101381C - Phillips

o1+Ft°"Sr. ❑CAMA ❑ DREDGE & FILL N9101381 A B OD
y f GENERAL PERMIT Previous permit
J Date previous permit issued
❑New ❑Modification [:]Complete Reissue ❑Partial Reissue
As authorized by the State offNorth Carolina,Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC O 7 H,Iwo ❑Rules attached. 0 General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name 0611"&-etll 6,4 Authorized Agent babiI� L or? SAP—C. LT/v-1 .
Address G v Project Location(County): C vq V, 7
City VC 10C State 1116 ZIP Street Address/State Road/Lot#(s) y y f G /4 d n. no C4 bi
Phone# f 5141
Email (/ lii A�f�� C o'q Subdivision
City ' ZIP _9 d_ 2
Affected ❑CW HEW ❑PTA ❑ES ❑PTS Adj.Wtr.Body N Oi1 41 f <V(C / n / nan/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj.Wtr.Body 4,�1 11t
ORW:yes/no PNA:yes/pg.) J
Type of Project/Activity V 1<< 'ham r r.mtQ✓%v17�
(Scale: �S)
Shoreline Length
Access Length
Pier(dock)length SAX y'0
Fixed Platform(s) VY40 tx t o
Floating Platform(s)
Finger pier(s) — pp
aL•
Total Platform area ig
,
Groin length/# t
Bulkhead/Riprap length
Avg distance offshore ! /✓. � 'd i
Breakwater/Sill
Max distance/length
1
4 !
Basin,channel
Cubic yards
Boat ramp ..,�
Boathouse/Boatlift ''`�.
Beach Bulldozing '
Other .4 f-%uv:
SAV observed: yes no
Moratorium: n/a yes no
Site Photos: yes no
Riparian Waiver Attached: yes no
A building permit/zoning permit may be required by: 4
Permit Conditions TAR/PAM/�QEUS BUFFER(circle one)
•�,( >`� c a ;+� ai tc �� 1. ❑ See note on back regarding River Basin rules
—1 See additional notes/conditions on back
1 AM AWARE OF ST UTES,CRC RULE ND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial
Agent or Applicant;PRINTED Permit Officer's PRINTED Name
Signature**Please read compliance statement on back of permit** Signature
Ll ? I'}�l?S
Application Fee(s) Check#/Money Order Issuing Dat6 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:
1-1 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 Manaeement Offices
Morehead City Headquarters Washington District
400 Commerce Ave Morehead City, NC 28557 943 Washington Square Mall Washington, NC 27889
252-808-2808/1-888-411COAST 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

ti aOFCOAS7q, ❑ CD
❑ DREDGE & FILL N9101381 A B D
Previous permit
G E N E RAL 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 / 1 t, ,12 Wo ❑Rules attached. ❑ General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name Authorized Agent
Address ^i Project Location(County):
City State 1.16 ZIP Street Address/State Road/Lot#(s) w
Phone#
Email Subdivision
City ZIP
Affected ❑CW ❑EW ❑PTA ❑ES ❑PTS Adj.Wtr.Body (nat/man/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWs Closest Maj.Wtr.Body
ORW:yes/no PNA:yes/no
Type of Project/Activity .
(Scale: 41 ))
Shoreline Length
Access Length
J
Pier(dock)length
3
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
__W
1
Total Platform area
Groin length/#
Bulkhead/Riprap length
Avg distance offshore �. .__. K� d W 1
Breakwater/Sill
E
Max distance/length
i
_ r
q I
y
Basin,channel � .. y
Cubic yards
Boat ramp
Boathouse/Boatlift
Beach Bulldozing
Other
SAV observed: yes no t / I
_ a '
Moratorium: n/a yes no
—
r _
Site Photos: yes no } +
Riparian Waiver Attached: yes no
A building permit/zoning permit may be required by: I
❑ TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions
❑ See note on back regarding River Basin rules
8�
❑ See additional notes/conditions on back
I AM AWARE OF ST TUTES,CRC RULE 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:
F-1 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: _bCt-V 160-4r a- f— �Vll
Mailing Address: q q 5U A -5 C r"f..W_ CQ-,!5(
1 cLy Q c k 1 l'� C 3
I
Phone Number: 7- 25 -
Email Address: VI'C_k"a LtG rdFe �✓la�1, Cc�YI
1 certify that I have authorized Bobby Cahoon Construction, Inc.
Agent! Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Ern (ace- e \C' 54—
.2- t e r
at my property located at 14450 414avi_S C rec.k Quad, HaueI4, n/c
in Q_ 6,)AVCf\) 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 Iniormatiom
gnature
8CLr 6Qr`o- Pfioi';La�j
Print or Type Name
Title
O5- l /2- 1 C)_6'72 4
Date
This certification is valid through !�! Z

