Tolson, Hubert 88640C

C 'MA DREDGE & FILL NO. 88640 A B �<p C
"�
L Previous permit
E 4E PERMRT Date previous permit issued
ocr Ir
New lcation []Complete Reissue F1 Partial Reissue
As authorized by theDepartment of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to;
l5ANCAC—...wC,r1h,CM — nRulesattaxillied. N CierieralForadt Rules available athe following link w ,dea.nc.eov/CahlAr<.les
Applicant
Address
Phone# (M
Project Location (County):
street Ackhress/Scam Road/Lot #(s)
Email subdivision
Cittv pllcsL�EaA ZIP
AftieCt6d CW ES QpT5 Atli- Mr. Body -H&r6s,�- Ch.124U unk)
AEC(s): OEA 1HA nuW EISPIMA El Pws closest Mal. vvtr.Bdy
Sa
ORM yeyl�> PNA-. YeS(q �tf
Type of Project/ Activity
shoreline Length
Access, Length
Pier (clock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakvitaterlsill
M Astam �Jlenf
..I
Ba:1" an' el
Cub
ic t.7 I
Boatnimp
Boathouse/ Boatfift 111�
Beach Bulldozing
Other
SAV observed:
Y85 no
Moratorium:Moratorfu. n/a yes
Site Photos: yes, no
Riparian Waiver Attached: yes
(Scale: I
E]TAR/FAnNEus;vBuFrER.(cickona)
ElSee note an back regarding River Basin rules
F� See additional notes/conditions on back
(Please
read compliance statement on
Date

(fit.e►IliA DREDGE & FILL N(? 88640 A B Q
ENE L PERMIT Previous permit
ew 9\SGPV� 6 �Y� Date previous permit issued
❑Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the St�at7e of orth Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
i SA NCAC � ` t: f �� ❑ Rules attached. t4j General Permit Rules available at the following link vrvw.deq.nc.gw/CAMArules
Applicant Name I /al r-&!Q ..-44+— Authorized Agent r 3, tiii vI I-f-ri,Q-1 L/)C `
Address Cr a¢,p.510, Project Location (County):t�r__. �t
City _. M 9L A/ o State /y TIP 0 Street Address/State Road(Lot #(s) /Ior'SA S
Phone # (�) tY-! n 3 l%
Email '�Subdivision
City zip A,,�7
Affected ❑ CW —DitW ATA ❑ ES ❑ pTS Adj. Wtr, Body C& na W.nk)
AEC(s): ❑ OEA ❑ IHA In uW ❑ SPIMA ❑ PWS Closest Mal. Wt, Body 0
ORW: yes o PNA: yes nd
Type of Project/Activity f?`Opn p',j ae:�- ea cClli '+-ibn r�� IS�I~J2q S1r
Shoreline Length r
Access length
Pier (dock) length 4Z
Fixed Platform(s)i
Floating Platforms)
a. -
Finger pler(s) --- _
- -
Total Platform area
Groin length/#
Bulkhead/ Romp length
Avg distance offshore
Breakwater/Sill--
Max distance Ien
Basi cannel X
i
Cubic
Boatramp
Boathouse/Boatliit(%l
Beach Bulldozing
Other
SAV observed: yes no
Moratorium: n/,a yes no
Site Photos: yes no -n
•, - -
Riparian Waiver Attached: yes no ,.,._,.
\ _. ._.
A building permit/zoning permit [nay be requirecj
p�
pw M
/^OGi%�t l - td:y
Name
YEW•`.Ple�p read compliance statement on back of permit-• ,
"y(jLL((rw/� r ((i-3
Application Fee(s) Check #/Money Order
Permit Officers
❑ TAR/PAMMEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please Initial)
Date

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: Hubert G, Tolson III
Address of Property: 1101 Shepherd Street, Morehead City NC 28557
Mailing Address of Owner: 227 East Front Street, New Bern NC 28560
Owner's email: [e-mail]
Owner's Phone#:
Agent's Name: J.S. Mitchell Inc Agent Phone#: [phone]
Agent's Email: [e-mail]
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
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 [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 6prap revetments). (If you wish to waive the setback, you must sign
the appropriate blank below.)
I DO wish to waive some/all of the 16 setback
Signature of Adjacent Riparian Property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of
Mailing Address of ARF
ARPO's email(_pr c•C i&VAr t;v ARPo's Phone#�1Q ` Z,;( — CCO&
Date: �7- " js - Z,;,"walver Is valid for up to one year from ARPO's Signature"
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: Hubert G, Tolson III
Address of Property: 110I Shepherd Street Morehead City NC 28557
Mailing Address of Owner: 227 East Front Street, New Beim NC 28560
Owner's email: [e-mail]
Owner's Phone#:
Agent's Name: J.S. Mitchell Inc
Agent Phone#: [phone]
Agent's Email: [e-mail]
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
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 [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 somelall of the 16 setback
Signature of Adjacent Riparian Property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner.
TypediPrinted name of
Mailing Address of ARF
ARPO's emailcpueK•C" aw./GI{ NOM's Phone#ia� 6— ra"S-
Date: !!� " /S - 2X -walver Is valid for up to one year from ARPO's Signature"
Revised May 2021

