86958A - Innes(Trustees)

�(L
A couk&9-CANIA El DREDGE & FILL NO 86958 Q B C D
GENERAL PERMIT Pre
° "10 permit
3 - Date previous permit issued '2 )'Zt f I�-
,
®New H,Modification [—]Complete Reissue ❑ Partial Reissue M06I
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:
15ANCAC 031A- 12,00 ❑Rules attached. ® General Permit Rules avaliable at the following link �,dtuincgv/ AMAruIes
Applicant Name
a
Authorized Agent
Address (3�1 4
L
C CL 1'A 1 o t— P— 14 tZ y :
Pro)ect Location (County): - C (f '( (^ ( '- L)C. E;
City M J tOT Qk State t& ZIP z.y25
Street Address/State Road/Lot#(s) 10 6 _ r.
Phone #aja) 101-4(2'A
-2-.--
Email IIA N.te-SIQ.w
i nwtri.i E .CnV'A
Subdivision IVIFJ t�l "�hyl aa�
City S(.i.rCo ZIP.2-19 i" i
Affected ❑cW
[NEW [gPTA ES
❑pT5
Ad]. Wtn Body i ` �C.(r "( man/unk)
AEC(s): ❑OEA
❑IHA ❑UW nSPIMA
❑PWS
Closest Mal. Won Body rtr r1•16)In Sntjin
ORW: yesc
PNA: ye n10
tt 1r�
Type of Project/ Activity 'It) L,3±wk Tt0X eN t
�11� 1 _tom
r o i[ T t tA.c2 t N_ l 's L I 1 t fTgr
shoreline Length :L $ Fy s r
Access Length l^^
er
ock) len
Fixed Platform th
Fixed Platform
Floating Platform(s)
Finger pler(s)
Tote) Platform area _
Groln length/g
Bulkhead/ Ripmp length
Avg distance offshore_
I Let C -6 C Y efA
Eye l o ri o 9EaNc�4t
t I
tJ or - Coa64�4 Vde
i_,x5t' Acce55
A- �k
d
L''e1 VA v- k ro:P .
(w¢) Y 6d),
PRopOSED 3E7
SKI L(w r --�
Exs , pic;r
(Scaler',`)
eirgf• wloor45
j
i
z
�x5f 'CSo�tiarlve : �' )' tf 0
I_
� l
tA
I
Other
�c
SAV observed: yes 1 I
Moratorium: n/a yes �- — -� g., :i. Fll iftL3' �7vo
Site Photos: �vp�no EW4)V 4et
Riparian Waiver Attached: QJ) �t no lid Oh-'Cc,t6-{{1�Awe`�i"I. �e MooRl:�4
A building permit/zoning permit maybe required by: rM)_ry,eTUf_ G
Permit Conditions G]_e c-- t `5A w-,AC_ (Y M . i,2.0 4
P►LC 9WOVEa.
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
;f
❑ See additional notes/conditions on back
Mta.ri-Len Mi-CP
Permit Officer's PRINTED Name
signature "'Please read com Ip�e statorlept on hack of permit" Signature c
Application Feels) Check g/Money Order Issuing Date E%Plm on Date
Mocii�tcieh 'Da}a 418123

N.C: DIVISION OF COASTAL MANAOF-1IRENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION(NNAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTEb or HAND DELIVERY
(Top portion to be completed by owner or fineir agent)
Name of Property Owner: James & Amy Imes; trustees
Address of Property: e 105 Eygi.e Dr, Barco NC 27917
Mailing Address of Owner: 1371 Caratoke Ihiy, .Xoyocle NC 27958
Owner's email: inneslaw@a'mail.com Owner's Phone#: [phone]
Agents Name: Agent Phone#:
Agents Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the AdiacentProperty Ownerl
I hereby certify that I own property adjacenttn the above referenced property. The individual applying forthls
permit has described -to me, as shown on the attached drawing, the development they are proposing. A
x 1 DO NOT have objections to this proposal. I DO have objections to this proposal.
Alanagoment (DCltrf) In writing within 10 days of rocefpt of this notice. Correspondence should be
malted to 401 S. Grfffin St, Ste. 300, Elizabeth City, NC, 27909. DCV representatives can also be
contacted at (262) 26"901. No response Is considered the same as no objection ff you have been
notdfed by Certified Mail.
WAIVER SECTION (Choose only, one
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or
groin must beset back a minimum distance of 15' from my area of riparian access unless waived by me
(this does not apply to bulkheads or dorau 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
_per_ Signature of Adjacent (riparian ProporfyOwner
DO NOT wish to waive the 15' setback requirement (initial the blank)/
Signature of Adjacent Riparian Property owner:
TypediPrinted name of ARPO: Laura A. Palmer
Mailing .AddressofACRPO: 3861 Caratoke Hwy, Barco NC 27917
ARPO's email' [e-mail]
ARPO's Phone#:[phone]
Date: S-31-*3 *waiver is valid for up to one year from. ARPO's Signature*
.Revised August 2022

