Howland Rock Signed ARPO Forms (1)

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or NAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of property Owner: I- OWLA Ub PXI F Ugcyi-1N)e);HJL,
Address of Property: 2610 I OLIO 940R- ROAD
Mailing AddressofOwner: (��
Owner's email: uLt L'� jJLi4 �L�( L� t" C$!R i r
-} wner's Phone#: q1V I ` �C? C�2 c
Agent's Name: ''� WE_ CM Agent Phone#:
Agent's Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adiacent Property Owner}
k hereby certify that I own property adjacent to the above referenced property. The individual applying for this
p)krmit has described to me, as shown on the attached drawing, the development they are proposing. A
1 DO NOT have objections to this proposal. I DO have objections to this proposal.
It 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.
WAIVER SECTION
I un that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse
groin must be minimum distance of 15' from my area of riparian access un�Vo
d by me
(this does not apply to bu or riprap revetments). (If you wish to waive th ust sign
the appropriate blank below.)
I DO wish to waive someiall of the 15'
Signature of Adjacarian Property Owner
No
I do no to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO:
V_
Mailing Address of ARPO: _ 2-0�) N()r,.Yp �' ` f`-oaq)
ARPO's email:
ARPO's Phone#:
Date: 'waiver is valid for up to one year from ARPO's Signature*
x
�� Revised May 2021

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICAT10NIWAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: HowLA Q) r4XY i OA JbT-f Vj&6&Rjt-
Address of Property: ``f o Mx—rk v-lo/ & R
Mailing Address of Owner:
Owner's email: �OWCAJJD ��x k �Ql� t,011 ner's Phone#: (U ` r 2
Agent's Name: 1,UQ f1 " "�`-' 7 Agent Phone#:
Agent's Email=
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom gortion to be completed by the Adjacent ProveProverty 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 [phone]. No response is considered the same as no objection if you have been notified by
Certified Mail.
WAIVER SECTION
I unders that any proposed pier, dock. mooring pilings, boat ramp. br er. boathouse. lift, or
groin must be ack a minimum distance of 15' from my area o n access unless waived by me
(this does not apply Ikheads or riprap revetments). (If sh to waive the setback, you must sign
the appropriate blank belo
I DO wish to waive some/all of the 1
Signature of Riparian Property Owner
I[a]za
I do not +,yi0fro-waive the 15' setback requirement (initial the blank)
Signature of Adjacent Ripariiaajn Property Owner: !d ✓ ✓"
Typed/Printed name ofARPO: k[M4' , 1 A,41AC COM
Mailing Address of ARPO: ,S`1 ROLLILA-�
ARPO's email:
ARPO's Phone#:
Date: "waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

N.C. DIV#SION 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)
,,j ��1
Name of Property Owner: � ''LA .Ub .�' ?(A ` o J 1i{ Cu( ��� /�;�-(lt,
— Address of Property: _ 240 /icy-m SI-[D2e 2Lo6b
Mailing Address of Owner:
[�
f� )44]�, C01-i 1 q
Owns email: H(7WCAk@i fXV-P tt'4+TO wners Phone#:
Agent's Name; 1 vue— Cq Agent Phone#: IU�7 ' ilo�
Agent's Emaii: � l ( 0 el gll-il-.: �
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
Bottom Portion to be com feted by the Adjacent Proa 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
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 29557. 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 u d that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or
groin must ack a minimum distance of 15' from my area of riparian access unless me
(this does not apply Ikheads or r'iprap revetments). (if you wish to waive the you must sign
the appropriate blank bel
I DO wish to waive some4l of the 1
Riparian Property Owner
-OR-
I do not aive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner.
TypedlPrinted name of ARPO: 10�J
Mailing Address of ARPO: 231 ftuu,416 _ t
ARPO's ernai : ARPO's Phone#:
Date: e *waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIF#CATIONIWAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: a'-tOWLA UD 0 FOA C 0
Address of Property: ?610 8 ---(k SHorc& 2&m[)
Mailing Address of Owner:
Owner's email' NC7W ..4A;D 4C V-PO?A Pt' ,] wner's Phone#: q10--??0zLo?,
Agent's Name: ,+< a--h S v"at 7- Agent Phone#: lG' � � `7 � � ` 10
Agent's Email: l.�-Wi � -�a 0 6,414 iL : aAf
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 individuai applying forthis
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 praposal,
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 [phone]. No response is considered the same as no objection if you have been notified by
Certified Mail.
WAIVER SECTION
6wQiLerstand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse. lift, or
grojn set back a minimum distance of 15' tram my area of riparian access unless waived b
(this does no bulkheads or riprap revetments). (If you wish to waive the setbacl
the appropriate blank
I DO wish to waive somelall of the 1
Riparian Property Owner
-OR-
I do tT"waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
TypedlPrinted name of ARPO: -] Uu of ti i`��t -VU-yLq
Mailing Address ofARPO: IJ& �tga-(Lc I, ,.t_�
ARPO's email'. ARPO's Phone#:
Date: b 2 �7� "waiver is valid for up to one year from ARPO's Signature"
A
` r Revised May 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: (-�l�% btA kz R&,'t �OA qG �TF {{�ky6i+)&H,L
Address of Property: 6 0 /Jo(L-rH 9-f op_ 020,11)
Mailing Address of Owner -
Owner's email: NOwL1;D 1 V- P c-tgi TO %t+I _- (0"� i
wner's Phone#:
Agent's Name: U&'-TI WL>ycqew_T Agent Phone#: )0�3
Agent's Email
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed bathe Adigcgnt,erooerty 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 [phone]. No response is considered the same as no objection if you have been notified by
Certified Mail.
WAIVER SECTION
I understan67" roposed pier, dock, mooring pilings, boat ramp, breakwater, boath , r
groin must be set ba nimum distance of 15' from my area of riparian a s waived by me
(this does not apply to bulk, i rap revetments). (If you wish a se#back, you must sign
the appropriate blank below.) _
1 DO wish to waive some/all of the 15'
Signature of Adjacent
-OR-
I do r
jpPffsh to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: 0WJ
1IT -
Mailing Address of ARPO: Z2 . _ ���1 -4c L T�
ARPO's email: ARPO's Phone#:
Owner
Date: /� "waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent) `
Name of Property Owner: �1gou" A �� pxt L� q0 'Jcc--E Vl1;C06-,b&WL,
Address of Property: 240 zjx— Pt aforz' Ra-1 D
Mailing Address of Owner:
Owner's email: H(;W_UDr�
(�LILPOAi°dt;y1 wner's Phone#:- . lU i 2
Agent's Name: ' "11 V ��y�l �t7 Agent Phone#.
Agent's Email: �� }�^ � Q C �ir� 1L r-f At
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be c!2moleted-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
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.
WAIVER SECTION
I undersf7FMsdWJjny proposed pier. dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or so
groin must be set77 mum distance of 15' from my area of riparian access unless wai e
(this does not apply to bulkhe r riprap revetments). (If you wish to waive the setb must sign
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback
of A djace nt
-OR-
I do not wi ive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
TypedlPrinted name of ARPO:h��"� r
tS
Owner
Mailing Address of ARPO:
ARPO's email:
ARPO's Phone#:
Date: '1 = `waiver is valid for up to one year from ARPO's Signature`
Revised May 2021

