92518C - Mearkley, Triua

O*°'''Tqi f ICAMA I I DREDGE & FILL No 92518 ABC D
4 = Previous permit
GENERAL PERMIT
Date previous permit issued
1 I New ❑Modification Complete Reissue f l 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 ) hi • I v Lk) _ Rules attached. [71 1 General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name Ti 1,I Jl j))C:QI 11 Authorized Agent 'r'- nCL ( i CA t
Address {.! )t°4v\:-) Y .Q ) Project Location(County): r;' ��' )_ r•
City \ t(-�' State ZIP / " Street Address/State Road/Lot#(s)
Phone#( `L �-1")(
Email Subdivision
City 3 r-' 1 L ZIP `
Affected Il CW EW n PTA 1--1 ES ❑PTS Adj.Wtr.Body {`\/t l-V/G (nat/man/unk)
AEC(s): ❑OEA ❑IHA fl UW 1 1 SPIMA ❑PWS Closest Maj.Wtr.Body 1 1. C&L 1�
ORW:yes/no PNA:yes/rio
Type of Project/Activity
(Scale:Il -}()
Shoreline Length
•
Access Length - {� r -_- -- -- j e��--*it 1... -17 �......_.. -._. .__._ I 401, - , ..._..... i _ ----
Pier(dock)length . ji T" ' ' l• 1: eLIO 1
Fixed Platform(s)
.bxW‘.,f,L141,' tell*. i J.. _... .„. I '1V:4n_—
Floating Platform(s) 1 - 4 'j" 1
Finger pier(s) i16'
1\ . '1_ F
Total Platform area 1- ( I
\itiy 1,_ 31
Groin length/#
1 i
Bulkhead/Riprap length --
I
Avg distance offshore i ,\,\ _ ;g, , .
—... I!/
Breakwater/Sill �, ( •
VVV r r
Max distance/length " " i. i.k {
Basin,channel �.�n
1.: II
Cubic yards
Boat ramp ,
Boathouse/Boatlift { I
Beach Bulldozing , _ ,
Other 1 }-t,,t - � 1 _
SAV observed: yes no. i ' �
' C jP{
Moratorium: n/a yes no '-� - ^ ✓� ( t
I %bid.
Site Photos: yes no i i' '
Riparian Waiver Attached: yes no I ( 1
A building permit/zoning permit may be required by: j i
Permit Conditions IIITAR/PAM/NEUSE/BUFFER(circle one)
c
�...e it l,L. h1,- n See note on back regarding River Basin rules
nSee 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
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

4o °Mr"e n CAMA n DREDGE & FILL No 92518 ABCD
I�,o
1 GENERAL PERMIT Previous permit
y Date previous permit issued
n New n Modification n 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 n Rules attached. ri General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name -1 i ' i it i , Authorized Agent
2
Address Project Location(County):
City State - ZIP Street Address/State Road/Lot#(s)
Phone#( )
Email Subdivision
City ZIP
Affected n cw n EW n PTA n ES PTS Adj.Wtr.Body (nat/man/unk)
AEC(s): n OEA n IHA UW n SPIMA n PWS Closest Maj.Wtr.Body
ORW:yes/no PNA:yes/no
Type of Project/Activity
(Scale: )
Shoreline Length . $ ,) ,. W _
ii v _
Access Length - it i0
I `
Pier(dock)length , M r , ' WEARS
Fixed Platform(s) 1111111011
IpI:5 •�1 {� ....4(4L"e �,.. _. IL
IVIIIII
Floating Platform(s) 1 8
I
Finger pier(s) ,
Total Platform area I r 1 1 IIIIIII
I MIN
Groin length/#
Bulkhead/Riprap length
Avg distance offshore .' „ .Breakwater/Sill i --- --_
Max distance/length ' IIIIIIIIIIIIIIIIIIII . "
Basin,channel
I I 1 `
Cubic yards ( I +
Boat ramp i
Boathouse/Boatlift C 1 1Mill )
Beach Bulldozing "
Other i •
IN
SAV observed: yes no
i _ IN
Moratorium: n/a yes no _. T )
Site Photos: es no — ,, , ('Y '
1 V
Riparian Waiver Attached: yes no i +
A building permit/zoning permit may be required by:
n TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions
nSee note on back regarding River Basin rules
nSee 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
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: Renee Clark <[e-mail]>
Sent: Tuesday, August 8, 2023 2:22 PM
To: Styron, Heather M.
Subject: Re: [External] CAMA Paperwork/dock permitting- 128 Gemstone Dr.
Sneads Ferry
Attachments: USPS.com Tracking® - 1 of 2.pdf; USPS.com Tracking 2 of 2.pdf; Signed
Agent Auth. Mearkley.pdf; Green card.pdf; Proposed dock drawing.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.
Hi Heather,
I am submitting the general permit forms and agent authorization for 128 Gemstone Dr, Sneads
Ferry. The owner is seeking a permit to have a dock and boat lift added to the property.
I have attached copies of :
- Agent authorization form - signed
- Closing disclosure showing the sale is final &Tricia Mearkley is the owner
- Green card and USPS tracking showing proof of delivery to both adjacent neighbors
-A copy of the proposed project drawing
If there is anything I missed or if you need any additional information please let me know, I'll be
happy to get it over to you asap!
Thank you so much for your help along the way with this request.
Thank you, Renee Clark
On Mon,Jul 31, 2023 at 9:37 AM Styron, Heather M.<heather.m.styronPdeci.nc.gov>wrote:
Hey Renee,
That will work!
Thanks!

