100495C- Cullipher

,oa 000AST4 ❑CAMA ❑ DREDGE & FILL N° 100495 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:
I SA NCAC ( /t H 'L �LC ❑Rules attached. ❑ General Permit Rules available at the following link:www.dgq.nc.gov/CAMArules
Applicant Name K CY C 11 I I I Authorized Agent "J n h JC _ Yl L 'C Y l�
Address LA C >l f('�e LVl Project Location(County): ^ '1� �(C f
City," ( << Y State t�I C ZIP �� ( (G Street Address/State Road/Lot#(s) A L�E
Phone#O
Email ,\to ��,� 'I,�7 �(,'1"ti I Subdivision �
City ZIP l i�r
Affected ❑CW ®EW ❑PTA ❑ES ❑PTS Adj.Wtr.Body J c ( Ana?(man/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj.Wtr.Body V e V
ORW:yes/no PNA:yes/no
Type of Project/Activity t,
(Scale: )
Shoreline Length
Access Length
Pier(dock)length
Fixed Platform(s) I j S.
y 1 i
Floating Platform(s)
Finger pier(s)
� I
Total Platform area
Groin length/#
Bulkhead/Riprap length i
Avg distance offshore -�
Breakwater/Sill
Max distance/length 1" -
Basin,channel / ✓c' < ��"" .�
Cubic yards
Boat ramp
Boathouse/Boatlift C`�t �C ' C ` 7 t c
Beach Bulldozing
Other y, �•
'4- 1t
ll �
SAV observed: yes no
Moratorium: n/a yes no c-' 'Al
Site Photos: yes "no
�.
Riparian Waiver Attached: yes no
A building permit/zoning permit may be required by: "CI Y
Permit Conditions �II 1`to t v �;{ �e S 11 c�kn j l 4jIe i 1(A elcee6 ❑ TAR/PAM/NEUSE/BUFFER(circle one)
�, JE Iy 1�W• l 4 H 10� TV) l PCISf / Vl a ❑ See note on back regarding River Basin rules
ct 1,I (,Je, i ICON P(�rIe
❑ See additional notes/conditions on back
i C' jn�C rw r Iy+ilnl
�,.. � ', rJCi -trirCC S � v-�� t" l• �r12Ir< )
I AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initi
00h,. 0 1tl,nro -1, I+k( P
Agent or Applicant PRINTED Na Permit Officer's PRINTED Name
Signature"Please read compliance statement on back of permit" Signa ure
Application Feels) Check#/Money Order Issuing Date" Expiration Da e

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 F-1 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

31+°``°"ST.V ik,r,�c❑CAMA ❑ DREDGE & FILLjo 100495 A B C D
1 GENERAL PERMIT Previous permit
J 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:
I SA NCAC ❑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 ❑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: )
Shoreline Length
Access Length
Pier(dock)length
Fixed Platform(s)
.. Y
�.
Floating Platform(s)
. _}
Finger pier(s) I 't
Total Platform area
Groin length/# _ .___.__ ._ "
Bulkhead/Riprap length i
Avg distance offshore44—
"
Breakwater/Sill �4 � � - �- _7't --t-
Max distance/length
x
Basin,channel -
_.
Cubic yards
Boat ramp
Boathouse/Boatlift
Beach Bulldozing y
Other
SAV observed: yes no
Moratorium: n/a yes no
Site Photos: yes no
t�
Riparian Waiver Attached: yes no ,„4.,I L u --_-j-- — —IL
A building permit/zoning permit may be required by:
❑ TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions
❑ See note on back regarding River Basin rules
❑ 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 Initi
,,d 1 1 1 4 4 �.".,I< , i//i I , ..
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:
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 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

NATi4/"E- Native Shorelines,a Davey Company
PO Box 1873
SHORELINES Morehead City,NC 28557
a DAMA.company
October 7, 2024
Ms. Kara Guthrie
NC Division of Coastal Management
400 Commerce Avenue
Morehead City, NC 28557
Re: Application for CAMA General Permit 2700
Ronald and Karen Cullipher
414 South Breeze Ln, Beaufort, NC 28516
Dear Ms. Guthrie:
Please find attached copies of the necessary documentation to request a GP 2700 for installation of 272
linear feet(LF) of offshore sill at the above referenced property.The following is included in this packet:
Figure 1—Location Map&Site Plan
Figure 2—Cross-Section of Proposed Offshore Sill
Figure 3—Existing Conditions Photos
Engineered Drawing of the QuickReef(�'Defender TM
Signed Agent Authorization for CAMA Permit Application
Adjacent Riparian Property Owner Notification Forms with both setbacks waived
Please let us know when you would like to visit the site and/or the permit is ready for signature. If you
have any questions, please feel free to contact me or Mary-Margaret McKinney. My contact information
is listed below. Ms. McKinney can be reached at 252.333.9852 or [e-mail]
Sincerely,
NATIVE SHORELINES �Q
" ( 4Ott'
Morgan
Coastal Ecologist RECEIVED
[e-mail] 1804.385.4981
UU 1 0 7 2024
DCM-MHD CITY