RECSI\IED
ZC 1 � 1202z
-OCM.MHC C1?Y
■ Complete Items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailplace,
or on the front If space permits.
t. Article Addressed to:
1346 is y L`C,
6ol wesi Rusrp,,,7! '* No.7/6
GAyql H,11, NC 03bz
9590 9402 7041 1225 3133 75
2. Meta Number (Twarfer from service label
7022 0410 0000 4635 3997
PS Form 3811, July 2020 PSN 753Z2.000-M3
A. Signature
X 9,
❑ Agent
Aacelvedrby (PAnrad Nam) C. gate of Delivery
pa'%Oe. 4123/12
to delivery address ditwt from Ran 14 o Yes
If YES, enter delivery address tlalow: E3 No
Type
0 Priory Meg EXPMS'a
atWa
❑ Registered Mau
at" Restrcted Ddkwy
❑ aeeggietnad Mall ReaUlsta
lair
Delivery
10 Restrcted Delivery
0 signature Confl" U -
Delivery
0 slgnature CoMnmetlon
Delivery Restricted Dell
Restrcted Dedvery
W
el Restricted Delivery
Domestic Return Recelpt

AMA A[DREDGE & FILL (djrra
ENERL PERMIT
No 88640
Previous permit
Date previous permit issued
�fVew ❑Modification [:]Complete Reissue ❑ Partial Reissue
As authorized by the State off :nh C✓ ar�roliynal, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC Q� ' 1 l w ❑ Rules attached. S. General Permit Rules available at the following link: www dea.nc.gov/CAMArules
Applicant
Address A_
City --/
Phone #
Email
Affected ❑CW
AEC(s): ❑ OEA
ORW: yes/iioo
_V, -A4PIX
IRA In uW
Type of Project/ Activity
Shoreline Length
Access Length
Pier (dock) length
Fixed Platforms)
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/ Ripcap length
Avg distance offshore
Breakwater/Sill
Max distance len h
Basi c annel x
Cubic
Boat ramp
Boathouse Boatlift
Beach Bulldozing
Other
SAv observed: yes no
Moratorium: n/a yes no
Site Photos: yes no
Riparian Waiver Attached: yes n
A building permit/zoning permit (nay be rec
Permit Conditions
1 - f
Name
�F+r— Authorized Agent ci • J
Project Location (County):
zip 28'.h7�D Street Address/State Road/Lot #(s)
❑ ES ❑ PTS
❑SPIMA ❑PWS
Subdivision
City 1 —i
Adj. Wtr. Body
Closest Maj. Wtr. Body_
THAT APPLY TO THIS PROJECT AND
Permit Officer's
st; n� sli;
h
(Scale. y
1 (-o(Sej
)"t'Ictirl�P/I cp
be�eJt� �i5f�
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please Initial)
Stu_ fe••Plread compliance statement on back of permit•���
Application Fee($) Check #/Money Order
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
400 Commerce Ave Morehead City, NC 28557
252-808-2808/1-888-4RCOAST Fax: [phone]
(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,
Pasquotank and Perquimans Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Washington District
943 Washington Square Mall Washington, NC 27889
252-946-6481
Fax: [phone]
(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:[phone]
(Serves: Brunswick, New Hanover and Fender Counties)
Revised 6/01/2021

