z.Boathouse/Boatlift i 1 -1Ic« I,5 1-7{ r i,. w Beach Bulldozing I , Other ■ w i ,-1�7 F { r-/c re 1 , ?V..ir I....qu —' "' �....._ 1z: 4-► i , )tom f% SAV observed: yes no t I , 1 jI u> C1 f I Moratorium: n/a yes no ' ' I ' 'r'" ti\i ti w - - rC_ Site Photos: yes no I t Riparian Waiver Attached: yes no '• 1 }I A building permit/zoning permit may be required by: - ., _ ' Permit Conditions n 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 4/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: 252-247-3330 252-946-6481 (Serves: Carteret, Craven—south of the Neuse River,Onslow Fax: 252-948-0478 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:910-395-3964 (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 4ROY COOPER MICHAEL S. REGAN Secretary 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. i. 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. Perilous 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. \ •/l • Pre-project site conditions: /..0/- f /f'/ ive..-,‘1 c-•,t- hQt,�.At (,1/P'1 . By your signature below you agree to be held responsible for meeting all of the conditions listed above and rify tha! i formation provided is corn alete and accurate. •r' p, l"'nt 'i'te. . 'e AIPermit Offi s Si nature .�' ,.!1 _ ' s/IS! - A./ lV- 5t-St - a�aa ge .'r *plicant gnature Issue Date CAMA GENERAL PERMIT 4: S-5;•. -3 3 State of North Caroln,a I Environmental Quality Coaxal Management Washington Office 1943 Washington Square Mail Washington.NC 27889 1252-946-6481 Wilmington Office 127 Carnal wive Ext.Wimington,NC 28405-3845 1910-796-7215 Morehead City Office;400 Commerce Avenue Morehead City.NC 28557 1252-808-2808 11" N's ra NO SZ Hi 01 " V14.918 IVIDY frianfOrtjA , :UtifELYNMS S,ZGIVIttO,t1 XYdrOiri P * Q may turirtv-K biuk.nco .u.sw.taaw Q-4)4 rid! 1:1\b --, f 2 aplTh , 4 1 $6...0.41H/14N,A‘• fts gorca •ilawe '12,tarwrogiaary.~mom I re661066 1166* N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM CERTIFIED MAIL- RETURN RECEIPT'REQUESTED or RAND DELIVERY (Top porti to b compie by owner or their agent) Name of Property Owner:_ ALI ) / Address of Propernr: .� 6 /i 'ci f. ` (..c— /L-et c "L"icy 4 Al Mailing Address of Owner: 7, r M � Owner's email. ��, d �« t4 _ r63 OW Owner's Phone#:� 73 -r.ag 74 ,757 Agent's Name: / s `/eilin,d i✓ f2.5-r C Agent Phone: 5ji�7 -- c�aty Agent's Email: I jq)r'n 0 rsii 't (;i;`�j ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION Bottom portion to be completed by the Adiacent 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 descriptionWo or drawing.with dimensions, must be provided with this letter. ,.)4' -1 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.C. Division of Coastal Management(DM In writing within 10 days of receipt of this notice. Correspondence should be 7 mailed to 943 Washington Square Mall, Washington, NC 27889. DCM representatives can also be contacted at(252) 946-6481. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION 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 t) 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- 1 do not wish to waive the 15'setback requirement(initial the blank) .,S{\L. Signature of Adjacent Riparian Property Owner: J1f1/ ' la `x- ( Typed/Printed name of ARPO:I� 5 f,1''1� ��1}_C 41 1 IV'----- Mailing Address ofARPOt VO eilC-1 , ARPO's email: �muffe Osicletythcc000's Phone#: \2-Cal - loCieZ Date: tr 13-22 *waiver is valid for up to one year from ARPO's Signature= Revised July 2021 N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER.NOTIFICATION/WAIVER FORM CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY ' `Top porrjo. to b complet by owner or their agent) Verne of Property Omer. Ai t G.r _ Address of Property,: _ a: j�� L• l� �)� _ ! 