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: James & Amy Innes; Trustees
Address of Property:
Mailing Address of Owner:
105 Fyyie Dr, Barco NC 27017
1371 Caratoke
NC 27958
Owner's email: [e-mail] Owner's Phone#: [phone]
Agent's Name:
Agent's Email:
Agent Phone#:
ADJACE1T 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.
It you have objections to what Is belhg 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 401 S. Griffin St., Ste 300, Elizabeth City, NC, 27909. DCM representatives can also be
contacted at [phone]. No response Is considered the same as no objection 1f you have been
notified by Certified Mail.
WAIVER SECTION (Choose only one
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 slan
the appropriate blank below.)
I DO wish to waive somelall of the 15' setback
-OR-
Signature of Adjacent Riparian Property Owner
y,�/
I DO NOT wish to waive the 15' setback requirement (initial the blank))k" C-0114 '
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: Laura A. Palmer
Mailing Address of ARPO: 3861 Caratoke Hwy, Barco NC 27917
ARPO'semail:[e-mail] ARPO'sPhone#;252-202-4075
Date: o *waiver is valid for up to one year from ARPO's Signature*
Revised August 2022

Mitchell, Martin L
From: James Innes <[e-mail]>
Sent: Thursday, June 1, 2023 9:44 AM
To: Mitchell, Martin L
Cc: Renaldi, Ronald
Subject: Re: [External] Re: Innes - 105 Fyvie Dr, Barco NC 27917
Attachments: Innes105SkiLift61.pdf
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.
Attached is the permit with new ski lift locations noted thereon. The mooring pole has been removed to free up a lift
location on the pier/walkway. We will install one lift on the front right corner of the platform to avoid the roof line and
the
other on the second piling from the end on the pier/walkway. Also included in the attachment are both signed waivers
from
the neighbors. Thank you. James Innes
On Mon, May 22, 2023 at 10:57 AM James Innes <[e-mail]> wrote:
Gentlemen: We have mocked up the lifts on the pilings, but using the pilings with a roof structure is not going to work
because the lifts can't rotate as much as they need to. We can make one lift work on the front right piling of the
platform which is not part of the covered area.
I recall Mr. Renaldi mentioned we could install the other lift on the pier on the left side as planned, but to do so we
would need to get rid of the mooring pole. I have not checked with Mr. Hudson on the logistics of removing it, but is it
possible
to use the mooring pole for another purpose such as a light pole instead? It would actually be helpful in finding the way
back after dark. Please advise. Thank you. James Innes
252-435-6000
252-202-4282
On Mon, Apr 3, 2023 at 11:56 AM James Innes <[e-mail]> wrote:
The lift manufacturer advises that we may not have enough drop distance on the mast if we cut it to fit under the eve
of the roof deck.
I've found another manufacturer whose lift does not have a mast in an effort to see if that will work. The non -mast
lift, however, is mounted to the platform instead of a piling.
Hopefully, that will not mean any need to modify the permit you just issued if we end up going that route.
In the event we can't make either of these lift types work, please remind me what would be involved to seek a major
permit approval to install the lifts on the pier to the left of the boathouse as originally planned.
Please also advise if floating docks require a permit.
Thank you. James Innes
252-202-4282
On Fri, Mar 31, 2023 at 2:25 PM Mitchell, Martin L <martin.mitchell([e-mail]> wrote:
Mr. Innes,