Heather Styron
District Manager, Morehead City
Division of Coastal Management
North Carolina Department of Environmental Quality
400 Commerce Avenue
Morehead City, NC 28557
252.515.5417 (0) 252.725.3903 (M)
Please note that my email address is now [e-mail]
www.deq.nc.gov
Find a Field Rep(arcgis.com)
Er.,pi El
er0.4 rct.
ElNi r
• o
Department of Environmental Quality
Email correspondence to and from this address is subject to the North
Carolina Public Records Law and may be disclosed to third parties.
2

.
From: Renee Clark<[e-mail]>
Sent:Tuesday,July 25, 2023 11:46 AM
To:Styron, Heather M. <[e-mail]>
Subject: Re: [External] CAMA Paperwork/dock permitting- 128 Gemstone Dr. Sneads Ferry
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.
Hi Heather,
We are working on the ARPO waiver forms today and the docs needed for permit submission. I
was hoping you could let me know if the drawing attached is sufficient or if it needs to be
drawn to scale or any criteria that is required?
Thanks for your time & help!
Renee Clark
On Tue,Jul 18, 2023 at 1:37 PM Styron, Heather M. <[e-mail]>wrote:
You are very welcome!
Heather Styron
District Manager, Morehead City
Division of Coastal Management
North Carolina Department of Environmental Quality
400 Commerce Avenue
Morehead City, NC 28557
3

252.515.5417 (0) 252.725.3903 (M)
Please note that my email address is now [e-mail]
www.deq.nc.gov
Find a Field Rep(arcgis.com)
CI • .
- v
NORTH CAROLINA
Department of Ernironmenla►Quality
Email correspondence to and from this address is subject to the North
Carolina Public Records Law and may be disclosed to third parties.
From: Renee Clark<reneeleeclark(«@gmail.com>
Sent:Tuesday,July 18, 2023 1:14 PM
To:Styron, Heather M. <[e-mail]>
Subject: Re: [External] CAMA Paperwork/dock permitting- 128 Gemstone Dr. Sneads Ferry
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.
4

Awesome,thank you so much!
On Tue,Jul 18, 2023 at 12:57 PM Styron, Heather M.<[e-mail]>wrote:
You can use the purchasers name as long as you submit a contract to purchase along with the other
required forms for the CAMA permit.
Heather Styron
District Manager, Morehead City
Division of Coastal Management
North Carolina Department of Environmental Quality
400 Commerce Avenue
Morehead City, NC 28557
252.515.5417 (0) 252.725.3903 (M)
Please note that my email address is now [e-mail]
www.deq.nc.gov
Find a Field Rep(arcqis.com)
ES...041
e.
].d
D •
o
5

NORTH CARULINA
Department of Environmental OwINy
Email correspondence to and from this address is subject to the Nortl
Carolina Public Records Law and may be disclosed to third parties.
From: Renee Clark<[e-mail]>
Sent:Tuesday,July 18, 2023 12:28 PM
To:Styron, Heather M. <[e-mail]>
Subject: Re: [External] CAMA Paperwork/dock permitting- 128 Gemstone Dr. Sneads Ferry
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.
Hello Heather,
One more question. This property is under contract and set to close on August 3rd.
For the purpose of the agent authorization form & adjacent property owners forms...Do we
need to use the current owners name, she is the one selling and moving or is it ok to use the
purchases name?The purchaser is the one wanting to add a dock after she purchases. If I
use the current owners name is there a way to "transfer" the paperwork or permit into the
new owners name after August 3rd?They are both willing to do whatever is needed, best &
makes most sense to get the paperwork & application started.
Thank you again! Renee Clark
6