Project Location Map Project Description
An offshore sill is proposed to be
constructed at 414 South Breeze Ln in
log
Beaufort, NC, as shown to the left and
below. The total length of the offshore sill
i will be approximately 272 linear feet.
k
The offshore sill will be constructed with
QuickReeM Defender TM units placed
parallel to the shore as shown on Figure 2
and the attached engineered drawings. The
landward edge of the sill will be no more
f
• than 30 feet waterward of normal high
'•� Subject water or no more than 5 feet waterward of
existing coastal wetlands, whichever
North River distance is greater.
All other applicable specific and general
'' �'�j► conditions outlined at 15A NCAC 071-1.2700
will be met.
Site Plan
Proposed Living Shoreline Figure 1 NATi E
Location Map & Site Plan
414 South Breeze Ln
Beaufort, NC Applicant(s) LL1 N ES
EC E I ° ,r#--.P-y
Ronald and Karen Cullipher 1101 S Haynes St,Suite 211
Date Prepared: 09/30/24 414 South Breeze Ln UL I O 7 2*h,NC 27504
490
Mapping Sources: Carteret Co GIS 08/28/24 Beaufort, NC 28516 9.755. elan
pp 9 vaww.NativeShorelines.com
ArcGIS Pro 3.2.2 08/28/24

A2LC�KREEF
QuickReel® is a patent-pending living shoreline system comprised of a proprietary mixture of natural
calcium carbonate materials, such as oyster shell and limestone marl, cemented together and
arranged in the shallow waters of the intertidal zone in a configuration that attenuates wave energy,
encourages marsh accretion behind the structure, and creates aquatic habitat within the structure.
Comprised primarily of native coastal materials, QuickReel® provides an ideal substrate for oyster
recruitment and aquatic environment enhancement. Over time, QuickReel® living shorelines can
naturally grow with sea level rise to provide resilient shoreline protection.
Maximum
Slope 1:1.5 Cross-Section not to scale.
See attached engineered drawings.
0
1.5 ft
T
- - - - - — — — - MHW - — — — — — — — — — — — — — — - - - - — — — — — — Z
rn
- - — — — — - MLW - — — — — — — — —
- - - - - - - - - - - L
rn
96"base
Maximum 30ft from MHW
Cross Section of QuickReef® DefenderTM Offshore Sill
Example of Example of QuickReefO Defender TM
QuickReef® Offshore Sill Offshore Sill in Scranton, NC
Proposed Living Shoreline Figure 2 NAT I E
Cross-Section South Breeze Ln Armlicant(s) SHORELINES
BeBeaufort, NC +
a _'P_y
Ronald and Karen Cullipher RE `/El v f M HaynesDAIEY -St,Suite 211
Date Prepared: 09/30/24 414 South Breeze Ln Raleigh,NC 27504
Beaufort, NC 28516 U� 0 7 919.755.9490
2W.NativeShorelines.com
DCM-MHD CITY

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MATERIALS:
■ ■ ■ ■ ■ 1 ■ ■ , 1� ■ ■ �. CONCRETE SHALL HAVE A MINIMUM 28 DAY STRENGTH OFF
2,000 P.S.I OR BETTER.
MAXIMUM SLOPE SHALL BE 1V:1.61 H.
"9 0
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TOP OF SLAB FINISH SHALL BE PLACED RECYCLED OYSTER- SHELL AND#4 LIMESTONE AGGREGATE.SEE5" _«
SPECIFICATIONS FOR MIX DESIGN. F
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� X 111
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1. BASE UNITS SHALL BE INSTALLED ALONG THE
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00' ` 4.00" -- 96.00" 2. OBLIQUE UNITS SHALL BE PLACED BEGINNING AT
48.00" THE CENTER OF THE BASE UNITS AS SHOWN IN THE
PLAN VIEW.OBLIQUE UNITS SHALL BE PLACED SUCH
THAT THEY ARE SUPPORTED BY THE BASE LIP,
gF CENTER SUPPORT,AND TOP SUPPORT OF THE BASE
qW UNITS IN BOTH THE SEAWARD AND LANDWARD
AROFA PLAN VIEW-36"x96"DEFENDERT"REEF SECTION DIRECTIONS.
OF N.T.S. 1 ALL OBLIQUE UNITS ARE 96"X51.5"X5.5".
BASE UNITS X
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UNITS INSTALLED AT 6jJ• LL Z
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v N.T.S. N.T.S. ---
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Docusign Envelope ID:CC1 D70DE-41 EB-4D25-AA19-5AE29AB64445
Living Shoreline Contract—Cullipher—S Breeze Ln Page 8 of 12
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Ron & Karen Cullipher
Mailing Address: 414 S Breeze Ln, Beaufort, NC 28516
Phone Number: [phone]
Email Address: Ron: ron a,tcgpa.com
I certify that I have authorized Native Shorelines to act on my behalf, for the purpose of
applying for and obtaining all CAMA permits necessary for the following proposed
development: construction of a living shoreline at my property located at
414 S Breeze Ln, Beaufort, NC in Carteret County.
1 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:
Signed by:
p f E44DE...
Ronald Cullipher
Print or Type Name
Title
RECEIVED
9/4/2024 UU 1 Q 2024
Date
DCM-MHD CITY
This certification is valid through August 31, 2025
Initial
Landowner Initial

