91380C - Campbell, George

(")-4CAMA I I DREDGE i FILL N°91380 A t ©o
GENERAL PERMITii
'''"`°"�'"�`
Dote previous perm*lames
A New I Modification ficaeon O Complete Reissue I Partial Reissue
As eurhrrnrrt Nilie Sao of Nv.Groin.Brie+„,.+d FM.ae.weil Uric rel rM r,eerr.r Aetcrrert C..... ..,...le in wee d lee rvrrtonal amain preen to
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AM•• QP C ti•z�cj_jra Br.'arC _ Pelmet loan.(Goes* f'rile VAN
Cie 11e R[•7 awn A/G 2f 20 55a Sarre AddroientroAarNat•(I) 200 4hekeeest1 Rrlft
Items.fig) L 7/- SS 72 _ kttiiuL__ •
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at/fr i 1,-/I zit ab g R
Arc(4 Ow Ow► ❑uw ' Diem ❑iris aoy.oe r,,,Wt,Body rrif t A1'✓[v
O"w', Prue ref
Type of Pro)eci/ACtivity /"a j, t1 6,,/k IJLs c Kul ti c t nil, '
t N7S)
Shorebne length 65
rh t,I fr'T_ __.:,, , ._ i,
-T---
-
Aatysle,ge -- �, , li --- 4 4
let
• __ , ________ _ _,
,.
, .
�_ - - 1
Finger peels)_ � - w 1-�__•`.-__ -- -- 'se - - - r
Total Platform ova ....� '
Groin krrgth/A ` I .�-,—.---- -
r¢7t�'Wrap AO LC a —1_= .- �--- - ___ _�--.-" _ - ,
Art;distance offshore MJC Lf/ r - _
Breahsraler/Slr - T
_..
Mao dim./length ^1; -..
r� I �-
Basin,channel ~'...-
_ Y
Cubic yards I
• (
Bowl ramp_ 4 , — Y t tin 74
Boathouse/Boatit ��
- r
Be.dr8ulldorllL r.3} .._ __ _R ,'ELS
jOther "-*".... II ...._.,..._._ -- _._... -- - - 're"
I SAV observed: yes t-e
I Mor.torMrrr. ,la Yes _-�—�j�r- -` •�`�-- '-�— f `�
I suePnolas ® thrill - -1-- - - JI
I R1WrlrrwsrrrACadle! no L_�� .� ~�^�_�___ J
Aa.w,..w....pin*may eerepiedbr Ta&'4 Of A. itc.,d y,
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/jc. ❑k ri n rite MI badt A. i Bur rt Rim, 'rules
fiv't,vkl CJ
See afrftuul rotes/mrrltms on Wei
I
I AM AMID OF SWUM OIC MULES IEN6 MAY TOMS P JCT MO¢tlI 0DIMRM =W
MII0UCE BEW (Please initial) �P
IIM
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a�"mrq, ICAMA I—I DREDGE & FILL No. 91380 A B OD
0 9
J. = GENERAL PERMIT Previous permit
Date previous permit issued
®New ❑Modification Complete Reissue H 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 Q 7,1' H Q G Rules attached. A General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name G to frye 64.1 btz 1I Authorized Agent nee n i Pyr 5 cp'/f
Address a(,g C ct µ N ki L) f l .a n Dv,'✓( Project Location(County): 6 YA✓Ch
City 11//w $1t'1 State NL ZIP 9 3'6 of Street Address/State Road/Lot#(s) 2O? (h e,h kb.:'I R I4H
Phone#(',Sag) 4. iB — SS72 ,0,—;v!/
t Email q Ole CALM, be II )! 6;3 ' h..'D /. (pin Subdivision
City A—, C--/) ZIP ^g J��.
D��;vn a A,
Affected CW �EW IN PTA ❑ES PT5 Adj.Wtr.Body Ri✓c r +ge41� Ga,n a i (nati 'unk)
r✓'G'^1 I
AEC(s): OEA n IHA UW SPIMA n PWS Closest Maj.Wtr.Body /1 I ✓[ v
ORW:yes/0 PNA:yes/at/�
Type of Project/Activity I�i'cio SL J. /3 4,/k Li c S J A t f 14 e i h 2 n f
(Scale:/1/73.)
Shoreline Length 65 c r
Access Length — ' // ; e /�
Pier(dock)length — ,/V ~ To,�./N <4 dl � ✓e''' & J :,-• ,1
Fixed Platform(s) — I Alpt.e/c)n
Floating Platform(s) A.`,f elvi_..) 4-4 i
Mit: 1
Finger pier(s) I ; ( i [
Total Platform area '-- V 9a f( a m
Groin length/#
.2aMER Riprap length A,, Z.S. yy - t!1<°Sf` ��
Avg distance offshore �le /`�c o � Jf I
1 N�t I s"`'"
Breakwater/Sill �1;
Max distance/length
Basin,channel
Cubic yards -------�
Boat ramp ---
Boathouse/Boatlift " I 7�1�r tic,.1
'W
Beach BulldozingPQv,.r�0`i:a- {Jh ,,k.G W^"1�""- "QQ
,/, C.5 R i9b' "5
Other '—-
Pi- (0v4'
WHi✓4
Moratorium: n/a yes
SAV observed: yes
Th81 eel, C a Ail k e`
Site Photos: �yesC ® (v"q/vf'd
Riparian Waiver Attached: 661 no /� /�
A building permit/zoning permit may be required by: ro��✓n UT I'j i t'1 Rend
Permit Conditions () ,dl'✓ &I ?k LIe�CI /iAL:.si ;�lti vat r. �L �M..11 a / (,--aff-e''r^''lx`i' TAR/PAM/J�e BUFFER(circle one)
6'/ - ,'-f bet 114114.1 /a) .f1 f 6 s/ X 2Q ' 1,,ikbeg4 4a // ❑ 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)
A ,'c44, .. Ath1tof/'y
Agent or Applicant PRINTED Name Permit Officer's PRINTED ame V
Signature**Please read compliance statement on back of permit** Signature
. y..cv 12 66 9/3D/a- 12/3%3
Application Fee(s) Check#/Money Order Issuing ate 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 au;horities 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

