87581D-HENRY

Q !T or Applicant PRIN
Signature "Please read
CRC RULES AND CONDITIONS TNAT APP
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Na
�pl` a sta merit n badt of it"
TO THIS PROJECT AND REVIEWED COMPLIANCE STAT MENT. (Please Initial) JU
Permit Offi Nam`
Signature t f
Fee(s) Check k/Money Order Issuing

&oCOAST41 LAMA ❑ DREDGE & FILL NI? 87581 A B C i
GENERAL PERMIT Previous permit Z
3 Date previous permit issued
New ❑ Modification [:]Complete Reissue ❑ Partial Reissue
As authorized by the (St(ate of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC /hev , s I ZC.(!f:> ❑ Rules attached. ❑ General Permit Rules available at the following link: www.dgq.nc.gov/CAMArules
Applicant I
Address _
City I
Phone # (
State 11)� I ZIP
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Email Subdivision. ^
City �► ZIP 7&q013
Affected V CW MEW rj�PTA ❑ ES ❑ PTS Adj. Wtr. Body Lfk(Dman/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body AA*icw,,.6-,o C�
ORW: yes/6) PNA: &no Kn.TI" ' ^N s dA.r-,/
Type of Project/ Activity
Shoreline Length
Access Length v
Pier (dock) length
Fixed Platform(s) t2lx
Floating Platform(s)
,r
JM
Finger piers)
Total Platform area "I r f
Groin I h/#
Bulkhead iprap length
Avg distanc\ffshore
BreakwaterMax distanBasin, chan
Cubic yards
Boat ramp
Boathouse/ at
Beach Bulldozin
Other
SAV observed:
yes
Moratorium: n/a
yes
Site Photos:
Riparian Waiver Att
yes
ached: / no
A building permit/zoning permit may be required by:
V'b 1 W
Permit Conditions
5
�{s Creek
&6 Lte�L-'"_
(Scale:
t
b
b
❑ 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,;RC RULFS AND CONDITJpNS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
9Ee4t or Appftcant PRINTED NarrT� Permit
S' nature "Please read compliance statement on back of permit" Signature
//
Application Fee(s) Check /Money Order Issuing M

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)
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

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'complete-d by owner or their agent)
Name of Property Owner: Mitch and Rhonda Henry
Address of Pro e 6130 Leeward Lane Wilmington NC 28409
P rty:
Mailing Address of Owner: . 6130 Leeward Lane Wilmington NC 28409
Owner's email: [e-mail]_ - Owner's Phone#: [phone]
Agent's Name: _ NA Agent Phone#:
Agent's Email:...
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
I hereby certify that I own property adjacent to the above referenced property. The individual applying for this
permit has described. to me, as shown on the attached drawing, the -development they are proposing.
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 127 Cardinal Drive EXT, Wilmington, NC 28405. 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 /J r
Signature of Adacent Riparian Property Owner
-O R-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
� t
Typed/Printed name of ARPO: g,., S., s�wL &V"rwtak
Mailing Address of ARPO:
ARPO's email: r'a% OtiLI �h�n. cowl ARPO's Phone#: J,Lo 2A
Date: ti I it) ILL *waiver is valid for up to one year from ARPO's Signature*
RE9Nay 2021
DEC 09 2p22
DCM WILMINGTON, NC

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:.. _ Mitch and. Rhonda Henry
Address of Property: 6130 Leeward Lane Wilmington NC 28409
Mailing Address of Owner: 6130 Leeward Lane Wilmington NC 28409
Owner's email: [e-mail] . _ Owner's Phone#: [phone]
Agent's Name: _ NA Agent Phone#:
Agent's Email
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottomp'ortion to be completed by the. Adjacent Property Owner)
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 f[Pic I-en-,�
i rz-Fmr ''*) -
DO NOT have objections to this proposal
Z—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 127 Cardinal Drive EXT, Wilmington, NC 28405. 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
Ego
I do not wish to waive the 15' setback requirement (initial the blank) V
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: C A±V.
Mailing Address of ARPO: (o A � 2 4 6-F- j) .R D .. (A) 1.2-M_ 110 D 1J , C
ARPO's email: c c e av Orr ?.C, ARPO's Phone#:
Date: 1 %.a S7f 22 *waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