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 Ronald and Karen Cullipher
Address of Property: 414 South Breeze Ln, Beaufort, NC
Mailing Address of Owner: 414 South Breeze Ln, Beaufort, NC 28516
[e-mail] Owner's email: karencullipher(a)gmail.com Owner's Phone#: [phone]
Native Shorelines, a Davey Company
Agent's Name: and the North Carolina Coastal Federation Agent Phone#: Morgan Rudd [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.
Check Here V 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.)
Sign Here OR-I DO wish to waive some/all of the 15' setback 9�Sh
Signature of Adjacent Riparian Property Owner
-OR- \ `
Initiai Here I do not wish to waive the 15' setback requirement (initial the blank)
RECEIVED
Sign Here Signature of Adjacent Riparian Property Owne . " - U' I
2024
and Complete Typed/Printed name of ARPO: J Keith Smith (owner 02 S. Breez Lane)
Mailing Address of ARPO: 1706 Wilkins Drive, Sanford NC 27330 DCM-MHD CITY
ARPO's email: [e-mail] ARPO's Phone#: [phone]
Date: 2 October 2024 *waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

TIPS FOR ADJACENT RIPARIAN OWNER NOTIFICATION &WAIVER FORMS
CAMA Regulations require notice of proposed development to the Adjacent Riparian Property Owners(15A
NCAC 7J.0204(b)(5)). Proof of actual notice (a sign-off by the owner on this form) or certified mail return
receipts (showing delivery of notice)are needed.
The purpose of this notice is to make adjacent riparian property owners aware of the proposed development
so that they have an opportunity to provide comments (or potentially object to)the proposed development,
and to give DCM an opportunity to consider these comments/objections before a permit decision is made.
"Permission" of adjacent property owners is not necessarily required for DCM to issue a permit; however,
permission must be obtained for certain types of proposed developments if they fall within a 15'setback area
along the riparian access area of the adjacent property,as determined solely by DCM. It is in the applicant's
best interest to provide comprehensive and accurate notice so that any concerns or objections can be
resolved early in the permit review process. In addition, if the adjacent riparian property owner appeals the
permit decision, insufficient notice could be a basis for granting such an appeal.
Who is an Adjacent Riparian Property Owner?
What is Adjacent? (Note: DCM reads this broadly to ensure comment by potentially impacted neighbors)
• A property that shares a boundary line with the site of proposed development; AND
• A property that fronts a natural or manmade waterbody that is connected to coastal waters and
can support some form of navigation, even a kayak or canoe, including a common canal system
or a manmade basin.
• Easement holders?Yes, if the easement could be impacted by the proposed development.
• Streets/Roads?Only if the street/road could be impacted by the proposed development. This
might include street-ends which might be used for parking and beach access.
• Holders of recognized submerged lands claims/shellfish franchises.
What is Riparian?
Do the boundaries of the adjacent property legally intersect with the water at mean high tide? If there is a
question about whether an adjacent property is considered "riparian," please reach out to DCM Staff -
especially on the oceanfront beach where there may be undeveloped parcels on the beach or in the water.
WholWhat is a Property Owner?
For private individuals(or families),send notice to the address listed on the tax card. If the property is owned
by an Inc. or LLC, please send notice to the person listed as the registered agent on the NC Secretary of
State's Corporations Look Up site: https://www.sosnc.gov/search/index/corp. For Condominiums or
neighborhoods with an owners' association (HOA/POA), send notice to the association (which is usually a
corporation, for which you send notice to its registered agent).
What is Notice, and how do I ensure it is received?
• You can meet with your adjacent property owner, provide a description or drawing of the
proposed development, and ask them to sign this form and return it to DCM; OR
• You can hand-deliver this form and a description or drawing, and ask your neighbor to return it to
DCM (consider providing them with a stamped envelope); OR
• You can mail this form by USPS Certified Mail, return receipt requested (the Green Card). If you
choose this option, you must provide either the signed &returned green card OR track the
certified mail package number on USPS.GOV's online tracking system, and provide the tracking
print-out as proof of delivery to DCM
If you have any questions about this process, please reach out to DCM Staff and DCM Legal Counsel
and we will work to answer your questions.
RECEIVED
OC I C 1 2024
Revised July 2021
DCM-Wt-ib ITY

