HomeMy WebLinkAbout84430C - Cruze, LupeACAMA F-1 DREDGE
GENERAL PERMIT
A B D
N .0 8443()
Previous permit
Date precious permit issued
fiM�] New Modification E] Complete Reissue ❑ Pzirdal Reissue
As autfiartzeri by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to
SA NCAC � � � �__ _. D Rules attached � General Permit Rv1es available at ffie following link www deq_pcZqW�CAMArules
r�
Applicant Name � Aut}jor�zed ent
AcidresS 7-1 50--..a—� - � -- - ---- --- - __ Prn}ect Location (County)-
Gry �.Ii� � _ ��J _State ---�� . - - ZIP 'Screet Addressl5rase RoadlLot #(s) _
Phone
Email �-_���QSubcfivisian
�city� _..ZIP 2)5 51� L-1
r
Affected � CW LEW � PTA �__� F5 � PTS Adl Wtr. Body—. �AJ. R7anlunk}
AEC(s) � oEA � 1HA U uw L] sPIMA � Pws Closest Mai. Wu Body
ORW(P/no
PNA ye5y
IN -
Type of Project/ Activity (DN���UC� /� 13 � 2D' W U�?k-� � � I�"� 0A1 �� ��lsll�_�/k
�
Shoreline Length
Access Length
Pier (dock) length
Fixed Platform(s)) �10-K ZP _�7rJ
Floating Platform(s) � .--
Finger pier(s)
Total Platform area sip
Groin length# .
Bulkhead/ Rirap length
Avp, distance offshore
Breakwater/Sill
Maxdistance/ length
Ba 5sn, channel
Cubic yards
Boat ramp -
,r
Boat house/ Boar lift
Beach Bulldozing
Other
SAV vbservecfyes nno
Moratorium. n/a yes
Site Photos.
riWaiveryes
Riparian Waiver Attached- yes [ ,�
A building permill=on rig permit may be required by
Permit Conditions .PF,,fAll V tt
�I;Z so)JR'n,5 cof
TARlPAMJNEUSE14tJFF£R (circle one)
aSee note on back regarding River Basin rules
See adrlitional notes/conditions on back
I AM AWARE OF STATUTES, CSC RULES AND CONDITIONS Tf-�f1T APPLY TO 7Hi5 PROJECT AND REVIFWL•D COMPI�IA CE STATEMENT.
AA -- 06
----�
WeYt or Applicant PRINTED Name Per���'s PR E �l�me���
gnatuirp "Please read compliance statement on back of permit"
70() if 00 :1; —e
(Please Initial)
igndtu
Application FeeW —... Cher-H/Montly Order I-ssuing DaIr,
Expiration Date
QIAAI Ied Pow �
C�j,CAMA ❑DREDGE &FILL �j ���,� �/�a • N9 84430 % B ID
GENERAL PERMIT Previous permit slued i
Date previous permit issued
�] New ❑ Modification ❑ Complete Reissue [:]Partial Reissue
As authorized
/byytthe
�State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I SA NCAC V I ' , •� �1 W ❑ Rules attached. % General Permit Rules available at the following link: wwwde4nc.2ov/CAMArules
Applicant Name LVf I (c f,U C.Ca Authorized Agent n � -r�rn M,/pNUu�i _t
Address J1, 2— 5c D(5 U G/�,1 Project Location (County): OAJ /
City cap-tAts> *O state AxZIP Street Address/State Road/Lot#(s)
Phone # (_ )
Email c 33 'YQ [ Cl1✓A Subdivision �� G
City 61 ZIP �S/N
Affected ❑CW [YEW rJPTA ❑ES ❑PTS Adj. Wtr. Body 9ihC,\%r,/� .�j'�i/1/� &man/unk)
AEC(s): ❑OEA ❑IHA ',❑/�UW ❑❑ SPIMA PWS Closest Maj. Wtr. Body
ORWlvas/no PNA: yesAfo f
Type of Project/ Activity
Shoreline Length
Access Length
Pier (dock) length
Fixed Platform(s)��
Floating Platform(s) �
Finger pier(s)!
