92504C - Edwards, George

is.`'14' , CAMA I 1 DREDGE & FILL No 92504 ABC D
I
GENERAL PERMIT Previous permit
.t Date previous permit issued
I I New I I 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 5A NCAC )\\• i 1 J° ❑Rules attached. ❑ General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name . (ja'Y1, �, C�;r.L 1 1 ll1 t-f t f Li( _�] Authorized Agent '_{.-,.A.; A' �--^
Address J\ O t„1.1tiA1-{ ' / Project Location(County): ( )t'1'9``(t i. it—
Street
City j, � q State I ZIP ' lc Address/State Road/Lot#(s) �iG •1 `�1 t,t L'•-Q.4,"j
Phone#( ) 2;714" 3`i Np.1 k.,tf
Email Subdivision ����C,e� n/�
City '��'i'-,c-tiV i`{.g ZIP /
Affected ❑CW 11 EW EG PTA ❑ES ❑PTS Adj.Wtr.Body t'�Ylp `�1 AL 1.wit/ (nat/man/unk)
AEC(s): ❑OEA El IHA ❑UW ❑SPIMA ❑PWS Closest Maj.Wtr.Body jT Li
ORW:yes/no PNA:yes/no
t
Type of Project/Activity ) ' t 0 la-XI
I (Scale:IV l�•
1 <'
Shoreline Length i© t k ' miiiint ri a . , +.
Access Length �I X L1i0 Ab i Iain Mom --- - gilt _... i
Pier(dock)length : e' ti l ■1♦ ' tr l la 'y 'm
Fixed Platform(s)
' ,) =KZ Yet 1111111111.- Nillin --/ - -
Airgi 1
Floating Platform(s)
l 21 I 1 11"i
Finger pier(s) I II
IA iiimmargommiamm
Total Platform area ^-fZ"— A ..wear1/
Groin length/# IP IIIIIII� 1 ,hlk III
Bulkhead/Riprap length -� � !-- imp pi
"a ��
Avg distance offshore .� ��ri1441111 .i
Breakwater/Sill illialliallillIIMIld
"j - 1111111110112.11111
—
Max WO' NMI.
distance/length
Basin,channel ,
gill
Cubic yards �� Ellis '� • ► al P i II!IIIli!!1I1!!! LiIEiNI
.;
Other (`vi.:�f� ��13..►�-t'�-�C rMIIMIIIIIIIIIIIII 11111111 � ! � "�",� 11
I1111111
r:. . A ill 1
SAV observed: yes no {
Moratorium: n/a yes no 1
Site Photos: yes 'ri
Riparian Waiver Attached: yes ., , I , , I Jt ..A.'i
A building permit/zoning permit may required by:_n�I44-N Ir
C
.p /' / /�,, ❑ TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions r 1 L,V1r7 Vuel 7. LLY i a
OA) OS\(lam(1) cD ) C-Z'[ton (AA l Y1h.0 4-t, ❑ See note on back regarding River Basin rules
G (a.�l 1 11 r1' he i ij h, `o 5` !�t ())-ic&) `-r�/ut.,�-E
71),,l, r)ci _ n' n u1 A dt (,- ^,� 0 C,(1(`( `,h/W /a n 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 PR, T D Name Permit Officer's PRI TED Na,i
Signature**Please read compliance statement on back of permit** Signature, 1-- /
/\{J
. _ t"----a- i
Application Fee(s) Check#/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 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 Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Elizabeth City District Wilmington District
401 S. 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: Bertie, Camden,Chowan, Currituck, Dare,Gates, Hertford, (Serves: Brunswick, New Hanover and Pender Counties)
Pasquotank and Perquimans Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

