101359C - UTZ

[ACAMA A DREDGE & FILL Ntl 101 359 A B d 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 626 , t✓ S 0CI I 11 Rules attached. IN General Permit Rules available at the following link:www.deq.nc.yov/CAMArules
Applicant Name �4 rl►'f t r /1 64 t Z Authorized Agent
Address 15a 4 Z. P/q C l Project Location(County): k
City &6,, L'✓✓1 State A/L ZIP�'� (ZA Street Address/State Road/Lot#(s) C
Phone#(W) 00 2 — 6 J Sd
Email Ke-i Iof-2- (1�0,n-i fI. 01,'h Subdivision
City t— Be ^ ZIP H ��
Affected ❑CW IN EW ®PTA ES PTS Adj.Wtr.Body (q 11 o f T✓A+t 1~ .Nil'✓ (nat/(�aj>unk)
AEC(s): FIOEA IHA UW SPIMA PWS Closest Maj.Wtr.Body T✓(t r'+ /'✓�V
ORW:yes6P PNA:yes/0
Type of Project/Activity iFr of�S�'� Jvr
(Scale:/f/%S )
Shoreline Length l o V
Access Length
Pier(dock)length r`,✓/ N '�
Fixed Platform(s) r 5
Floating Platform(s)
Fingerpier(s)
Total Platform area —" (�{,n'
Groin length/4 RI Y"F,^!Eti '] `t} /(/I✓L. 4/
Bulkhead/Riprap length V:A, R f fit/W L /
Avg distance offshore f S
Breakwater/Sill q v)
Max distance/length r
Basin,channel I A ��I A'X .)A 7 /�n�
IX�')ft>=yd 3 �► _rx.��
Cubic ards ..21 ;?! d
Boat ramp _-_ A AJ
Boathouse/Boatlift ----
Beach Bulldozing
Other pL SAV observed: yes GI i ,1/j' I w O J r k Y''L
Moratorium: n/a yes V1 (,,K+
Site Photos: yes) (b�tr� yf1
Riparian Waiver Attached: 6 no
A building permit/zoning permit may be required by: C ✓.1 Lr 0% C✓1 #t 7
Permit Conditions J_�N/_1 L/�Uo-k --- - x `T V t °�L_._ 910 ®TAR/PAM/ E S6�UFFER(circle one)
� Ny �,n�r
r, I Do0 d a'7�� I yprJ� 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 Initial) Kwu
Kenneth Utz lYi ✓ ✓�.� jr a vt
Tz
AI lit PRIryT� a Permit Officer's PRINTED Name
Signature"Please read com ante statement on back of permit"' Signature^/
4 Uoo� 7�93 II/Dl/2q 03/0.2/25
Application Fee(s) Check N/Money Order Iss ling Date Expiration Date

F`°"S'1, �c®CAMA Z DREDGE & FILL N9101359 a g !,� D
GENERAL PERMIT Previous permit
Date previous permit issued
X 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 0 fl , 1500 I'I ❑Rules attached. � General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name K e h h C T `) 14 t Z Authorized Agent —
Address S S Z � Y 1-+G` Project Location(County): i� '��✓C'
City &I"', e.-bn State Ale'l ZIP Street Address/State Road/Lot#(s) I S O S a
Phone#(-W) 90 2 -" 4-4 5'0
Email Ke n n V 0 Z _ k,A f , enp-1 Subdivision
City /1�'J✓ PjE''^ ZIP
Affected ❑CW ,q EW ®PTA ❑ES ❑PTS Adl.Wtr.Body CA 1141 oY T✓ t- RII'T� (nat/(�nk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Mal.Wtr.Body T✓[="� /'�/�✓C I�
ORW:yes( PNA:yes/9
Type of Project/Activity &aA5i ` 1 vC 1
(Sca1le:/-1/T5 )
Shoreline Length
Access Length
Pier(dock)length
R;✓� �! �
Fixed Platform(s) �
Floating Platform(s) I I
Fingerpier(s) 1 (I I)e12/kI/)/A7:'l�1?
Total Platform area
Groin length/# (j i�/ ' �)♦- Al�✓� c'u h Or'�l Lr d~n �+
Bulkhead/Riprap length I iV.Atl�
S`✓ + I,o L
ul ti N
Avg distance offshore
Breakwater/Sill
Max distance/length
Basin,channel I a I A X �7=)`yd I'�x IR')(9'),T2-y d3 '/''T i C
Cubic yards
Boat ramp _ A-I J hJ
Boathouse/Boatlift
Beach Bulldozing — Fit-Other IOL
SAV observed: yes o! 1/( O/III✓� G
Moratorium: n/a yes r T l Site Photos: yes Riparian Waiver Attached: no
A building permit/zoning permit may be required by:
Permit Conditions 01 Vq 'o n TAR/PAM/ E / UFFER(circle one)
U7�) ❑ 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 Initial)
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
4Sign ture"Please compliance statement on back of permit" Signature
3 D Z OZ/2�
A lication Fee(s) Check#/Money Order Iss ing Date ExpirationDa et

