20240395 Ver 1_CAMA Application_20240308

K, C. DIVISION OF COASTAL MANAGEMENT
£nvironmenraf FIELD INVESTIGATION REPORT
QGOflty
1. APPLICANT'S NAME: Matthew Scales
2. LOCATION OF PROJECT SITE: 286 China Grove Rd Arapahoe, NC 28510
Longitude:-76.73815 Latitude: 34.99753
3. INVESTIGATION TYPE:
4. INVESTIGATIVE PROCEDURE:
Date of Visit I Purpose of Visit Applicant Present?
5. PROCESSING PROCEDURE:
Application Received
Application Complete
Regional Office
12/26/2023
2/28/2024
DCM
6. SITE DESCRIPTION:
(A) Local Land Use Plan:
Land Classification from LUP: Land Classification From LUPs
(B) AEC(s) Involved:
(C) Water Dependent:
(D) Intended Use: Private/Community
(E) Wastewater Treatment:
Existing:
Planned:
(F) Type of Structures:
Existing:
Planned:
(G) Estimated Annual Rate of Erosion:
Erosion Information Source: Annual Erosion Source
7. HABITAT DESCRIPTION:
DREDGED (ft)
FILLED ft2
OTHER (ft)
A Open Water
CW's above NHW`
C CW's below NHW
Shallow Bottom
High Ground
Non -Coastal WL
(E) Total Area Disturbed: ft2
(F) Primary Nursery Area:
(G) Water Classification:
Open to Shellfishing:
Field Investigation Report: Matthew Scales
DCM Major Permit
Page I

8. PROJECT SUMMARY:
9. NARRATIVE DESCRIPTION:
10. PROJECT DESCRIPTION:
II. ANTICIPATED IMPACTS:
Name: Jessica Thomas Date: 03-11-2024 Office: DCM
Field Investigation Report: Matthew Scales
DCM Major Permit
Page 12

Permit Application Report
Application ID
Application Type
Submitted
App Complete
Deadline
Decision
Expiration
PA-1213
DCM Major Permit
12-26-2023
Primary Applicant
Information
Applicant
Type
Title
Business Name
Name
Email
Business Phone
Mobile Phone
Individual
Mr.
Matthew
Scales
[e-mail]
7742053985
7742053985
Physical Address
Mailing Address
Street 1
City
State
Zip
Street 1
City
State
Zip
286 China
Grove Rd.
Arapahoe
NC
28510
286 China Grove Rd.
Arapahoe
NC
28510
Registered Agent Information
Agent Type
Title
Business Name
Name
Email
Business Phone
Mobile Phone
Physical Address
Mailing Address
Street 1
City
State
Zip
Street 1
City
State
Zip
Project Information
Project Name
Project Type
Disturbed Land Area (Scl Ft/Acres)
Waterfront rehab
Private/Community
1250 Sq. Ft. / Acres
Is proposed project located in national registered historic district or national register listed/eligible: False
List of previous state or federal permits for work on project tract: CAMA 88256 - Matthew Scales - April 19, 2023
Project Location Information
Address
County
River Basin
Subdivision
County Parcel ID
Latitude
Longitude
286 China Grove Rd
Arapahoe, NC 28510
Pamlico
34.99753
-76.73815
Project Discharges to State Waters
Discharge Type
Surface
Runoff
Sanitary
Wastewater
Industry/Commercial
Effluent
Vessel
Wash Down
Residential
Other
Wastewater/Stormwater Discharged Into Wetland?
Discharge Same Salinity as Receiving Waters
Is There Any Mitigation Proposed
False
False
False
Detailed Description of the Existing Development Located on the Property
Existing Man -Made Features:
i mai y ---- ­Tle, garage, dock
Existing Land Uses:
Single family, primary residence
Existing Wastewater Treatment/Disposal:
Existing private septic system
Solid Waste/Fish Offal/Trash Disposal:
Use and Daily Operations of the Project When Complete
Proposed Development Purpose:
Repair existing storm damage, further protect property from tuture ciamage, and acid private leisure features.
Buildings/Facilities/Units/Structures:
One boat ramp.

