79305A - Parser, Jennifer

ffl-
XCAMA / .: DREDGE & FILL W 79305 B C D
GENERAL PERMIT Previous permit #
'(New 'Modification _-Complete Reissue ...:partial Reissue Date previous permit issued
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 NCACf' Y1 L„tr,•V .--
[',, , 1,VRulesattached
Applicant Name}!�:...,,.yt,,,,,,,�-F.RRe�!� .- Project Location County,_,_,-.Gir, ._ ...... __...
Addressy'!-1_�.stia.k! !C�Yi7_.. 7iQ'�.3 Street Address(State Road/ Lot #(s)h�Zrfii.
^'�
City N to %Y
Phone # ((�,) (��j -.ii�E-Mail . Subdntston_ , tyt� PL'Y1AV���.
—
_..'
344
Authorized Agent (,,f.-G..�J)'¢..)1�,_ �iV/}/1. ,_. 61'\�.W IsoK City %�44 ZIP 7_
Affected _. CW )Rtw ),QTA ES , ; PTS Phone # (,,."") --_ ....
t--�, - ---RiveerBasint
R..,�4--&P*2*
AEC(s): osnHHF ❑ H N/A Ad) Wtr. Body_"Xa____:h__C&t*- (nat man /ukn)
PWs: Closest Maj. Wtr. Body ----
ORW: yes ! n P N A yes !(n'ool
Type of Project/ Activity
Pier (dock) length
Fixed Platlornin)
v9
Floating Platifin ) ........
`�
Finger pier(s)__--
Groin length
number
Bulkhead/ fbprap length
avg distance offshore
max disoume offshore _
Basin, channel
Beat ramp _ -.. -..._.
Beach Bulldozing _ r,
Other {pf
Shoreline Length
SA`/: net sure yes
Moratorium: o a yes no
Photos: es no
Waiver Attached: no --
L{2
A building permit may beerequired by: _.
( Note Local Planning Jurisdiction)
one Special Conditions All
Agen r Applicanc Pr rted Name
Signature " PI'�compliancesa Menton ac ofpermitx"
Appiicationree(s) - - - Chocx# -
e 3
e:xiSN�j o
bp0'tl.. 3
�ukYfav)
9
41
n
4y-
Mir—
See note on back regarding River Basin rules.
PernatOfficer% Printed Name
Signature
-+�2,)- 2I - t1�21�2I
Issuing ate Expiration Date

LAMA / ❑ DREDGE & FILL 1 V 9 79305 (D B C D
GENERAL PERMIT Previous permit#
>(New ❑Modification ❑Complete Reissue [-]Partial Reissue Date previous permit issued
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 NCACJ
Rules attached.
Applicant Name 'J °ft VA-4 payAJ4V Project Location: County Rcty ei
Address i5jr o Iff, L NPIL50 I Street Address/ State Road/ Lot #(s) 11 Pj peni h SLbiGt
City SYate NC ZIP Z-1-67 4 pVIV�2 FX4am*eo NC. ZIM54
Phone # E-Mail ® Subdivision ?" 65✓ kAQ+ p , L
Authorized Agent /iij[(C,7 bYnE MM✓I - C IA5h!tGit`0K City /MC1.VL�e l ZIP Z-7-tgr9'T� ��
Affected ❑ CW tVV )(PTA El ES ❑ PTS Phone # ( ) River Basin SZ AD rti l -
AEC(s): ❑ UEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body rat man unkn
❑ PWS: Jb
ORW: yes /0 PNA yes / no Closest Maj. Wtr. Body
Type of Project/ Activity IS')( 1 6O04` U i`A- kv bA O .&a 1 h -K I'e ` v►G
(Scale: �� )
Pier (dock) leng1h
Fixed Platform(s)
Floating Platf40fkh
i
Finger pier(s)_ � — �_ _ �✓ �
Groin length -
numberLt fir/ 0
Bulkhead/ RiVf - -_ 0
avg distmax dis_IYl _ lIJoaA,X pmW
Basin, channel ��/// ❑, �{ r 0
cubic yards
Boat ramp
Boathouse oatli _Al x 1 j,J-OV'-
baorrl
".0- /`��IW
Beach Bulldozing 'n "rT Otherf�i�
, \ ISO
�� ` � � � � h5
Shoreline Length j \
SAV: not sure yes
0 P1 _
Moratorium: n a yes no L �\
Photos: es no
Waiver Attached: a no ` \
L-t P- /1 r!'
A building permit may be required by: Dame 1.V1�V� N ❑ See note on back regarding River Basin rules.
( Note Local Planning Jurisdiction) AA •' ,J
ote Special Conditions /i `) IQ-i�P �i �9�1 0`� Gt,VV U.VIU,QL� VI o V Ph 'I-U SO I. 4-L
hn ava v 611 ad 6� g
Age, r Applicant Printed Name
Signature " Please read compliance statement on back of permit"
1,00 no
Application Fee(s) Check #
PermitOfficer's`� CTW
Signature
--121�21 �I'21�21
Issuing Yate Expiration Date

Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific 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 or certified mail return receipt has been obtained from the adjacent riparian
landowner(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 ❑Other:
❑ 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. Contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the
Wilmington Regional Office (910-796-72 15) for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -
North of New River Inlet- and Pamlico
Counties)
Elizabeth City, District
401 S. Griffin St.
Ste. 300
Elizabeth City, NC 27909
252-264-3901
Fax:[phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, INC 28405-3845
910-796-7215
Fax:[phone]
(Serves: Brunswick, New Hanover,
Onslow - South of New River Inlet -
and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/17

CAMA / ❑ DREDGE & FILL
GENERAL PERMIT
L&w,P1qevv ❑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
Applicant Name `Se Vh r\ I (P -y I a, V
Address I U N. ov, 4. +0 NO- 50 1
City - L S ate N L'_ zip 2 -160
Phone # () iv 5" 7H 13 E-Mail
Authorized Agent Ma II c7�G ✓V moyloLi'- CfIN51yU( OP\,,
�CW
�W.
)(PTA ❑ES ❑PTS
Affected
A
Affecte
ElOEA
❑ HHF
❑ IH ❑ UBA ❑ WA
El PINS:
ORW:
yes /0
PNA
yes / no
L.•
N9 79305?` B C D
Previous permit #
Date previous permit issued
15A NCAC T Yt , 26W
Rules attached.
Project Location: County D"Ae
Street Address/ State Road/ Lot #(s) I J j Ptoyff ti
D Yl Ve M 0417 4-eO Iv C Z.
Subdivision -hQ YfvU 0, e, wt 0,
City Ma.vl,►-e o zIP 21 qo'4'
Phone # ( '—" ) — ' River Basin C 'It), (6f/ k-
Adj. Wtr. Body CO ri 6Il 16 CV(,(, (nat(man /unkn)
Closest Mal. Wtr. Body R-WLtn 0r2
Type of Project/ Activity I I X 1 I I 6 CL, U i k ' -o b 0 0 I 0 0 0 (A I h e-X I-) h V1c4
G1 0i 5 ll VtJ 51,4(2 w l I.+Uyt JIV i)t"y).f ✓I ,7U,PGi (Scale:
Pier (dock) leng?ht _
Fixed Platform(s)
Floating Platform(s)
Finger piers)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore_
max distance offshore
Basin, channel
cubic
Boat ramp
Beach Bulldozing
Other
Shoreline Length t j '+ I
SAM not sure yes no
Moratorium: n/a yes no i j ' _
Photos: yes no "' '\ IN v, I
Waiver Attached: (yes no
f, �.
A building permit may be required by: a Y-e � GV. v,-4' ❑ See note on back regarding River Basin rules.
( Note Local Planning Jurisdiction)
Notes/ Special Conditions n c)e ILj VIP /,� 51 ' �� J 1212e. CW V QAAQ e�� L•'1 fiY (j'1 i-U �7U U,�"h..
Agent or Applicant Printed Name
Signature ** Please read compliance statementon backofpermit*"
"J /--00 . loo ' II 2 1.1
Application Fee(s) Check #
dtrrti ( if _Ufl
! l2—ayQJA L)-4 f(Lw
Permit Officer's Printed Name
// I
Signature
-+ IZ-1 jl'21
issuing Expiration Date

Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific 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 or certified mail return receipt has been obtained from the adjacent riparian
landowner(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 ❑ Other:
❑ 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. Contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the
Wilmington Regional Office (910-796-7215) for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -
North of New River Inlet- and Pamlico
Counties)
Elizabeth City District
401 S. Griffin St.
Ste. 300
Elizabeth City, NC 27909
252-264-3901
Fax:[phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax:[phone]
(Serves: Brunswick, New Hanover,
Onslow - South of New River Inlet -
and Pender Counties)
http://portal.ncden r.orgtweb/cnVdcm-home
Revised 7/06/17

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date 4/30/2021
Name of Property Owner Applying for Permit:
Jennifer Parser
Mailing Address:
510 N. Wilmington St. Apt. 501
Raleiqh N.C. 27604
I certify that I have authorized (agent) Millstone Marine Construction to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) Install a new Boat Lift
at (my property located at) 118 Peninsula Drive
This certification is valid thru (date) 9/1/2021
12
Owner
4/30/2021
Date

Id
FIIM EvaL 1!!9 Pau: 00 Ew IPl ozj E11m
W1101E000 "460R
� Co z qnr. REGISTER OF DEEOE OR"
NORTH CAROLINA Pmpm by wd Rem„ a
(DARE COUNTY W. Jay W W.., Am.,
1�O AMENDMENT
V TO THE
Y'�',DECLARATION OF COVENANTS, CONDITIONS AND RESTRICTIONS
FOR
THE PENINSULA SUBDIVISION,
Q5� a Planned Unit Development
WITNESSETH:
THAT REAS, LAUNCH N.C., INC., a North Carolina Corporation, is the Developer
/ Declarant (here er "Declarant') of all those lands designated and known as The Peninsula
Subdivision P.U.D. eremafter "the lands") as the same are shown on the maps recorded in Plat
Cabinet E at Slides 2SWd 30 of the Dare County Registry; and
WHEREAS D; aC t established a general plan for improvement and development of the
lands shown on the aforementioned plat and prepared and filed certain restrictions applying to the
lands recorded in Book 1194, Page 222, Dare County Registry (hereinafter "the Declaration"); and
WHEREAS Declarant ed the right to change and amend unilaterally the Declaration
until January 1, 2000, in orde o address any particular needs or clarifications not known or
recognized at the time of recording\ft Declaration; and
YIIN
WHEREAS Declarant has rFLiewed the terms and conditions of and the practical
applications of the restrictions in the l3cearation, including the Exhibits thereto, and now wishes to
amend certain provisions therein; le,
NOW THEREFORE the Declarant emends the Declaration of Covenants, Conditions and
Restrictions recorded in Deed Book 1194, Page,62, Dare County Registry as follows:
Amendment 1. Article 1.5 is amen so as to add the following language to the end
of the paragraph: {,jam
...and subject to other limitations contaQ hherein.
Amendment 2. Article 3.3 is deleted in its erJfirety and replaced with the following:
(honer must submit specific Dwelling Unit Plans including, but not necessarily
limited to, those items set forth in paragraph 3.2 for consir&tion by the Aesthetics Review
Committee. r�
O
Amendment 3. Article 3.6 is deleted in its entirety.
Amendment4. Article 6.4.1 is deleted in its entireand replaced with the
following: C)1lty1��JI,I�1
IIIIIIIIIII(IIIIIIIIIIIIIII(III(IIIIIIIIIIIIIIIEIII.I OM
�11512M 0Y 46M
O
n
Book 1339 Page 130

