101304C - Viveiros

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Om_% OCA M ❑ DREDGE & FILL _ ,. A B e D
GENERAL PERMIT �ivykKo�,,;tih wed -4Z2Y
'
❑New ®Modification ❑Complete Reissue ❑Par dail Reissue
As atahatt.d by the Stare of North Camino,Department of Erwhu nand Qualky and the C)oaseal Resources C.ommbglon In an wa of envtronrnendl concern pursusm to:
i sA NG,C o M r I I o o s- o 7 if r r a oo _ ❑Ihdaa amched. ® Cenral Pa.9 Rules avalhWe at the follwo*g Ink:
Appkw*Nama ( / 1 j ro/S� A 0ortaad k� �a✓�trO T /f7e,�'n L l7C�✓r�� �.L�
Address_4�8 Se•r G�7 E j/I�Vr! G r 4 ,
aty Sao /Y ZIP S20 S&wKAddrew/5tatePAO (tat0(a) � 48 �°� G�f t Y�v/
Phone* A6 l- �E WR
rrat Esl- .Ili y al✓oS b _ A knA"I t y'-h Subdivision -
city
7vE�•a�,•+ a8s7P
Aflecsed ❑Cw [gEw M m' ❑ES ❑PTS AdI.wa Body G ors �,.ee�
AEC(* ❑OEA ❑INA ❑U ❑SPIMA ❑PWS Closest MaI Wtr Body ors a ✓a��
CORK yes& PN&-y./6)
T e of Project/Activity lyentzi 14-1,oAl P r'e.,
d- p�"
-s pef D io r i ow *t
Shoreline Lanli h 10.E _ _�i
Access Length -� o r - -�--r- -�-- fr --l_� --' - -- _ k✓ - _ .-° '`,'-'- - - -
Pier(dock)length 3
�x
FacdPlwtlorm(s)
FloatingPlatfornt(s)
Finlier pleM ) -
_
-r -7 —
Total Platform ana Yr7�� L - '-- _ 4- -�-- - r - -
Groin length/r -
@ N1PnP length ! D� ! -�- +- -- ~t � r
Avgdiatanceotfshore — Lr- - -`-- -'- •�-- - '-- - - -�-- - - -- - - - '-- -� - -
Breakwater/Sig � ----�- ZZs- � --�- - - - - - - -�--r -t•--�- - - -
Max dlsur"J length
Basin,channel -
Cubic yards
Boat ramp
Boatho� - — - - , , - I - -r- --- - -- - - - 4—
beach Bulldozing -� -_ _ _ _ _-�- _
oth.r r. . T
- — - -
n
SAY observed: yes ® Q - - r - - - - - - - -
Moratorium: n/a yes - - - - - -� �- -
Site Photos: 1R -- - - --- - - i'` - -- I - - -- - - -
RiperwnWahwAltached: P 11e _ fL- - _ _ . - - _ -�-_ _
A buYding prw&Aorllrlg parnA may be nQulrrd by (• �" �.n4_7
ParmltCONVAorrs-1) � 1. 16g41 ah.►II h.f- .r; r�l � 1..,.. —r��d ❑TWIRAhVNW5ElB1JFM(drr.cwas)
M fieAPOVr` f / o Ie ❑S..not*on bads reprdlyd*m Batfn nd"
� f7 �C�V d� r/ /7� �Gb '•r v � �-
�+ anZ Btb �v ��oo ❑Sea AddRkmal nota/condroa,a on boar
I Awl AWMI OF STAFVM tilt flats AND oDNOrrWU TNR AMY To TNIS PWJWT AND REVIEWED o0MPLMa suffa m IPbaaa Inro.q
•�� �nE
AgentorAfgNmit PROM Name Permit ORicr s PIUNHO Name
PP
"0 no. .n b.bad of p.rrNr• Signature
f I '37Y
A awn +) Check N/Money order Issulngbad Expiralimtsta
t\',\\"i\\\\ Is IIV11�IV\\\ 1 It \Ik It IV 's