tavF`0Ark
n CAMA Ti DREDGE & FILL No 92504 ABC D
GENERAL PERMIT Date r permit
1 Date previous permit issued
n New [Modification I1 Complete Reissue n 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 j k 1 1 ' —(-) n Rules attached. ❑ General Permit Rules available at the following link:www.deq.ncgov/CAMArules
Applicant Name ( 1^ Authorized Agent
Address Project Location(County):
City State ZIP Street Address/State Road/Lot#(s)
Phone#( )
Email Subdivision
City ZIP
Affected n CW n EW ht I PTA I-I ES I PTS Adj.Wtr.Body (nat/man/unk)
AEC(s): Il OEA fl IHA [1 UW I1 SPIMA ❑PWS Closest Maj.Wtr.Body
ORW:yes/no PNA:yes/no
Type of Project/Activity
J X' 7
a t Yt L ,;, .tit' (Scale:, !�
Shoreline Length C YJ rkt., y N\+ .�*- '}f,`�
�;'�--i 1, V !T" ... __,-' (� i- i
Access Length tl+1.) i _ ,. __._..�_._ ,__ ..._..
Pier(dock)length Uli'N ))4 • f l
Fixed Platform(s) I f
- .,4 -,- 1—
Floating Platform(s) ! j 1 , , t 1 �
Finger pier(s) A s ] E
al' ' Milli ,_.1
ri
Total Platform area , "` ; / `�`"""' ;'.- �"'"` " liii
Groin length/# j I _i_ { l J th t, i
Bulkhead/Riprap length r .. --1 I
Avg distance offshore "::,,,,,,,,..v.: 17'
t1Breakwater/Sill �e"F *- -t----f ' 1 [ ' - i j ,Max distance/length j —_'IA . I
,
/1 Li
Basin,channel
l �_0 _c i _
Cubic yards _ _ � �, ,.., t ._
CV t.-(Boat ramp �t re �
Boathouse/Boatlift --- t I I V ( '
16
Beach Bulldozing L.# '$ 0 S 1`NI ,k;. ; � E
Other y� `l�r1ot tr
SAV observed: yes no — j 'CA, ��yy �j }�
Moratorium: n/a yes no 1 l i .. ,. -, I �} _ '
Site Photos: yes no l l ; i
Riparian Waiver Attached: yes no I
l� 1 i
A buildingpermit/zoning C.', �` !`r';'' I permit may be required by: j � t )
Permit Conditions ('t n TAR/PAM/NEUSE/BUFFER(circle one)
,,
't ,- _y 1 (:`14-1 .\('1.11 n See note on back regarding River Basin rules
C,u..OA_ A E ,, '-') / .t,:jf (`) b-4 t a
/ ❑ 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** Signature )\-
-).„.,7
f
Application Fee(s) Check#/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 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 Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Elizabeth City District Wilmington District
401 S.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: Bertie,Camden,Chowan,Currituck, Dare,Gates, Hertford, (Serves: Brunswick, New Hanover and Pender Counties)
Pasquotank and Perquimans Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

Styron, Heather M.
From: Joshua Barber <[e-mail]>
Sent: Friday, June 30, 2023 5:18 PM
To: Styron, Heather M.
Subject: [External] Re: 34 Osprey Drive
CAUTION:External email. Do not click links or open attachments unless verified. Report suspicious emails with the
Report Message button located on your Outlook menu bar on the Home tab.
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AGENT AUTHORIZATION FOR CAMA PERIT APPLICATION
Name of Property Owner Requesting Permit ,. `f i',
Mailing Address. a r ., ... jt.
Phone Number:r: '3 4, 1 1 f 6
a i
Email Address: ; IN
k .ovvi
certify that I have authorized
Agent/ ontrtr
to act on my behalf, for the purpose f applying for and obtaining all CAMA permits
necessary for the following proposed development:
at my Pry located at �>
County,
I forffierrrioro comfy that I am authorized to grant and do in fact grant permission to
Division of Coastal Management staff The Local Permit iit r and their agents to enter
on The aforementioned lands in connection with evaluating information related to this
permit application,
PoperyOwner Information:
PHW
. r: rtdec anon is valid through