0twNt4%WCA A ❑ DREDes & r-ILL N9 86202 (Z>s C D
GENE p PERMIT Prevlousperm�i(,y� lt �A
a� l� Date praviouspermit Issued JM- -2
❑ New ❑ Irlodillcation tf Complete Reissue ❑ Partial Reissue
As authorized �bbytLtthhfe State of North Carolina, Department of Environmental Quality and the Coastal Recourtes Commisslon In an area of emrironmdnral concern pursuanttm
ISANCAC...; r - I�d'JC3 ❑Rulesatmched. �f General PermkRules avaMbloatthe{ollowingiink: vn�.deq nc nv.P /CAPTAroles
AppBeantName Z5�t,,&Sr' 4 A N��! �-,�7a t'.gc'`j v'1@t Authorized Agont L C K. Nh-&e , tpP
Address 13 -4 "-- Project Leaden (County); �dwrr i') +tides
city fy\nit+(7s^.K state ZJP 7-29SV SbutAddress/State Road/Lot#(s) IOG F)4P?' C3t:t�{:
phone* (=3)�ff9,FQ' - 10•'1_Q
Eman_�e�I A,,,* Conn Subdivision Ma s, ni yJG p(>T_[jgtPSS�)srd
. City I,$d� ZIP gas I I-
Affected ©cw eW Z-pTA prs ❑P7s Adl•Wtnaody. 5 -i3rf: i5A,1,� _1 anAmt<)
AEC($): ❑BEA ❑BiA ❑UW ❑SPIMA ❑PWS Closest Mal.wt;Body
ORW)yes no PNA: yes/�
Type of Project/ Activity
—_+_._i
Shoreline Length '� ��ir
Access Length nJ K 6
At.4'Lol+'zpd"!
Fixed PlaklWgffino(s) +x L4�'GtgsS �, CWa4✓C d�,
Fixed Platfamts)„tB_'.,5
Fioadng platform(s)
Finger pler(s)
Total PleHefnYarea _;
Groh leagwo
eulkhead/Riprap length
Avg distance offshore_
` Breakwater/5111_.,,_
Max distance/ length_
Basin, channel_
eoptramp_._
Boe ous Boallfft
Beach Bundozing
other_
W W —
tV Arcs
�n.trs j'la�.
Ay.-14,oifZ�rd �r'ni
and cv I$'x �v'
dF Wl�ci, fa.`xIa'
y ¢ Abn'GvwS}�L
W
vl
,
fpptzd
Opp (scale!A)R I
O. '.A i
SAV observed•//�� yes ®"�
Moratorium: 43A ro
Site Photon Cy€s00
Riparian WarverAttached: !�1 r
b Idl I t be edb • `4" iC 1" { +
—
A ul ng perm tlzon nR perm may requ r y.__ pr C.
Permit Conditions _, ❑TAWPAWNEUSE(BUFEER(drdeone)
❑See note on NO regarding River Basin rules
--'—'—"— See additional notes/condidons on hack
I AMAWARE OPSMUTEe CRC RULES AND CONDYBONSTHATAPPLy TO THIS PRO)ffa AND REVIkWfiD COMPLANMVATR'MSNr. (Please Initial)
ANGL
III
�ntor pRan etas^•,_.. � ANSignature°s se read mAlptian eata[ementoA back of permit** Signature
T � as ate b
Appil'gon Peels) Chockfl/Money Order Issuigala

