87919_Ladd Freeman_20221018

z.044 -7ISOa
d`°"\I?CAIVIA ! DREDGE & FILL N() $7l)J L) n 0 C D
G E NUE RA L P E R M II T Previous permit_ 4./A -
Date previous permit issued_A
'New 'Modification I _JComplete Reissue I (Partial Reissue
•As audio,iced by theState of North Carolina.Department of Environmental Quality and the CoastalResources Commission in an a of environmental concern pursuant to'
-f
I SA NCAC._ 4 //jODj--- - -.-.- ------ L�Rules attached 1}�General Peroag Rules available at due following link envy,'clectric..gov/Cchhirlkniles
Applicant Name (iiGY _ u A
PP -- - - --`- =��L'aw��- --'------ Author -._.-- -- --- - ---- -------
Address ./010__ Q(� -_" Project Location(CountY). 11 LO_
"r.k/,/]a^T _ Stnc Kit _ _ -zip 2.i i v+ ► Street Address/State Road/lot k(s)_S2 7_ COQe '
'one daaly_f_for7 ��/0 �ll. �r. - ---
E.-.1._ dt4i1•i• Subdmvon �-` ---
{ P ZIPZg51/
Affected Li CW u E W L.-I PTA ( 'is [((PTS Ad Wtr.Body—/••A-,k 4 Y<< In•Kn. .-_- an/unk)
AEC(s) ❑OEA ❑IHA [1 UW D SPINA D PWS Closest Maj.Wtr.Body-_ P ig w. .i •"v-�
ORW.yet PNA.yes,
Type of Project/Activity___Air 1f e -4 ''.6:04:ecs . ,.--s+a QJ 353 r e r Ili.a Q-4)
(Scale: il-r3 )
Shoreline Length 360'
Access length
' Per(dork)length N1
Faced Plutocrats)
- __.._ ' - � .s.Gle g.
- ,v GTE 1
Floating Platforrn(s)
finger piers)___
total Platform area
Groin length/It _
r
Bulkhead/Roman length 3 S3
Avg distance offshmtc- Of
Breakwater/Sill
Max distance/length
Basin.channel-_—-_ _
Cubic yards_--—_- �"' /�y1
-
Boat tamp ,. _--- �P n
"
Boalhartc/Boallntt ,opJ `
j �,,,4'"
-
Beach Bulldozing - .- f./ -T,c r
Other - - jjaPOpO e..) n NullV QC>
SAVobsevved yes CLu,' a�•-✓yka-s'. �J V7•'
Moratorium n/a yes
Site P)iolos yes q) �(.✓•k' --��-V I~ �6 oP
Riparian Waiver Attached. 1I 1
A building petmit/runing period may be requited Inv Avy\s c-o Co
®TAR/PAMf.. Sb. Uri ER(arcleone)
Permit Conditions
_-- - _ _ - _ ®See note on back regauhng River Basin toles
i -_ - -- - '- ---- - IIISee additmual notes/i Idioms on hac
I
I AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE TATEAy NT. (Please Initial)
Agent pheer
Prrmrt OII ar' B nrSi 'Pieomplia a statement on back of mid • S fur
d CIE- pv 'a /42-5 t 702 Z ' 4 7f 2-61z3
Application Feels) Check R/Money Order Issuing Dale t Kpuauon flat(

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: �5
Tar- Pamlico River Basin Buffer Rules Neuse River Basin Buffer Rules
If indicated on front of permit,your project is subject to the Environmental Management Commission's Buffer Rules
for the River Basin checked above due to its location within that River Basin.These buffer rules are enforced by the
NC Division of Water Resources.If you have any questions,please contact the Division of Water Resources at the
Washington Regional Office(252-946-6481)or the Wilmington Regional Office(910-796.7215).