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: Jami and George Edwards
Address of Property: 34 Osprey Drive, NTB NC 28460
Mailing Address of Owner: 34 Osprey Drive, NTB NC 28460
Owner's email: jgee47@a aol.corn Owner's Phone#:
Agent's Name: Josh Barber/PFL Construction Agent Phone#:[phone]
Agent's Email: pflmarine©gmail.com
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.
Dti\ 1 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(252)808-2808. 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'setback6 +'""'-----
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 Owned _ Nl `�6
Typed/Printed name of ARPO: \*E' PI\D,CS
Mailing Address of ARPO: 9 I2 N 1)461 *. 6AI \ V I O C 2 7,5 -ti
1 'i1i -5
ARPO's emu it: 9 �i1 2 �4b ���'�ARPO's PhonsS: �"
r
Date: -- i }, .3' *waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

Rem(
Tracking Number:
70201290000028248935
CO Copy A. Add to Informed Delivery
Latest Update
Your item was delivered to an individual at the address at 10:42 am on June
2023 in FORT MILL, SC 29715.
Get More Out of LISPS Tracking:
USPS TrackingPlus®
[Ti
er Delivered
Delivered, Left with Individual
FORT MILL, SC 29715
June 8, 2023, 10:42 am
See All Tracking History U.S. Postal Service
CERTIFIED MAIL RECEIPT
m Damestie Ala,1 On'y
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FOtrylp pi 10,1
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On Mon,Jun 26, 2023 at 11:00 AM Joshua Barber<[e-mail]>wrote:
The next one is on Osprey Drive on NTB.
This is a public access easement (I attached a copy of the survey). The two neighbors are
jointly paying to redo this dock for everyone. The dock will go back in its existing footprint but
the end will be changing to a 20x12 platform and a 12x12 roof.
Jam' Edwards has been the lead on this, his address is:
34 Osprey Drive
North Topsail Beach
I have signatures from 36 Osprey and 32 Osprey, I will bring when we meet. If you think I need
any one else, please let me know and I will go grab them.
Ryley
5