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent) `
Name of Property Owner:-�U�t�,� !�� t 1"A qo I U+(i t?cPr'� f1iF(ji.
1
Address of Property: 24jc, !J' p7�(
Mailing Address of Owner:
i� p
Owner's email: RWU UD � ILFOA Ccts41 T�) wner's Phone#:
Agent's Name: Lo--h � We—wka--r Agent Phone#:
Agent's Email: � ,1 sic. (p.A[
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
I hereby certify that I awn 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
descrip6oion 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 [phone]. No response is considered the same as no objection if you have been notified by
Certified Mail.
WAIVER SECTION
1 un at any proposed pier, dock, mooring pilings, boat ramp, breakwater, baatho or
groin must be inimum distance of 15' frorn my area of riparian access aived by me
(this does not apply to L.or riprap revetments). (if you wish to wai etback. you must sign
the appropriate blank below.)
I DO wash to waive some/all of the 15' setback
attire of Adjacent roperty Owner
-0R-
I do not wish to + e 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
TypedlPrinted name of ARPO-21W H tT jL{ADA l r
Mailing Address of ARPO: Zi-1 J �tCl�tob
ARPO's email: ARPO's Phone#:
Date: z `waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent) h
Name of Property Owner: � �� •� 1'''� qo _J�-ry_ �!f�_-t;L7cow)HiL
Address of Property:
Mailing Address of Owner:
Owner's email:wner's Phone#:
Agent's Name: We q Agent Phone#.
Agent's Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Ajigcent Pronertv 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_pr2yided 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 [phone]. No response is considered the same as no objection if you have been notified by
Certified Mail.
WAIVER SECTION
I unders t any proposed pier, dock, mooring pilings; boat ramp, breakwater, boath or
groin must be s a minimum distance of 15' from my area of riparian ac s waived by me
(this does not apply to ads or riprap revetments), (If you wis a setback, you must sign
the appropriate blank below.
I DO wish to waive some/all of the 15' s
-OR-
Signature ofAWftrr%krt Riparian Property Owner
to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner;
TypedlPrinted name of ARPO:
Mailing Address of ARPO:
ARPO's email: ARPO's Phone#:
Date: 2 ! - . "waiver is valid for up to one year from ARPO's Signature"
Revised May 2021

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: i [ ��L � -1 - C�L% bT� - I� U61U )eW ti
Address of Property: 240 001--rk 0P-L q
Mailing Address of Owner
1 ) q p
Ii�LtU� A chic Ow�ne(s Phone#: c i l i� CYZ
v V�� t Agent Phone#. �rJ U " ' )DT 3
Owner's email
Agent's Name
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 forthis
pp,rmit has described to me, as shown on the attached drawing, the development they are proposing. 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 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.
WAIVER SECTION
l uncle d that any proposed pier, dock, mooring pilings, boat ramp, ater, boathouse, lift, or
groin must ack a minimum distance of 15' from my area nan access unless waived by me
this does not app Ikheads or riprap revetments). wish to waive the setback, you must sign
the appropriate blank be
I DO wish to waive somelall of
Signature of7the
ipanan Property Owner
-OR-
1 do n to waive the 15' setback requirement (initank)
Signature of Adjacent Riparian Property Owner:
Al�
TypedlPrinted name of ARPO: JL2' N� +
Mailing Address of ARPO: „ �u��' He Lulb
ARPO's email: ARPO's Phone#:
Date: °� "waiver is valid for up to one year from ARPO's Signature;
C Revised May 2021