L�=
®CAMA ❑DREDGE &FILL N4 86958
s B C D
i 4 GENERAL PERMIT Previous permit x .)
Date previous permit issued '2 f'Zi J X*L
®New ❑Modification El Complete Reissue ❑Partial Reissue
As authorized bythe Stateof North Carolina, Department of Environmental Quality and the Coastal Resources Commission In an area of environmental concern pursuant to:
ISA NCAC d3 (A . 1 z o o ❑ Rules attached. ® General Permit Rules available at the following link wvnvdeq.nc.gov/CAMA., Ies
14.
ZIP_'.t„'79 S V
Phone #
Affected ❑CW �gEW PTA ES PTS
AEC(s): ❑oEA ❑IHA ❑UW n❑
SPIMA ❑PWs
ORW: yes PNA: ye oo
Type of Project/ Activity ±. a f '1•'•.3 a J "
PADU Vt �(fx:40•U w )5 •{-t to (i t5s (X 7 h'
Shoreline Length 4. z'rs t .
Access Length f.
I I
Pier (dock) length t4 o M •- C.O o..s't'41 w a _
Fixed Platforms) -� �
Floating Platformis) 1
Finger pler(s)
Total Platform area _
Grain length/g _
Bulkhead/ Riprap length
Avg distance offshore_
k #-
Authorized Agent
Project Location (County): (' ( f Y t^ ('(' k) C K
Street Address/State Road(Lot #(s) ('> ifl tr.r. o� ..
Subc!Mslon —Mo 61 q MU S K
City Zatrco zip 2,19 1-7
Ad]. Wtn Bad), Cot Vt s !_t � r*— 't
Closest Mal, Wtr. Body Cis r h
I i i
'i�eltvt�r k�rn:� .
Ciwa; v er
IFY-5`t Acee56 I Exsh picsr
�x5f 13o�1.etli;e
i:.Xs-� '' ?'k t:r .
Max distance/length
Basin, channel ,i�5`F(U's .'r yA
Cubic yards.
Boat ramp
Boathouse/ Boatlift i_ (a"A l') A Q tom. O P n, :5 ev ^Se T
Beaeh.BaNJezing. _ & 1 v/Y. V TT .r
Other
(✓ P1. (.' 1"i i"
SAV observed: yes y�,y
Moratorium: n/a yes (Bg/ •� — •-� Q, k. V1 UtL. 17ry
Site Photos: no 4(y/ Riparian WalverAKQ5 h tsa ached; no )�) O C,Sf t W e't-1 , e,
A building permit/zoning permit may be required by: CamaUr_ L t
Permit Conditions 15 e e- t r5A N e AC (i:714 . i'2041
r
>k A
Name
$ -2. 0C)r �1rr, , V 5 5' o
Application Feels) Check g/Money Order
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
ID REVIEWED COMPLIANCE STATEMENT. (Please initial).
MCLrI-4t;., M11IU L:l[
Permit Officer's PRINTED Name
Signature ii�
3�3t1202-3
Issuing Date Fxplra on Datt7 e —

DdCAMA ❑ DREDGE & FILL N 86958 B C D
Previous permit -C) .Z
3 GENERAL PERMIT Date previous permit issued Z J '21 I 22
® 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:
I SA NCAC 0 f (4 • 12.00 ❑ Rules attached. ® General Permit Rules available at the following link: caw xw.nc.gov/CAMArules
Applicant Name JMWV trP%vn
.L Y - c
Address (3,j ( C CL rM 1 B e R w y.
City IA & 4 QGk State N zip 1-19 Jq K
Phone #Zia) -.02—d•Z 562
Email 1VLN es Ia 0 6) t7mej ( C6VVt
Affected ❑CW [)§EW [APTA ES ❑PTS
AEC(s): ❑OEA ❑IHA ❑UW ❑rSPIMA ❑PWS
ORW: yes0 PNA: ye, 11 (r-
Type of Project/ Activity �� A+ad (C.I.,Tio Yt n + '+l't..i �
m D uyt � &_r{ Cn: �a P i fi [n ctw_ 1
Shoreline Length 2`j
Access Length 1
Pier (dock) lengt O N _ C O aS'EAT u-
Fixed Plattorm(s)
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore_
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlitt (far Jl
Other
SAV observed: yes
Moratorium: n/a yes
_)L
Authorized Agent tt
Project Location (County): (jy N t T U Gk f'1
Street Address/State Road/Lot #(s) I ti .IJY.
Subdivision My N `i MU 6 K
City Scz r c o zip 2'19 I'l
Adj. Wtr. Body C O t Yl 1 U CI eW is man/unk)
Closest Maj. Wtr. Body � U r 1• 1 C ' S f] tJy1 d
Pa.11AAer Prot >
(WeLi d aci3
�K51 ilcceSS t)ist Plar
i
EXst A3C)oitNoo6e
E><st P,t C;r - -t
L
Site Photos: rMj no 1 1
Riparian Waiver Attached: s no N o vx — Cocz,5AiA w 11e�� -1
A building permit/zoning permit may be required by: �':1 Irv., C G (
Permit
Y.6j< P ((df o r yr
0Po5SZV 3E ►
5kI LI FT5
CZ)
13, Z;A kin e'l Prop.
Cwg1v eel
(Scale: WT,5)
H
"f
Lj
C)
❑ 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)
r Ma,rlrt Mtl
Agent or Applicant PRINTED Name Permit Officer's QPRINTED Name
VIA(
Signature••Please read compliance statement on back of permit•• Signature ••-1''
���et�S t� 1115 '2oL3��1�20 2-:5
Application Fee(s) Check N/Money Order Issuing Date Expiration Date