Use & Daily Operations:
Private use dock, boat ramp, boat lift for personal sailboat, fishing, swimming, launching small boats / kayaks and walking into the
river to swim.
Construction Methodology & Equipment:
Occasional rental of a use of borrowed personal tractor, and contractor's use of a barge for lift installation, kept in
yard for short periods.
Development Activities Narrative Specifics:
New mooring ball installation, rehab existing dock, add a couple of small additions to dock, add a small fishing boat lift and a larger
sailboat lift, install a boat ramp, add some more riprap in front of seawall.
Application Narrative:
The purpose of this project is to repair my residential property from storm
damage, add additional protection against future storms, and to add features for
leisure activities. The property is near the lower end of the Neuse river. The
river is about 5 miles wide at this point. The property is my full time
residence. The property is % of an acre and contains a single family home and
garage that was built in 1976.
Repair
The existing dock has sustained damage from previous storms (mostly from
Hurricane Florence) and has no remaining decking and is missing a handful of
pilings. The remaining pilings appear to be in good condition and should support
a new deck. It is a wooden deck with wooden pilings roughly 8' on center. In
work from a previous permit, decking as been rebuilt in the first 16' from the
bulkhead.
A section of the pvc bulkhead is failing. There is an older wooden bulkhead that
is taking the load at the moment behind the pvc wall in this location. This
section will need something to be done. I am proposing to just install a boat
ramp at this location and remove the failed wall.
Protection
To add additional bulkhead protection, I am proposing to add additional riprap
over existing riprap. There is an older layer of riprap that is largely still in
place of 2-3' pieces the entire length of the bulkhead. This existing layer is
completely submerged under normal water level conditions. I am proposing
building up the layer to above the waterline, about 5' above seabed at the
bulkhead.
Leisure features
To add to my property, I am proposing a couple of new features on the dock. A
larger platform at the end of the dock, a small "kayak dock" along the side, a
"small fishing boat" boat lift, and a "large sailboat" boat lift at the end.
I am proposing a boat ramp through the existing bulkhead at the point where it
is starting to fail. This boat ramp's primary purpose is to allow access to the
water for swimming, dinghy launch, with an occasional small boat launch. The
boat ramp will have a dock along the side to aid in launching boats. I am
proposing excavation of the ramp and pouring of a concrete ramp before removal
of the existing bulkhead. The ramp will have bulkhead construction on both
sides. The boat ramp will neck down towards the entry end to allow some room for
an existing live oak tree.
A new mooring to be installed past the end of the dock, far enough out to allow
the swing of a sailboat. Mooring will be of DORMOR cast iron type.
* The project proponent hereby certifies that all information contained herein
is true, accurate, and complete to the best of my knowledge and belief.
* The project proponent hereby requests that the certifying authority review
and take action on this CWA 401 certification request within the applicable
reasonable period of time.

Boat Ramp Development Activity Included: True
Boat Ramp Dimensions
Length
Width
Avg Existing Depth
Final Project Depth
Distance Waterward of NHW/NWL
65
15
-3
-3
0
Will Fill Material Be Placed In Any Of The Following Areas
Area
Sq. Ft. Affected
Purpose of Fill in This Area
Coastal Wetland/Marsh (CW)
Submerged Aquatic Vegetation (SAV)
Shell Bottom (SB)
Other Non -Coastal Wetlands (WL)
Boat Ramp Structures
Structure Type
Length
Width
Quantity
Fixed Piers
30
3
1
Shoreline Stabilization Development Activity Included: True
Has There Been Erosion in the Preceding 12 Months Amount of Erosion (Feet Within the Past 12 Months)
False
Source of Erosion Amount Information
Shoreline Stabilization
Type of Stabilization
Describe "Other" Stabilization
Rip Rap/Revetment
Type of Stabilization Material
Describe "Other" Stabilization Material
Granite
Length
Width
Avg Distance Waterward of NWH/NWL
Max Distance Waterward of NHW/NWL
145
10
10
10
Sq Ft of Fill to be Placed Below Water Level
Type of Fill Material
1
Source of Fill Material
1
0
N/A
How Will Fill Material be Kept on Site and Erosion Controlled
N/A
Will Wetlands be Crossed in Transporting Equipment to Project Site
Explain Steps Taken to Avoid/Minimize Environmental Impact
False
Living Shoreline Development Activity Included: False
Piers & Docking Facilities Development Activity Included: True
Docking Facilities Details
Facility Use
# of Tie Pilings
Existing Slips
New Slips
Private/Community
48
0
0
Piers & Docking Facility Structures
Structure Type
Length
Width
Quantity
Fixed Piers
8
4
1
Fixed Piers
12
8
1
Boatlift
30
15
1
Boatlift
10
8
1
Freestanding Moorings & Buoys Associated With This Docking Facility
Structures Consistent With Water Use Plan
Existing Freestanding Moorings & Buoys Slips
New Freestanding Moorings & Buoys Slips
False
0
1
Buoy Details:

Moorings & Buoys Details
Mooring or Buoy
Distance From Shoreline
Arc of Swing
Water Depth
Mooring Buoy
280
60
6.5
Excavation Development Activity Included: False
Bridges & Culverts Development Activity Included: False
Oceanfront Erosion Control Development Activity Included: False
Temporary Structures Development Activity Included: False
Utility Crossings Development Activity Included: False
Freestanding Moorings, Buoys & Bird Nesting Poles Development Activity Included: True
Freestanding Moorings & Buoys - General
Structures Consistent With Water Use Plan
Existing Freestanding Moorings & Buoys Slips
New Freestanding Moorings & Buoys Slips
False
0
1
Buoy Details:
Freestanding Moorings & Buoys Details
Mooring or Buoy
Distance From Shoreline
Arc of Swing
Water Depth
Mooring Buoy
280
60.00
6.50
Log Removal/Marine Debris Development Activity Included: Yes/No
Navigational Aids Development Activity Included: False
Other Fill Below Water Level Development Activity Included: False

Stormwater Structures Development Activity Included: False
"Upland Development" Development Activity Included: False
Energy Facilities Development Activity Included: False
Aquaculture Development Activity Included: False
Submerged Lands Mining Development Activity Included: False
General Development Activity Details Required
General Development Activity Questions
These questions are applicable if 1 of the following development activities are included in the project
(Boat Ramps, Freestanding Moorings, Buoys & Bird Nesting Poles, Piers & Docking Facilities, Temporary Structures, Living Shorelines,
Shoreline Stabilization Submerged Lands Mining)
Boat Type(s)
Typical Boat Length
Other Boat Type (Describe)
Open runabout; Sail boat
35
Adj Riparian Property Line #1 (Proximity of
Structure Nearest to Property Line)
Adj Riparian Property Line #2 (Proximity of
Structure Nearest to Property Line)
Adj Riparian Property Line #3 (Proximity of
Structure Nearest to Property Line)
15
70
Width of Water Body
Water Depth @ Waterward End of
Structure (NLW or NWL)
Water Depth @ Most Landward
Boat Slip (NLW or NWL)
Water Depth @ Most Waterward
Boat Slip (NLW or NWL)
26400
6.5
1 0
0
Navigational
Aids Required
Number of
Buoys
Number of Day
Markers
Min Distance of Each Aid Placed
Beyond Shoreline
Max Distance of Each Aid Placed
Beyond Shoreline
False
Marina Development Activity Details Required

Automatic reply: [External] Pre filing Meeting Request for CAMA Permit PA-1213
401 PreFile <401 [e-mail]>
Tue 12/26/2023 3:08 PM
To:Matt Scales <[e-mail]>
This email confirms receipt of your pre -filing meeting request. Please retain this email for your records
and submit this documentation as part of your 401 application (PCN Application) as required by federal
law. DWR will not be able to accept your application without this federally required documentation. 401
applications received without documentation that a pre -filing meeting request was submitted at least 30
days prior will be returned as incomplete.
Responses to this email are not monitored.
If you need to contact 401/Buffer Permitting Staff, please use the following link(s) to access of staff
contact list(s).
For Non -Transportation Central Staff:
https: deq.nc.gov/about/divisions/water-resources/water-quality_permitting/401-buffer-
permitting/401-buffer-permitting-contacts
For Non -Transportation Regional Staff: https://edocs.deq.nc.gov/WaterResources/DocView.aspx?
dbid=0&id=2162034&cr=1
For all Transportation Projects Including NCDOT Projects:
httpsj deq.nc.gov/about/divisions/water-resources/water-resources-permits/transportation-
pe rm i tti ng/staff-contacts
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.