q,UWr^r ❑CAMA C DREDGE & FILL N9 88640 A B C D
(0 GENERAL PERMIT Previous permit
Date previous permit issued
flew ❑ 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:
I SA NCAC / Y I � ,� ❑ Rules attached. General Permit Rules available at the following link: www.dea.rx.eov/CAMArules
Applicant Name - ; ✓ ' �o i
� /7 r
Address T C ni�l I y
-s—t-% EEt 77
city be` n state NC ZIP ^ -�/00
Phone#(_)%
Email /
Affected ❑CW _-[�]EW PTA ❑ES ❑PrS
AEC(s): ❑OEA ❑IHA ❑uW ❑SPINIA ❑PWS
ORW: yes/no PNA: yes/iiovj
Type of Project/ Activity %!
I
Shoreline Length.
Access Length
Pier (dock) length
Fixed Platform(s).
Floating Platform(s)
Finger piers)
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 n
A building permit/zoningpermit Irnay be
Permit Conditions
Name
Project Location (county):
Street Address/State Road/Lot #(s)
Subdivision 11 _
city ;.,.1 FN PQ�
Adj. Wtr. Body A ,7 e
�i C
Closest Mal. Wtr. Body I /t'TqUh.
THIS PROJECT AND REV
Permit
Name
)Scale:/ � )
❑ TAR/PAM/NEUSE/BUFFER(circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please Initial)
Signature "PleaaS,J: read compliance statement on back of permit* • Signatu e "
Application Fee(s) Check #/Money Order Issuhig q to
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 El 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
252-808-2808/1-888-4RCOASTFax: 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,
Pasquotank and Perquimans Counties)
Washington District
943 Washington Square Mall Washington, NC 27889
252-946-6481
Fax: [phone]
(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:[phone]
(Serves: Brunswick, New Hanover and Fender Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

a w❑ CAMA Z DREDGE & FILL N9 88640 A B C D
GENERAL PERMIT Previous permit
i Date previous permit issued
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:
I SA NCAC ❑ Rules attached. © General Permit Rules available a<the following link: www.deq.nc.gov/CAMAruIes
Applicant Name _
Address
City
Phone # (_ )
Email
Authorized Agent 1
Project Location (County):
State ZIP Street Address/State Road/Lot #(s)
Subdivision
City
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Won Body (nat/man/unk)
AEC(s): ❑OEA ❑IHA ❑UW SPIMA ❑PWS Closest Maj. Wtr. Body
ORW: yes/ha PNA: yes/no
Type of Project/ Activity
Shoreline Length
Access Length
Pier (dock) length
Fixed Platform(s) zf
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/ Boadift
Beach Bulldozing
Other
SAY 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
Permit Conditions
(Scale: % y )
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)
PRINTED Name
Permit Officer's PRINTED Name
i
Signature **Please read compliance statement on back of permit**
Application Feels) Check #/Money Order
Signature
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 El 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: [phone]
(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,
Pasquotank and Perquimans Counties)
Washington District
943 Washington Square Mall Washington, NC 27889
252-946-6481
Fax: [phone]
(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:[phone]
(Serves: Brunswick, New Hanover and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: W\V-XX%A-k C\ \Yar\ \
Mailing Address: a a) F- , Frou-\*�Q�-t
_Vv ear Q) e c r\ 4 tic I o
Phone Number: S a_ La rl p- 9 a r) n
Email Address: `n W n m, I , . T A — ,,, t —A-
I certify that I have authorized J.S. Mitchell Inc.
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Boat Lift Maintanence
at my property located at \\ t
in County.
I furthermore certify that l 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
permit application.
Property Owner Information:
ZfJ7
,gnaturce �(rJ 3
>\k \c,\tl �\\
Print or Type Name
Title
ra n a a
Date
This certification is valid through "�c 1aL_/ a a 3
RECEIVED
Corn
SEP 14 2022
DCM-MHD CITY

Carteret County, N.C. A
September 8, 2022
The wormaecn displayed by this,rebate is prepared for me Inventory of real property found wlthlnthlelurlsoioeon a nd is compled from recorded beside, plats, and other public records and dale Users of the ntormatlo n a re hereby noosed that fie eforementloned Whom pemary
Information sources should be consulted for verrIcation of the mormatbn contained o n ihle site Carteret Ca unty assumes no legal respo oslbllty for me information contained on thb site. Cartaret Co urty does not guarantee Mat the data and map services wil be wallaboto users wltloul
Inbrruplion or s vor. Furthermore, Ca her t Cour ty may modify or remove map services and access methods atwll. _.

September 12, 2022
Certified Mail — Return Receipt Request
Morehead City, NC
C/O Ms. Daniel Williams
402 Court House
Beaufort, North Carolina 28516
Dear Ms. Williams:
Enclosed is an "Adjacent Riparian Property Owner Statement", a standardized form provided by
the NC Division of Coastal Management for use by riparian property owners seeking
CAMA/Dredge and Fill permits for development of their property. Mr. Hubert G. Tolson III is
seeking CAMA/Dredge and Fill authorization in the form of a CAMA General permit to undertake
maintenance excavation around his existing boatlifts to improve their function during low tides.
Mr. Tolson's property is located at 1101 Shepard Street in Morehead City. Also, enclosed with
this letter is a drawing of the proposed maintenance excavation.
As the adjacent riparian property owner to the aforementioned project, I am required to notify you
of the development to give you the opportunity to comment on the project as part of a prescribed
environmental permit process administered by the NC Division of Coastal Management
(NCDCM). Please review the attached drawing and Adjacent Riparian Owner Statement. If you
have no objections, you may check and sign the appropriate areas on the form and return it to me
in the attached self-addressed, stamped envelope. No response from you within 10 days of receipt
of this letter will be interpreted as "no objection".
Should you have any objections or comments concerning this proposal, please send your written
comments to Ms. Heather Styron, DCM District Manager, Morehead City District Office, 400
Commerce Avenue, Morehead City, NC 28557, within 10 days of your receipt of this notice. Such
comments will be considered by the Department in reaching a final decision on the permit request.
If you have any questions on this project, please call me at [phone].
Sincerely,
John Mitchell
J.S. Mitchell Inc.
Enclosures
RECEIVED
SEP 14 2022
DCM-MHD CITY