6.4.1 SlinBoundaries. Declarant reserves the right to construct a
boardwalk, gazebos and finger piers over portions of Homesites and the waters of the existing
canal. ff said boardwalk and/or finger piers are constructed, then each Homesite and/or Dwelling
( jGnit shall have the right to wharfout and to moor a boat within the following boundaries:
1�)0 For Homesites 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17,
1820, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30 and 31, the vertical boundaries of each such space
are r ated by the intersections of the vertical planes which (1) pass along the outermost surfaces
of th, piers, pilings, walkways and boardwalks on the landward side of the space, and (2)
the ex n of the Homesite's side lot lines to the dock piers, pilings, walkways and boardwalks
and the right angles thereafter, and (3) lie twenty (20) feet waterward of and parallel to the first
boundary kpir width as approved by Federal, State and local regulations whichever is less.
6 For Homesites 1, 2, 3, 4 and 5, each space lies
southwest of thonger piers lying closest to the northernmost line of the Homesite at the canal and
generally North 6},any finger pier lying closest to the southernmost line of the Homesite at the
canal and into tBe',�vaters of the canal as approved by Federal, State and local regulations
whichever is less. lei
For Homesite 6 the vertical boundaries of its
mooring space are created by the intersections of the vertical planes which (1) pass along the
northernmost outer surface of arty finger pier lying closest to the southernmost line of the Homesite
at the canal, and (2) the extens' n of the Homesite's North side lot line to the dock, pier, pilings,
walkways and boardwalks a en at a right angle to the dock etc, and (3) lie thirty (30) feet
waterward of and parallel to i st boundary or a width as approved by Federal, State and local
regulations whichever is less.
For Homesite 32 the vertical boundaries of its space
are created by the intersections of th � rtical planes which (1) begin at the common corner of
Homesites 32 and 31 located at the pointeere the extension of the shared boundary line intersects
the outermost surface of the dock pier, long, walkway and boardwalk and running from said
point West along the outermost surface of t"ck pier, piling, walkway and boardwalk to "Point
X" as defined in the next paragraph, and (2) the xtensam of the Homesite's northeastern side lot
line to the dock piers, pilings, walkways and b alks and then at a right angle thereafter, and
(3) from "Point X" extending southerly at a rt angle to the dock or boardwalk and (4) lie
twenty (20) feet waterward of and parallel to the k or boardwalk or a width as approved by
Federal, State and local regulations whichever is les
For Home0sl a 33 the vertical boundaries of its space
are created by the intersections of the vertical planes ve,i'ch (1) begin at a corner (hereinafter
"Point Z') formed by (a) the easternmost edge or surface of the dock pier, piling, walkway and
boardwalk that lies East of and adjacent to the concrete "Common Launch Area" as shown on the
map of the lands recorded in Plat Cabinet E at Slides 29 and 30 he Dare County Registry", said
dock further runs and extends South into the waters of the candyrrrrrr������nd (b) the southermost edge or
surface of the dock pier, piling, walkway and boardwalk that rulong the rear line of Lot 32,
and (2) run from the beginning point East along the outermost e 9�w surface of the dock pier,
piling, walkway and boardwalk that runs along the rear line of Lot 3;FWistance of thirty (30) feet
to a point (herein known as "Point X"), and (3) from Points X and Z ratt'ending southerly at right
11111111111HIM III1111111111IH1111III1111NO ar�'� 4
0
Book 1339 Page 130a

