Crawford, Robert 84447C

❑XCAMA ElDREDGE & FILL IN%1 6444/ A B CC D
9 Previous permit
3 GENERAL PERMIT Date previous permit issued
RNew ❑ Modification []Complete Reissue [—]Partial Reissue
As authorized
��byyt�the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
l'rl�t
15A NCAC f�. IUDRules attached. General ermit es avai a e at the following link: www.deq.nc.gov/CAMArules
Applicant Name
Address
City
Phone # uw'w
Email
,vutnorizea agent c J rr— I IV] t L v L4-1i •-
Project Location (County): 6~
Street Address/State Road/Lot (s)
Subdivision --
City MR044^ zip.
Affected eO
W� PTA ES ❑PTS Adj. Wtr. Body (/ a man/unk)
AEC(s): /�-��EA �IHA RUW ❑SPIMA �PWS Closest Mal. Wtr.BodyrXV � _ '"r.�
ORW:vesllto/ PN :dies no
Type of Project/ Activity t
Shoreline Length I')V)n
Access Length �,it _Af!Ut
V f
204
Pier(dock)length �—
Fixed Platform(s)
V
Floating Platform(
Finger piers) 4"1 � it 4
Total Platform area 6T _
U
Groin length/#
Bulkhead/ Riprap length
I
Avg distance offshore
Breakwater/Sill
Max distance/ length .�
Basin, channel l
Cubic yards
("
I
W
Boat ramp
Boathouse tlift
\
I
Beach Bull '
Other �{ .
1
SAV observed: yes
Moratorium: n/a yes
Site Photos: yes o
Riparian Waiver Attached: ee no
A building permit/zoning permit may be required by:
Permit Conditions 0A M OW, W tma F
or ADDlicant PRIM 11D Name
Signature **Please
2.
LO
Application Feels)
1 � _'//iWf//1'
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Nr
(Sca(eks )
16'
L__!—�
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
APPLY TO THIS PROJECT AND %EVIEWED COMPLIANCE STATEMENT. (Please Initial)
f
on back of permit"
Order Issuing Date
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#19Nevv
DgCAMA ❑ DREDGE & FILL N° 84447 A B © D
Previous permit
GENERAL PERMIT Date previous permit issued ❑ 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:
oµ 15A NCAC • IUD ❑ Rules attached. M General Permit Rules available at the following link: wwwden nc gov/CAMAruI s
Applicant Name
Address
City
Phone #
Email
Authorized Agent C )VDU
Project Location (County):
Street Address/State Road/Lot
Subdivision----�
City �t�(21 ZIP
Affected CW f6EW PTA rES ❑PTS Adj. Wtr. Body (,� a man/unk)
AEC: OEA IHA ❑RUW SPIMA PWS
()s/1 1-1❑ ❑ Closest Maj. Wen Body �
ORW: ves/no/ PN :hies no
Type of Project/ Activity (,FWkrr T /WC7 it
IGII��'u7(
A L4 -1 y
(Scalew )
Shoreline Length
Access Length 1Af 4/0
✓�(j��/
Pier (dock) length 441
rr����,,,,��
Fixed Platform(s) 20,
``�
,/
Floating Platform(
Fingerpier(s) Ciro i tl -IT..
xjf..r M�J
Total Platform area
Groin length/# 1,
.LL
Bulkhead/Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/length
Basin, channel
Cubicyards�
Boat ramp
Boathouse tlift
Beach Bul
`
1
GV r f
Other) .Q.)P
f
�111 ` �I ��s'l
r."�,' P`I�
-
L-b
observed: yes
SAVMoratorium:
Moratorium:
I �
r
n r�,rs,l
'(/ �^^
-1
n/a yes
IJr
Site Photos: yes o
Riparian Waiver Attached: ©e no
A building permit/zoning permit may be required by:
t
a'f'' (, �j�
❑ TAR/PAM/NEUSE/BUFFER (circle one)
Permit Conditions
%/4'f"1� 9/ n(j6 /MW M1
I�'//y4.�i.�/i/f71'(��vvfft(�
ty 1.A1 i f �+' /
❑ 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 aEVIEWED COMPLIANCE STATEMENT. (Please Initial)
!� m(toolm?
Agent or Applicant PRINTED Name
Per it Offic is PRI 1TED Npme
lan
Signature '*Please read compliance statement on back of permit••
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gn e
A 7
Application Feels)
ak Money Order
Issuing Date I
ElxpiratiodDate

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONNVAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: koLxyi 6rD[it)krd bi X(t+hMen Sherman
Address of Property: 5r6 5410-r 1.hyG� ch ed., Xamho_fijo f , lilt, d9553
Mailing Address of Owner: A18 6t.i Ar Cyr, AICW &rn, 1�t o7g4a
Owner'semail: �eOfileen4hermn,7 Owner's Phone#: 61Lp, %q6'OBI5
A61, COM
Agent's Name: Agent Phone#:
Agent's Email:
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
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 Mail, Washington, NC 27889. DCM representatives can also be
contacted at [phone]. No response is considered the same as no objectiorl 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
Q/e a
nature of Ad centRipa�PropertyOwner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:��
Typed/Printed name of ARPO: r)a �11g $J /r—/V xf-)
Mailing Address of ARPO:
ARPO's email: ARPO's Phone#:
Date: / d *waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

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 deliveryof 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 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 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 -
especially on the oceanfront beach where there may be undeveloped parcels on the beach or in the water.
WholWhat 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.gov/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

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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: kobc)-> 6raw;6Yrd b,////{�a+huen 5heJ�Y1aa
f1�%'
Address of Property: 3a-,5 541,tr Chweh ,, ilamha.11{aego, U. , S9653
Mailing Address of Owner: a(JIO I�PjY �r, AJeW aeY� 1 e, aP6, Da'
Owner'semail: JlG�li" 1efy1Shefma1?17 Owner's Phone#: MY, 17g6'OgI5
a61, COM
Agent's Name: Agent Phone#:
Agent's Email:
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
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 Mail, Washington, NC 27889. 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.)
f
I DO wish to waive some/all of the 15' setback
S/gnat re of Adjace avian roperty Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian F
Typed/Printed name of ARPO:
Mailing Address of ARPO: � nl , "i /f-3/S Vi'1 r/ K e.- I (I //vjl l Yr�� //�� y� (�
ARPO's email: R 6Ct/_0?1R e_M 10)� ARPO's Phone#: ! / % r 2 7 ®r�� 8U
Date: *waiver is valid for up to one year from ARPO's Signature"
Revised May 2021

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 deliveryof 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 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 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 -
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.gov/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