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Prepared by:
Grady Quattlebaum, PLLC
244-A Craven Street
New Bern, NC
Return to:
Type: CONSOLIDATED REAL PROPERTY
Recorded: 5/9/2022 10:49:16 AM
Fee Amt: $976.00 Page 1 of 3
Revenue Tax: $950.00
Pamlico, NC
Lynn H. Lewis Register of Deeds
BK 699 PG 137 -139
Revenue Stamps: $950.00
Parcel ID c°�.INcooC°(DCX:)
Gy 4i(v Tl '4(q(- S' Od o 0
Type of Instrument: DEED
Grantor's Primary Residence:
NO =
Address of Grantor: Post Office Box 12625, New Bern, NC 28561 -
Address of Grantee: I y `4 Ljr) i Or1 LC0rv11 nS*er, MA' O) 4i J3
THIS DEED, made this �day of May, 2022, from ANGELA V. COOPER as
successor trustee of the March 26, 2008 Katheryne Matthews Watts Revocable Declaration of
Trust (referred to herein as "Grantor") to MATTHEW SCALES (referred to herein collectively as
"Grantee"), is as follows:
WITNESSETH that Grantor in consideration of the sum of TEN DOLLARS ($10.00) and other
good and valuable consideration paid by Grantee to Grantor, the receipt of which is hereby
acknowledged, has bargained and sold, and by these presents does bargain, sell, and convey to
Grantee the real property described in EXHIBIT A ATTACHED HERETO AND INCORPORATED
HEREIN BY REFERENCE.
TO HAVE AND TO HOLD the aforesaid described real property and all privileges and
appurtenances thereunto belonging to the Grantee, in fee simple forever, subject to the herein
mentioned encumbrances, if any.
Grantor covenants to and with Grantee that Grantor is seized of the aforesaid described
real property in fee and has the right to convey same in fee simple; that the same are free from
submitted electronically by "Steven K. Bell, Attorney at Law, PC"
in compliance with North Carolina statutes governing recordable documents
and the terms of the submitter agreement with the Pamlico county Register of Deeds.
Book: 699 Page: 137 Page 1 of 3

encumbrances except the herein mentioned encumbrances, if any, ad valorem taxes for the
current year (prorated through the date of closing), utility easements and unviolated restrictive
covenants that do not materially affect the value of said premises and such other encumbrances
as may be assumed or specifically approved by Grantee in writing; and that Grantor will warrant
and defend the title to the same against the lawful claims of all persons whomsoever.
IN TESTIMONY WHEREOF, Grantor has executed this instrument in such form as to be
binding, this the day and year first above written.
2Z�Z: y ` T (SEAL)
ANGELA V. COOPER as successor trustee of the
March 26, 2008 Katheryne Matthews Watts
Revocable Declaration of Trust e
ACKNOWLEDGEMENT
i
The undersigned Notary Public does hereby certify that ANGELA V. COOPER as successor
trustee of the March 26, 2008 Katheryne Matthews Watts Revocable Declaration of Trust
personally appeared before such Notary Public this day in the State of ATj
and County or-151*of 9) 12 4M0Q! and acknowledged the due execution of the
foregoing instrument for the purposes therein expressed.
WITNESS my hand and notarial seal, this day of LAIC\. , 2022.
My Commission Expires: NOTARY P LIC
NOTARY SEAL/STAMP MUST APPEAR
LEGIBLY IN BOX TO RIGHT
gook. 699 Page: 137 Page 2 of 3