Notes/Additional Permit Conditions;
Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland location.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave Morehead City,NC 28557 943 Washington Square Mall Washington,NC 27889
252-808-2808/1.888.4RCOAST.Fax:[phone] 252-946-6481
(Serves:Carteret,Craven—south of the Neuse River,Onslow Fax:[phone]
Counties) (Serves:Beaufort,Craven—north of the Nouse River,Hyde,Pamlico,
Tyrrell and Washington Counties)
Elizabeth City District Wilmington District
4015.Griffin St.Ste.300 127 Cardinal Drive Ext.Wilmington,NC 28405.3845
Elizabeth City,NC 27909 910-796-7215
252-264-3901 Fax:[phone]
(Serves:Bartle,Camden,Chowan,Currituck,Dare,Gates,Hertford, (Serves:Brunswick,New Hanover and Pender Counties)
Pasquotank and Perqulmans Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised b/al/2011

j
GG 2// I, HERBERT J.NO8LES,,IR. CERTIFY THAT
THIS PLAT IS OF A SURVEY OF AN EXISTING
PARCEL OR PARCELS OF LAND OR ONE OR MORE
EXISTING EASEMENTS AND DOES NOT CREATE A
NEW STREET OR CHANGE AN EXISTING STREET.
TIE LINES THIS TRACT IS LOCATED WITHIN ZONES AE & X
FROM A REBAR SET IN THE CENTER OF A 40' ROAD THE NORTHWEST CORNER OF BASE FLOOD ELEVATIONS 7 & 8 FEET ABOVE MEAN
TRACT RECORDED MAP BOOK 8 PAGE 98 TO AN EXISTING PK NAIL FOUND IN THE SEA LEVEL NAVD 1988
CENTERUNE OF S.R. 1308 AT THE SOUTHWEST END OF THE BRIDGE OVER MAP NUMBER 3720648600K. DATED 08-19-2020.
GREEN CREEK. DEED REFERENCE: DEED BOOK 586 PAGE 845
NO2'19'23'E 595.53' MAP REFERENCE DEED BOOK 566 PAGE 547
NO2'51'49'E 1321.13' I
N82'10'39'E 781.48' yt, GROUND
OU ME ARE HORIZONTAL
NO6'08'05'W 1508.46: 1 x
N62'24,24'E 2148.47 h
N52 16 02'E 2774.71' VALERIE A. COOPER ET. ALS. / •EXISTING IRON PIPE
c� gi De DEED BOOK 191 PAGE 674
k'. ' - 4, N 3' I
T� 0 •'1
1.. I
0. g 4's .rt (1-\\S
S, <U ^.(ictriT29.161. Y
(� •�•� � I' 0.720 ACRES IN PROPOSED WINE ` w
W of C� •2' 1 !_ii_2
ift v `88'24 " -7:,6- • ? \ 1
04 ?4 w MERR JOHNSONN \`\ I E-
LLJ- OT' DEED BOOK 647 PAGE 813 V
.Z. LEGEND • 7 ACRES _1 NMP Z
W m IRON PIPE
OR - COSTINGG WON RRER N / 8
W La, BAN - EXISTING MAGNEOC NNL n': \ �o
O o I� EPIC - COSTING PARKER-KALON NMI _ \ MARS m+:
W NW- NON-MONUMENTED POINT \ +.
MBL - MINIMUM BUILDING UNE \ • r*1
() o
O.E. - DRAINAGE EASEMENT g 30 30' �\
eg_ U.E. - UTILITY EASEMENT ' I�fu I BEATRICE LEE NEWTON
+00.00 - OUSTING GRADE ELEVATION
NAD - NORTH AMERICAN DATUM a 1 • MP DEED BOOK 536
�� NP D - NORM AMERICAN VERTICAL DATUM I I B p / PAGE 758
W 75'ACRREA~MANAGEMENTsA COASTAL
, LZ�J /
p OF EIMRONMENTAL CONCERN O '��p /
.(o ONES NOT SUEVEYEO -'-'- Z Q0°4' b:-
i"
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•
• � � N
y
_' -MP _
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rtior L-.71Ti/ 1 1 Js�6 �!� a'`S?
us 6:9
GRAPHIC SCALE s3`r"
mi u NEUSE RIVER
im m PROPOSED PLAN FOR
D 50 100 150 200 400 C. LADD FREEMAN JR. AND WIFE
VICINITY SKETCH 'SET K. FREEMAN
CURRENT OWNER: WATERFRONT DEVELOPMENT
AND INVESTMENT LLC
N. DEED REFERENCE: DEED BOOK 566 PAGE 645
MAP REFERENCE: DEED BOOK 566 PAGE 647
9.771 ACRES
TAX PARCEL#: 109-11-1-1
LI 0 517 COOPER LEATH TRAIL ORIENTAL NC 28571
. NUMBER FIVE TOWNSHIP PAMLICO COUNTY NC
HERBERT J.NOBLES JR.