SECTIONON DELIVERY
SENDER; COMPLETE THIS SECTION COMPLETE THIS
■ Complete items 1,2,and 3. ignature
■ Print our name and address on the reverse ❑Agent
Y X ❑Addressee-
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,^— c ived by( rinsed Name) C. Dat of eliv ry
or on the front if space permits. /Qrry l �' „1
1. Article Addressed to: s delivery address different from item 1? 0 Yes
If YES,enter delivery address below: ❑No
Nlr,d-rvlrs. J ber+-C
S oa -'s-0Yn'e✓ �,f
Halle o NL
i I III I III I i i I I III III I I III IIIIII III 3. Service Type II 0 Rg Mail Expresso I IIIII III ❑Adult Signature ❑Registered MailT"'
❑Adult Signature Restricted Delivery p Registered Mail Restricted
0 Certified Mail® Delivery
9590 9402 8604 3244 0679 32 0 Certified Mail Restricted Delivery ❑Signature ConfirmationTM
O Collect on Delvery O Signature Confirmation
2. Ai n Cnllect on Delivery Restricted Delivery Restricted Delivery
9589 0 710 5270 1247 7456 14 ;tricted Delivery
r tu­.
PS Form 3811,July 2020 PSN 7530-02-000-9053 Domestic Return Receipt

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONNVAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: Barbara Phillips c/o Vickie Hardee
Address of Property: 4450 Adams Creek Rd., Havelock, NC
Mailing Address of Owner: 4450 Adams Creek Rd., Havelock, NC 28532
Owner's email: [e-mail] Owner's Phone#: [phone]
Agent's Name: Bobby Cahoon Construction, Inc. Agent Phone#: [phone]
Agent's Email. [e-mail]
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adiacent Property Owner)
I hereby certify that I own property adjacent to the above referenced property.The individual applying for this
permit has described to me, as shown on the attached drawing, the development they are proposing. A
description or drawing, with dimensions, must be provided with this letter.
X I DO NOT have objections to this proposal. 100 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) U g
Signature of Adjacent Riparian Property Owner: la ,
y
Typed/Printed name of ARPO: Scott Burroughs, Weyerhaeuser CVA Land Use Forester
Mailing Address of ARPO: 1785B Weyerhaeuser Road, Vanceboro NC 28586
[e-mail] 252-633-7123
ARPO's email: ARPO's Phone#:
Date: 06/25/2024 *waiver is valid for up to one year from ARPO's Signature"
Revised July 2021

BARBARA PHILLIPS
c/o VICKIE HARDEE
4450 ADAMS CREEK RD.
HAVELOCK, NC
DESCRIPTION
We propose to install a new concrete pier consisting of a 5' wide x 40' long
walkway connecting to a T wide x 40' long platform. This will be on the
waterway side
We propose to install a new concrete 5' wide x 70' long walkway. This will be on
the creek side.

6/4/24, 11:16 AM about:blank
Craven County Geographic Information System
Craven County does NOT warrant the information shown on this page and
should be used ONLY for tax assessments purposes. Page generated on 6/4/2024 at 1 1:16:08 AM
PARCEL ID : 5-022 -001
There is I Leasehold on this parcel
There are 23 Personal Property Mobile Homes on this parcel.
Life Estate Grantor Owner : PHILLIPS, BARBARAANN D
Life Estate Grantee Owner(s): See Life Estate Deed 2886 0685
Mailing Address : 4450 ADAMS CREEK RD HAVELOCK, NC 28532
Address of Property : 4450 ADAMS CREEK RD
Subdivision :
Property Description : W/S ADAMS CREEK
Assessed Acreage : 277.366
Deed Book Page : 2886 0685 Deed Recording Date : 1 252010
Land Value : $752,900 Recorded Survey : B-77-
Total Improvement(s) Value : $379,240 Life Estate Deed : 2886 0685
Total Assessed Value : $1,132,140 Estate File Year-E-Folder
Number of Improvements: 10 Tax Exempt : No
City Name : Fire Tax District : TOWNSHIP 5
Drainage District : Lot Dimension
AGRICULTURAL-MARKET
Special District : Land Use : ACRES WITH PRINCIPLE
ROW CROP USE
Recent Sales Information
Sale Date Seller Name Buyer Name Type of Sale Sale Price
Deed
1/25/2010 PHILLIPS, SHELTON LEE PHILLIPS, BARBARAANN D STRAIGHT TRANSFER $0
2886-0685
Real Buildings and Improvements
Type of Structure Year Built Base Area Value
1 st Floor
RES-SINGLE FAMILY 1935 1167 $64,150
LIGHT COMM UTILITY BUILDING 1992 1530 $9,100
OPEN SHELTER 1960 2970 $8,800
MOBILE HOME SITES 1995 0 $94,500
MOBILE HOME SITES 1995 0 $195,300
SITE VALUE 1960 0 $100
BOAT DOCK/PIER-RESIDENTIAL 1970 348 $4,510
SHED-W/1-3 SIDES OPEN-DETACHED 1960 600 $770
SHELTER-OPEN SIDES-DETACHED 1965 252 $200
STORAGE BUILDING-DETACHED-RES 1992 144 $1,810
about:blank 1/1

