86725A_Hunt, Kim & Tom_20220804

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PERMIT apermit it issued
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['New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
As a4N rortzed by the State of North Carolina, Depvvnent of Environmental Quality and the Coastal Resources Commission in an area of envirmnmental concern Pursuant to:
I SA NCAC Rules attached. FJ] General Pernik Rules available at a* Wicwing link: y&,-d-• __Vv/CAMArutes
Applicant Name K t +t\ k Tom t.ttNi� Authorized Agent
Address 235 Ck0;.0aV1 A, Project Location(County):
Cty CdlQ`(`4��`� State —LC 7JP 7 Street Address/State Road/Lot #(s)---_�4�5 � d 52
Phonex( .�5~V33 a35. C1t ,cam;. kr,res _ —
Ennup1��.WtT�t1�.� .Citl�n Subdivision CVowctr. �SvES
City — Colet-�: '
Affected CW W M © PTA � ES F� PTS Adj. wir. Body C�301C: ga L`_✓/r"� / mran/unk)
AF-qs): F-1 O£A E] IHA uW SPIMA PWS Closest Maj_ Wtr. Body A (� .thy LZ-eZC' !-
ORW: yes/& PNA. yes/(t
Type of Project/ Activity
n
Shoreline Length
Access Length
Pier (dock) length { xq-7 f
Fixed Platform(s)
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Floating Platform(s) ., J
j
3
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——;-1--` --- —YY —
Fingerpier(s)
Total Platform area Qas6sj �-
Grain leneth/4 •-�,
_ _ 1 , 4 , i 1�� 1 1
AE/Aheadf Riprap length
.W' distance offshore "T
4
W" ;aktrratr?rjSFll
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
..t n
BoathousefBoatfift
( �� {
Beach Bulldozing
Other
1
-.... ... ...�.,-'t'
SAY observed: yes �`'—�� i -
Moratorium: es n3
Site Photos: Yes no
Riparian Waiver Attached: yes
A building permit/zoning Permit may be required by! — fX ✓�l $ to
Permit Conditions
RULES AND CONDFTIONS THAT APPLY TO THIS
or Applicant
1 a'1_
Permit
(Scale: {rr=`7Z' )
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E] TARMAM/NEUSEiBUFFER (circle one)
See note on back regarding River Basin rules
See additional notes/conditions on back
(Please Initial)
signature "Please &Ad cdt�lpliance statement on back of permit—
t� Q , !r g Sign Lure
ApPilcation Fee(s) Check #/Money Order Issuing Date
Expiration Date

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (MINOR PERMIT)
CERTIFIED MAIL, RETURN RECEIPT REQUESTED or HAND DELIVERED
Dafe
Name of Adjacent Ripariap Property Owner
L.0 112, Y`c
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
on my property at al 5 eJ�Ak4 h Z611z 4
in 6Y' 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,
Property Owner's Name
�4� `7gcb '�a33
Telephone Number
rw r"
Addres in
State Zip
J U L 2 g 2022
V I have no objection to the project described this correspondence.
I have objection(s) to the project described in this correspondence. D Cn A _C P+
6A� - 7-Z?-- V
Adjacent Riparian Signature Date
rvon %Y1P 1 Czsz�' 7--75 87
Pr' t or Type Name Telephone Number
133 6howan Aat5 Ur Al Z7gzy
Address 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
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 commentstobjections 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: h!Ws://www.sosnc.izov/search/index/coW. 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 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 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.
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 portion to be completed by owner or their agent)
Name of Property Owner:
Address of Property:
Mailing Address of Ownei
Owner's email:'[T)m��j�ln��hyl�Owner's Phone#: r%'? ! 1 ,�2,33
Agent's Name:
Agent's Email:
Agent Phone#:
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 401 S. Griffin St., Ste. 300, Elizabeth City, NC, 27909. 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.)
I DO wish to waive some/all of the 15' setback ���� f
Signat e of Adjacent Riparian Property Owner 1 U L 19 2022
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
DCM-EC',
Af
Signature of Adjacent Riparian Property Owner: S- , oxx i
Typed/Printed name of ARPO: n ��, �,,�j �,I /�
Mailing Address of ARPO: 64—t v t �i/iGii ✓l . �W C_a� y3Q
ARPO's email: or n O's Phone#:
Date: *waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

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