®LAMA ❑ DREDGE & FILL ;: A B Ev D
GENERAL PERMIT Previous perm[t�o � d'�
10 Date previous permit issued
❑New M 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:
15A NCAC -O 7 f{, I/00 ,L 0 7 H, 1';�00 ❑Rules attached. ® General Permit Rules available at1 the following link:wwwdeg.nc.Qov/CAMArules
Applicant Name T / /✓US Authorized Agent /I1(�a'�+t Q T
Address y 7 SCh !�6 f /✓, Ve Project Location(County): u W e /
Citylilt State /Jni� ZIP ;� 0 S7o Street Address/State Road/Lot#(s)
Phone#( ) 6 3- gig
Email A /, C,911h Subdivision
City—V1W,QG✓� zip iR'q' 77
Affected ❑CW %EW PTA ❑ES ❑PTS Adj.Wtr.Body/! GG✓C G lee- (t�,an/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Mal.Wtr.Body l�d✓� ` VC��
ORW:yes& n PNA:yes/& � /� + /��
Type of Project/Activity Cva//c41 b IWAL i CG�r,YI �z�tl��"��9 Ij 'loy- /�ilS ' -- h,a� IP
/ f (Scale:/,t/T)}
Shoreline Length I G,� _ _
Access Length _ _J - -r- - -_ -4—l -
IX
t -,l v -3- - _`�✓ - fig✓ - 0 -`�— _ }-
Pier(dock)length S JG 1 -i- -'- � -
fr k
Fixed Platform(s)
Floating Platform(s)
- --- -- - -- -,P _ - -��-- - 4 -
Finger pier X f s) l� 0" 5"X/O - - E-- - - -- - + �- - - ! - --j- - -- - -
Total Platform area L
Groin length//f --r- - - - f - __ _.i_=la. �o N
ulkhe /Riprap length 10
- -�-
Avg distance offshore
Breakwater/Sill - - - --
Max distance/length
Basin,channel
Cubicyards —f- - - - - - - --- 1 - - - - - -
Boat ramp 1 t
Boathouse oatli JY
Beach Bulldozing -�
Other 5 M ti i - - - - -- -
---
_-�- k i
SAV observed: yes - -- - - - - _ __i _ _�f�'J- -- - -- -
Moratorlum: n/a yes K - '0 - -�- - - - -- i-- - -� - - -
RitpePhotos: ye �' -L_ --1 -�_ - `- - -- - _
Riparian Waiver Attached: el no _ _ �_ z_ _ / _ _
A building permit/zoning permit may be required by: 6 7k-I [ t^✓L j
Permit Conditions m'- b nIk4eJ �_`/ hof' �P.wee ��w�,f0 �b✓w'd O� /� ❑TAR/PAM/NEUSE/BUFFER(circleone)
Ald�- w/k n �'"h f' I'ti 07 ( p fc G / oT See note on back regarding River Basin rules
10 �.r�d �-� Z o1N /Gb ✓�►t �-
0
{, �� L O 00 ❑See additional notes/conditions on back
1 AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)n _
. �.\/Ll 1-✓� AGINilk
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Sig ature"Please read compliance statement on back of permit" Signature
Application Fee(s) Check N/Money Order Issuing Date Expiration ate

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dt°", [`� CAMA DREDGE & FILL V9101304` A B © D
b Previous permit
GENERAL PERMIT Date previous permit issued
I �
�� New Modification Complete Reissue L]Partial Reissue
As authorized by the State of North Carolina,Department of Fnvironmentil Quakily and the Coastal Resources Commission in an area of environmental concern pursuant to
`i I SA NCAC (17L I)00 9 y
927Y z 1 �3 DU Rules attached. ® General Permit Rules available at the following link:www _deg ric¢ov/CAMArti
{ Applicant Name _1L T /V;L/I�✓*OS Authorized Agent Lr%jefl f /hA✓Lh[ -V`Cl) LL
Address q Td 5�rt C�q fly �. -V� Protect Location(County): �a✓�L"t
City /icy-± <�'} State ZIP_2 B S 70 Street Address/State Road/Lot#(s) qtg _5C.�t Gal TC DYI✓t
Phone#( )_G 1 — If QbP
Email V oi,Ar , 49M Subdivision
city d/r i 611_t' ZIP 8 S 7 O
ABecmd ❑CW NEW ®PTA DES ❑pTS Adl Wtr.Body (r/✓L �✓c�� (t JJman/unk)
AEC(s): El OEA ElIHA 0 uW SPIMA PWs Closest M.,Wtr.Body 1.1i1 C y,�etc
OR W yes PNA:yes/0
Type of Project/Activity f k r a J rq / , i✓
hoot I!F f (S a e:/v 1
Shoreline Length I Dq
Access Length — ` _A/ `_ I �G'r' L✓CC}C�/ I
Pier(dock)length S -
Fixed Platforms) :` r" d o✓r�f� fh v5 1 11",t ifY /''r✓%
Iben+l:i.f L!,wlripl
Floating Platform(s) PvcpC�i i�� ilU`
Finger piers) S�X Lt0 I t i r.•CE p l f Tom i+l
Total Platform area + �IyPh•tI �� (1/
Groin length/N -� („n s XyG'
ulkhea Riprap length 1 Vw \-+
Avg distance offshore — 7
Breakwater/Sill —
Max distance/length
Basin,channel N R V
Cubic yards —
Boat ramp o�jr�V
Boathouse oath i<y 2 l/a
Beach Bulldozing —
Other e, v.ZP,1
a°yc- P� 1L
SAVobserved: yes t r^e� �: Y#G•
Moratorium: n/a yes s..v ve j
Site Photos. yes � V t e i Iwt/eV�
Riparian Waiver Attached: no
A budding permit/zoning permit may be required by: 64w 4,T-1( -
Permit Conditions I��/r•. I_llr�c l j i„�� N 1 t X rttl _s t �<++ �w�d .f i1V�M r i ❑TAWPMUNEUSEJBUFFER(nrck one)
ns li l k let i'r• S<�'t z! ✓ ��./�//~.( ��L� R.I k I,-`J �•'i�r l�Lz �� E]See note on back regarding River Basin rules
_f� �311 r .tK�I,�✓, ��� wi hivo l, 'o✓^z_Lfr_Y_YU_ n=;
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)
VS A L tA.,-0 a A,
Agent phcant PRI Na Permit Officer's PRINTED Name
Signatu Pleastlead tchnplianceltatement on back of permit'• Sign re
Application Feels) Check N/Money Order Issuing Date Expira on Date