8 PROFESSIONAL LAND SURVEYOR - L-2703
186 CAMPEN ROAD
�� BAYBORO, NORTH CAROLINA 28515
t252) 626-8634
PROJECT: WELSH DATE:
.SITE SCALE: 1"= 200' 04-19-2021
, MAP NAME: JOE2019A SHEET 1 OF 1

1703 Wilshire Blvd. N
Wilson, NC 27893
September 6, 2022
Ladd and Janet Freeman
1040 Glousman Road
Winston Salem, NC 27104
Re: 517 Cooper Leath Trail,Oriental NC, Riparian Request
Dear Ladd and Janet:
I have signed the Riparian Form on behalf of my siblings and the signed form is enclosed.
My two brothers,Toby and Jimmy Lee, and my sister, Rachel Mercer,join me in thanking you for your
desire to protect the wetlands between our property and yours. We look forward to having you as a
neighbor, and we hope that we will be able to meet in person sometime in the near future.
Best regards,
j )e&
Bea Newton
397 Wiggins Point Rd.
[e-mail]
252-399-9561

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 OwnerC.Ladd Freeman Jr.
Address of Property: 517'Cooper Leath Trail,Oriental,NC 28571
Mailing Address of Owner: 1040 Glousman Road,Winston-Salem,NC 27104
Owner's email: [e-mail] Owner's Phone#: [phone]
Agent's Name: NA Agent Phone#: NA
Agent's Email: NA
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 943 Washington Square Mall, Washington, NC 27889. DCM representatives can also be
contacted at(252) 946.6481.No response Is considered the same as no objection if you have been
notified by Certified Maii.
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 skin
the appropriate blank below.)
I DO wish to waive some/all of the 15'setback
Signature of Adjacent Riparian Property Owner
-OR-
I do not wish to waive the 15'setback requirement(initial the blank)bl __ `_'a _ .
Signature of Adjacent Riparian Property Owner - 9ALP.0 p r iL717—
Typed/Printed name of ARPO: Newton Beatrice Lee ETALS I CO James T.Lee PO Box 698,Oriental NC 28571
Mailing Address of ARPO: 1703 Wilshire Blvd N,Wilson,NC 27893
ARPO's email: ARPO's Phone#: [phone] James Lee
Date: 7/0 /o2oZ. *waiver is valid for up to one year from ARPO's Signature*
I 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: nttps://www.sosnc.gov_/search/ind_ex/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

I, HERBERT J.NOBLES,JR., CERTIFY THAT
THIS PLAT IS OF A SURVEY OF AN EXISTING
PARCEL OR PARCELS OF LAND OR ONE OR MORE
EXISTING EASEMENTS AND DOES NOT CREATE A
NEW STREET OR CHANGE AN EXISTING STREET.
TIE UNES THIS TRACT IS LOCATED WITHIN ZONES AE & X
FROM A REBAR SET IN THE CENTER OF A 40' ROAD, THE NORTHWEST CORNER OF BASE FLOOD ELEVATIONS 7 & 8 FEET ABOVE MEAN
TRACT RECORDED MAP BOOK 8 PAGE 98 TO AN EXISTING PK NAIL FOUND IN THE SEA LEVEL NAVD 1988
CENTERLINE OF S.R. 1308 AT THE SOUTHWEST END OF THE BRIDGE OVER MAP NUMBER 3720648600K, DATED 06-19-2020.
GREEN CREEK. DEED REFERENCE: DEED BOOK 566 PAGE 645
NO2'19'23"E 595.53' MAP REFERENCE DEED BOOK 566 PAGE 547
NO2'51'49"E 1321.13' N`1' ALL DISTANCES SHOWN ARE HORIZONTAL_
N82'10.39"E 781.48' 41. GROUND MEASUREMENTS. I
No6'08'05"W 1508.46' h'\ ,yx
N62'24'24"E 2148.47' •EXISTING IRON PIPE
N52'1602"E 2774.71' oxa, .c\O VALERIE A. COOPER ET. ALS.