,o40""ru ❑CAMA n DREDGE & FILL N° 91380 A B �D
GENERAL PERMIT Previous permit
Date previous permit issued
n New n 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 _ Rules attached. ❑ General Permit Rules available at the following link:www.deo.nc.gov/CAMArules
Applicant Name i t/.. I Authorized Agent /" �, , ,. f 7�
Address j Ij C ) j' .. �D.-..A"( Project Location(County): /' ✓8h
City /V,t/4/ 6c'''',, State it/C ZIP 9 b S6; Street Address/State Road/Lot#(s) 2 Oil C ti h n k-i c'I 1Q t4I1
Phone#('�',) 6 76 Sf 7;{
Email ' G A v"%> h • Y J Q F,� ef).) w.R 1. C,c Lwi Subdivision
City .-.. J e�/7 ZIP `2t� 5-4
Affected n CW n EW PTA ❑ES n PTS Adj.Wtr.Body Pk.✓C r' //1 d CO H 4( (nat/ unk)
AEC(s): n OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj.Wtr.Body - 11* A I V e v
ORW:yes/no PNA:yes/ )
Type of Project/Activity P vE,'r'f J f -//-!i r J h' (: 7/ c:-r ,+, h 1t
(Scale:/li TS)
Shoreline Length 6 5
Access Length ikl%-Al r —X /, j
i
Pier(dock)length I E...A#'
Zh
Fixed Platform(s) I a
- �-i A ,•°'t'
fl , - ,L....f _ C5
_
Floating Platform(s) lIIA�'}i r . " t
-I
Finger pier(s)
Total Platform area a ,dn,! ( ,
Groin length/#
Bulkhead/Riprap length LS z -- ��.. ......_._ —.._... t 4 ` ,
� _ i
Avg distance offshore ,:�N x -4 1
Breakwater/Sill , n {
Max distance/length •t--- '
Basin,channel } , )
Cubic yards +..
Boat ramp '_. r 1
Boathouse/Boatlift /
Beach Bulldozin p, i, ) //�J / ` J
g Ri GTT� 1ay- f ' .p, 4 Ci Rohm. 5
Other _.... -........1 - -. ......__... _ I I (y,f---j-..._,..._.
SAV observed: yes ' ' ' " 14 ' _ ' ' ' '
Moratorium: n/a yes i
Site Photos: yes ® (11'*r1;�6)
Riparian Waiver Attached: yes, no , _
A building permit/zoning permit may be required by: TG w n D f Q l/(" )9 chi cl
d i ,a, fl TAR/PAM/ ELEUSSBUFFER(circle one)
Permit Conditions j) a/ -✓ t',�., !, fiat•la 0 L. int ..-L k w'1 a L�'crs""
7, t r.- v4.'�J b, )icA Cq cJ Q) .1 % ;s/ x ;?O I kI'i c d p4 G*C7l,V/ 111 See note on back regarding River Basin rules
pn 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)
7 F✓r ,741 Gi h �, ✓ ,
Agent or Applicant PRINTED Name Permit Offic PRINTED me /
Signature**Please read compliance statement on back of permit** Signature
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