OGAMA ❑ DREDGE & FILL N° 86958 A B C D
GENERAL PERMIT Previous permit
Date previous permit issued �.
R 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:
I SA NCAC r) ❑ Rules attached. N General Permit Rules available at the following link: w .deg.nc.gov/CAMArules
Applicant Name Authorized Agent
FFI
Address + ,' ��CJ Fr,_ t5' 1 - Project Location (County):
City State ZIP Street Address/State Road/Lot #(s) it.%`:> U
Phone #
Email
V'Y1
Subdivision Mil ftit i h : [i ;5 fn
City B o. C r..
ZIP 2...i ,, I'
Affected ❑ CW
AEC(s): ❑ OEA
ORW: yes(Eo)
❑ EW PTA 0 ES ❑ PTS
❑ IHA ❑ UW ❑ SPIMA ❑ PWS
PNA: yes/o,)
Adj. Wtr. Body C o t t'r
Closest Mal. Wtr. Body
'ia man/unk)
11
Type of Project/ Activity L n , f<:ti t 4 _T't {?
o i e v, a
t
er,ra\.1v�
v r} tnfz t-b1 X `Lr,
>! „ in`r,
(Scale:WT5)
Access Length
--
■■■
—
■ --
�■re.
■
MEN
I
■ii:
Total Platform area
::
l�■Nll�■Lt■■■■��qN�■��■■I
W
��■■■I
■■■■ail■■■
MW
1110,111
E
SOME
El"
�
®■/■Ntn
IS
i
tih�
�■■I12
R
IlFr■■■■■■i
EN
■.�r■■■,:
JEEP
MENE■
■N■
■\\■■■
WMIN
ill
MN
tilt
i■■■■UUMEE■■
OPTR=
W
E■■■■■■■■
A building permit/zoning permit maybe required by: i 'CU C -- C O t r , o �q
Permit Conditions /
i M. I `104, t C R'4\t''v c<
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
[[ f ❑ See additional notes/conditions on back
e• e'. S�Ci C't.c rs t� Ci�r"f'T
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
MCI r 1 I tti
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature "Please read compliance statement on back of permit"
Application Feels) Check #/Money Order
Signature /
Issuing Dale Expiration Date

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONAVAIVER FORM
CERTIFIED MAIL • :RETURN RECEIPT REQUESTED or HAND DELIVEPY
(Top portion to be completed by owner or their agent)
Name of Property Owner: __ James h Amy Innes, Trustees
Address of Property:
105 Fyyie Dr, Barco NC 27911
Mailing Address of Owner. 1371 Caratoke Hwy, Moyock NC 27958
Owners email: [e-mail] Owner's Phone#: [phone]
Agent's Name:
Agent's Emalt
Agent Phone#:_
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
[Bottom portion to be completed by the Adjacent Property Owner)
RECEIVED
MAR 2 4 2023
DCM-EC
; hereby certiy 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 Drovided with this letter.
x I DO NOT have objections to this proposal. I DO have objections to this proposal,
it you have oplections 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 401 S. Grim St, Ste. 300, Elizabeth City, NC, 27909. DCM representatives can also be
contacted at [phone]. No response Is considered the same as no objection If you have been
noNed by Certified Mail. _
WAIVER SECTION (Choose only one
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 rigmg 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)+f ;4
Signature of Adjacent Riparian Property Owner.
Typed/Printed name of ARPO: Laura A. Palmer
Mailing Address of ARPO:
5861 Caratoke Hwy, Barco NC 27917
ARPO'semail:[e-mail] ARPO's Phone#:[phone]
DateY,5 - _-,9,,2-cZ !� `vraiver Is valid for up to one year from ARPO's Signature`
Revised August 2022

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) C/` ,
Name of Property Owner: James & Amy Innes Trustees MAR V �®
Address of Property: 105 Fyvie Dr, Barco NC 27917 1 4 1013
Mailing Address of Owner: 1371 Caratoke Hwy, Moyock NC 27958 L)C n tt/,Ae&
Owner's email: [e-mail] Owner's Phone#: [phone]
Agent's Name: 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. 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. uroision or Coasrai
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 401 S. Griffin St., Ste. 300, Elizabeth City, NC, 27909. 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 (Choose only one)
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.) Q /�
I DO wish to waive soma/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:
Typed/Printed name of ARPO:
Brian P. Innes
Mailing Address of ARPO: 136 Pat's Way, Barco NC 27917
ARPO'semail: brianpinnes@yahoo. corn ARPO'S Phone#: [phone]
Date: a/ �' *waiver is valid for up to one year from ARPO's Signature*
Revised August 2022