Total Platform area 3W sr
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:
Moratorium: n/a
Site Photos:
Riparian Waiver Attached:
A building
Permit Co
AND
or Applicant PRINTED Name
/Np Cj ,. W
cj�00
(Scale: /r/L
1
500 64�
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please Initial)
Signature **Please read compliance statement on back of permit** Signatu
ZO(5.� ;I Ito
Application Feels) Check#/Money Order Issuing Date
II
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 1-1 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
400 Commerce Ave Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST Fax: 252-247-3330
(Serves: Carteret, Craven — south of the Neuse River, Onslow
Counties)
Elizabeth City District
401 S. Griffin St. Ste. 300
Elizabeth City, NC 27909
252-264-3901
(Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford,
Washington District
943 Washington Square Mall Washington, NC 27889
252-946-6481
Fax: 252-948-0478
(Serves: Beaufort, Craven— north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext. Wilmington, NC 28405-3845
910-796-7215
Fax:910-395-3964
(Serves: Brunswick, New Hanover and Fender Counties)
Pasquotank and Perquimans Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 6/01/2021
Name of Property Owner Requesting Permit: _
C
Mailing Address;
L -)vI5f
VmPrcatrl Ic:oi �,� � Shy
Phone Number:
Email Address;
00Cc m
I certify that I have authorized C:1 J,�tCt V C CqS t M A y, Ilf nt r4
Agant I Contractor aCf7 fl�
to act on my behalf, for the purpose of applying for and obtaining all LAMA parmlts
necessary for the following proposed development: _ C Or )S-t y i_A C}t CIV)
CIF ca CC,x/ev Nrl
at my property located at 4 3'2- c t�nr i � (' OM r { In _Goy r t e_ Y e County.
1 furthermore cot* that / am aumwfzed to graq and do In Pact grant parmissian to
Division of Coastal Management staff f he Local permit ofllcer and their agents to enter
on the aforementioned lands In =Mecftn v lM evalaadng InformMbn related to this
permit application.
Property Owner Information
Print orType N
taw 1'Cr
nee
Thlu —."R tj.. 1, vWIJ U�ra�uah r
ml't55 kl3�,
1 ove km �S9Y
oVtr- J" 'Deck
21. b
''/Vevi Tilhtfr P;1��5
`�eeP
10'
r
1�1
�
2
3
�i
23:6" -i. ►-7' = yoo
s�z 6a 16 lc door s�z
roof �lrf trs 3 %a TtAuf�q,^Alan,s i5
/U o-#vh pi b)w, al4a l q ids w I PS vi T �/ 5� L a Ifs
2;d6e aXi� Sr-
RCAW3 �� ?►o /,r
7� 6 LV I Ard ', ealA6
IC OG
6. ID � Nk;) i /Vl `v
i�ro✓"okc N" 60�j /N/jT- L2 yr
'b OsB 4e&Jiv� 40vAtJ
64I-t Fed s; �;p4S -►-o Mottak
40
"110 A -a L op,#
W � TA D Nai �5
Mtiw �o�5•e,
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to LU p 2 Or U Z IS
(Name of Property Owner)
property located at `F32- SL4nrlSe cok-tr-t-
(Address, Lot, Block, Road, etc.)
on bO�a2 Sour\d in �n,e,tc�ISle/cartere.t N.C.
(Waterbody) (City/Tow and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location,
have no objection to this proposal.
l i have objections to this proposal.
DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must oil In description below or attach a site drawing)
WAIVER SECTION
understand that a 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. (If you wish to waive the setback, you must Initial the appropriate blank below.)