`°"T4,N F CAMA ❑ DREDGE & FILL N° 101304 A B (�i D
GENERAL 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:
15A NCAC /V'� 0 7 N UU ❑ Rules attached. ® General Permit Rules available at the following link:www.dgq.nc.gov/CAMArules
Applicant Name- tCCle �� V[1/�✓d Authorized Agent C ��✓ +' f / "� ✓`x'C �C -V ' ` L
Address q T 1L C' 6.,-t r D✓ V1 p Project Location(County): 4f a✓1Tl61"Ife/ 1
City w ✓ //Staate ZIP v a Street Address/State Road/Lot#(s) '1 7 i7 5L'^ �7�T� DI/!✓L'
Phone#(7 ) Qt;3 ' 77
Email 1 V i V e "!/Q�O V A J, 4 49M Subdivision
City ZIP S7
Affected ❑CW [Z EW QPTA ❑ES ❑PTS Adj.Wtr.Body ( •- (�l�� fr4/man/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj.Wtr.Body 6L I C
ORW:yes/ip .-) PNA:yes/rio'
Type of Project/Activity i i Ile
(Sca e:/ " f S
Shoreline Length
Access Length �'N I .✓(` ( i' }( �/
Pier(dock)length_ �� r 4
FixedPlatform(s) 1;1 X;�G��avc' 5 17 "X
Floating Platforms "`
Finger pier 5 ',A
s)
I +4(
Total Platform area 0 AL ✓•�•i
�� , �
Groin length/# L. X ja
I V / i✓
ulkhe d/Riprap length 02 l 1
Avg distance offshore 7
Breakwater/Sill - ;I ,it<
Max distance/length j Pv y, jt sp+k 'U i j
Basin,channel N
Cubic yards
Boat ramp )(i
Boathouse atli 1'f /� / �,')�• �: j v�U
Beach Bulldozing
Other c1a4hc•� i
Royce PG F
SAV observed: yes ; "� 4 �OLG
✓j) (n0T
Moratorium: n/a yes no '
Site Photos: yes, no 1 1 r V !d�/►�,�
Riparian Waiver Attached: yet.' no
A building permit/zoning permit may be required by:
Permit Conditions '7N,r a —0 ` , r<<r� ,, ' �;.v s�,� �(I H t✓ ❑ TAR/PAM/NEUSE/BUFFER(circle one)
r� h F x ;1• vi, Yi c/w ! �' R• 1 h ,1 1. - // c ❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
1 AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Agent oir Applicant PRINTED Nari� Permit Officer's PRINTED e
Signature"Pleasilread compliance statement on back of permit*" Sign4ture
t- Z �� 2
Application Fee(s) Check#/Money Order Issuing Date Expira'on 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