•
On Fri,Jul 14, 2023 at 10:05 AM Styron, Heather M.<[e-mail]>wrote:
You are welcome.
Heather Styron
District Manager, Morehead City
Division of Coastal Management
North Carolina Department of Environmental Quality
400 Commerce Avenue
Morehead City, NC 28557
252.515.5417 (0) 252.725.3903 (M)
Please note that my email address is now [e-mail]
www.deq.nc.gov_
Find a Field Rep(arcgis.com)
El

EQ ,)
N{Jtilri C.AHoLINn
Department of Environmental Quality
Email correspondence to and from this address is subject to the Nort
Carolina Public Records Law and may be disclosed to third parties.
From: Renee Clark<reneeleeclark([e-mail]>
Sent: Friday,July 14, 2023 9:40 AM
To: Styron, Heather M. <[e-mail]>
Subject: Re: [External] CAMA Paperwork/dock permitting- 128 Gemstone Dr. Sneads Ferry
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.
Ok,thanks for the clarification.
On Fri,Jul 14, 2023 at 8:15 AM Styron, Heather M.<[e-mail]>wrote:
You're welcome.The permit is valid for 120 days.With that said,the signed riparian signatures are
valid for 1 year from the date they are signed. If the permit expires and nothing has changed from
the original issuance,they can ask to re-issue the permit using a copy of the original permit and
signatures and would just have to pay the permit fee again.
Heather Styron
District Manager, Morehead City
Division of Coastal Management
8

North Carolina Department of Environmental Quality
400 Commerce Avenue
Morehead City, NC 28557
252.515.5417 (0) 252.725.3903 (M)
Please note that my email address is now [e-mail]
www.deq.nc.gov
Find a Field Rep(arcgis.com)
.ec:141
. 17
Department of Environmental Quality
Email correspondence to and from this address is subject to the Noi
Carolina Public Records Law and may be disclosed to third parties.
From: Renee Clark<[e-mail]>
Sent:Thursday,July 13, 2023 5:17 PM
To:Styron, Heather M. <[e-mail]>
Subject: Re: [External] CAMA Paperwork/dock permitting- 128 Gemstone Dr. Sneads Ferry
9

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.
Hello,
Received. Thank you Heather!
How long is the permit good for? Meaning, If approved is there a timeline in which the
proposed project must be completed?
Thank you, Renee Clark
On Thu,Jul 13, 2023 at 2:06 PM Styron, Heather M. <[e-mail]>wrote:
Hello Renee,
Please see the attached general permit forms and agent authorization.The agent form would
need to be signed by the owners if they are going to authorize you to obtain the permit.You will
also need the adjacent neighbor on the right and left of the property sign the attached riparian
statements. You would also need to provide them with a drawing (with dimensions) of what is
proposed. Once you have all of this,you can email everything to me. If I determine that what you
are proposing meets the general permit criteria, I will draft the permit and contact you for
payment (check or money order only).Once we receive payment the permit can be emailed for
signature.
Thanks!
Heather Styron
io

•
District Manager, Morehead City
Division of Coastal Management
North Carolina Department of Environmental Quality
400 Commerce Avenue
Morehead City, NC 28557
252.515.5417 (0) 252.725.3903 (M)
Please note that my email address is now [e-mail]
www.deq.nc.gov
Find a Field Rep(arcgis.com)
iri.""p14
0. VIP
. o •
11.1.11MID17.1.11M1111.411111M1 E 11.11:110)
Department of Environmental Quality
Email correspondence to and from this address is subject to the Nc
Carolina Public Records Law and may be disclosed to third parties.
11

From: Renee Clark<[e-mail]>
Sent:Thursday,July 13, 2023 1:59 PM
To:Styron, Heather M.<[e-mail]>
Subject: [External] CAMA Paperwork/dock permitting- 128 Gemstone Dr. Sneads Ferry
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.
Hi Heather,
We spoke about 2 weeks ago regarding the property at 128 Gemstone Dr, Sneads Ferry
and the process for getting approval for a dock& boat lift to be approved and installed.
Are you able to email me the forms and info needed to get started?
Thank you for your help!
Renee Clark
Thank you,
Renee Clark, Broker
Renee Clark & Associates
Co!dwell Banker Sea Coast Advantage
C-315 420 2198
Working With Real Estate Agents in North Carolina:
12