I do wish to waive the 15' setback requirement
cll�
I do not wish to waive the 15' setback requirement
trroperry owner mtormanon)
.Sig-MI-M
LL4e—_GrgZ
Pnnt or Type Name
432 Sunrlse court
1, aNno Address
Errre'rQI lSlf _ _NG 2-aS94
Cr44'S1ate2lp
Telephone Number/emaft address
Telephone Numberlemae address
Date'
`Valid for one calendar year after (Revised Aug. 2014)
Y signahrre•
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby cattily that I own property adjacent to Lu P e G r u -z e
property located at 't 32 6 U nr i S e CoU Name of Property Owner)
on�C�k,tP, SCur�d in
(Waterbody)
IS
_Ceo�te.ret N.C.
and/or Countvl
?he applicant has described to me, as shown below, the development proposed at the above
;ncatlon.
I have no objection to this proposal.
1 have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill In description beloworatfaeh a site drawing)
VAf & SECTION
I understand that a pier, dock, mooring prongs, boat ramp, breakwater, boathouse, rift, or groin
must be set back a minimum distance of 15' from my area of riparian access unless waived by
me. (If you wish to waive the setback, you must Initial the appropriate blank below.)
I do wish to waive the 16 setback requirement
I do not wish to w alve the 15 setback requirement
(Pro rty Owner Information) (Adjacent Property Owner Information)
vt- CND�
Tclephone Number/email address
S,Y,R''nftnrµ _
✓:'dnt or Type Nerve
3oe AtNlrM6100i re.e. nr,ye
tAaAmg esa
seyt;rna R1YK, MI I�'2.tt��
G0V-Narelllp
Telephone Number/emetl address
Data L>dre•
* -tid!'.ncc .dn Yc aver (Revised AYA. 2014)
--� UNITED ST TES
ISERVICE.
IIIIII IIIII IIIII IIIII IIIIIIIIII IIIII IIIII Iill llllllll llllll
MST& SERVIC .
SWANSBORO
664 W CORBETT AVE
SWANSBORO, NC 28584-8572
(800)275-8777
12/07/2021 05:01 PM
------------------------------------------
Product Oty Unit Price
Price
--------------------
PM Express 2-Day 1 $27.10
Flat Rate Env
Severna Park, MD 21146
Flat Rate
ISignature Requested
Scheduled Delivery Date
It Thu 12/09/2021 06:00 PM
Money Back Guarantee
Tracking 0:
EI141881165US
Insurance $0.00
UP to $100.00 included
Total $27.10
PM Exmess,2- av— _—L—
AIVIA / DREDGE & FILL
/�LL PERMT 1'� /83:j�) A B D
® ew :Modification _ Com lete Re' Previous permit #
P issue Partial Reissue
As au orized by the State of North Carolina, Department of Environmental Quality Date previous permit issued
and the Coastal Resources ommission in an area of environmental concern pursuant to ISA NCAC
Applicant Name C Cl- _�Cr-�-Z -C //�� F,RuI attached.
Address �7 �--- Projett Loation: County_C.CY.rs'�6-
2 fL^ 4 %i2 lr --
— ----- ._ Street Address/ StatetRoad/ Lot #(s)
City-.— �jl StateL✓(_ Zip
Phone # �31
.'
E- ail _ Subdivision
ZI
Authorized Agen[c-(/!
-- --- -- -- --- — CIry---- —
�cW — -- P
Affected .+�A a ES ❑ PTS
Phone #
AEC(s):-OEA '_HHF_IH _
Rie BasinaUBA NIA
Ws: Adj. Wtr. Body__ (9
H � (_ /_art_ unkn)
ORW: yes no PNA Y / no
/ Closest Mal. Wtr. Body __.
TYPe of Project/ Activity �� K �� : ��, ") l - r -1 / . 777 L ,; --
Pier (dock) length ! U L) /r
Fixed Platform(s) 'Ln� _.
Floating Pladorm(s)
Finger pier(s)
Groin length
number
Bulkhead/ Rfpnp length..
a distance offshoreI +9) 0
max distance offshore
Basin, channel I - - - - -- -
cubic yards___ NSW
Boat ramp #'KYlN64
Boathouse/ oadift-T --
Beach Bulldozing__
Other
Shoreline Length____'
SAV: not sure yes no it
Moratorium: n/a yes - iio-
Photos: yes
Waiver Attached: yes n
A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Special Conditions
---JJ-V0 cin6—
Agent or Applimn[ Primed Name
slgnatu *Please read compliance sta ck (of�permlt'e*
APPlicauon Feels)��__._—.._—_..___—_
Check #
See note on back regarding River Basin rules.