oif`°"rk+r nCAMA I DREDGE & FILL No 91380 A B pD
1 GENERAL PERMIT Previous permit Date previous permit issued —
New I I Modification n 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 Rules attached. n General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name Authorized Agent
Address / L. Project Location(County):
City _ - - State iV(. ZIP Street Address/State Road/Lot#(s)
Phone#( )
Email /. Subdivision
City ZIP
Affected n CW n EW n PTA n ES n PTS Adj.Wtr.Body - - -` (nat/man/unk)
AEC(s): n OEA n IHA n UW n SPIMA PWS Closest Maj.Wtr.Body ) t rl + ✓L '''
ORW:yes/no PNA:yes/no
Type of Project/Activity r J) f I i— I,L ,I .
i
(Scale:N%c)
Shoreline Length ,- s
Access Length 1/ i _..__ .__ t -
f
Pier(dock)length } ''' r r i i 1- i % -' € 'u [,i'1 h a! 4
�,,/7
Fixed Platform(s) ; ri'`''l ..'`rA
.._.T-�_.. ._T. L -
Floating Platform(s) Al f'- 14
t .ii G _..._ ___ _ - �__ _._ ____-,_..
. , di
Finger pier(s) I i - , ,
Total Platform area j ii ,01.,. "‘ I Groin length/# ; I �rt r ,
Bulkhead/Riprap length L S t E .
Avg distance offshore • . ...' -._ t........._.,.._- _-...- :�..._.. _- +l ---� -_-
Breakwater/Sill I 4' I '
Max distance/length
Basin,channel ► -
Cubicyards I
Boat ramp • ` c _ i
Boathouse/Boatlift
Beach Bulldozing `
Other
_ -«-.___ �_..._.__. !__......__.._� j ...
. . 1 a
SAV observed: yes
Moratorium: n/a yes no i 5/: ' ''r
Site Photos: yes no l ' '''(41, I j
Riparian Waiver Attached: yes no : I I _
A building permit/zoning permit may be required by: / .i :; N, ;c., IJ
Permit Conditions Y /1 ,,;, vil ^ i� El TAR/PAM/ IEUSBUFFER(circle one)
' A) /11 (;f*/ X -,v aid .4, ,i 0 See note on back regarding River Basin rules
0 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
II . , 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

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: 6:-r cr � f. " i . CA p b L //
Address of Property:o� O 8 Cl, ANn/ / 1(j ti ro/-_ 1'v tic r ✓ NC .y.r G
Mailing Address of Owner Oa C jiff/vN c ( gJ r, ,Jp- , /V,..,, 6.f:, N C c1IJ G a
,�'eoVc e""se4ri (G'Ga� e Mat(/ .co
Owner's email: owner's Phonel 0 I a - 6 7 0 ' S,S' 7 7,
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 n for this
permit has described to me, as shown on the attached drawing, the development they are proposing.A
descrlo 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)M wry 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 Mall.
WAIVER SECTION
I understand that any proposed pier,dock,mooring pings,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 skin
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)
Signature of Adjacent Riparian Property Owner e q07
Typed/Printed name of ARPO: /yrc A}tT - , p
Mailing Address of ARPO: .4 0 to C Jtif.✓i✓C L Tu."-_ we N ke49 -40oZ,
ARPO's small: d ky ' e ?p C_____C_____ ARPO's Phone*: .2 1'7/-l D?5
yrf'li Aire .cpr„„
Date: 7/l/23 *waiver is valid for up to one year from ARPO's Signature'
Revised July 2021

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AVA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue,Governor James H.Gregson,Director Dee Freeman,Secretary
Date V3 //a 3
Name of Property Owner Applying for Permit:
cp. /1 - eck —/bQ //
Mailing Address:
6 O 1 / 1 /1�//�e / �` J ✓ �r .
I certify that 1 have authorized(agent) Tr' C „i /ttfC o if to act on my
behalf,for the purpose of applying for and obtaining all CJA/M'A/Permits necessary to
install or construct(activity) (`-e p)✓} C ✓ / K .A Q
at(my property located at) c9 O 8' (� I i'i N N e / ` ,✓
�'t/C..► L 4 % /V C
This certification is valid thru(date)
3/ 31/23
Prope er Signature Date
400 Commerce Avenue,Morehead City,North Carolina 28557
Phone: [phone] FAX: [phone] Internet: www.nccoastalmanagement.net
An Equal Opportunity\Affirmative Action Employer—50%Recycled 110%Post Consumer Paper

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: lr-e c r-<� /11 • C
// : A •„f (7C /1 Address of Property: 2 0 O CA r9r✓N ✓ ✓ U, �/
t / ,' "_ /' c"/�� a f �f C �1 S-6 R
Mailing Address of O if CA 4"-AiC /l vd iOr /v- 4r-' /J.erN Al C. 2 d'S-G I---
Owner's emhlle* 4.4 C4"13bCII I 'Go) r" r-1 •V�-J 676 - ,:r S 7 4-
Agent's Name: Agent Phone#:
Agent's Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adiacent 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.
+\ r l 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.)
I DO wish to waive some/all of the 15'setback-2 J
Signature of Adjai nt Riparian Property Owner
-OR-
I do not wish to waive the 15'setback requirement(initial the blank)
Signature of Adjacent Riparian Property Owner: ;'( ''r+"' "IL--
Typed/Printed name of ARPO: ki,be, t .3 t t r 6e/4
l%Mailing Address of ARPO: oZ,0 hfll•N/UEL Pun/ D7Z1VP--
ARPO's email: rj t a)O Q 00-iti0k 4 L°OmARPO's Phone#: .5,. 3`f 1 = C 44
Date: :3 ,3 i -. 3 'waiver Is valid for up to one year from ARPO's Signature*
Revised July 2021