Vernon, Kim & Eric 91148C

,��``°"rw ❑CAMA ❑ DREDGE & FILL N° 91148 A B C D
GENERAL PERMIT Previous permit
3 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:
15A NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: wwwc1eq.nc.gov/CAMArules
Applicant Name
City
Phone # (
( % Authorized Agent z
Project Location (County):
State ZIP Street Address/State Road/Lot #(s)
Subdivision
City
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk)
AEC(s): ❑ OEA ❑ IRA ❑ UW ❑ SPIMA ❑ PWS Closest Mal. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
Shoreline Length
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platform(s) O
Finger piers)
Total Platform area
Groin length/pTT
Bulkhead/ Riprap length -
—
Avgdistanceoffshore
--�-
-�
Breakwater/Sill
Max distance/length
Basin, channel
Cubic yards
I
I--
-
Boat ramp
__
_
Boathouse/Boatlift
Beach Bulldozing
1
—I
Other
SAV observed: yes no
Moratorium: n/a yes noSite Photos: yes no
Riparian Waiver Attached: yes no
A building permit/zoning permit may be required by:
Permit Conditions
(Scale:
❑ 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)
Agent or Applicant PRINTED Name
Permit Officer's PRINTED Name
Signature **Please read compliance statement on back of permit**
Application Feels) Check q/Money Order
Signature
14�3
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 1-1 Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules
for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the
NC Division of Water Resources. If you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
Notes/Additional Permit Conditions:
Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland location.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST Fax: [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

,ore"°"'°❑CAMA ❑DREDGE & FILL N9 91148 A e C D
1 GENERAL PERMIT Previous permit
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:
ISA NCAC ❑Rules attached. ❑General Permit Rules available at the following link: wvaw.deq.nc.gov/CAMArules
Applicant
City
Phone # ( )
Affected ❑cW
AEC(s): ❑ OEA
ORW: yes/no
State ZIP_
❑EW ❑PTA ❑ES
❑IHA ❑UW ❑SPIMA
PNA: yes/no
Type of Project/ Activity
Shoreline Length
Access Length —._
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger piers)
Total Platform area
Groin length/ft -'
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 no
A building permit/zoning permit may be required by:`,
Permit Conditions
Authorized Agent
Project Location (County):
Street Address/State Rogd/Lot #(s)
i
Subdivision
City ZIP
❑ PTS Adj. Wtr. Body (nat/manfunk)
❑ PWS Closest Maj. Wtr. Body
(Scale:V P ')
i ❑ 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)
i
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
i
Signature **Please read compliance statement on back of permit** Sig at re
6�3JP'l ?' r l�gly3
Application Feels) Check H/Money Order 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 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 NOTIFICATIONMAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: K a fA d OR tC- 'V MA)OAJ
Address of Property:
Mailing Address of Owns.
rk
Owner's email: eJeV✓10H ,� PiGft-Owner's Phone#:
Agent's Name: AJA Agent Phone#:
Agent's Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom Portion to be completed by the Adlacent Prooerty Owner)
I hereby certify that I own property adjacent to the above referenced property. The individual applying forthis
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 somelall of the 15' setback
-OR-
Signature of Adjacent RiparierikOrepaq Owner
I do not wish to waive the 15' setback requiremer t�(i 'fiat th blank)
r
Signature of Adjacent Riparian Property Owner.
r
Typed/Printed name of ARPO: 57EVr
Mailing Address of ARPO: j j 6 C01119Nh400b G7 r Y k% 2 S �1tS l 'v
ARPO's email: e . COM ARPO's Phone#: 252- - 72-3 - 98,5
Data: ( walver is valid for up to one year from ARPO's Signature*
Revised May 2021

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Kim and Eric Vernon
6100 Pomfret Point
Raleigh, NC 27612
February 8, 2023
Via Email: sobx(cDme.com
Mary Carlyle and Steve Brown
106 Cottonwood Court
Pine Knoll Shores, NC 28512
RE: Dock repair at 104 Cottonwood Court, PKS, NC 28512 (the "Project")
Dear Mary Carlyle and Steve:
Kim and I are applying for a CAMA General permit to repair our dock and add a floating dock in the location
where we currently have a step-down dock. There is no change to the current size or location of the dock.
We will replace several of the failing pilings, add more pilings and reinforce the support system under the
dock. We will remove the existing step-down dock and replace it with a Floating dock. The attached sketch
shows the dock and the survey identifies your name, location and address.
As the adjacent riparian property owner to the Project, we are required to notify you of the scope of the
Project to give you the opportunity to comment on the Project. Please review the Project drawings and
complete the form where indicated. Return a copy of the completed and signed form to me at
evernon(awvrick.com
If you have any questions on this project, please call me at 919-740-5983 or email at eyernonOwvrick.com
Sincerely,
�If. (,/�
Kim and Eric Vernon
Enclosures
1. Sketch of proposed project
2. Survey identifying adjacent property owners
3. Adjacent owner certification
Cc: Heather Styron
999999.999-3533881vl