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— NOTES — — LOGOND —
I nits ststvry IS OF AN EXISTING PARCEL Cc LAND. ECAI - Existing Com
2. SURECT TO RESTRICTIVE COVENANTS, EPK - Existing PK A
EASEMENTS OF RECORD. zopims. oRoiNANcE. ac UNDERGRMNO E1R- Existing Iron FN
UTILITIES. 1rr ANY ARCH CP - Calcuioted Poii
3, NO TITLE SE BY SURVEYOR,
4, REVERENCES; MB . P0 160, 08 5407, PG 4
FL R/W - Right-of-Wo
5, OGO ZONE AE-I2 & VE-13. COMMUNITY PANEL DB - Deed Rook
3720-A27700-4. EFFECTIVE DATE 6/I9/20 me - Map Book
FLOOD ZONES SCALED FROM FIRM MAPS. PG - Page
6, ZONE NOP Thf TOPSAIL BEA0-1 R-20 - Property
SereArkS IRONT- 30*, am- 10 REAR - IV- Surveyed
7 404 sivrLANDS FLACCED By APPLIED RESOURCE. AIANACENENT PC. — — -- Property
NNIe FLAGGED BY DENR, Not Surxeye
S, ENTIRE PARCEL IS *INN THE OR* ZONE AS PER NC OINASION Or
COASTAL MANAGEMENT.
10. ENTIRE PARCEL IS ISIN04 CRSS ZONE DATE: IDA/1910
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- NOTOS - - LOGOND -
1. THIS SURVEY IS OF AN EXISTING PARCEL OF LAND. ECM - Existing Concrete Monument + 0--.2. SUBJECT TO RESTRICTIVE COVENANTS. EPIC - Existing PK Noil ,,7�1 EASEMENTS OF RECORD, TONING ORDINANCE, & UNDERGROUND c++'
UTILITIES. IF ANY. EIR- Existing Iron Rod EN - Fire Hydrant
3. NO TITLE SEARCH BY SURVEYOR. CP - Calculated Point TEL - Teiscommunicotions ''Awr.
4. REFERENCES; MB 35, PC 160; DB 5407, PG 4. R/W - Right-of-Way WM - Water Meter
5. FLOOD ZONE: AE-12 & VE---13, COMMUNITY PANEL DO - Deed Book WV - Water Valve
3720-427700-K, EFFECTIVE DATE 6/19/20 MB - Mop Book CO - Clean Out
FLOOD ZONES SCALED FROM FIRM MAPS. PG - Page SSMH - Sonitory Sewer M.
6 ZONE: NORTH TOPSAIL BEACH R-20 - Property Line Mon Hole %,
SETBACKS: FRONT-- 30', SIDE- 10', REAR - 10'. Surveyed
7. 404 WETLANDS FLAGGED BY APPLIED RESOURCE MANAGEMENT PC. — — - Property Line
8. NHW FLAGGED BY DENR. Not Surveyed viper(we(NTS)
9. ENTIRE PARCEL IS WITHIN THE ORW TONE AS PER NC DIVISION OF s
COASTAL MANAGEMENT.
10. ENTIRE PARCEL IS WITHIN CRBS ZONE DATE- 10/1/1983
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g I ODSTna AIS17a8Z NO PANT- L32'l V I
('I rssrwc p TIWILT AND WMMY-L210 Y `
PIWPCIT1.GVE_.�tri.A'm•-L4N Z.
TOLAR11 YOMOUS COWMAN-{A2 Y 0 (53TO I I
1. LOT A W M TM YOt, PS CA INI -PP.21e IF MN AC) 0.,./
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TOTAL AeWlA�1 WOW 1K 76'GAM 4,eAa,-T30 V(.Oo>p
1 dT
1 LOT AAU TO WI.4T,112 If(Lot AC)
TOTAL M?MA Q WARNE-SOW V(1375) ...E, 11.� I
l Loy MLA r�CAA.T7L3AO TO NIS-24283 V(012 AC) / ,•l`
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TOTAL x.0MOR COMM.mho Ws KS GM 3T11A01-TIC Si(LT* -'IV SETBACK — ___/ h\
PROPERTY INFORMATION:
O.— �- Co 1 1 ` 556'37'26'A 264.78' i Se
OWNER, EDWARDS. GEORGE E II &
1 1 1 ,,. . .. JAW. PAMELA
34 OSPREY OR
NORTH TOPSAIL BEACH.NC
L,.., ' 2e460
DEED BOOK 5407, PAGE 4
AREA: 2.60 AC-
______ I ' PIN /427712865621
NORTH CAROLINA (TR API IICSCAI 1.I\I Il I
ONSLOW COUNTY 'o 26 0 irn
I, WESTON LYALL. PROFESSIONAL LAND SURYLYOR HUMMER --!
L-4436.CERTIFY THAT THIS PLOT PLAN WAS DRAWN UNDER NV
SUPERVISION FROM AN ACTUAL GPS SURVEY LIADE UNDER MY
SUPERVISION (YAP BOOK 35 PAGE 150) AND THE FOLLOWING Prit.l L\tl.�i_\R-1 y1 LJ I PT.IV\I C)lt
1NF(X7YA110N WAS uSED TO URACY: THE SURVEY; CLASSFI OF 3 l OSPREY D
SURVEY: B; POSITIONAL ACCURACY: 500 iWS; TYPE OF CP5
FIELD PROCEDURE- VRSRTXGPS; DATUM: N AO88;
CE100 MODEL: GEOID 03. COMBINED CRIDA -Atip T.17 S7 UCLA\LT.11}i VI1.TAS
UNITS: US SURVEY FEET ;Q. AAA••'h / NOVI t1 tOPSAll.B}AC11 \(
4 POFE5410,sV 5Z'y
UNSLUNti C01}NIY
�t//A./l-E 2 5 SEAL : i cr11 PsrwuNI 7flW ):LP S.r
1- L:4438 Q F S SCALE-1',50' 5EPTEMBEH 20.2022
• ,A, ' ..f.) r WESTON LYALL. PE. PLS, PLLC
SOPCf�':�P,;,.
�+y ?N ITICIMAY ITN 9)11T 1
WtT,STON LYALL ..9 LJP1 -7.••' 7)I II11 01:n;P.\C TR4P.
N TO8I 10N NUY/9t L-4438 r11TTT 1'I(UVT.910-229-9%!1TR.�MTICVNSP.P"CNTI
"77,U<"7Ve AI A(l,'II T^ICINAPAING A 1.:5 Osur,,,;'