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. Ronald and Karen Cullipher
Address of Property: 414 South Breeze Ln, Beaufort, NC
Mailing Address of Owner: 414 South Breeze Ln, Beaufort, NC 28516
[e-mail] 252 773-0090
Owner's email:[e-mail] Owner's Phone#:
Native Shorelines,a Davey Company 804 Rudd an
Agent's Name: and the North Carolina Coastal Federation Agent Phone#: Morgan ( )385-4981
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 ascribed to me, as shown on the attached drawing, the development they are proposing. A
descriptioK or drawing.with dimensions must be provided with this letter.
Check ' 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 26557.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.)
Sign Here 1 DO wish to waive some/all of the 15'setback ,
Signature of djac f Riparian operiy Owner
_°R_ -OR- RECEIVED
Initial Here I do not wish to waive the 15'setback requirement(initial the blank)
0 I 0 7 2024
Sign Here > Signature of Adjacent Riparian Property Owner:
--and Complete Typed/Printed name of ARPO: .�ar`�� DCM-MHD
q n CITY
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ARPO's email:3ss y � ARPO's Phone#:
Date: "waiver Is valid for up to one year from ARPO's Signature"
Revised July 2021

TIPS FOR ADJACENT RIPARIAN OWNER NOTIFICATION&WAIVER FORMS
CAMA Regulations require notice of proposed development to the Adjacent Riparian Property Owners(15A
NCAC 7J.0204(b)(5)). Proof of actual notice(a sign-off by the owner on this form)or certified mail return
receipts(showing delivery of notice)are needed.
The purpose of this notice is to make adjacent riparian property owners aware of the proposed development
so that they have an opportunity to provide comments(or potentially object to)the proposed development,
and to give DCM an opportunity to consider these comments/objections before a permit decision is made.
"Permission" of adjacent property owners is not necessarily required for DCM to issue a permit; however,
permission must be obtained for certain types of proposed developments if they fall within a 15'setback area
along the riparian access area of the adjacent property,as determined solely by DCM.It is in the applicant's
best interest to provide comprehensive and accurate notice so that any concerns or objections can be
resolved early in the permit review process. In addition, if the adjacent riparian property owner appeals the
permit decision,insufficient notice could be a basis for granting such an appeal.
Who is an Adjacent Riparian Property Owner?
What Is Adjacent?(Note: DCM reads this broadly to ensure comment by potentially impacted neighbors)
• A property that shares a boundary line with the site of proposed development;AND
• A property that fronts a natural or manmade waterbody that is connected to coastal waters and
can support some form of navigation, even a kayak or canoe, including a common canal system
or a manmade basin.
• Easement holders?Yes, if the easement could be impacted by the proposed development.
• Streets/Roads?Only if the streettroad could be impacted by the proposed development.This
might include street-ends which might be used for parking and beach access.
• Holders of recognized submerged lands claims/shellfish franchises.
What is Riparian?
Do the boundaries of the adjacent property legally intersect with the water at mean high tide? If there is a
question about whether an adjacent property is considered "riparian," please reach out to DCM Staff -
especially on the oceanfront beach where there may be undeveloped parcels on the beach or in the water.
Who/What is a Property Owner?
For private individuals(or families),send notice to the address listed on the tax card.If the property is owned
by an Inc. or LLC, please send notice to the person listed as the registered agent on the NC Secretary of
State's Corporations Look Up site: https://www.sosnc.gov/search/index/corp. For Condominiums or
neighborhoods with an owners' association(HOA/POA), send notice to the association (which is usually a
corporation,for which you send notice to its registered agent).
What is Notice,and how do I ensure it is received?
• You can meet with your adjacent property owner, provide a description or drawing of the
proposed development, and ask them to sign this form and return it to DCM; OR
• You can hand-deliver this form and a description or drawing,and ask your neighbor to return it to
DCM(consider providing them with a stamped envelope):OR
• You can mail this form by USPS Certified Mail, return receipt requested(the Green Card). If you
choose this option,you must provide either the signed&returned green card OR track the
certified mail package number on USPS.GOV's online tracking system,and provide the tracking
print-out as proof of delivery to DCM
If you have any questions about this process, please reach out to DCM Staff and DCM Legal Counsel
and we will work to answer your questions.
REC E I KPLd July 2021
UU j 0 7 2024
DCM-MHD CITY