angles to the dock or boardwalk, and (4) lie twenty (20) feet waterward of and parallel to the dock
or boardwalk or a width as approved by Federal, State and local regulations whichever is less.
( jA For Homesite 34, there is no guaranteed boat
�ooring space; however, to any owner of this Homesite, the Association will attempt to make
Qrilable certain lands adjoining the easternmost property line and extending South 30 feet along
t ruts now or formerly belonging to Russell E. Twiford for the construction and maintenance of
a c , The owner of Homesite 34 shall be responsible for all Federal, Sate and local permits and
the c .ytq of all construction /f all necessary permits are not issued then no construction shall be
permi . The Association shall approve all plans for construction All work and materials shall
be in a kwe and quality equal to that of the existing docks on the lands, including electrical
hookups 6VYighting. No such dock or boats moored thereto shall interfere with free navigation of
the waters of the canal or impair the free and safe use of the boat ramp. Once construction begins,
the owner shi(ouse its best efforts to prosecute the work and shall complete the same within 90
days of begimG . /f constructed, neither the Declarant nor the Association shall have any
obligation to insi or otherwise provide for the repair of the dock or its appurtenances; however,
upon appropriate Worate action, the Association may adopt the dock as part of the common
properties. The d and appurtenances shall be subject to the terms and conditions of the
Declaration. Tie aw of Homesite 34 may not sell, lease, assign or otherwise transfer his rights
in the dock except in t imtance of lease or transfer of Homesite 34 to the tenant or new owner.
Owners shall not be entitled to sell, lease or otherwise dispose of any Slip
constructed by Declarant or Ass ctation or of any area to wharf out or moor a vessel separate and
apart from the sale, lease or r disposition of the underlying homesite or dwelling unit giving
rise to an owner's right of rise MAenjoyment of the Common Properties. An owner may convey,
lease or assign his interests in th mon Properties only when those interests are joined with a
conveyance, or lease or assignmen o he underlying title to a homesite or dwelling unit. Tenants
ofa homesite or dwelling unit are su �ot to the use restrictions on Common Properties as setforth
in the Community Documents. n
Amendment 5. Article &Z;st lines of the second and third paragraphs, the words
"2000" are amended to read "2001". � -
Amendment6. Article 11.4 is oeted in its entirety and, with the consent of the
Association, is replaced with the following: CCJJ�jj,,
11.4. Insurance. The Association mae required to obtain and maintain at all
times:
(a) Insurance for all of the insurab?comprovements on the lands (with the
exception of improvements, and betterments made by the respective Owners or Occupants) against
loss or damage by fire or other hazards, and including extended coverage, vandalism, malicious
mischief, debris removal, cost of demolition, windstorm water damage, in an amount
consonant with full replacement value of such insurable hnprovnts;
(b) Any such fidelity coverage against dishonesty on the part of its Directors,
Officers, employees, agents and volunteers responsible for hand' g funds belonging to or
administered by the Association in any amounts as the Board may deteQ7tme in its sole discretion;
U15lllllillllllllllll lllllllllll lllllll 111 oil ull �� e?imem 442
�san
Book 1339 Page 130b

,JL1.26.2000 12�15PM M0.55 P.5/6
Mill Hill 111IIIIIIIIIINIIIIIIIIII111111 HillEll IN P.: 4 of 4 000 can
(c) Comprehensive public liability insurance, in amounts established by the
Bohud of I)¢ectors from time to time, but in no event shall such amount be less than $1,000,000.00
(fyr single limit coverage; and
(d) Such other types of inmwanae either required by the Federal, State or any
othaF'4Vhhcable governmental authority or law or authorized by the Board of Directors from time
to tinO Such casualty, liability and fidelity coverage shall be maintained in accordance with and
satisf'A of the applicable rules, regulations and provisions of the Federal, State or any other
applicaag9vemmental authority. When any policy of insurance has been obtained by or an
behalf of tvm Association, written notice of the obtainment thereof and of any subsequent changes
therein or on thereof shall be promptly furnished to each Owner by the Officer required to
send noticeseetings of the Association
IN VVVVtWHfiR130F the appropriate corporate officers of Launch N.C., inc, the
Declarant, ]have h to set the¢ signatu res and the officers have caused the corporation's official
seal to be im n authenticating this official corporate act.
� LAUNCH N.C.INC., INC
allorth Carolina Corporadon ...:...........:..
Bv:
James E. Jarkwn, Prtsidat - ! >~ i
O (Affix Corpottlba5ealae'
Attest V"' (SEAT.)
Y"
m�IQM%Ietk Sf�71e-0/004A .
DAMMUMy m/amr'- /irti�� eo•117
s E.
1, a Notary Public of the aforesaid 9tce P s i % hereby�fi, tbozeroeIjdoau Personally eeme
before me this day end acknowledged "she is ofLwuch N.C., roe., &Noah Cerolim Corl"glice, end that
by aAarby dtdy given and m the as of the corporab the tbregeing hanuaM qaa atpped in Ile some by it
PrssidemsmladwidL' corpmateseal
Miss and and official stomp ar seal, this jkday of 2000.
Gl Notaryvhlic MyCPO&(�tn}r'lf01�;5ratedFleride
WWWA Cammanioubla=6Q110
arw Cooaa6ebngxp.11/l&200a
NORTH CAPOI.INA,DARG CQ T� Icy'z_ Y- y(�(q \(,1 a"+'*'•"....•••. ••.•..e�:..ew.aerco
lha foregoing certfflcera(s) of i`I,d d7U(_ U'F ')'1 GAP_ U{ Gi In /`r Ware cdtified to be
corat This instrument and this certificate are duly registered at the date end m the Book end Page shown on
the Brat page bcreof. G`
Boh Cu J,tegimer of D ads for Dma County
11y. Gt / uM�sistamltegrter of Deeds �O
�X
Book 1339 Page 130c