•CP DEED BOOK 191 PAGE 674 y
Cl A \e' h
oi- heh P� �® 773.01' f
Ir'
In aJ 4 @ e\e ND'29.16" 1� IITicel
S�B� o il
�4,'>NT 2.t5,55' •• 1 r*i U
QF�.g Vi r 1 WETLAN <
C y I'''•70.03' 5q�178,l' 0.720 ACRES IN PROPOSED DRIVE 03
Wm C • C --- ? \ O.. \J..
N88'24 44 548.67 • o �`�
Q24'gq MICHAEL DOBSON s _ \\ a
a k q0 JERRI JOHNSON I (7
1-T.f N Ol' DEED BOOK 647 PAGE 813 V NMP z
LiW y EIP - EXISTING IRON DPIPE 9.77 ACRES / ___�I y
W ` EMN - EXISTING MAGNNG ERON TICMAGNETIEBAR ID-CN1�IL �? NN
a° 1-0 EPK - COSTING PARKER-KALON NAIL v�j \\ MARS �-0�'.
NMP - NON-MONUMENTED POINT CO. ry • ?
m MBL - MINIMUM BUILDING LINE 'r 0 • \ ITT
v D.E. - DRAINAGE EASEMENT yam.Q 13Q'�Q' \
4 U.E. - UTILITY EASEMENT vl l Itt 'Z �1 BEATRICE LEE NEWTON
+00.00 - EXISTING GRADE ELEVATION I I- o
Q ry NAD - NORTH AMER,CAN DATUM N a X 1 Mp DEED BOOK 538
��nn NAVD - NORTH AMERICAN VERTICAL DATUM
w l'-' f PAGE 758
Ci r 75'CAMA A.E.C. - 75' COASTAL n LX /
L_j m AREA MANAGEMENT ACT AREA UU
Q W LINES NOTOF SUE EYED CONCERN Z �C'eJ�O ff
t .
7 eao / e
1 �40
wco
0E4R- � v.• o N
45.48'�� ZONE' • ti
MP �_
• F36 17. •r� �/...p % NMP
�� �/, p ,
� Ir 'VPs
S
GRAPHIC SCALE NEUSE RIVER
MI M PROPOSED PLAN FOR
0 50 100 150 200 400 C. LADD FREEMAN JR. AND WIFE
VICINITY SKETCH 'SET K. FREEMAN
CURRENT OWNER: WATERFRONT DEVELOPMENT
AND INVESTMENT LLC
DEED REFERENCE: DEED BOOK 566 PAGE 645
130E R1EN1p4 MAP REFERENCE: DEED BOOK 566 PAGE 647
9.771 ACRES
TAX PARCEL#: 109-11-1-1
0
517 COOPER LEATH TRAIL ORIENTAL NC 28571
NUMBER FIVE TOWNSHIP PAMLICO COUNTY NC
0
HERBERT J.NOBLES,JR.
o PROFESSIONAL LAND SURVEYOR - L-2703
186 CAMPEN ROAD
r-w BAYBORO, NORTH CAROLINA 28515
r. [phone]
t PROJECT: WELSH DATE:
�SITE� SCALE: 1"= 200' 04-19-2021
MAP NAME: JOE2019A SHEET 1 OF 1

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: Charles Ladd Freeman Jr.
Address of Property: 517 Cooper Leath Trail
Mailing Address of Owner 1040 Glousman Road,Winston-Salem,NC 27104
Owner's email: [e-mail] Owner's Phone#: [phone]
Agent's Name: NA Agent Phone#: NA
Agent's Email: NA
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 properly.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.
e1C'__ 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) /n writing within 10 days of receipt of this notice. Correspondence should be
mailed to 943 Washington Square Mall, Washington, NC 27889, DCM representatives can also be
contacted at(252)946-6481.No response is considered the same as no objection if you have been
notified by Certified Mail.
WAIVER SECTION
I understand that any proposed pier, dock, mooring pilings, boat ramp,breakwater, boathouse, lift, or
groin must be set back a minimum distance of 15'from my area of riparian access unless waived by me
(this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback,you must sign
the appropriate blank below.)