G mac, ✓ r z� /I
Permho sPderod� _----------
Signat — -- - —
Issuing Dale --
II
voID
qt �T\ 0 0 ,/ i' 41 WOOF
overLiv
ovz r 324 av'
ser t4s,>
�...... �
�; ,i
'���
u
Note 4
2
20'-0'
1'
Gazebo Roof Framing
Gazebo Hip Roof Framing:
—2X10 Hip
Ridge Beams
lNote 1
A' Overhang
Lot 17 Sunset Landing
Emerald Isle, NC
Boat Lift Gazebo Roof Framin
New Timber Piles — typ
10' deep or refusal
1. Roof girders are 3-%; X 18' Treated Parallams (2.OE TJ Patella E.S. PSL) or 3.118' X 18' Treated Boozer Glutam (1.8E).
Notch piles and attach girders w/ PS418 Straps and (4) 518' Ihru bobs.
2. Hip Ridge Beams - 2 X tOs. Rafters - 2 X 6 @ 16' olc.
3. Wind loading 150 mph, roof loading 20 psf.
4. Provide (2) 2 X 6 wind beams at each hip (one each side of each hip) attached each end with (6)10d nails —min 60' long.
5. Provide Simpson MTS12 or H10A btwn each rafter and girder. Provide (2) MrS12 straps at outer end of hip beams. Provide
A35 Framing Angles between lop of rafters and hip beams.
6. Roof sheathing to be 7116' minimum structural panels (plywood or OSB) with the panels attached to a minimum of three
rafters. Nall the panels to the rafters, hips, ridge and perimeter 2X facia with 10d nails at4' olc.
7. Engineer's seal on documents applies only to structural components on the documents. Seat does not Include construcllon
means, methods, techniques, sequences, procedures, gashing, water -proofing, geotechnical, or safely precautions. Any
devia0ons or discrepancies on plans are to be brought to the immediate attention to Engineer. Failure to do so will void
Engineer's liability. Seal Is valid for projects permitted one year from date of seal.
KEN LACY, P.E. PLLC
307 Holly Lane
Cape Carteret, NC 28584
252-725-2405
Civil/Structural Engineering
Ken Lacy.
Sheet 1 of 1
3/16" =1'
File # 2022 - 0116
Ken Lacy, P.E. PLLC P-C
307 Holly Lane
Cape Carteret, NC 28584
252.725.2405
"R Oytr lbook �Deck
�.' ou0f},aA,P 'o�SYY
-'—/�lev,1 T„radar P�l�s
log l7ee�
t
I
1� Dvtflt
23. b" --4►`7' = 4/oo Sr 1
s�z 6A61t
(Roo)--
/RDof �IrJtr1 3 Y2
N c-trk p) bbv aHfg
2i J5, a�i2, sr
I �T-
INd &AIA6
TrAiW �argl,Ms
1C OG
6jd a Nai Ji 40" 6,
5
��o✓to4t >1 50� /)A S Va- Dr'
5f g OS g � 4 3 sec bt� 9f4uvLjj
6a�Jt ��dS 4, krls `6 NMotfok
N 10 A eel. ✓.r
NAi �s
MaW 'G�oJSZ
AMA / C DREDGE & FILLNn
PERMIT
O'n"ew
%�32UNERAL A B D
❑Modification ❑Complete Reissue ❑Partial Reissue Previous permit #Date previous permit issued
d by the State of North Carolina, Department of Environmental Quality _ ^ ! '
and the Coastal Resources ommission in an area of environmental concern pursuant to 15A NCAC/p`- _ /
Applicant NZ Cr(A2
/�—�ul attached.