Drawing by Bobby Cahoon Construction for:
Vickie Hardee / Barbara Phillips
Phillips Camp Ground
4450 Adams Creek rd, Havelock
o Proposed Concrete Dock Replacement
3/26/24
Creek Dock 10"x 25'
Both docks will be
in the same location and footprint End Platform Pilings
as existing docks ED
beside the existing boat ramps
5' x 70'
Walkway
9' x 40'
8" x 20' Platform
Pilings
s" x Waterway Dock
8" x 20' Pilingsgs y
Pilings
8" x 16' 5' x 40'
Pilings Walkway
Existing Boat Ramp Existing Boat Ramp
Remains Remains
�nsBgcnN
Bar . rwoN
This drawing is the sole property of
Bobby Cahoon Construction Inc.
and is not intended for use by any other entity.

;/4 ' IP
_ � f
d 1

Styron, Heather M.
From: Mahoney, Richard
Sent: Thursday, October 3, 2024 8:19 AM
To: Styron, Heather M.; Guthrie, Kara L
Subject: Fw: [External] Phillips, Barbara & Reiter, Thomas - CAMA permit application &
paperwork
Attachments: Phillips, Barbara-Vickie Hardee - new riparian.pdf
I should have this permit drafted up and ready on my desk I was just waiting on this neighbor notification
if it's the correct property that I am thinking about.
Get Outlook for iOS
From: Bobby Cahoon Construction<[e-mail]>
Sent:Thursday,October 3,2024 5:57:40 AM
To: Mahoney, Richard <[e-mail]>
Subject: Re: [External] Phillips, Barbara & Reiter,Thomas -CAMA permit application & paperwork
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 Richard.
The new riparian for the Lynn Gurganus property for the Barbara Phillips CAMA permit is attached below.
Please confirm receipt and let us know when this permit is ready.
Thanks,
Deborah
Bobby Cahoon Marine Construction
6003 Neuse Road
Grantsboro, NC 28529
252-249-1617 office
252-249-9884 fax
wvA,%A7.bobbycahoonconstruction.com
bobbycahoonconstructionL,)vahoo.com
On Friday, September 13, 2024 at 11:03:19 AM EDT, Mahoney, Richard <rich ard.mahoney @deq.nc.gov> wrote:
Hi Everyone,
i

I have the permit drafted up, but I need you guys to notify one more person for this project. Due to NHW going
up to Lynn Trustee of the Gurganus's land that would be the true adjacent neighbor for this project. So, I will
need you to notify them of this project from what I am seeing on Craven County GIS their mailing address is
107 Wildflower Way, Pollocksville, NC 28573. Once they are notified, I can issue the permit.
Thanks
Richard Mahoney
Field Representative
Division of Coastal Management
400 Commerce Avenue Morehead City, 28557
Mobile: [phone]
Richard.Mahoney(aDdeg.nc.gov
www.deg.nc.gov
Find a Field Rep (arcgis.com)
From: Derrick (pock <[e-mail]>
Sent: Friday, September 13, 2024 10:14 AM
To: Bobby Cahoon Construction <[e-mail]>; Mahoney, Richard
<[e-mail]>
Subject: Re: Fw: [External] Phillips, Barbara & Reiter, Thomas - CAMA permit application & paperwork
2