Exhibit A
Tract 1:
That certain lot or parcel of land lying and being situate in Number Five (5) Township, Pamlico County,
North Carolina, designated as Lot Number Seven (7) on that certain map or plat entitled "Plan of lanerio
Park —Section No. One", which said map or plat was prepared by Engineering Associates on September
4, 1967, which map appears of record in the office of the Register of Deeds of Pamlico County, North
Carolina, in Map Book 4 at Page 38.
The line shown on the said plat at TOP OF BANK is not a boundary line of the lands herein conveyed, the
southeastern boundary of said lands being NEUSE RIVER and not the said line designated on the map as
TOP OF BANK.
Together with improvements thereon: and all easements and appurtenances belonging or in anywise
appertaining, whether public or private. r
This conveyance is made subject to those certain restrictive and protective covenants recorded in Book
183, Page 335, in the office of the Register of Deeds of Pamlico County.
Tract 2:
All of that certain lot or parcel of land lying
and being situate in Number Five (5) Township,
pamlico County, North Carolina, and being more
particularly described as follows: Beginning at a
point in the southeastern right-of-way line of
Cowell Road, which said point is located the
following courses and distances from the point of
Intersection of the centerline of the aforesaid
Cowell Road with the centerline of NCSR 1302:
South 67 deg. 53 min_ 26 sec. East 1257.02 feet;
North 65 deg. 11 min. 00 sec. East 17.30 feet and
North 66 deg. 25 min. 00 sec. East 22.40 feet to
the point or place of the lot or parcel of land
hereby conveyed; said point of beginning being the
northernmost corner of the lot or parcel of land,
on Cowell road, already owned by the parties of
the second part herein; running thence from said
point of beginning, so located, North 66 deg. 25
min. 00 sec. East 50.00 feet to an iron stake;
thence South 24 deg. 49 min. 00 sec. East 187.16
feat to an iron stake; thence continuing South 24
deg. 49 min. 00 sec. East 33.31 feet to an iron
stake located in a wooden bulkhead in the northern
shoreline of Neuse River; thence South 71 deg. 58
min. 03 sec. West -61tng and with said bulkhead,
50.34 feeti thence North 24 deg. 49 min. 00 sec.
East 25.60 feet to an iron stake; thence
continuing North 24 deg. 49 min. 00 sec. East
190.00 feet to the point of beginning, containing
0.22 acres and 9,427 aquare feet.
Book: 699 Page: 137 Page 3 of 3

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: Matthew Scales
Address of Property:
286 China Grove Road, Arapahoe, NC, 28510
Mailing Address of Owner 286 China Grove Road, Arapahoe, NC, 28510
Owner's email: [e-mail] Owner's Phone#: [phone]
Agent's Name:
Agent's Email:
Agent Phone#:
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,
_A' 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 943 Washington Square Mall, Washington, NC 27889. DCM representatives can also be
contacted at [phone]. 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
Signatu,q,ofAdjacent Riparian r�ertyOwner
-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: �i4/ `p Jl'Aryr� V
Mailing Address of ARPO: T>l ic�1� r(� L7 f '/U1" j� M, 2 l lV, z
ARPO's email: 1EFR ar�orcARPO's Phone#:
Date: *waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
BRAXTON DAVIS
Director
The Sun Journal
4901 US Hwy 17 South
New Bern, NC 28562
NORTH CAROLINA
Environmental Quality
March 7,2024
Attention: Legal Advertising Department
Please include the enclosed Notice of Filing in the Public Notice section of the 12 March
2024 edition of your newspaper. If it will not be possible to include this notice in that edition, or
if you should have any questions about this notice, please call me as soon as possible at 948-3820.
The State Office of Budget and Management requires an original Affidavit of
Publication prior to payment for newspaper advertising. Please send the affidavit, an
original copy of the published notice, and an original invoice to:
Thank you.
Sincerely,
Tabitha Fulford, Administrative Assistant II
Division of Environmental Quality
Division of Coastal Management
ATTACHMENT
Cc: File
D North Carolina Department of Environmental Quality I Division of Coastal Management
EQ ��
Washington Office 1 943 Washington Square Mall I Washington, North Carolina 27889
Depa n tof E w o —M my 252.946.6481