Project Location: County C.CT
Address L L A f % l2
y ni
City_-. State�� ZIP
Street Address) State Road/ Lot # s
O.__�—�__
�7�/�!_7
Phone # 2>
Id
ail
Authorized �c-(/ t""I
��_
Subdivision _
Agent l�
c
City ZIP
Affected �� �W �A DES ❑PTS
_
/ / /
Phone# ()_ `�/ k
AEC(s): ❑UEA ❑NHF ❑IH CUBA ❑N/A
❑ yyy
4Rive
Adj. W[r. Body�� ( L} an unkn]ORW:
y; /no PNA ye / no)
Closest Mal. Wtr. Body___1. n�
Type of Project/ Activity
— 1 SX
Pier (dock) length_ r U U
Fixed Platforms)
Floating Platforms) - - --�
Finger pier(s)_
Groin length - -
number
Bulkhead/ Riprap length_
avg distance offshore
max distance offshore_
- - -
Basin, channel
cubic yards_
-
Boat ramp
Boathouse/ oatli�l
`
Beach Bulldozing
_
Other
Shoreline Length J.0
SAV: notsure yes no
Moratorium: n/a yes no •�—
Photos: yes
Waiver Attached: yes u _
A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Special Conditions
J�WIt'rU�1r/' J��
'*2 S leni
Ill_ CI�.�
Agent or Applicant Printed Name --
Signatu `Pleaseread compliance statement on backofpermit"
Application Feels) ��--
Check #
�U
f f�
c"f�[
r ✓Tt �f
F"e J See note on back regarding River Basin rules.
�j l-il-l-o ✓ i Tr,//
Issuing Date
2�
Weychert, Curtis R
From: webbddc@gmail.com
Sent: Wednesday, July 6, 2022 7:17 PM
To: Weychert, Curtis R
Subject: Re: [External] 121 Dolphin Bay Estates Cedar Point
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
Report Spam.
We need you to mark it so we know where it can go. We want it to go from property line to property line.
Sent from my iPhone
On Jul 6, 2022, at 4:36 PM, Weychert, Curtis R ccurt.weychert@ncdenr.gov> wrote:
Also it will have to be located landward of the coastal wetlands, so I can mark those with stakes or flags
when I get there for a site visit.
Curtis Weychert
DCM Field Representative / Environmental Specialist II
North Carolina Division of Coastal Management
North Carolina Department of Environmental Quality
252-240-9497
Curt. Wevchert()ncdenr.cov
400 Commerce Avenue
Morehead City, NC 28557
http://portal.nedenr.org/web/cm/dcm-home
E-mail correspondence to and from thus address may be subject to the North Carolina Public
Records Law and may be disclosed to third parties.
From: webbddc@gmail.com <webbddc@gmail.com>
Sent: Tuesday, June 28, 2022 7:22 AM
To: Weychert, Curtis R <curt.weychert@ncdenr.gov>
Subject: [External] 121 Dolphin Bay Estates Cedar Point
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious
email as an attachment to Report Spa m.<mailto:report.spam@nc.aov>
Hey hope you are doing well. I am in need pf a seawall permit for 121 Dolphin Bay Estates in Cedar
Point. I have attached the forms. Please let me know if you need anything else
Thanks
Andre
252-665-4378
Sent from my iPhone
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: M el gln�P f —%A GqI raS
Address of Property: 42A2 GOtAv-+
Mailing Address of Owner: PQ Kox 244 H Qg%U*on N 7 Q,S �9%
Owner's email:
Owner's Phone#:
Agent's Name: GrAgent Phone#: 011D-3S-$q$\
Gon+r q Gti ^9
Agent's Email: o�cGO_gn rry�+alcm5tmarinCCorrtraclna Gpm
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
description or drawing, with dimensions must be provided with this letter.
I DO NOT have objections to this proposal. I DO have objections to this proposal.