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 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

COAS74, � ❑CAMA ❑ DREDGE & FILL N9101359 A B (& D
9 GENERAL PERMIT Previous jt ^_
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 'P + 1 500 ❑ Rules attached. E General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name f-\ _ t �ii Z Authorized Agent
Address i ; = `1 7- r, 6 /'/,,C l Project Location(County): n n
City /V,— State IV ZIP �4 Street Address/State Road/Lot#(s) G i 4✓, r
Phone#( 7�7) v 0 2
Email -t L � !2^1 F /, CO'h Subdivision
/ City ZIP
Affected ❑CW Pq EW ❑PTA ❑ES ❑PTS Adj.Wtr.Body T `' t- A,--(— (nat/6i�unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj.Wtr.Body "` /"tii`✓C I/
ORW:yest9 PNA:yes/no
Type of Project/Activity A "SC v c
r � 5
Shoreline Length f o o /
Access Length
Pier(dock)length _ +�
Fixed Platform(s)
Floating Platform(s) 1
Finger pier(s)
Total Platform area -""
Groin length/# d-,4(
Bulkhead/Riprap length "' � n� / � s
Avg distance offshore
Breakwater/Sill ��
Max distance/length f
✓It�
Basin,channel `J +�:i'x
Cubic yards ! Ei r
Boat ramp ,1�j hn�kyc��
Boathouse/Boatlift
Beach Bulldozing - �L
Other
i
SAV observed: yes rr!jal n i Vl"
Moratorium: n/a yes fig
Site Photos: yes oq
Riparian Waiver Attached: Ly no
A building permit/zoning permit may be required by:
Permit Conditions 11< I < , 7 v9 O o o-c El TAR/PAM/ I JEI SE/SUFFER(circle one)
+ "i �:.-I I G O U d 3 j 5"J/ ❑ 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 Initial)
A *V'1 ;L� ,, kUN( �
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature"Please read compliance statement on back of permit" Signature
Yoo� -4�9 3 I I/o Il2 y c3/0z/Z 57
Application Fee(s) Check#/Money Order Iss ng Date Expiration Da et

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 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

COAS41 ❑CAMA ❑ DREDGE ,& FILL N9101359 A B .0 D
Previous permit
GENERAL 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 ❑Rules attached. ❑ General Permit Rules available at the following link:www.dgq.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/ma�unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj.Wtr.Body !`
ORW:yes/no PNA:yes/no
Type of Project/Activity
(Scale:.4/j 5 )
Shoreline Length
Access Length !
i
Pier(dock)length I vY
Fixed Platform(s) ~ S
Floating Platform(s)
Finger pier(s)
i
Total Platform area /
Groin length/# -�"i _ �., d,t. -
Bulkhead/Riprap length ,��'
Avg distance offshore
Breakwater/Sill
Max distance/length
Basin,channel ¢ r1
Cubic yards i i ,
Boat ramp
Boathouse/Boatlift
Beach Bulldozing
Other
r Lam.
SAV observed: yes rig - V
Moratorium: n/a yes no G
Site Photos: yes no 1
Riparian Waiver Attached: YJ no
A building permit/zoning permit may be required by: C n 4
Permit Conditions ( i v: l /f r , ❑ TAR/PAM/t$lE_VSE/BUFFER(circle one)
❑ 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 Initial)
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature"Please read compliance statement on back of permit" Signature
,..�- � � 3 Illo� Zvi o31o�/z�
Application Fee(s) Chec #/Money Order IssLng Da a 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] 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 Manasement 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: uL l Z
Mailing Address: C';70 S
��
Phone Number: 757, y SU
Email Address:
I certify that I have authorized ,
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
3 6 ' of 5t If was 12- x lL
at my property located at /50 S Z"Oe-', P[A-CG 1V if Ld
in (t r)kUC 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 of mentioned lands in connection with evaluating information related to this
permit a lication.
P p Owner ati n:
Signature
LPr�int or Type Name RECEIVED
0 v"'.)Ca—
T-7 Title 0 C T 1 7 2024
Date DCM-MHD CITY
This certification is valid through I I