I DO wish to waive some/all of the 15'setback rfi ilac""•
Signature of Adjacent Riparian Property Owner
-OR-
I do not wish to waive the 15'setback requirement
(iiniittial�thee blank)
Signature of Adjacent Riparian Property Owner: 'L wr alV"�'s°^t
Typed/Printed name of ARPO: Michael Dobson
Mailing Address of ARPO: 407 S William St,Goldsboro,NC 27530
ARPO's email: [e-mail] ARPO's Phone#: [phone]
08/31/2022
Date: *waiver is valid for up to one year from ARPO's Signature*
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 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

ROY COOPER
Governer
MICHAEL S. REGAN
Secretary
Coastal 1lanagement BRAXTON DAVIS
• IMMO NH(' iAl OUAlinr
Director
BUFFER AUTHORIZATION CERTIFICATE FOR SHORELINE STABILIZATION
A riparian buffer authorization is required for shoreline stabilization activities within the Neuse and Tar-Pamlico River
basins per Division of Water Resources(DWR)regulations 1SA NCAC 02B.0233 and 0259. The Division of Coastal
Management(DCM)through a Memorandum of Understanding with the Division of Water Resources(DWR)has
reviewed your project proposal and has determined that the project as proposed complies with the aforementioned
regulations.
Those activities covered by your Coastal Area Management Act(CAMA)permit have received Buffer Authorization
provided the project is constructed in a manner that continues to meet all of the conditions listed below.Failure to
comply with this Buffer Authorization may subject the property owner and the party(contractor)performing the
construction and/or land clearing to a civil penalty by DWR of up to$25,000 per day per violation.
t. Impacts: Impacts to woody vegetation from clearing and filling in Zone 1(begins at the most landward of either
normal water line(NWL)or normal high water line(NHWL)and extends 30 feet landward)shall be minimized to
what must be impacted for the sound installation of the shoreline stabilization project. Unnecessary clearing and
tilling in the buffer is a violation of the riparian buffer rules.
z. Clearing&Grading:Clearing and grading of Zone 2(begins at the landward edge of Zone 1 and extends 20 feet
landward)is allowed provided that it is re-vegetated immediately and Zone 1 is not compromised,which includes
maintaining diffused(non-channelized)flow of storm water runoff through the buffer.
3 Construction Corridors:Construction corridors are allowed for shoreline stabilization projects,but they must be
satisfactorily restored as described in condition 5 below.
.i Potential Overwash:For vertical shoreline stabilization projects(bulkheads)only;sites where wave overwash is
expected to be severe,the first ten(10)feet landward(unless specifically authorized othervise by DCfvi)from the •
structure may be maintained as a stable lawn in order to provide for structural stability.
s Temporary Stabiazation:Immediately post-construction,bare soils must be stabilized as quickly as possible by
providing a temporary ground cover. Newly seeded areas should be protected with mulch and;or erosion matting.
This ground cover is a temporary measure used to address erosion until site restoration can be accomplished.
b. Site Restoration:At minimum,pre-project site conditions must be re-established.A site that was wooded prior to
this shoreline stabilization project must be restored with woody vegetation at a stem density of 260 stems per acre.
Non wooded sites may be re-vegetated with woody vegetation.Restoration must be completed by the first
subsequent planting season(November 1 through March 30)aftee completes off�tte bulk ad.
1 Pre-project site conditions: Ca lr / S e/,per'[
7 Project Drawing:l he drawing on the CAMA General Permit is considered the protect drawing of your property
indicating the location of the shoreline stabilization structure and any associated clearing,grading,and construction
corridors.This drawing will be used to aid in compliance and monitoring efforts.
By your signature below you agree to be held responsible for meeting all of the above listed conditions and verify that ill
information is complete and acturate.
Agen Fppli Printed Name Permit Officer's Signature
kij
t r p scant Sign re s 1 ue Oat Z L
CAMA GENERAL PERMIT C: f 2 9
State orNorth Carolina I EfMrumrerui Qu ihv i Coastal Maca.c,cnt
Waehrnyron Office 1941 Woshinyton Syu.ue M,,11 Wavhmglun.aC 12E891 i52 9eb brat
• W,rminarnn Oirire 11,7f-.yrrynsinrm..r.r w,ti "yC iq't °15' t10
\I.v e1,e3a Caty Office JOO Cunuoe,ce Averue\haehead.,ty'iC 2ii,52 I :52 90a 2Med