52611_HEADING, RON_20080918

❑I CAMA / LL DREDGE & FILL
GENERAL PERMIT
❑New �':]Modification ❑Complete Reissue ❑Partial Reissue
As authorized by the State of North Carolina, Department of Environment and Natural Resources
and'the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
Applicant Name
Address i ; C�k r . r,
City StateZIP I""
i 4
Phone # ( ) I i i = ' Fax # O
Authorized Agent [- 0tAf ehCA--
Affected ❑ CW ❑ EW O PTA ❑ ES El PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ll
ORW: yes / no PNA yes / no Crit.Hab. yes / nc
q - �q -(-S 1 .5,6 4 f
Previous permit #
Date previous permit issued
❑ Rules attached.
Project Location: County
Street Address/ State Road/ Lot #(s) 1 ,
Subdivision ._i,w1C-.t
City �1 %,._ ZIP (� /
Phone # ( ) River BasinAdj. Wtr. Body
at /man /unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity �.• x.
(Scale:
Pier (dock) length_
Platform(s) — -
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
_
_
-
I
_
i
—
-
1
Beach Bulldozing
Other
j
i
Shoreline Length
SAV: not sure yes
Sandbags: not sure yes o
Moratorium: n/a yes n.
Photos: yes
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
1
1
—
-
—
on
--
back
-
------
--
-
®
See
note
--
regarding
River
Basin
rules.
Agent Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
it Officer's Signature
0
i
Issuing Date
Expiration Date
0q, g) all
Local Planning Jurisdiction
Rover File Name

Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific 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 [)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 or certified mail return receipt has been obtained from the adjacent riparian
landowner(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:
❑ Tar- Pamlico River Basin Buffer Rules ❑ Other:
❑ 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 Quality. Contact the Division of Water Quality at the Washington Regional Office (252-946-6481) or the Wilmington
Regional Office (910-796-7215) for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Raleigh Office Morehead City Headquarters
Mailing Address: 400 Commerce Ave
1638 Mail Service Center Morehead City, NC 28557
Raleigh, NC 27699-1638 252-808-2808/ 1-888-4RCOAST
Location: Fax: [phone]
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
Elizabeth City District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
Fax:[phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax:[phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 08/09/06

2008-09-17 07-22 2527283419»
P 1/3
ISLAND MAHONE CONGTRUCr*N
12M ISLAND ROAD
To: HARKSRS ISU►NL? NO 21Ni8!
26R"1I1
From:
Re: Authorization Letter
I authorize
/�jra-svh�� C -r— to act as my agent for the sole purpose of
obtaining/signing permits to perform work at
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Sincerely,
Signature
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2008-09-17 07:22
2527283419 >>
P 213
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILING"OATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to go ow ee M ' 's
(Name of Property Owner)
property located at
(Lot, Block, Road, etc.
on a
(Waterbady) (Town and/or ounty)
He has described to me, as shown below, the development he is proposing at that location,
and, I have no objections to his proposal. I understand that a pier/mooring pilings/boatlift/boathouse
must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless
waived by me.
I do not wish to waive the setback requirement.
I Ig wish to waive that setback requirement.
-------------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: 1,r—k
(To b filled In by Indi'du 1 proposing develppment) T X g 2
_, f �;,11 ,P 1� / - 5xa
(Applicant Information)
Marling Address
MC
� t� S ate/Zip
as,;- 441- 247(e
Telephone Number
Date
(Riparian Property Owner Information)
Signature
Print or Type Name
22
Telephone Number
Date
p of

2008-09-17 07-22 2527283419 >> P 313
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSIBOA TLIFTIBOA THOUSE)
I hereby certify that I own property adjacent to o t� 's
(Name of Property Owner)
property located atiR 11 f A v r
(Lot, Block, Road, etc.)
on C, � G r Q4z'e in r e- Pa. N.C.
(Waterbody) (Town ag&or County)
He has described to me, as shown below, the development he is proposing at that location,
and, I have no objections to his proposal. I understand that a pier/mooring pilings/boatlift/boathouse
must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless
waived by me.
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
---------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
"D" (To be filled in by individual proposing development)
S"x 9 2 GJer IR4 i I- "% Q� f .
5x C6 o-Jer Naa Chi �aN Ptc�rvg
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(Applicant Information
Mailing Address
AJ e.
Ciry/Stare/Zip
ASP- 447- 7 SUrAp
Telephone Number
Date a / b lb
I4`roTw i
Print or Type Name
Telephone Number
6 R QJ I (a
Date
7