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner: Jennifer Parser
Address of Property: 118 Peninsula Drive, Manteo N.C., Dare County
(Lot or Street #, Street or Road, City & County)
Agent's Name #: Millstone Marine Mailing Address: 201-A Etheridge Road
Agent's phone #: [phone] MantPn N (. 27954
I hereby certify that 1 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.
'A have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you mustnotify the Division of Coastal Management
(DCM) In writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at �://www.nccoastalmanaaement net/web/cm/staff-listi�neUweb/cm/staff-listi� or by calling 1-8884RCOAST.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must
be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If
you wish to waive the setback, you must initial the appropriate blank below.)
(:;�1, I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Owner Inform tion)
% ;7(7 /
Parser
or
510 N. Wilmington St. Apt. 501
Mailing Address
Raleigh N.C. 27604
City/statelzip
Telephone Number/ Email Address
(Riparian Property Ownqonformation)
Signature
Joshua Edwards
Print or Type Name
131 Greenwood Drive
Mailing Address
Ahoskie N.C. 27910
City/Stateaip
PdalU�SW Z6��rrokdrwlner-. Lr%m
Telephone Number/ Email Address
7-14"..z114-21
Date
(Revised Aug. 2014)

■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece
or on the front If space permits.
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9590 9402 6268 0274 3868 95
7019 2280 0002 3116 7171
a Signature
,LAdd
X ✓✓ Agent
B. Received by (P#nted Name) C. Da of Deli
D. Is delivery address different from item 17 ❑ Yes
If YES, enter delivery address below. -❑ No
3. SefVICO "Pa
❑ Priority Mail Pxpnss®
❑AdW[Signeture
❑ Registered Mall^
;❑ly�ddWtSlgnature Resblotod Derrvery
❑ gqeeWWstored Mail Restdoted
Certified Mail®
❑ certified Mail Restricted Delhery
Dely%
❑ Signature Confarnatbn-
❑collector, Detwry
❑ Signature Conftrmallon
❑ collect on Delivery Restricted Delivery
Restricted Delivery
PS Form 3811. July 2020 PSN 7530-02-ODO-9053 -..�} Domestic Return Receipt

DIVISION OF COASTAL MANAGEMENT
CERTIFIED MAIL - RETURN
I hereby certify that I own property adjacent to Jennifer Parser
's
(Name of Property Owner)
Property located at 118 Peninsula Drive
on Albemarle Sound
(Waterbody)
(Address, Lot, Block, Road, etc.)
Agent's Name #: Millstone Marine
Agent's phone #: [phone]
in Manteo
N.C.
(City/Town andlor County)
Mailing Address: 201-A Etheridge Road
Manteo N.C. 29754
He/She has described tome as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
a new Boat Lift
-------- w�••�•,�.-w�mtfNmemgproposeo, you mustnotifythe Division ofCoastal Management
(DCM) In writing within 10 days of receipt of this notice. Contact Information for DCM offices is
available at www.nccoastaimangementneticontact-dcm.htm or by calling 1-888.4RCOAST. No
Ms is considered the same as no oblectlon If have been notilied by Certified Mail
(Property Owner Information)
7sign rune
ennifer Parser
Pnnt or Type Name
510 N. Wilmington St. Apt. 501
Ma lin Address
Raleigh N.C. 27604
CdylState2ip
Z/C/-
Telephone NU7z')
er
dD2l
Date
( 6 Property O -n rirdorme
Signal
Thomas Wellons
Print or Type Name
P.O. Box 280
Mailing Address
Deale MD., 20751
Citylstatelzip
21'0-88Z- ?79S
Telephone Number
Date