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:- IfItAk 4- IFZll6- 'VMA),pA/
Address of Property: I04 cvryvAwolooC7 &.S t aG riey a,
Mailing Address of Owner: 51019 1 00A 4EJ 107 l�l4CC/(rAf� N4 �7�/�
�
Owner's email: 2JQV-✓tON(,J, frck Orwner's Phone#:
Agent's Name: Ali' Agent Phone#:
Agent's Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Prooerty 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 mu t be provided with this letter.
00'
V I DO NOT have objections to this proposal, I DO have objections to this proposal.
it you have objections to what Is being proposed, you must notify the N.C. Division of Coastal
Management (DCM) In writing within 10 days of receipt of this notice. Correspondence should be
mailed to 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted
at [phone]. No response is considered the same as no objection if you have been notified by
Certified Mall.
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 riprep revetments). (If you wish to waive the setback, you must sign
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback
-OR-
Signature of Adjacent Riparian Property Owner
I do not wish to waive the 15' setback requirement (initial the blank) 41ym
—
V Signature of Adjacent Riparian Property Owner.
l Typed/Printed name of ARPO: fO'& I k C OS
Mailing Address ofARPO: 0):1 hA., AIM.sg e, 2-76/L
ARPO'semail• hr1'rnL1e [0hd.r(AA0R*PO'sPhone#: iiM-i004b^$0ig
Date: -3 "waiver is valid for up to one year from ARPO's Signature'
Revised May 2021

Kim and Eric Vernon
5100 Pomfret Point
Raleigh, NC 27612
February 8, 2023
Via Email: IVnnMoleofflnC rr cam
Lynn and Joseph McLeod
4017 Gardenlake Drive
Raleigh, NC 27e12
RE: Dock repair at 104 Cottonwood Court, PKS, NC 28512 (the "Project")
Dear Lynn and Joe:
Kim and I are applying for a CAMA General permit to repair our dock and add a floating dock in the location
where we currently have a step-down dock. There is no change to the current size or location of the dock,
We will replace several of the falling pilings, add more pilings and reinforce the support system under the
dock. We will remove the existing step-down dock and replace it with a floating dock. The attached sketch
shows the dock and the survey identifies your name, location and address.
As the adjacent riparian property owner to the Project, we are required to notify you of the scope of the
Project to give you the opportunity to comment on the Project. Please review the Project drawings and
complete the form where Indicated. Return a copy of the completed and signed form to me at
evernon(dwvrick.com
If you have any questions on this project, please call me at 919.740-5983 or email at evernonOwyrick.com
Sincerely, q
Kim and Eric Vernon
Enclosures
1. Sketch of proposed project
2. Survey identifying adjacent property owners
3. Adjacent owner certificate
Cc: Heather Styron
999999.999-3527844v3

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Kara. GwHtiri.,
Permit Technician
Division of Coastal Management
Department of Environmental Quality
252.515.5421
252.515.5401 Fax
Kara. Guthrie@ncdenr 4ov
400 Commerce Ave
i
rehead Cit , NC 28557
t
Nothing Compares . .
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
Click HERE to Find the DCM Field Rep in your CAMA region

Eric A. Vernon
ATTORNEY W410k Robbins
onYates ai , ontonSuite LLP
4101 Lake Boone Trail, Suite 300
Raleigh, NC 27607
Direct:919.865.1113 P:919.781.4000 F:919.781.4865
w .wvrick.com _.roDOe�
[e-mail]
From: Guthrie, Kara L <[e-mail]>
Sent: Thursday, February 2, 2023 3:39 PM
To: Eric A. Vernon <[e-mail]>
Cc: Styron, Heather M. <[e-mail]>
Subject: General Permit Application
FYI, this is the first time you received an email from [e-mail]
[EXTERNAL]
Good afternoon Mr. Vernon,
Sorry I sent this to the wrong email before.
I am including our General Permit packet along with Heather Styrian's information. She is the field rep
for that area and will be able to assist you better with your dock replacement in Pine Knoll Shores.
Heather Styron
Office # : 252-515-5417
Work Cell # : 252-725-3903
[e-mail]
Please let me know if you have any other questions!
Thank you,