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amis
Re. Authorizatiob Latter
[ authorize
re,.. to act as my agent for the sole purpose of
Obrt�*sipirq po7nits to peAo� work at
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Sincerely,
Signature
Print Name
&tult 0 tO go k-)
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This Buffer Authorization is not considered approved until the DWQ has received both
this signed form AND the project map.
Submit the requested information to:
Division of Water Quality
Attn: Surface Water/Buffer Program
943 Washington Square Mall
Washington, NC 27889
By your signature below you agree to be held responsible for meeting ALL of the above listed
conditions and verify that all information is complete and accurate. Please be aware, violations
of the above -listed conditions are subject to civil penalty assessment of up to twenty-five
thousand dollars ($25,000.00) per violation per day.
v
Applicant/Agent's Signature
CAMA General Permit Number:
North Carolina Division of Water Quality Internet: www.newaterquality.orz
943 Washington Square Mall Phone: [phone]
Washington, NC 27889 FAX [phone]
An Equal Opportunity/Affirmative Action Employer— 50% Recycled/10% Post Consumer Paper
Date
5 2-C� it
No hCarolina
Nattarally
Version 1, 9-08

Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Coleen H. Sullins, Director
Chuck Wakild, Deputy Director
BUFFER AUTHORIZATION CERTIFICATE FOR PIER ACCESS
A riparian buffer authorization is required for an approved access way through the Tar -Pamlico
& Neuse River Riparian buffer per Division of Water Quality (DWQ) regulations 15A NCAC
0213.0233 & .0259.
Activities covered by your Coastal Area Management Act (CAMA) permit are deemed to have
a Buffer Authorization from the DWQ as long as the project can meet ALL of the conditions
listed below. If ALL of the avoidance and minimization guidelines listed below cannot be met, a
separate buffer authorization request must be submitted using a Pre -Construction Notification
(PCN) application to DWQ at the address below.
A PCN application may be obtained on the DWQ site http://h2o.enr.state.nc.us/wetlands.htm1.
Any questions regarding this process should be directed to the wetland/buffer staff of the DWQ
in the Washington Regional Office at 252-946-6481, or the 401 Oversight Unit in the Raleigh
Central Office at 919-733-6893.
A written authorization from DWQ MUST be received prior to any construction activities in the
riparian buffer, including land clearing. Failure to secure a Buffer Authorization prior to
construction &/or land clearing shall subject the property owner & the party (contractor)
performing the construction &/or land clearing to a civil penalty of up to $25,000 per day per
violation.
❑ Pier access must cross the 50 ft. riparian buffer perpendicularly (which is defined as
between 75 and 105 degrees). The alignment should also be located to minimize the
removal of woody vegetation to the greatest extent practicable.
❑ Walkway/access shall be made of pervious materials like open -slatted wood, mulch, or
grass. The use of impervious materials like concrete, pavers, or gravel will require a
PCN review and a separate Buffer Authorization. A request for an impervious walkway
shall include a justification of need.
❑ The width of the access is limited to six (6) feet or less. A width of greater than 6 feet
wide shall require a PCN review and a separate Buffer Authorization. A request for an
access greater than 6 feet shall include a justification of need.
❑ Please submit a project map of your property indicating the location of the pier and any
requested walkway/access.
North Carolina Division of Water Quality Internet: www.ncwaterguality.ore
943 Washington Square Mall Phone: [phone]
Washington, NC 27889 FAX [phone]
An Equal Opportunity/Affirmative Action Employer - 50% Recycled/10% Post Consumer Paper
None
rthCarolina
naturally
Version 1, 9-08