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner: Jennifer Parser
Address of Property: 118 Peninsula Drive, Manteo N.C. Dare County
(Lot or Street.#, Street or Road, City 8 County)
Agent's Name #: Millstone Marine Mailing Address: 201-A Etheridge Road
Agent's phone M 252-202-2678 Manteo N C 27954
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
have no objections to this proposal. I have objections to this proposal.
I7M)lh1nviiovrfflng
objections to what is being proposed, you must notify the Di 4slon of Coastal Management
( within 10 days of receipt of this notice. Contact information for DCM offices Is
available at h yp.,I www.nccoastalmanaaement.netiweb/cm/staff-listlna or by calling 1-888-4RCOAST.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must
be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If
you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 19 setback requirement.
Owner Inform ion)
Lifer Parser
or Type Name
510 N. Wilmington St. Apt. 501
Mailing Address
Raleigh N.C. 27604
City/statelzip
Telephone Number/Email Address
Date
(Riparian Property Owner Information)
Signa a
Thomas Wellons
Print or Type Name
P.O. Box 280
Madmg Address
Deale MD., 20751
City/statwzip
L.f We Am S @Am9;l colfi
Telephone Numberl Edwil Address
Date '
2T-i—c-0a2-871 S
(Revised Aug. 2014)

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
I hereby certify that I own property adjacent to Jennifer Parser 's
property located at 118 Peninsula Drive
(Address, Lot, Block, Road, etc.)
on Albemarle Sound _, in Manteo
(Waterbody)
Agent's Name #: Millstone Marine
Agent's phone #: [phone]
(Name of Property Owner)
N.C.
(CltylTown and/or County)
Mailing Address: 201•A Etheridge Road
Manteo N.C. 29754
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill In description below or attach a site drawing)
Install a new Boat Lift
Byou have objections to whatls be/ngproposed, you must notllythe Division of Coastal Management
(DCM) In writing within 10 days of receipt of this notice. Contact Information for DCM offices Is
available at www.nccoostalmongementneNcontact dcm.hhn or by calling f-8884RCOAST. No
response Is considered the same as no oblectlon If you have been notified by Certified Mail.
(Property Owner Information)
Signat re
i'
niter Parser
Print or Type Name
510 N. Wilmington St. Apt. 501
Mailing Address
Raleigh N.C. 27604
C61state/Zib
(1110prian Propelyy Owner Information)
Signature fit/
The Peninsula Owners Association
Print or type Name
P.O. Box 2434
Mailing Address
Manteo N.C. 29754
Ciry/SfateMip
Telephone Number
iZu
Date — i

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Loeffler, Sarah W
From: Kevin Lineberger <[e-mail]>
Sent: Tuesday, June 29, 2021 11:07 AM
To: Loeffler, Sarah W
Subject: [External] Re: Boat lift dimensions for 118 Peninsula Drive
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
Report Spam.
12'6" front to back
11'0" sid to side
On Tue, Jun 29, 2021 at 10:55 AM Loeffler, Sarah W <Sarah.Loefflernncdenr.gov> wrote:
Good morning Kevin,
Can you tell me what the dimensions are for the proposed boat lift at 118 Peninsula Drive? I want to make
sure that I include it on the permit. Thanks!
Sincerely,
Sarah Loeffler
Sarah W. Loeffler
Field Representative
Division of Coastal Management
401 S. Griffin Street, Suite 300
Elizabeth City, NC 27909
[phone] ext 232
sarah.loeffleramcdenn gov
"In all things of nature there is something of the Marvelous." — Aristotle

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