4/ fif Mailing Address of Owner: ,____S:ly f - Owner's ernail.�,11(()bc &ID, iv, �--Owner's Phone#t:�r3 Jae— 7 ' Q Agent's Name_/ t L/.e Agent Phone#:4- ,_5' — 9d/J eS-.77 Agent's Email:"t 73ia i'tl 0 PSi tct 6I'm ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portiorto be completed by the Adjacent Property Owner) I hereby certl;y that I own property adjacent to the above referenced property.The individual applying for this k. permit has described to me, as shown on the attached drawing, the development they are proposing. A description or drrwinq,with dimensions. must be orovided with this lettgr. � 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 tho INC. Division of Coastal anagement(DCM) In writing within 10 days of receipt of this notice. Correspondence should be mailed to 943 Washington Square Mall, Washington, NC 27889.DCM representatives can also be contacted at(252) 946-6481.No response Is considered the same as no objection If you have been 7 notified by Certified Mail. () WAIVER SECTION 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 (#.--.l j, ,he appropriate blank below_) (�/1----Ls.) ! DO wish to waive some/all of the 15'setback Signature of Adjacent Riparian Property Owner -OR- I do not wish to waive the 15'setback requirement(initial the blank��k.„_.„. If Sinnatt:re of Adjacent Riparian Property Owner- T27ypadlPrinted name of ARPO:_,_ `�os`� c' g--41 Mailing Address ofARPO: 2 v\+ ervfcA.,.../ KJ �,,,,Itti- NL 2 -Th • ARPO's email: i'O" G �-eW;S , co 4+ ARPO's Phone#: 262- 'lit,- r'7 '1 1` o- Date: io'14 2z--- '`waiver is valid for up to one year from ARPO's Signature" Revised July 2021 SAM, NORTH CAROLINA BOOK NO. PERMIT FEE Sa PERMIT No. APPLICATION FOR: BUILDING PERMIT( ) ZONING COMPLY —,-•—�—�-.� _. ,ONCE CERTIFICATE ( ✓ ) /-93Me & Licer,lse No. Address Phone No OWNER 3: /�`'o c`� C�Sc � ,; CONTRA / S ) > �' 67 .7 d ter-` ' -i CONTRACTOR / ,-'�l z ...Oita :] f`O ` - �a DFCIGNER (�� SURVEYOR ELECTRICAL PLUMBING TYPE OF •1.MPRO €EMENT NEW ( ) ADDITION ( ) ALTERATION: INSIDE OUTSIDE( ) REPAIR: INSIDE ( ) MOVE ( ) OUTSIDE ( ) LOCATE ( ) Lot No. Block No. Building located at between . �i��ti ���: and Streets. 8uildin0 to be used as • Type Construction - ;� ,,i ---- Number of off street parking spaces ---— Contains rooms and Total square feet of building hath(s). Electric Service Type of heat No. of plumbing fixtures `� ( ) g"( ). Corner bracing; Plywood � Foundation block caps ( ) Other . Insulation: Floor_ walls , Ceiling Windows: Storm ( )Thermal ( ). How many exterior doo,--- Water Ffeater: Gccs ( ) Eiearic r � )Other Roof ventilation: Gable ( ) raves ( ) Lowers ( ) Other • Crawl space, number of feet apart Ventilation . Height of aawiSpace under house: 18"( ) za"( ) Other� , Zone Water and Sewer Tap: Paid ( ) N/A( ) Size water tan__ Size sewer tap; _ . Total Estimated Cost__, Flood elevation BUILDING INSPECTION DEPARTMENT COMMENTS: (oVE ExiSm rG P' rt XoTRt_rGTN pct.) d7GTt� Stscerreue 4 1 ISacr (_,rr( 4 P,t 4S 3) St nr` SETs f 9i ' Saks 38' JoAL-rs+ �NERAL COMMENTS{ � 1 Y1 J !St' I,G=, V " r� ,C ° ' " 0 rvs-f- to G ,<. I cc, e f • / CITY LICENSE NUMBER: , çcg71 Coutiactor/A > Electrician Plumber/Heating Application approved by: C> G-/3-22.— The owner of this building and the undersigned agree to conform to all applicable laws of the Town of Bath.,North Carol' a. gnature of Applicant Effective 8/10/04, there is a $50.00 filing fee for all permits, including zoning compliance application. Any construction that requires installation of water or wastewater services may: A) Be installed by owners, contactors or B) Be installed by Town of Bath Utilities Department All components must be compatible with existing water/wastewater materials, including Myers pumps. Bath Utilities Department must inspect all construction prior to services Becoming operational. Inspection fcc is $100.00. • • . .' i • • A,-�'ry--' • i i E v I • ; ;� ` • tj ; , • (0.