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 Properly Owner:
Hubert G, Tolson, III
Address of Property: 1101 Shepard Street, Morehead City, NC 28557
Mailing Address of Owner: 227 East Front Street, New Barn, NC 28560
[e-mail]
Owner's email: Owners Phone#:
Agent's Name: JS Mitchell Inc.
Agent's Email: [e-mail]
Agent Phone#: [phone]
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom Portion to be completed by the Adiacent Property Owner)
I hereby certify that I own property adjacentto 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 drawina. with dimensions, must be provided with this letter.
I DO NOT have objections to this proposal. I DO have objections to this proposal.
N you have objections to what is being proposed, you must notify the N.C. Omston 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 [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 somelall of the 15' setback
Signature of Adjacent Riparian Property Owner
190
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: Bridges4 LLC
Mailing Address of ARPO: 601 West Rosemary Street NO. 716, Chapel Hill, NC 2362
ARPO's email:
Date:
ARPO's Phone#:
RECEIVED
SEP 14 2022
'waiver is valid for up to one year from ARPO's Signature' DCM-MHD CITY
Revised July 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 delivery of notice) are needed.
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 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 1 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.
RECEIVED
Revised July 2021
SEP 14 2022
DCM-MHD CITY

September 12, 2022
Certified Mail — Return Receipt Request
Bridges4 LLC
601 West Rosemary Street No. 716
Chapel Hill, North Carolina 2362
To Whom It May Concern:
Enclosed is an "Adjacent Riparian Property Owner Statement", a standardized form provided by
the NC Division of Coastal Management for use by riparian property owners seeking
CAMA/Dredge and Fill permits for development of their property. Mr. Hubert G. Tolson III is
seeking CAMA/Dredge and Fill authorization in the form of a CAMA General permit to undertake
maintenance excavation around his existing boatlifts to improve their function during low tides.
Also, enclosed with this letter is a drawing of the proposed maintenance excavation. Mr. Tolson's
property is located at 1101 Shepard Street in Morehead City.
As the adjacent riparian property owner to the aforementioned project, I am required to notify you
of the development to give you the opportunity to comment on the project as part of a prescribed
environmental permit process administered by the NC Division of Coastal Management
(NCDCM). Please review the attached drawing and Adjacent Riparian Owner Statement. If you
have no objections, you may check and sign the appropriate areas on the form and return it to me
in the attached self-addressed, stamped envelope. No response from you within 10 days of receipt
of this letter will be interpreted as "no objection".
Should you have any objections or comments concerning this proposal, please send your written
comments to Ms. Heather Styron, DCM District Manager, Morehead City District Office, 400
Commerce Avenue, Morehead City, NC 28557, within 10 days of your receipt of this notice. Such
comments will be considered by the Department in reaching a final decision on the permit request.
If you have any questions on this project, please call me at [phone].
Sincerely,
John Mitchell
J.S. Mitchell Inc.
Enclosures
RECEIVED
SEP 14 2022
DCM-MHD CITY

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: Hubert G, Tolson, III
Address of Property: 1101 Shepard Street, Morehead City, NC 28557
Mailing Address of Owner: 227 East Front Street, New Barn, NC 28560
[e-mail]
Owner's email: Owner's Phone#:
Agent's Name: JS Mitchell Inc.
Agent's Email: [e-mail]
Agent Phone#: [phone]
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom Portion to be completed by the Adiacent Property Ownerl
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 [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
Signature of Adjacent Riparian Property Owner
11912
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: Bridges4 LLC
Mailing Address of ARPO: 601 West Rosemary Street NO. 716, Chapel Hill, NC 2362
ARPO's email:
ARPO's Phone#:
Date: *waiver is valid for up to one year from ARPO's Signature* DECEIVED
Revised July 2021
SEP 14 2022
DCM-MHD CITY

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 delivery of notice) are needed.
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 an opportunity to consider these comments/objections before a permit decision is made.
"Permission" of adjacent properly 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 (orfamilies), 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 July 2021