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.
Dr v.in by 6 E��, � ��: +._.��;ircr r ��n_ar�lctian fr,-,:
Vickie Hardee 1 Barbara K
Phillips Camp Ground
4450 Adams Creek rd, Havelock
Proposed Concrete dock Replacen
3/26/24
Creek Dock
Hoth docks „,'I 'f:
In tyre Sarne l0r;atICYI A Ic:0ln '7
as
beside the existing bcal r,i .ips
5' X70'
Walkway
j
8' x 20
' riots
' x16' 5' x4
WalkV
Ex _ i-- l3ciat R,-i-i p Ex'st,,ig Boat
F '11�31I';s Rena `IS
3
i
r E
--------------------------- -----------------------------
It3w..w wew w-er
looks as though the 70'walkway will extend approx 60-65'waterward, But both piers are intended to be within the same
foot print and not go out any further as noted on the drawing.
3

On Fri, Sep 13, 2024 at 9:55 AM Bobby Cahoon Construction <bobbycahoonconstruction(a)-yahoo.com> wrote:
Bobby Cahoon Marine Construction
6003 Neuse Road
Grantsboro,NC 28529
252-249-1617 office
252-249-9884 fax
www.bobbycahoonconstruction.com
bobbycahoonconstruction(tyahoo.com
----- Forwarded Message -----
From: Mahoney, Richard <richard.ma honey a_d eq.nc.gov>
To: Bobby Cahoon Construction <bobbycahoonconstruction(cD-yahoo.com>
Sent: Friday, September 13, 2024 at 09A4:21 AM EDT
Subject: RE: [External] Phillips, Barbara & Reiter, Thomas-CAMA permit application & paperwork
I have a question on the Phillips permit application. For the boat ramp access pier, you guys have it written
out as 5'x70'. How far is that going to extend from NHW?
Thanks
Richard Mahoney
Field Representative
Division of Coastal Management
400 Commerce Avenue Morehead City, 28557
Mobile: [phone]
Richard.Mahoney CuDdeg.nc.gov
www.deg.nc.gov
4

Find a Field Rep (arcgis.com)
From: Bobby Cahoon Construction <bobbvcahoonconstruction(aD.yahoo.com>
Sent: Friday, September 6, 2024 10:48 AM
To: Mahoney, Richard <Richard.Mahoneya-deg.nc.gov>
Subject: [External] Phillips, Barbara & Reiter, Thomas - CAMA permit application & paperwork
L
TION: External email. Do not click links or open attachments unless verified. Report suspicious emails with the
rt Message button located on your Outlook menu bar on the Home tab.
Richard.
Attached below is the CAMA permit application and paperwork for two(2)CAMA permits. If you would please process these at
your earliest convenience we would appreciate it.
Please confirm receipt.
Thank you,
Deborah
5

Bobby Cahoon Marine Construction
6003 Neuse Road
Grantsboro,NC 28529
252-249-1617 office
252-249-9884 fax
www.bobbycahoonconstruction.com
bobbycahoonconstruction@,yahoo.com
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.
Derrick Ipock
Estimator/ Project Manager/Sales
C-252-229-4021
O-252-249-1617
www.bobbycahoonconstruction.com
6

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: Barbara Phillips clio Vickie Hardee
Address of Property, 4450 Adams Creek Rd.. Havelock, NC
Mailing Address of Owner: 4450 Adams Creek Rd., Havelock, NC 28532
Owner's email [e-mail] Owner's Phone#: [phone]
Agent's Name: Bobby Canoon Construction, Inc. Agent Phor,,e#, 252-249-161',,7
Agent s Email bob bycahoonconstruction ,yahoo com
ADJACENT RIPAF6AN 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 t>rovided with this letter
i DO NOT nave objections to this proposal. I DO have ob2ecticns to this proposal.
if you have objections to what!s 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
marled to 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted
at f 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 the
(this does not apply to bulkheads or(sprap revetments). (if you wish to waive the setback you must sign
the appropriate blank below.)
I DO wish to waive somelall of the 15'
SMR�Adjacen'[RtTarian AtSptrty owner
-OR- gnatu
I do not wish to waive the 15'setback requirement(initial the blank)
Signature of Adjacent Riparian Property Owner
Typed/Printed name of ARPO:
Mailing Address 9f�kRpo;-IL, V
ARPO's email: (A',di
clitifi,RpOsPhorie#: ,,�,i-�--Q— �n-4 4-
-C�)—IA , F, -
Giver Is valid for tip to one year from
Ob's Signature'
Date:/I orr�AWF
Revised July 2021