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Home My WebLink About92536C - Willis, Randy w�`' `�` E`i , CAMA DREDGE & FILL j , A 8Oc Date b GENERAL PERMIT Previous permit_ ``"`------ previous permit issued t New []Modification [j Complete Reissue Li Partial Reissue As authorized the State of North Carolina Department of Environmental Quality and the,C astal Resources Commission in an area of environmental concern pursuant to I SA NCAC "'i\--1' ))V12 fl Rules attached. Gene al Permit Rules available at the followinglint:www �-�.., •-.•-._es14'4t1csGVJc& 1>f Applicant Name 7 7 Authorized Agent m � 7 �� 1 �+ J Address 1 Project Location(County): 0l15,1G.4.1""'" City ' sate L ZIP Str__ee Address/State Road/Lot 4(s) att Phone#4 3 81 1 1 jas.A...)(2124.1,,..i, Email '` Subdirpn e^� } City =, i' ZIP -1 / _ Affected CW Y, EW PTA 0 ES [J PTS Adj.Wtr Bodyunk AECtsF _OEA flIHA UW ElSPIMA ElPWS Closest Mal.Wtr Body ./ S Pr 74 ORW:yes 7 PNA:yes Type of Project/Activity P14 t111444{Ajel)4N-A441iire"). YID /�`� +�yUn ,r Shoreline Length . it�l � " �.- {Scale: ►-/ • Access Length C�iCl VA j ' •1 I 0 CA%7 Pier(dock)length r r�1 ' ! s 'J ` Fixed Platform(s) _ 0t Floating Platform(s)— C`t'�1..it, -�Jl�,a, ,{},it, 1 � [! it )t Finger piers} 1 t rf { Total Platform area nf/* • r Groin length/It flP Bulkhead/Riprap length"*---- Avg distance offshore Breakwater/Sill ----+r Max distance/length ---"" Basin,channel '"--`""'" Cubic yards '`.` " Boat ramp'""'"'rst Boathouse/Boatlift c7t,")13%3 fj/"") 41 Beach Bulldozing lit /� a- J/ Other y` iJ'c►,F SAV observed: es o V�" ^� ,,,. i , - Moratorium: n/a yes no 1 w....-»-A+ —..: _ Site Pantos: Yes s n ""` s 4<•-:,„ 1, ,,,e_ Riparian Waiver Attached: e r _ a'(v-Lt2{,j, ,t A building permit/ . ! it a e d by: .4 )C \ y t Permit Conditions ' ,f t i. ❑TAR/PAM/N SE/ FER(circ one) � �/� � r- Wartg _ �See note on back regarding River Basin rules WI �vY� � * _ - x pi , /Lill / 0 See additional notes/conditions on back fitis.... ..a.' i .i j i • aim i 11a' LZ t a rt � . I AM A ARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE S AT MENT. (Please Initial) }yr ' ft4 I 17) Agent ican INTER Name Permit D 5tt cer's IINT ame Please read compliance statement on back of permit** Signature — CO 7 7 7 C 107gi /015 V9411/ Application Fee(s) Check N/Money Order Issuing Date Expiration Date ono t0MT41 AMA DREDGE & FILL 1° 92536 B CD ,,,N y GENERAL PERMIT Previous permit Date previous permit issued ? New Modification Complete Reissue n Partial Reissue As authorized y the State of North Carolina Department of Environmental Quality and the C astal Resources Commission in an area of environmental concern pursuant to: 15A NCAC 71\4' 1 A 00 Rules attached. j/V General Permit Rules available at the following link:www.deq.nc.gov/CAMArules I Applicant Name Authorized Agent Address P' ' Project Location(County): City f,Sttate V ZIP Stree Address/State Road/Lot#(s) Phone#( • V 8) I d /1,0512-PAA_A-0 ' ' Email **` Subdiv' ' n City ZIP b Affected CWEWI'M n ES n PT5 Adj.Wtr.Body Neuan/unk) AEC(s): OEA n IHA W n SPIMA n PWS Closest Maj.Wtr.Body • � W/ ORW:yes PNA:ye Type of Project/Activityq a 2)&4_446 r a 41640 91V/ OCA,1/4) VLAvW (Scale: , P Shoreline Length 0 �'-" Access Length 1 _ I, _� ..1 .4 �--ro -s � Pier(dock)length I ►n I L40 ,` l Fixed Platform(s) *.0� �F,►T(� �� n j ��J � Floating Platform(s) ' aMAkCiS• .CAJr'✓ ' " bite ) 1 ' - ' ' -1- '—'-'" --- i #1) Finger pier(s) — i " t /JJ 1. Total Platform area 4 _ �Y � Groin length/# ` — iv ; //►�\ VP(0)4( 1� - Bulkhead/Riprap length----- - -- Avg distance offshore"-----' Breakwater/Sill ' t i ; Max distance/length -----P `; i Basin,channel ^�" j r.. 3 Cubic yards i Boat ramp...