•
http://www.seacoastrealty.com/services/Workinq With Real Estate Agents.pdf
Email correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to
third parties by an authorized state official.
Thank you,
Renee Clark, Broker
Renee Clark& Associates
Coldwell Banker Sea Coast Advantage
C-315 420 2198
Working With Real Estate Agents in North Carolina:
http://www.seacoastrealty.com/services/Workinq With Real Estate Agents.pdf
Renee Clark
Renee Clark&Associates,
Coldwell Banker Sea Coast Advantage
Thank you,
Renee Clark, Broker
13

Renee Clark & Associates
Caldwell Banker Sea Coast Advantage
C-315 420 2198
Working With Real Estate Agents in North Carolina:
htto://www.seacoastrealty.com/services/Workinq With Real Estate Agents.pdf
Thank you,
Renee Clark, Broker
Renee Clark& Associates
Caldwell Banker Sea Coast Advantage
C-315 420 2198
Working With Real Estate Agents in North Carolina:
http://www.seacoastrealty.com/services/Working With Real Estate Agents.pdf
Thank you,
Renee Clark, Broker
Renee Clark & Associates
Caldwell Banker Sea Coast Advantage
C-315 420 2198
14

•
Working With Real Estate Agents in North Carolina:
http://www.seacoastrealty.com/services/Workinq With Real Estate Agents.pdf
Thank you,
Renee Clark, Broker
Renee Clark&Associates
Coldwell Banker Sea Coast Advantage
C-3154202198
Working With Real Estate Agents in North Carolina:
http://www.seacoastrealty.com/services/Workinq With Real Estate Agents.pdf
15

DocuSign Envelope ID:CEE4AF77-388F-4CEE-8A78-323FA2602CE9
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: mS, j Cif 1 A. 11( tr.I.Avik.1
Mailing Address: I Z(s Gems k Ids • S 1f {S rein
Phone Number: 0'1 i L' 5(01-1 C 179
Email Address: ( r I ff ecrhn� <c:�n'1
I certify that I have authorized Re r e e e to v(
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Rt.ti k/tincj (t tax
CkCr',IC cvtia p; Itnc ()JAI-) A brc.-l- 1 } 4a t'v pt ckf•
at myproperty located at 1 2 Cie r , N`,i ve 1 1
P P Y S��
in OnS l O County.
I furthermore certify that I am authorized 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:
—DocuSigned by:
1/iva kt,a(0,11
r
signature
tC10 fl uirk/c/
Print or Type Nagle
Title 22,
SLL_I t
Date
This certification is valid through l 20 l 2623
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SNEADS FERRY, NC 28460
August 4, 2023, 4:30 pm
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70212720000242748008
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Your item was picked up at the post office at 3:31 pm on August 4, 2023 in SNEADS FERRY, NC 28460.
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August 4, 2023, 3:31 pm
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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: _ 1 C If tGV (Y\ .(:4r 4_\01
Address of Property: 12 (6 Ciernsi6i' e �A►!e Sr\eaetS re r(121
Mailing Address of Owner: I L7 /v1SIr),-)e L;. (ter)eodS /��rcy/ 2 ks'i'bO
Owner's email I t CjC e (t�(e y 4/1fri/`Owner's Phone#: I L1 1 L,-p ti 5"/7Cf
Agent's Name: ..Cn'.iZ C la Agent Phone#: 315 q2O 7.K,1(
Agent's Email: Retied r k C k'l.t_('C�P'1^e4 i 1.(__OW)
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.
xI 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) 515-5400. 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 ' fr,":
Signature of Adjacent Riparian Property Owner RECEIVED
-OR-
I do not wish to waive the 15' setback requirement (initial the blank) AUG 1 4 2023
DCM-MHD CITY
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: )j l +h O k Uf \k1 i NAM CUtitivh't,J} 'i Yl
Mailing Address of ARPO: I Ll Set: (-iu I` Lie) NI , Torc ;I t'c c h, IW. 2 iSLj(?Q
ARPO's email: �I. 1 pa Vi 4 �(2 C t• i).CCM ARPO's Phone#: 'ii '- 7. i I V v
Date: g/7 23 *waiver is valid for up to one year from ARPO's Signature*
Revised May 2021