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: (`j t.bigi C, f(,I v\)lr1 feK
Mailing Address: 4 OSpre.L. O .
VIAA 1-012S(,Cli t�Cl� f\ic 2sLi 6C)
Phone Number: 134 k 4 ci fo 1.71 / 1 j-t.� 1 b ai ci
Email Address: tj t'_l: '1 Ci C I •Cool
I certify that I have authorized t T L
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: 'l.X,(.'V--
at my property located at 34 u IS, NC 7 i5LI 0
r
in ,, County.
I furthermore certify that I am authonzed 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:
\L-4‘if(4`;
Sig ature
Cieer lvd.S
Print or Type Name
OW
Title
L1 I 12 I Lc
Date
This certification is valid through I I

U.S. Postal Service"" ,
„--) CERTIFIED MAIL° RECEIPT
m Domestic Mail Only
a—
For delivery information,visit our website at www.usps.cont
Fo r1pi .1
n-I Certified Mall Fee
l] $ $4.15 Ilyfli
Services&Fees(check bo. dd a fee a re) 11
Return Receipt(hardcopy) $ F i!.I !!
O etum Receipt(electronic) $ $ll.Iti t Postmark
p Certified Mail Restricted Delivery $ $l:,lI I_I Here
O ' Adult Signature Required $
Adult Signature Restricted Delivery$ 7?°l' i
O Postage
0' $ $ll.63
r�l Total Postage and Fees 06/06/2023
$ $3.13
ni Sent To
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it is vl c 15
PS Form 3800,April 2015 PSN 7530-02-000-9047 See Reverse for Instructions

CertifiedMail service provides the following benefits:
•A receipt this portion of the Certified Mail label). for an electronic return receipt,see a retail
•A unique identifier for Our mailpiece. associate for assistance.To receive a duplicate
•Electronic verification of delivery or attempted return receipt for no additional fee,present this
delivery. LISPS®-postmarked Certified Mail receipt to the
•A record of delivery(including the recipient's retail associate.
signature)that is retained by the Postal Service"' -Restricted delivery service,which provides
for a specified period. delivery to the addressee specified by name,or
to the addressee's authorized agent.
Important Reminders: -Adult signature service,which requires the
•You may purchase Certified Mail service with signee to be at least 21 years of age(not
First-Class Mail°,First-Class Package Service available at retail),
or Priority Mail°service. -Adult signature restricted delivery service,which
•Certified Mail service is not available for requires the signee to be at least 21 years of age
International mail. and provides delivery to the addressee specified
•Insurance coverage is not available for purchase by name,or to the addressee's authorized agent
with Certified Mail service.However,the purchase (not available at retail).
of Certified Mail service does not change the ■To ensure that your Certified Mail receipt is
insurance coverage automatically included with accepted as legal proof of mailing,it should bear a
certain Priority Mail items. USPS postmark.If you would like a postmark on
•For an additional fee,and with a proper this Certified Mail receipt,please present your
endorsement on the mailpiece,you may request Certified Mall item at a Post Office"for
the following services: postmarking.If you don't need a postmark on this
-Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion
of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply
You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece.
electronic version.For a hardcopy return receipt,
complete PS Form 3811,Domestic Return
Receipt attach PS Form 3811 to your mailpiece; IMPORTANT:Save this receipt for your records.
PS Form 3800,April 2015(Reverse)PSN 7530-02-000-9047