-r�� }Boathouse/Boatlift vR J 13 X�3 I l7 Beach Bulldozing � ' Other MOO./ 10 ' I I !_ l 1 5..1_4:co j.jefsez„.......,,, SAV observed: (CO .o X/""- Moratorium: n/a yesFill, �� Site Photos: es �(��y�Ac 1 '� Riparian Waiver Attached: ye n I ' / "-1'241( � � 4 \ �j' ) A building permit/zN er it may4b e i rAd by: 61 1 y�f j.1 l,l'y�.4 ` 1p , ✓ V V �` TAR/PAM/NEC9SE/BUFFER(circle one) Permit Conditions n • l J��_Q ctS�W v U 1 1 i ti ( 4 t t et_ 1:11 See note on back regarding River Basin rules`�f L CO 1 See additional notes conditions on back 1 J pty»11��1` n notes/conditions AM A ARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE ST_AT MENT. (Please Initial) �-'e� jJ - erc -e r , 1I Agent or Applicant PRINTED Name PermitOfficer's INT'f **Pleasefifi Signature Signature read compliance statement on back of permit** 7 77 g ►0h3fe)-`D a/03/0-14 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: 252-247-3330 252-946-6481 (Serves:Carteret,Craven—south of the Neuse River, Onslow Fax: 252-948-0478 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: 910-395-3964 (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 ;o$o °MT4i c❑CAMA ❑ DREDGE & FILL No 92536 A B C D DGENERAL PERMIT Previous permit Date previous permit issued ❑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: I5A NCAC I I J)11 L/ ❑Rules attached. ❑ General Permit Rules available at the following link:www.deq.nc.gov/CAMArules Applicant Name ..< ,, 7 i.1. ♦ L _ f i Authorized Agent D Address J� I' 1)(4( --J I� Project Location(County): City f! / YYk.f)1 State 1 (� ZIP Street Address/State Road/Lot#(s) Phone#(-!-1 Y ,_ 1 V b I I Email Subdivision City ZIP a IQ)i Affected ❑CW El EW t PTA ❑ES ❑PTS Adj.Wtr.Body nan/unk) AEC(s): ,n DEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj.Wtr.Body 1 ORW:yesAo PNA:yes/no G / Type of Project/Activity 7 e- \ �('Ct 41 1 k ifv1 C/ DI 1�,� 4e4.7) w -�✓ (Scale: ..-- / Shoreline Length �1.t./ ' 33- Access Length. `� �`.,_j ......_._..__...__ ._14�1� [i .kAL._.._.... �� Pier dock length li I �'� f Fixed Platform(s) I ,�+ �,r� t� r* Floating Platform(s) t_ -d1` 6.. 1,'� `` o! .. f Finger pier(s) .^---- ` 1 I Total Platform area ) 1 C I it Groin length/# ; {. Bulkhead/Riprap length -- -1 -- ! -- �u4 Avg distance offshore j. ..._......._..... .......... . .._.....__... a_...._.__.._ _.._._._.... _... _ -,--- �. Breakwater/Sill j 1 Max distance/length ' ' Basin,channel f ' Cubic yards Boat P , / ) Boathouse/Boatliftv} 1 �X( 3 ( —j r -__...._ t Beach Bulldozing /) t l Other YITJV�crl r1/) p I—t A Aqv.y.,t4A.: _.d i k•\7"-F)-e' 4.?...0,...4... SAV observed: I.CDr ►t ) 1 ,_ ! !- Moratorium: n/a yes no a�-I ��LL , -•.. ••••• Site Photos: y n • i - } Waiver Attached: t tee) I I � v, � `j �i�1 - �l n1Ve- RiparianA building permit/zoni�lj permit may be regw� d by: 10Y I /Ott l.C.