purposed structure and measurements
total of30 it
I I 12x 12
6x1O boat iin
existing pier
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Consent for Use of General Permit 71-1.1200
Lot Number/Address: 6130 Leeward Ln
County: New Hanover
Criteria:
(check all that apply)
p Primary Nursery Areas.
• Less than 2.0ft deep.
❑ Greater than 2.0ft but less than 3.0ft.
❑ Submerged Aquatic Vegetation.
❑ Bottom habitat.
Comments:
Subdivision:
Install a 6'x10' floating dock, the landward portion of the floating dock would be located in approximately
1 8 - I I I on tMe landward and deeper Man 2 on the waterward side. I Fle proposal also Includ sa
12'x12' boat lift in waters deeper than 2' NLW.
Floating dock should have 18" stops.
Decision:
® Issue General Permit
❑ Elevate to Major Permit
k�u
12/14/2022
NC Division of Marine Fisheries Representative Date
NC Wildlife Resources Commission Representative Date

2004043078
FOR REGISTRATION REGISTER OF DEEDS
REBECCA T: CHRISTIAN
NEW HANOVER COUNTY; NC
2N4' AUG 10 04:21:.48 W . , '
BK:4447 PG:61-66:FEE:$26.00.:
IRUMENi' UNIT-, . .
STATE OF NORTH CAROLINA
PIER AND DOCK
COUNTY OF NEWMANOVER. EASEMENT AGREEMENT
'THIS AGREEMENT,, made and entered into. this o2 9.ay of
2004; by .arid.. between : W:. SCOTT, CRENSHAW' and ,wife, ALISON W.., RENSHAW- .
hereinafter, referred:. to as "Crenshaws"', ,and -EDWARD L. WARD 'and wife; BARBARA. B.
WARD,. hereinafter referred to as "Wards". .
W I T N .E S S E. T. H:
WHEREAS, Wards are the owners- of Lot 5A, of 'a Redivision of Lot 5, of Windward
Subdivision. as shown on a map t�ereof recorded' in Map Book 46, Page.177 in the Office of -the ` .
Register of Deeds of New Hanover'County (the "Ward Property"); and,
WHEREAS' Crenshaws are the owners of Lot SB of said Subdivision as shown on said
:map (the; "Crenshaw Property'.'); and,
WHEREAS, the Wards have constructed a pier and dock facility. upon the Ward .
Property .(the "Facility") and have agreed to ,grant. to .Crenshaws an easement, appurtenant to the.
Crenshaw Property, as: hereinafter set forth.
NOW, THEREFORE, in consideration: of the sum':of Ten Dollars ($10.00) and.,other
good and valuable consideration; the receipt and: sufficiency of :which are hereby, acknowledged, -
Wards hereby give; :grant, Bargain and sell, align and convey .unto' Crenshaws, their successors
and. assigns; : a perpetual appurtenant easement over the 'Ward- Property subject to the following
terms and 'conditions:
1.. Description. The easement granted herein- shall . be ten (10) feet ' in .width and
shall .run from the 5 Foot Path .Access Easement" lying between Lot 4 and Lot 5A .as shown on
the plat along the southern boundary of Lot 5A in an. easterly.direction to- the'-l.ocation of the
RtWRN TO:
DONALD E. BRITf JR. 1