It 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 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted
at (252) 808-2808. 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-
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 ofARPO: Ghri�tO�her FrGlirl�
Mailing Address of ARPO: 2 J2. A110 Woi j GgjAr+ Rat ;oh t.G 21 LnOI
ARPO's email: Lh6Sbaiird-1JQ Q ARPO's Phone#:
Vahoo•COry,%
Date: 1p.12.2122 'waiver Is valid for up to one year from ARPO's Signature -
Revised May 2021
43L\
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 thesecomments/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 neichbors)
• 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 streettroad 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: hfti)s://www.sosnr. p- i r
gov/search/index/COfFor Condominiums o
neighborhoods with an owners' association (HOA/POA), send notice to the association (which usually
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
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: MP.12rij rYUZ GoljqS
Address of Property: AZZ, Runr1SP tAYt
Mailing Address of Owner. 20 t= 244 FFOOKCV tCn, tVG 28S 3 $
Owner's email:
Owner's Phone#:
Agent's Name: C1SAgy "QS+ MCIrihe, Agent Phone#: 0110-325- $481
Agent's Email:
"•..� r1 •; u• �" •e.�• e•.
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 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 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted
at (252) 808-2808. 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-
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: 8e V YhA rQlp+Qk %-Le,
Mailing Address ofARPO: 300 Fat(1ri+r p nrive, StMeArniQ 9011rIctMD Z11410
ARPO's email: ARPO's Phone#:
Date: sW211-2Z 'waiver is valid for uo to one year from ARPO's Signaturo-
Revised May 2021
Lll-2.'�)
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 de/iveryof 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 adiacent 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 streettroad 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 sosno..gov/search/index/corp. For Condominiums or
neighborhoods with an owners' association (HOAIPOA), 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
-
' ' •' ` ce'CERTIFIED
&I
MAIV RECEIPT
DomesticTj
� T
T
SeV�erno-;FiTF;I,'.I21
u
u
Mail Fee
a $3.75
0584
1
� 7
r)�
sery 8 (arecf6ox,atldhe
<7RMu<n R•�IPrSwecavVi S i 1
❑Ramon ReceWtl•S=M b--- $(1.(11�--
Postmark
i M
7
00ntl MMoYR..nlcsd DA, Y,
MAdal SWa RdfA
Hare
QAd.e S'gnaungmact•a oMNsy
I t.
Postapa
$1.36
i j
06/2212022'
TotalPosteg••ndFeeS
$8.16
U
TV�'11CjQ11�
a :;
Postal
m
CERTIFIED MAIL@ RECEIPT
ru
Domestic
7'
iysf"�
276¢8all
Foe $3.75
�J584
on
S& easkhxxeuewre• `to
],rm. M S 1pRawal
Fft�.':Tn
05
O
(aewSa S to rm
M¢ARmLICIrJOe.my f�,_HBr•
17
pmWroparyye� .nanBe
Raeo-elalpp•ay S �-$�'$�$1.36p
eoandFeea
06/22/2022
a $E.l6
o
nj
CliY
sent To
St � .. Qi1al7Cdl-
.........
Name of Property owner Regtreong Permit
Meifing Address:
�rca1G1 i 1 �5c��
Phone Number:
Email Address: y
- hGG. cCrri
I Certify that I have authorized
Poenicon SatAt cad 7 n(j
to act on my behalf, for the Purpose of aPPying for and obtaining all cAMA permits
necessary for the following Proposed developmentU—CL
—COVCY CC) nin+XFr�v..,.,
at my property located at ' } 3 2 <; nn>~ t SE' n u Jr +
In La e r _sty,
furthermore COMY Mast r am authorized to vw4 grad do ba fact gIa/tt Aermissbn to
Olvfsion of Coaster Menag0mevtt seW, Hae Loael PomHf OAfcar and tlrek elgenta to enter
Permft on the ofongamfimW lend& !n pWpn wl8h eirakae0�tg udbrmation related to
this
P► pqq Owner hdotrneum.
Print or Typo Aiame�""—"'
Dab
TWO osr(1Rootlun la vdkl U,rvyBh �