o1+ZI`°"r4,&❑CAMA ❑ DREDGE & FILL N9 101304 A B C D
3
GENERAL 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:
15A NCAC Q r ❑Rules attached. ❑ General Permit Rules available at the following link:www.dgq.nc.gov/CAMArules
Applicant Name V i e i//Y ✓ 1 Authorized Agent
Address L' Project Location(County): .� t r"4'
City Staate /V ZIP O Street Address/State Road/Lot#(s) g 7 B yin 611 f ✓1
Phone# /y 7 00
Email i V f V P Ka Jr �/ f :> Y h i�> Subdivision
City ZIP
Affected ❑cW ❑EW PTA ES ❑PTS Adj.Wtr.Body L�. (nat/man/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj.Wtr.Body
ORW:yes/act-'' PNA:yes/no
Type of Project/Activity ( ,�
)
i
Shoreline Length_ 10 (Scale:
Access Length -- 4—/V 1
Pier(dock)length
Fixed Platform(s)
a
( 3
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/#
�'9ulkhead/Riprap length I N
Avg distance offshore
t
Breakwater/Sill i
Max distance/length
Basin,channel j
Cubic yards
Boat ramp �.- _ ,»_ �._ _ w•
eoathouseooatlift:
Beach Bulldozing I
Other
r
SAV observed: yes no
Moratorium: n/a yes no 111
Site Photos: yes no
Riparian Waiver Attached: yes no
A building permit/zoning permit may be required by:
TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions
ElSee note on back regarding River Basin rules
i .
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) L
1,
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
�---Lam.---�"-
Signature"Please read compliance statement on back of permit" Signature, /
Application Fee(s) Check#/Money Order Issuing Date Expira'on 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

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: V,✓,'12°S
Mailing Address: � S,-A eII-�W T�ye
1�1�vPo07 A/C J8�76
Phone Number: 196V
r
Email Address: , ve aJ q M art, c a /0 _
I certify that I have authorized 00AAa0 rAcurw\t' C C-T-V ICe-S
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: 11e.W \J ►'rly� t I khe0-6
new ►11P.r , o-nd/ I boa.
at my property located at C-1 6JC, Dr , 1JevJpoC , N_C-
in �, ��ret County.
I furthermore certify that 1 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:
v�
L�
igr ture
��� �� V I ✓E /�rU�
Print or Type Name
/ Title
/ / 1 C2 G�
Date
This certification is valid through I 1

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N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: Jeffrey Vlyeiros
Address of Property: 498 Sea Gate Drive, Newport, NC 28570
Mailing Address of Owner: 498 Sea Gate Drive, Newport, NC 28570
Owner's email: [e-mail] Owner's Phone#: [phone]
Agent's Name: Carteret Marine Services Agent Phone#:[phone]
Agent's Email: [e-mail]
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.
—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
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 pwner, Zvi ,,
Typed/Printed name of ARPO: L N N — L�
Mailing Address of ARPO: 1 nlU .��I �ICk, L
ARPO's email: ARPO's Phone#:
Date: 22 ? 'waiver is valid for up to one year from ARPO's Signature'
Revised May 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: Jeffrey Viveiros
Address of Property. 498 Sea Gate Drive, Newport, NC 28570
Mailing Address of Owner: 498 Sea Gate Drive, Newport, NC 28570
Owner's email: [e-mail] Owner's Phone#: [phone]
Agent's Name: Carteret Marine Services Agent Phone#:[phone]
Agent's Email: [e-mail]
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.
VI 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 A ve.,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.)
DO wish to waive some/all of the 15'setback
Signature of Adjacent Riparian Property Owner
-OR- n
I do not wish to waive the 15'setback requirement(initial the bla*z/
Signature of Adjacent Riparian Property Owner: C. -
�4c k iz
Typed/Printed name of ARPO: e I z4 bc+4 A. nleJ+,,,-
Mailing Address of ARPO: 50C. sea( << Dr'\,-c N C-
ARPO's email: i���(cr i(,y �q""'1, `MARPO's Phone#: � 3 f -S 3 3 OS 3 1
Date: �1��1� o�� "waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

Mahoney, Richard
From: Kelsey Hall <[e-mail]>
Sent: Monday, July 29, 2024 10:05 AM
To: Mahoney, Richard
Cc: Kari Taylor
Subject: [External] 498 Sea Gate Drive, Newport
Attachments: Agent Authorization.pdf, Royer-Adjacent Riparin.pdf, Bock -Adjacent Riparian.pdf,Jeff
V CAMA Overhead.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.
Good Morning,
Please find CAMA documents attached for 498 Sea Gate Drive, Newport. Please let us know if you
have any questions.
Thank you,
Kelsey Hall
Administrative Assistant
Q252-723-5415
Carteret Marine Services
CarteretMarine.com
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