-J-H, ‘I'd , : , . . . . -;� • • :N . : :./\._ • '�`p.z, , ,f!' , : . q' . . „..... , i, --- , , • . \ . i i • 1 .�' i , • Vi 1 ' 1 , •'�, q �' i 1 i I I . ; 6' r ...i. \ �" 'A i i • i I I v r : T\ i I , I I 1 I 1 . c I i . , . • . , . . I • I�N b. I 11 j 1 I I I 1 z t7 ! i ' 1. ' I • I .,!' j, I i , 1 i I 1 i : E --i' I 1, I• ' , ; 1 ; i 1 . , ; i t i ! i 1 �� j 1 N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY (Top portion t e completed b owner or their agent) Name of Property Owner: C,' /71 A Address of Property: "li G ' v 4 ' ã4O 4lc_ ;td7 Mailing Address of Owner: Owner's / '�ci emaila O(3f � f,,C)Owner's Phone#:CJ73 —o?es-- 7 n0 Agent's Name: ii/e- 0dr,(Syy,L.4.0 Agent Phone#:9J67-24(3--of 77 Agent's Email: .--/—(;1);{) �LL�{�` ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION ,: (Bottom portion to be completed by.the Adjacent Property Owner) I hereby certify that l 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 t description o r drawing,with dimensions,Must be provided with this letter. ✓ 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.C. Division of Coastal Management(DCM) in writing within 10 days of receipt of this notice, Correspondence should be mailed to 943 Washington Square Mall, Washington, NC 27889. DCM representatives can also be contacted at(252) 946-6481. 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 Y •i Signet=te of Adjacent Riparian Property Owner I -OR- F I do not with to waive the 15'setback requirement(initial the blank) e �. Signature of Adjacent Riparian Property Owner: t' Typed/Printed name of ARPO: �4�5 \10oc..l• J( Malting Address of ARPO: 7�¢� a �j , �, -cr_� �. (�rA�1.a 1(5. JJ'c 2 7b5Ei ARPO's email: `:--Qs e, r„, l�+ F; C,-,,,.NARPO's Phone#: • /IL(—(7'70 - Date: -7 *walvor is valid for up to one year from ARPO's Signature' Revised July 2021 Y C C11't510341 Or COASTAS NANAt:.r3tt.Nt ADJACENT R PARiAN PROPERTY OWNER NOti}3CAflO 4NOJYtR rowe r,,CRTIE ILK 3fTURN RECeinffoCelf$iCI ce KVIO OE:-i' IY (To wool f aempktad yNTpR(Or Pelt VIM) t.er.e orb O.�r r • 1. Oroarr.msoert, +�f .�i1 �- �a^VntrMr.fawn.. C�-+�'f?err--7d'iv ' 'a ".7 ItGsG;rtc..62.e.hcr rm..,.a' -'- .> 77 Noon tA r 174nACSAtt t?. _._ _w_. ARMcflr 1wMWM PROPERTY comers currocAnoN woos ems e se immessi AL ems •Masse Moo kook t two*,er-M Priors moony uq.o.r4 to A..Nw,rws fowl a'ao.Iy Ito s•33•Ru-aoipr31"9br rts t im*+rte P•scrt.e b oil r rnaron on a+..eteanat erawap„P.4,110410iw re ero rrcwKV d gruffuritatiroaotammaounatimmasfeeigusiellt f tine)NO*Mr op. yr'who yoya..t 100 nom ottomans et Vv moms' ' +r' .ofywlLs b vomit bay p4't may ow sew ey vie Mt&Gwen ofComae C eadeedereev mate sis waft law to ft.at mow siii soca~led to I A 11-Ni-MU*pm abrwyear,,RC OMR oc °°j-Iw O.1 us c endive '-' l.at+r70a Mt4ftt+f, r.pr..rir 0plietaseaeo br walledarc..aRwNira t'p�""rc.+thew.«rwsaw.ueoeeM.etranryevaw.e..n WAIVER SECTION vn + fe'Mtrad INNINNRP,;MOW Cw.Olt*.' wg Nora rt .b roil/N dr,bo.Mners:a't. Oran oust be tee twit.womendtR.er<.of N'U.rn',I,9'er.a rgrr N tn wills IPA**w.r.p Pr ms .Ise Ono nd ear b bAr.Jdt or MOW ettrrst' *) Of KGtAeP b*Ow tlis taercL you u q e*o tits,.o'tt+ntfe bveteo.a �j, 1 .rco wave entsdl�.,Y*ohm, If aa- SVORNO tx irx�ny ii Iv t de no wen to mete P1le'weal*reolat.ttrra yew ter blew /.->r ' S.;1Iea..a Atpo.nt Rto,r P ,.rtr 00,,w 4�`�, :{ .i_''t j / .... _ !+kt rt ._. t, Y W attn.of ARPO .,,�,�r i 1;{ 4x►tdf1l•' 2 y Maim(A41trata w Atit�O:*IL, :1:i, rj, Ci o 1- AI( 4�'L$ W0 a IQ.1K' r ' -'r f� -.t:�.��._r__�__ _ ►.,t3�..=+d�wa.vb.e.te: -�_°Z-�}j7- Lcrl'"r2 • /j ; da' •q'�;.'!') Z�. Nolo.'is vote be c;p m or,.err tr4m Anovs S.pratu's'