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Drawing by Bobby Cahoon Construction for:
Kenny Utz
Lot 9 Hidden Harbor
10,000# Four Pole Style 1505 Zurich Place
Boat Lift Concrete Dock Option
w/4-10" x 30' Pilings
U
u.No,er Doc,)/(lL'xIL' Y3�`d�� > �
, FU
p
111
5' x 40' 5' x 8' o 0
Concrete Dock Ste Down U
8 x 20' Pilings p 0
4'x 8'Marine
Concrete Slat
8 x 1 E' Pilings
5" x 8' Walkway
_ t
Tie-in to �— 100' Wooden Seawall —0 Tie-in to
adjacent wall
adjacent wall
S tA-)O
This drawing is the sole property of
BnsY - O Bobby Cahoon Construction Inc.
'm"y� "%' and is not intended for use by any other entity.

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: Ke,),),a� Lk+-Z'-
Address of Property: l Sv S Z tV_i ?1-1 P(,�e l J c y k el-) /J L 2 9� (- -
Mailing Address of Owner:
Owner's email:'I<ew,✓y Lth'? e �l�O/hOwner's Phone#: 75 60— 4 ��
,f
Agent's Name:NM-_� Agent Phone#: l"
Agent's Email: *
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.
,< _ 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 Owner �-
Typed/Printed name of ARPO'
Mailing Address of ARPO: S�� ZuRt`� P4• N��g�Q+y -�C 2 -
ARPO's email: Ck , -L C.s5W A340%%. ARPO's Phone#:
cah
Date: to "- 5'2.4 *waiver is valid for up to one year from ARPO's Signature"
RECEIVED Revised May 2021
O C T 17 2024
DCM-MHD CITY

'Of-,
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j`$U 7 'L t=
3 Drawing by Bobby Cahoon Construction for:
Kenny Utz
Lot 9 Hidden Harbor
10,000# Four Pole Style 1505 Zurich Place
Boat Lift Concrete Dock Option
w/4-10" x 30' Pilings
i
����1 �--�'�� , ► - - - - - - - -t. !� Cam;` Y-11-X0s �:� .� W o U
t / CV
G vela S3�`d
W =
}✓ L LLJ
/t". /J 5' x 40' 5' x 8' � o U
Concrete Dock 8 x 20' Pilings Step Down
4'x 8'Marine
Concrete Slat
8 x 16' Pilings
5" x 8' Walkway
Tie-in to ♦---- 100' Wooden Seawall -----► Tie-in to
adjacent wall adjacent wall
This drawing is the sole property of
Bobby Cahoon Construction Inc.
.� and is not intended for use by any other entity.
c

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-,
Address of Property: 1 ct l ITILC
Mailing Address of Owner: S Pr-M.e-
Owner's email: Alit, �,to M Owner's Phone#: 7 J 7, 3 6 2- -6?5-0
Agent's Name: tJ J A Agent Phone#:
Agent's Email: /J/tl
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
desQOMn or drawing, with dimensions must be provided with this letter.
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 unl waived by me(this
does not apply to bulkheads or riprap revetments). (If yo ish to w e the a , you must sign the
appropriate blank below.)
I DO wish to waive some/all of the 15' setb
natu e o Adjacent Ri arnan roperty Owner
-OR-
I do not wish to waive the 15' setback requirement(initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: vtl ( D t�1--uCA-
Mailing Address of ARPO: 5y 3 Z.�l' ` N c�J
ARPO's email:r e__i i6+vfAl'a ., tic��M ARPO's Phone#:
Date: /0 3 C'2 'waiver is valid for up to one year from ARPO's Signature*
RECEIVED Revised May 2021
O C T 1 7 2024
DCM-MHD CITY

V(-, i;�Y a�- .
Di
Drawing by Bobby Cahoon Construction for:
���' r���J�J� z���L Kenny Utz �
Lot 9 Hidden Harbor
10,000# Four Pole Style 1505 Zurich Place
Boat Lift Concrete Dock Option
ww//-4-10" x 30' Pilings y.
0
x >i 3�`d e�) _
I L�
t U �
W o z>
/J a.' ' 5' x 40' 5' x'8' U
Concrete Dock 8 x20' Pilings Step Down
tiA
4'x 8'Marine
Concrete Slat
8 x 16'Pilings
5" x 8' Walkway
Tie-in to t---- 100'Wooden Seawall Tie-in to
adjacent wall
adjacent wall
This drawing is the sole property of
8 tIsSY A QQN Bobby Cahoon Construction Inc.
and is not intended for use by any other entity.