87918_Patrick Mahon_20221019 (6)

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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 -PCIAI ills JLL a..Y1L1Y1
Address of Property: •
22 LIi Do\lo h i {�j I Y-k.
Mailing Address of Owner: ,300 Nnc(--1'1 }��)\( NA. E - 2 o3 JD t- L
Owner's email: Sea-(GZ P (at_ )1 Owner's Phone#: 7$( +5—c t9 9
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Agent's Name: VA PA( CN, Agent Phone Db-o). "aL« y L}�
Agents Email: br`&l l ?VC?(o�u��s� me , � , (6,
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 -0t.J(c jp
description or drawing,with dimensions, must be provided with this letter.
JJ
ADI DO NOT have objections to this proposal. I DO have objections to this proposal. L�
if you have objections to what is being proposed, you must notify the N.C. Division of Coastal
Management(Dem) 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 Mail_
WAIVER SECTION
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.)
l 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)
Signature of Adjacent Riparian Property Owner. J ��LJ"� `)_. S A.l
TypedlPrinted name of ARPO: q t't a li 1u
Mailing Address of ARPO:
ARPO's email: ARPO's Phone#:
Date; *waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

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♦ L
From: Hampton Corley [e-mail] B
Subject: Fwd:FW:Mahon Project.Dock
Date: January 23,2023 at 9:50 AM
To: [e-mail]
Hi Brandi.We saw the dock for new neighbors.Looks cool.Suggest,as a many years lift user...new left goes on either side of the
dock i.e like Steve White's to the East of our property so the home owner can look out to the river without being blocked by boat. I
sure wish my lift was that way now.Take care.
Hampton Corley
From:Brandi Robertson<[e-mail]>
Date:January 20,2023 at 3:12:08 PM EST
To:Daniel<[e-mail]>
Subject:Mahon Project
Dear Mr.Corley,
Attached is a drawing of the dock being proposed by Mr.Mahon. As part of the permitting process we are
required to notify any adjacent property owners of proposed projects. Please respond to this email confirming
that you have been notified.
If you have any questions please feel free to contact me. If you have any objections please contact Kent
Vaughan at Dept of Environmental Quality.
Sent from my iPhone
This message and any attachments may contain legally privileged and/or
sensitive information.Any unapproved disclosure,use or dissemination
of this e-mail message or its contents,either in whole or in part,is
not permitted.If you are not the intended recipient of this e-mail
message,kindly notify the sender and then securely dispose of it.
This message and any attachments may contain legally privileged and/or
sensitive information.Any unapproved disclosure,use or dissemination
of this e-mail message or its contents,either in whole or in part,is
not permitted. If you are not the intended recipient of this e-mail
message,kindly notify the sender and then securely dispose of it.

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N.C.DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTWICA'TIONIWAJVER FORM •
CERTIFIED MAIL•RETURN RECEIPT REQUESTED.or HAND DELIVERY
(Top portion to be comj4eted by owner or their agent)
Name of Properly Owner. Vc2i I c d'"JUDLII 1 hn A}LOY; .
Address oProperty: Lobar! tolphim ?a. fvievl_1Y,O.kIC
I, Mane Address ofOmer: (b MnfFh I� E -2034d4n ru EL-
Oencts amalt Sea- p-te. )�1` vt d 1 e Phon e: --155-45a ta9 ` -
Agents Name: ()YlA tw(4 ePICICettrall Agent Phoned:as€t a��g-o(
Lici
, Agents Ernie brace elfobetkarlSid"!nia.7.1)• (pn� '
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
intern portion to be Comateted by the Adiamerit Property Owner)
I hereby certify that I own propertyadjacent to the above referenced property.The indMduel applying forthis
pemit has desahed to me.es shown on dm attached drawing,the development they are proposing.A trait)h
desubtbn or drrrwin0.with emenslons.must be provided vat this letter.
I DO NOT have objections to this proposal. I DO have objections to this proposal. 6.n uxx.
• U"you have objections to what is being Proposed you must nobly the PLC.Division of Coastal
Managenwrt(DCM)In wolfing within, 10 days ofrwipt of this notice CorrosPorWaso:shordebe
• tna'ed to 943 Washington squad Mag,Washington,NC 27889.DCM reprasentatives can also fie
contacted of(252)94S6481.No response Is considered two sumo as no oblation ff you have been
notified by Certified Mall.
•
YVA1VFR SECTION
I understand that any proposed ear.dock,mooring pings,boat romp.breakwater,boathouse.rotor
groin must be sat back a relernun distance ofti5 from my area of ripaitan access unless waved by me
(Vas does not apply to bulliheada or*pap mvetmenis).(If you wish to waive the setback,you malign
the appropriate blank below.)
• I DO wish to waive somolafi of the 1V setback
•
Signature ofAdfacent Riparian Properly Owner
OR-
•
I do not wish to waive the 15'setback requirement(inilal the blank)
•
(CIStranod b Adjacent Rlparkm Property Orator.
_
crki PoAr �'""^^o-
Typod/Printod name of ARPO: Da et?L _ CO YL- t - '
Wag Addmss of 0-0‘ARPO' (cot l0-0‘f L. Ot1.
maws emit Gkco A-€4 - 0 src pants Phone `�3--v 7 -9-I-1 Co
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Data: (-7 4 'Z°7.3 'waiver 15 vane fot up to one year from ARPO's Stgnatua` •
• Revised May 2021
•
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