Facility. It shall further extend through and across all portions of the Facility and shall include
such riparian rights as are reasonably necessary to effectuate the utilization of the Facility for
pedestrian and boat access and normal pier and docking usage. To the extent that the Facility is
relocated and/or it is not reasonably possible to access the Facility along the southern line of
Lot 5A as set forth herein, the parties agree to modify and amend the easement granted herein to
provide the Crenshaw Property with reasonable access to the Facility.
2. Repair, Maintenance and Reconstruction. The reasonable cost of repair,
maintenance and reconstruction of the Facility shall be borne equally by the owners of the
Crenshaw Property and the owners of the Ward Property. All decisions relating to the repair,
maintenance and reconstruction of the Facility shall be agreed upon by the parties hereto prior to
commencement of work; provided, however, in the event emergency repairs need to be made and
any party is not reasonably available, such repairs may be made and any owner contracting for
emergency repairs shall be reimbursed one-half of the cost thereof. In the event the owners
cannot agree upon any matters relating to repair, maintenance or reconstruction, the final
determination of such matter shall be made by the owner of the Ward Property. In the event the
repair, maintenance or reconstruction costs or design are unacceptable to the owners of the
Crenshaw Property, said owner shall not be obligated to contribute to the cost of such repair,
maintenance or reconstruction but may, in lieu thereof, terminate this Agreement and convey any
and all right, title and interest in and to this easement and the Facility.
3. Boat Slip and Docking Privileges. The parties acknowledge that the Facility as
currently designed will accommodate two (2) boats, approximately 18 feet in length. The
boatslip on the south side of the dock is hereby allotted to the owner of the Ward Property. The
boatslip on the east side of the dock is hereby allotted to the owner of the Crenshaw Property.
Except as set forth herein, no other boats shall be docked at the Facility except those set forth
above without the prior consent of the owner of both the Ward Property and the Crenshaw
Property,
4. Boat Maintenance. The parties hereto shall properly secure boats docked at the
Facility at all times and shall store all personal property in designated storage areas or otherwise
in a neat and orderly fashion.
5. Persons Entitled to Use Facility. The rights granted herein shall extend only to
the parties hereto and their successors in ownership of the real property. The rights cannot be
2

assigned separately and independently from the ownership of the real property. The rights
granted herein shall extend only to the owners of the real property, their tenants and their invitees
who are accompanied by such owner or tenant.
6. No Nuisance. The parties agree that their use of the Facility shall be reasonable
in time and manner. The parties shall not make use of the Facility at such times as would be
offensive to the other party or create a nuisance to the adjoining land owners and shall use their
best efforts to refrain from activities causing undue noise or disruption prior to 6:00 a.m. and
after 11:00 p.m.
7. Condition of the Facility. The parties hereto acknowledge that they have
inspected the Facility and accept the same in "as is" condition. Neither party shall have liability
to the other for any damage to any person or property occurring on the Facility except to the
extent of their own willful and intentional acts. All parties acknowledge that they, their guests,
tenants, invitees, and designees shall use the Facility at their sole risk. Each party agrees to
indemnify and hold harmless the other for any loss or damage of any kind, including attorney's
fees relating to any claim for damage to person or property occurring by virtue of the use of the
Facility by themselves, their guests, tenants or invitees. Any owner accepting a deed to the
Crenshaw Property or the Ward Property shall be deemed to have accepted the indemnification
obligation set forth herein.
8. Appurtenant Easement. This easement is appurtenant and runs with the
properties described above. It shall be binding upon the parties hereto, their heirs, successors
and assigns.
9. Entire Understanding. This Agreement constitutes the entire understanding
between the parties. It may not be modified orally or in any other matter except by agreement in
writing by the parties hereto.
10. Arbitration. Any controversy or claim arising out of or relating to this
Agreement or breach thereof shall be resolved by binding arbitration pursuant to the Uniform
Arbitration Act as adopted by the State of North Carolina and amended from time to time. All
such arbitration shall be conducted in New Hanover County, North Carolina and judgment on the
award rendered by the arbitrators may be entered in any court having jurisdiction thereof.
11. Construction, This Agreement shall be construed in accordance with the laws of
the State of North Carolina.
3

REBECCA T. CHRISTIAN
REGISTER OF DEEDS, NEW HANOVER
216 NORTH SECOND STREET
WILMINGTON, .NC 284.0-1

Date R—t-d
Date D.—IWd
Cheek From(Neme)
Name W Permh Holder
Vendor
Check number
Check
amount
Permk NumbeNCommeM.
R.—lot or Re/und/Realloeetad
Columnl
Column2
Column3
Cu­,
Calumny
ColumnB
Column7
ColumnB
I Column9
2/1912022Mitchell
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