�, - j '' V V Permit Conditions , t.: ❑TAR/PAM/NEUSE/BUFFER(circle one) ,_k_‘. :` i,t y �l iV) L y ,(" ),` - CL(i ' ya (�" --/ ,�.y/t 1/ ❑ See note on back regarding River Basin rules t\ , c) I ftil q pity tz`kt See additional n on back 1 � J0j. :4- ?/2( !1,dj Y.)� r.:�' i ' ,..,✓) r f)/Ufa_ notes/conditions - / 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 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: 252-247-3330 252-946-6481 (Serves:Carteret, Craven—south of the Neuse River, Onslow Fax: 252-948-0478 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: 910-395-3964 (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 S`OkiT4 y I ICAMA DREDGE & FILL No 92536 ABC D Previous permit e -- GENERAL PERMIT Date previous permit issued I I New Modification I I 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 i-' i t''' L. I I Rules attached. General Permit Rules available at the following link:www.deq.nc.gov/CAMArules Applicant Name Authorized Agent Address Project Location(County): City State ZIP Street Address/State Road/Lot#(s) Phone#( ) Email Subdivision City ZIP Affected CW EW 0 PTA I I ES PTS Adj.Wtr.Body - _ (nat/man/unk) AEC(s): OEA I ]IHA1;41!!V SPIMA PWS Closest Maj.Wtr.Body ORW:yes/no PNA:yes/now Type of Project/Activity (Scale: ) Shoreline Length ��` } T 7�• , .-__ .... �.. ._..._ - � Access Length — —...-_ . . _ 1 a # �i, Lk, 1 �N V 1 Pier(dock)length , t r Ir-," Fixed Platform(s) ,` , ` ! +1 i ..� A, t'.-,,, x C' i� i -1 I l// ti Floating Platform(s) i .,i ` ;i +) 1 ' f Finger pier(s) 1 r Total Platform area _ I ;v Groin length/# J i `'� 1 t) t'. � �"�� Bulkhead/Riprap length V - tAvg distance offshore ___ _ -- — -- Breakwater/Sill ' ( ' Max distance/length • . Basin,channel • Cubic yards I I�_, — _ Y Boat ramp y) • ' l j Boathouse/Boatlift 1~' , ) � f ,' /""'" ; I Beach Bulldozing '� i ' . ' ' S. r 1, y J. Other . - •,.. SAV observed: e 11o. j Is k (.,. i I I.. - Moratorium: n/a yes ono , ,'' '' ✓ ; ,, Site Photos: yes no - — ,t` — Riparian Waiver Attached: yes no ' il , A building permit/zoning permit may be required by: l. ' (� , ITAR/PAM/NEUSE/BUFFER(circle one) tt. Permit Conditions I 1 ;. �- .. `'� ,1] IL \ L 4- I• '.\-,\ ` ) ' „in , It i ,, , l U-( fl See note on back regarding River Basin rules ("'.. } ! l pi 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 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:252-247-3330 252-946-6481 (Serves:Carteret,Craven—south of the Neuse River,Onslow Fax: 252-948-0478 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:910-395-3964 (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 AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: i ,e/r //s Mailing Address: A2 3 •!':s ,J/ - -r-c 4.7 n ti./c /'' Phone Number: 7/Q --,R9 * // Email Address: ca-n c �,�,thS I certify that I have authorized Agent I Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: ,, Sppc,,,J • at my property located at 6) 3 J v �(/` 5��-�s ,ter in Oja S/rt/ 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: 14\ /0Ve3 Signature " uC/QG //Sfti holebiiyr6) Print dr Type Name Ot) (6/)/ tIAAr(1 Title Nid ba2i') �D / i;L I .2 Q 3N-A4, Date f This certification is valid through 1 1 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: aim» dL Lt.);J/i•. Address of Property: 2 ? At" o <c. c 5-4 eufC/5 te r y Mailing Address of Owner: 12 ? , c-,,,� ri�� i //. %✓�. Owner's email: dy4,,,/l•y .?:9-(59yac•14 a cr,,1 Owner's Phone#:q,/,f- J.