252.515.5417 (0) 252.725.3903 (M)
Heather. M.Stvron @ncdenr.eov
www.deo.nc.gov
Find a Field Rep (armis.com)
Dopartmunt of BIV110"u1611tal
Email correspondence to and from this address is subject to the North
Carolina Public Records Law and may be disclosed to third parties.
From: Eric A. Vernon <[e-mail]>
Sent: Thursday, February 2, 2023 4:04 PM
To: Styron, Heather M. <[e-mail]>
Subject: [External] FW: General Permit Application
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an
attachment to Report Spam.
Dear Heather: Just opened the permit application and want to make sure my project requires a general
permit (or any CAMA permit for that matter). The dock exists now and will not change in its
dimensions. I have hired a contractor to replace failing pilings. His advice to me is to add pilings
because the prior design had too few pilings for the span of dock. In other words he will install pilings
every 6' rather than the 10' separation that exists now. I'm not exactly sure about the distance of
separation (6' or 10") but we intend to increase the number of pilings and the pilings will definitely be
closer together than they are now. The dimensions of the dock will remain the same.
We plan to replace a "step down" dock with a floating dock. Again, the dimensions are unchanged but
the floating dock and its supporting pilings will replace the step down dock we have now.
The dock is located at 104 Cottonwood Court. I invite you to take a look if you have the time. Attached
is the sketch my contractor prepared for the project. Also attached is a copy of my survey. Thanks
again for your assistance. Eric

Styron, Heather M.
From: Eric A. Vernon <[e-mail]>
Sent: Sunday, February 12, 2023 3:00 PM
To: Styron, Heather M.
Subject: RE: [External] FW: General Permit Application
Attachments: Document_2023-02-08_190437.pdf, Vernon CAMA Doc.pdf
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an
attachment to Report Soam.
Dear Ms. Styron: Attached are the adjacent property owner certificates. May I mail the check in the
amount of $200 to you at the 400 Commerce Avenue address? Thanks. Eric
Eric A. Vernon
ATTORNEY Myrick Robbins Yates & Ponton LLP
Direct: 919.865.1113 4101 Lake Boone Trail, Suite 300
Raleigh, NC 27607
P: 919.781.4000 F: 919.781.4865
Ce11:919.740.5983 w .mrickxom cadre
[e-mail]
From: Styron, Heather M. <[e-mail]>
Sent: Thursday, February 2, 2023 4:18 PM
To: Eric A. Vernon <[e-mail]>
Subject: RE: [External] FW: General Permit Application
[EXTERNAL]
Hello Mr. Vernon,
What you described is considered development (adding new pilings and replacing stepdown with
floating platform) and would require the CAMA general permit. If you have your neighbor on the left
and the one on your right sign the adjacent riparian property owners statement along with the drawing
the contractor submitted and return to me, I can then draft a permit for you. The fee for this would be
200 dollars (check or money order only) and the permit would be valid for 120 days. If you want your
contractor to handle this for you, please fill out the attached agent form to submit as well. I hope this
helps.
Thanks!
Heather Styron
District Manager
Division of Coastal Management 400 Commerce Avenue Morehead City, 28557

On Feb 8, 2023, at 11:54 AM, Eric A. Vernon <[e-mail]> wrote:
Dear Mary Carlyle and Steve: Please see attached. I'd appreciate it if you could check
the box for "I do not object", sign and return a copy to me electronically. Thanks. Eric
Eric A. Vernon
ATTORNEY
Direct: 919.865.1113
Cell: 919.740.5983
[e-mail]
0
, COMM
Wyrick Robbins Yates & Ponton LLP
4101 Lake Boone Trail, Suite 300
Raleigh, NC 27607
P: 919.781.4000 F: 919.781.4865
w .wwick,wrn

Styron, Heather M.
From:
Steve Brown <[e-mail]>
Sent:
Friday, February 10, 2023 9:39 AM
To:
Eric & Kim Vernon
Cc:
Steve Brown, BIC; Styron, Heather M.
Subject:
[External] Re: consent to dock repair
Attachments:
Vernon CAMA Doc.pdf; Brown consent certificate.pdf
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an
attachment to Report Spam.
Good morning, Eric: I have attached the signed CAMA document. Also, I corrected our address. Have a
great weekend!
Best regards,
Steve
Stephen W. Brown, Broker, REALTOR®
Carteret County Association of Realtors° Past President
Landmark Sotheby's International Realty
4747 Arendell Street
Morehead City, NC 28557
c 252.723.8855 d 252.499.9465
[e-mail]
Steve Brown Rea I Estate.com
LandmarkSIR.com
Please review the NC brochure on Working With Real Estate Agents
land marksothebysrealty.com/wwa/
NOTICE OF CONFIDENTIALITY This transmission contains information that may be confidential and that may also
be proprietary; unless you are the intended recipient of the message (or authorized to receive it for the intended
recipient), you may not copy, forward, or otherwise use it, or disclose its contents to anyone else. If you have
received this transmission in error, please notify us immediately and delete it from your system.