NOTICE OF FILING
OF APPLICATION FOR
CAMA MAJOR DEVELOPMENT PERMIT
The Department of Environmental Quality hereby gives public notice as required by N.C.G.S.
113A-119(b) that an application for a development permit in an Area of Environmental Concern
as designated under the Coastal Area Management Act (LAMA) was received on 26 December
2023. According to the said application submitted by Matthew Scales to install a boat ramp and
rip rap, pier repair, platform extension, a kayak launch, two boat lifts and mooring buoy.
A copy of the entire application may be examined or copied at the office of Kelly Spivey,
District Manager, Washington Regional Office, 943 Washington Square Mall, Washington, NC,
during normal business hours. Public comments received by 29 March 2024 will be considered.
Later comments will be accepted and considered up to the time of permit decision. Project
modifications may occur based on further review and comments. Notice of the permit decision in
this matter will be provided upon written request.
Kelly Spivey
Washington District Manager
NC Division of Coastal Management
943 Washington Square Mall
Washington, North Carolina 27889
[phone]
Please publish on: 12 March 2024

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 i a t4:62 IS_ C-OA e-5
Address of Property_ QC7 Ck+1 fNek
Mailing Address of Owner: r�
Owner's email: Ma crrAis'cJts 64tf ;1 owner's Phone#:7/ q &0.5--39
YI
Agent's Name:
Agent's Email:
Agent Phone#:
ADJACENT RIPARIAN PROPERTY OWNER'S vERRTIF!CATiON
(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 drawingwith dimensions must be rovided with this letter.
!' I DO NOT have objections to this proposal. i DO have objections to this proposal.
ff 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 [phone]. No response is considered the same as no objection if you have been notified by
Certified Mail.
WAiV ER, SECTION
I understand that any proposed piai-, doek, rr.t or;oq u;Rings, boat ramp, breakwater, boathouse, lift, or
groin must be set back a minimum dis.81 �Ce of .i F fTcf-,-i any area of riparian access unless waived by me
(this does not apply to bulkhcpr'qj -ir riprop : e,EPtments). (If you wish to waive the setback, you must sign
the appropriate blank below.)
100 wish to waive some/all of the t 5' setback ;
Signature o Adjacent Riparian Pr�ertyOwner
-OR-
I do not wish to waive the
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO:
Mailing Address of ARPO:
ARPO's email:
ARPO's Phone#:
Date: *waiver Is valid for up to one year from ARPO's Signature*
Revised July 2021

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:
Address of Property:
286 China Grove Road, Arapahoe, NC, 28510
Mailing Address of Owner: 286 China Grove Road, Arapahoe, NC, 28510
Owner's email:
mattforsellscalewhotmail.co wner's Phonem 774-205-3985
Agent's Name:
Agent's Email:
Agent Phone#:
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
descri; tion or drawing. with dimensions, must be a 1rovided 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 943 Washington Square Mall, Washington, NC 27889. DCM representatives can also be
contacted at [phone]. No response is considered the same as no objection if you have been
notified by Certified Mail.
WAIVER SECTION
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)
t
Signature of Adjacent Riparian Property Owner: Bch-, . v_ rl\ C1,
Typed/Printed name of ARPO: S
Mailing Address ofARPO:
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PC) ,

Matthew SCa�es
286 China wove Rd.
AFapahoe, u2 28510
Sept 16, 2023
uca�e„ 1" - 40'
DF, wWMg # 1 of 2
Revision #19
Proposed 4 piling
boat lift
(10" pilings)
Muuuu RIVUE'
5 mIL'Ies wI'd e a t
this location
Average water
depth 34' at seawall
Proposed 50'x5' ramp
side dock
Coco
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FetaMMg wall 1�, 65'
15'
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O Proposed mooring ba(( 100'
fFom end of dock
Proposed 4'x8' exfenfion of
p(atfOFM (fofa( of 12' x 8')
Proposed 4 piling boat lift
(8'' pilings)
26
Proposed rep(acemenf of 6 pilings
and FedeckMg of existing 180' dock.
W0Fk has been staFfed in previous
D e F M i t
Proposed kayak dock (4'x16')
(4'x8' platform IQWPF to water
with anofher 4'x8' section containing
sfairs and upper platf(Drm)
16Proposed riprap
�Exisfing riprap
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Proposed boat ramp
Riparian boundaries

116, 11-1-10
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