-0 o sf Agent's Name: de 4 l?r'c c /A Agent Phone#: 7/d Agent's Email Klacun 02-23'/74/( a-. G one 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 fc this permit has described to me, as shown on the attached drawing, the development they are proposinc A description or drawing, with dimensions, must be provided with this letter. i-' 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 Coastz Management(OCM) in writing within 10 days of receipt of this notice. Correspondence should b mailed to 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also b contacted at(252) 515-5400. No response is considered the same as no objection if you have bee notified by Certified Mail. I understand that anyproposed WAIVER SECTION p p 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 sigi the appropriate blank below.) 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 Owner: , Yv, Typed/Printed name of ARPO: Si"jQ,r drl Eliot Lt Mailing Address of ARPO: T 0 54) 17 5eccI5 N ferry 6 P4-6 ARPO's email: sbecry.enrlCt rea/ty g5mQ,/.Cpr ,RPO's Phojne#:(910),3]9-F0/Uf Date: / 'o20- *waiver is valid for up to one year from ARPO's Signature* Ravi5ed May 202 Re,n cIy w.,l f; s Aliec 0.c/oire6 423 TserJO /)r. E ;,3 15ca„ tiJo `` 5 en ij,h AI C 5n e&cS f r y il, C aesy Net,j A; i / I' 1 cle4A1 it- el--. ° , 6s,--1 i ( • �3 no `�►i e _1o.2_i '-- lg'---) I. , 1 �l I � �o v e g/ ,5 A ;,: 3) O t o 1 F -ate I ? , -0 149,41 Ede aC *1-5 A T � Y- X , c .so x �2. I ci- 6(:-/fr AQwd proflf/VT4 of Proilei y 0'F y „ d W;/i5 . . 5Aeiybnne in /ion V 7�/ z - 5,5_ ,cy/ ._//er 574 " de7 � I - r iti 1 omod 1 fi Pro�Ier7 0� ga-y, d W; //'5 J1C'dI� b1irit'� y � y OuJne✓ () 3 Peres S N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY (Top portionto be completed by owner or their agent) Name of Property Owner: gr-n 0/7 ICI !/'.5 il s � Address of Property: �D� ,22 1L7✓c.4. so_ l�Lc�s' ��//may t � / �/`��'�� Mailing Address of Owner:l;0 /o-4ne-iz 4i ',:/t ;7c.__,�Gr.f.//€ /V• Owner's email:to,n i,/Os i yaoo,G Owner's Phone#: 7/0_. ,3.r.??- ‘)// Agent's Name:,,/ /ilr;u/'a? Agent Phone#: 7/L) -.34:F7 05-e.V Agent's Email: f0- f 4,,--0 <;L, ,)0.2c,1_3 /V- / ;:;),,9-,��a;/. Co),--) ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION Bottom ortion to tie Compiete lk lheAil faV6nFPi o e" 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. X _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) 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 i6' Signature o/ djacent Riparian Property Owner -OR- I do not wish to waive the 15' setback requirement(initial the blank) Signature of Adjacent Riparian Property Owner: 7.27.-0-- /;i }— Typed/Printed name of ARPO: PActfizoTA1 b ft&--L72 Mailing Address of ARPO: 7 S /1 d2/Z/A/✓i✓z5r" l e-/ GX�C'f�-� ��3-4G ARPO's email: )c( ARPO's Phone#: 7< Date: C1/, 5 /2 *waiver is valid for up to one year from ARPO's Signature* Revised May 2021