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: KtOK 41- ik(.tr 'V &4A)0A1
Address of Property: J 1 ('o'TfVA) Wtrl8O Cr. Ace- AR-5 t 3
Mailing Address of Owner: 61049 J1 OAAFAF. '-r 107, A)e 2.761,E
Owner's email: eJeVv10K ,+ PickOwner's Phone#: Q(i-7rrr7-Sg83
Agent's Name: /tiff' 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 tothe above referenced property. The individual applying forthis
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 scan
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)
C* Signature of Adjacent Riparian Property Owner:
Typed/Printed name ofARPO: 57Edr a(ZOW
Mailing Address ofARPO: II(7 CO-tJOA/W00D GT r� NC 2-1t5tZ-
ARPO'semail: 506VE wte .C.OM ARPO'sPhone#: 257, 7Z3' 9r5-5-
Date: *waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

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DEED800K 927 'PAGE 38A fall
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Kim and Eric Vernon
5100 Pomfret Point
Raleigh, NC 27612
February 8, 2023
Via Email: sobx(a-me.com
Mary Carlyle and Steve Brown
106 Cottonwood Court
Pine Knoll Shores, NC 28512
RE: Dock repair at 104 Cottonwood Court, PKS, NC 28512 (the "Project")
Dear Mary Carlyle and Steve
Kim and I are applying for a CAMA General permit to repair our dock and add a floating dock in the location
where we currently have a step-down dock. There is no change to the current size or location of the dock.
We will replace several of the failing pilings, add more pilings and reinforce the support system under the
dock. We will remove the existing step-down dock and replace it with a floating dock. The attached sketch
shows the dock and the survey identifies your name, location and address.
As the adjacent riparian property owner to the Project, we are required to notify you of the scope of the
Project to give you the opportunity to comment on the Project. Please review the Project drawings and
complete the form where indicated. Return a copy of the completed and signed form to me at
evernon Co)wvrick. com
If you have any questions on this project, please call me at 919-740-5983 or email at evernonO-wvrick.com
Sincerely,
(),<;�
Kim and Eric Vernon
Enclosures
1. Sketch of proposed project
2. Survey identifying adjacent property owners
3. Adjacent owner certification
Cc: Heather Styron
999999.999-3533881v1

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: 01,� M 4 6k14-1- 'y MAipA/
Address of Property: 104 C_®'TYrN WtV,910 C J . Pk-$ me, am ;:�
Mailing Address of Owner: _ 19100 ADMFA.E"'f P7. lts*CV-1 44, Alli%- ei,,76I Z
Owner'semail: eJeV✓1OH,. Pids�Owner'sPhone#:
Agent's Name: 10 Agent Phone#:
Agent's Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adlacent 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
V 'qLy'_ I DO NOT have objections to this proposal. I DO have objections to this proposal.
If you have objections to what /s 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
-OR-
Signature of Adjacent RiparlartkQfepaq Owner
I do not wish to waive the 15' setback requiremer7,t (i 'tial tr blank) ,
Signature of Adjacent Riparian Property Owner..,
Typed/Printed name of ARPO: 57EVC
Mailing Address of ARPO:101 14-1�7- C07TDAJW00P Cr r Pie—' 6 Ve- 2It5 1 'Z.
ARPO's email: e . COM ARPO's Phone#: 257-' 79-3' 98'5'5'
11% Date: t i'walver is valid for up to one year from ARPO's Signature*
Revised May 2021

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REFERENCES(
DEEDBOOK 997..PAGE 38Q
MAPr300K 8 PAGE 48 s
LOT 16 BLOCK TT
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PIN N 836816546094
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Kim and Eric Vernon
6100 Pomfret Point
Raleigh, NC 27612
February 8, 2023
Via Email: sobx0me.com
Mary Carlyle and Steve Brown
106 Cottonwood Court
Pine Knoll Shores, NC 28512
RE: Dock repair at 104 Cottonwood Court, PKS, NC 28612 (the "Project")
Dear Mary Carlyle and Steve
Kim and I are applying for a CAMA General permit to repair our dock and add a floating dock in the location
where we currently have a step-down dock. There is no change to the current size or location of the dock.
We will replace several of the failing pilings, add more pilings and reinforce the support system under the
dock. We will remove the existing step-down dock and replace it with a floating dock. The attached sketch
shows the dock and the survey identifies your name, location and address.
As the adjacent riparian property owner to the Project, we are required to notity you of the scope of the
Project to give you the opportunity to comment on the Project. Please review the Project drawings and
complete the form where indicated. Return a copy of the completed and signed form to me at
evernon at7wvrick.com
If you have any questions on this project, please call me at 919-740-5983 or email at evernon(a)wvrick com
Sincerely,
� ,e ()'9'r
Kim and Eric Vernon
Enclosures
1. Sketch of proposed project
2. Survey identifying adjacent property owners
3. Adjacent owner certification
Cc: Heather Styron
999999.999-3533881v1