U.S. Postal Service'"
CERTIFIED MAIL® RECEIPT
in Domestic Mail Only
Cr
fU For delivery information,visit our website at www.usps.com .
u, Fo M1 p9 cii A L u S E
ru Certified Mail Fee
co $4.1c 0460
ru
Extra Services&Fees(check box,add fee ${-��p'-4�_. e) 5
D etum Receipt(hardcoPY) $ "' ='
Return Receipt(electronic) $ 1 I i-I iI i Postmark
D ['Certified Mall Restricted Delivery $ c Cc,1 I t 1. Here
ID Adult Signature Required $ $0.Or:
Adult Signature Restricted Delvery$
D Postage $Il.b,y
Total Postage and Fru $ 05/17/2023
$ .13
Sent To 0, `J
ma II ' 1_
PS Form 3800,April 2015 PSN 7530-02-000-9047 See Reverse for Instructions

CertifiedMail service provides thefollowingbenefits:
•A receipt(this portion of the Certified Mail label). . for an electronic return receipt,see a retail
•A unique identifier for your mailpiece. associate for assistance.To receive a duplicate
•Electronic verification of delivery or attempted return receipt for no additional fee,present this
delivery. USPS®-postmarked Certified Mail receipt to the
•A record of delivery(including the recipient's retail associate.
signature)that is retained by the Postal Service'" -Restricted delivery service,which provides
for a specified period. delivery to the addressee specified by name,or
to the addressee's authorized agent.
Important Reminders: -Adult signature service,which requires the
•You may purchase Certified Mall service with signee to be at least 21 years of age(not
First-Class Mail°,First-Class Package Service°, available at retail).
or Priority Mail°service. -Adult signature restricted delivery service,which
•Certified Mail service is not available for requires the signee to be at least 21 years of age
international mail. and provides delivery to the addressee specified
•Insurance coverage is not available for purchase by name,or to the addressee's authorized agent
with Certified Mail service.However,the purchase (not available at retail).
of Certified Mail service does not change the •To ensure that your Certified Mall receipt Is
insurance coverage automatically included with accepted as legal proof of mailing,it should bear a
certain Priority Mail items. USPS postmark.If you would like a postmark on
•For an additional fee,and with a proper this Certified Mall receipt,please present your
endorsement on the mailpiece,you may request Certified Mail item at a Post Office'"for
the following services: postmarking.If you don't need a postmark on this
-Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion
of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply
You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece.
electronic version.For a hardcopy return receipt,
complete PS Form 3811,Domestic Return
Receipt;attach PS Form 3811 to your mailpiece; IMPORTANT:Save this receipt for your records.
PS Form 3800,April 2015(Reverse)PSN 7530-02-000-9047

Tracking Number: RemovE
70201290000028248935
c-c-i) Copy A Add to Informed Delivery
Latest Update
Your item was delivered to an individual at the address at 10:42 am on June 8,
2023 in FORT MILL, SC 29715.
Get More Out of USPS Tracking:
USPS Tracking Plus®
G Delivered
Delivered, Left with Individual
FORT MILL, SC 29715
June 8, 2023, 10:42 am
See All Tracking History

USPS TRACKING#
First-Class Mail
IIII i NI
Postage&Fees Paid
I II�.I ' USPS
III ,
.tic E. Permit No.G-10
9590 9402 5069 9092 5270 88
United States •Sender Please print your name,address,and ZIP+4®in this box•
Postal Service
11.111 PFL Construction
135 Virginia Lane
Sneads Ferry,NC 28460
11111LIIU�I1I1,u+1 IIIl I,1,.I►�il H,,+ri,11�1+Ir11111g"I'I1

.::; fO •S
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3. r"II your name and address on the reverseAlt ❑Agent
so that we can return the card to you. ❑Addressee
.1�1�
• Attach this card to the back of the mailpiece, nEt. may'• •Y(Printed Name) C. •. -of D livery
or on the front if space permits. V Fc {girl (Ike • 2,i7,)
1. Article Addressed to: - D. Is delivery address different from item 1? 0 Ye
J � • A c If YES,enter delivery address below: 0 No
112 Near Posy- Drive
•Nactq \Janina. Mc
21524
1111111111111111111111111110111111111 •3 Ace Type
dult Signal Signature
Restricted Delivery 00 Registered Mail'.
Registered red Mail Restiority Mail ri te<
9590 9402 5069 9092 5270 88 A Certified Mail® Retuery
Certified Mail Restricted Delivery ❑Return Receipt for
0 Collect on Delivery Merchandise
2. Article Number(Transfer from service label) 0 Collect on Delivery Restricted Delivery Signature Confirmation'"'
—Insured Mail Signature Confirmation
7020 1290 0000 2825 2963 Insured Mall Restricted Delivery Restricted Delivery
(over$500)
PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt

Certified Mail service provides the following benefits:
•A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail
•A unique identifier for your mailpiece. associate for assistance.To receive a duplicate
•Electronic verification of delivery or attempted return receipt for no additional fee,present this
delivery. USPS®-postmarked Certified Mail receipt to the
•A record of delivery(including the recipient's retail associate.
signature)that is retained by the Postal Service— -Restricted delivery service,which provides
for a specified period. delivery to the addressee specified by name,or
to the addressee's authorized agent.
Important Reminders: -Adult signature service,which requires the
•You may purchase Certified Mall service with signee to be at least 21 years of age(not
First-Class Mail®,First-Class Package Service0, available at retail).
or Priority Mail®service. -Adult signature restricted delivery service,which
•Certified Mail service is not available for requires the signee to be at least 21 years of age
international mail, and provides delivery to the addressee specified
•Insurance coverage is not available for purchase by name,or to the addressee's authorized agent
with Certified Mail service.However,the purchase (not available at retail).
of Certified Mail service does not change the ■To ensure that your Certified Mail receipt is
insurance coverage automatically included with accepted as legal proof of mailing,it should bear a
certain Priority Mail items. LISPS postmark.If you would like a postmark on
•For an additional fee,and with a proper this Certified Mail receipt,please present your
endorsement on the mailpiece,you may request Certified Mail Item at a Post Office'"for
the following services: postmarking.If you don't need a postmark on this
-Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion
of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply
You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece.
electronic version.For a hardcopy return receipt,
complete PS Form 3811,Domestic Return
Receipt;attach PS Form 3811 to your mailpiece; IMPORTAMC Save this receipt for your records.
PS Forth 3800,April 2015(Reverse)PSN 7530-02-000-9047

U.S. Postal Service'
m CERTIFIED MAIL® RECEIPT
...D Domestic Mail Only
cr
ru For delivery information,visit our website at www.usps.com .
Ln Fue9FaP1r0 17 '61_ U S E
ni Certified Mall Fee $ 1 5 0460
Lo 4.
ru $ $7, 7,9 16
EJra Sewow:t&Fees(check box,add fee aaxe)m
DReturn Receipt(electronic) $ $0 Ijij
D Certified Mail Restricted Delivery $ SC_1)0
n,l ReceiptPostmarkHere
0 Z[Adult Signature Required $ $0,00
Adult Signature Restricted Delivery$
D Postage
S 6 3
ru $ O. 05/17/2023
Total Postage and Fees
$3.13
$
I= Sent To
fli
P Street an. ajj'ettf oo.Moss
ear Posi Dfive,
di .05.. I. V• s ao, k .
PS Form 3800,April 2015 PSN 7530-02-000-9047 See Reverse for Instructions

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: Jami and George Edwards
Address of Property: 34 Osprey Drive, NTB NC 28460
Mailing Address of Owner: 34 Osprey Drive, NTB NC 28460
Owner's email: [e-mail] Owner's Phone#:
Agent's Name: Josh Barber/PFL Construction 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
description or drawing, with dimensions, must be provided with this letter.
DI' 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(252)808-2808. 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.)
d>,vy_____---'--
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)
Signature of Adjacent Riparian Property OwnerX 71.4P--- ,Typed/Printed name of ARPO: RE,,.) I'A
Mailing Address of ARPO: t -2_ N f osl W<, 6loc'tl- UR;0) NG 2
ARPO's email: / t\E m0 23 116T111P1 VAR6's Phone#: "1 9- 1i15 504
Date: 5 2-5/2a *waiver is valid for up to one year from ARPO's Signature*
Revised May 2021