56380_KROEGER, JAMIE_20101007

❑CAMA / ❑ DREDGE & FILL n
GEN=RAC PERMIT /V Previous permit#
❑New [']Modification ❑Complete Reissue ❑Partial Reissue / Date previous permit issued_
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
❑ Rules attached.
Applicant Name_ r Project Location: County
Address
City
Phone # ()_
Authorized Agent
Affected ❑ CW
AEC(s): ❑ OEA
❑ PWS:
ORW: yes / no
State ZIP
Fax # ( )
❑ EW ❑ PTA
❑ HHF ❑ IH
❑ FC:
PNA yes / no
❑ ES ❑ PTS
❑ UBA ❑ N/A
Crit.Hab. yes / no
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # ( } River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
M.
■■■■■■■■■■■■■�■r�r���■■■■■■■■■■■■■■■■■■■
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■■■■■■■■■■■■■■■■■■■■■■■■■■ICI■■■■■■■■■■■
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit **
PermitOfficer's Signature
Issuing Date Expiration Date _
Application Fee(s)
Check# Local PlanningJurisdiction
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 complywith these buffer rules.
Division of Coastal Management Offices
Raleigh Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST
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

CERTIFIED MAIL — RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER
FORM_
Name of individual applying for the permit: ~, k 11E 140�Wrte--
Address of property:
(Lot or street#, street of road)
(City & County)
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, should be provided with this letter. � �� ®� , I AL
�I have no objections to this proposal
If you have objections to what is being proposed, please write the Division of Coastal
Management, 400 Commerce Ave., Morehead City, NC 28557 or call [phone]
within 10 days of receipt of the notice. No response is considered the same as no
objection if you have been notified by Certified Mail.
Waiver Section
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift or
sandbags must be set back a minimum distance of 15' From my area of riparian
access unless waived by me. (If you wish to waive the setback, you must initial the
appropriate blank below.)
I do wish to waive the 15' setback requirement
I do not wish to waive the 15' setback requirement
FAF
Telephone number with area code

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to -� M /C /��
property located at
on
(Waterbody)
(Lot, Block, Road, etc.)
in
(Name of Property Owner)
(Town and/or County)
N.C.
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:
(To be filled in by individual proposing development)
fL/'n;�, ®r 04)V
'Sriq to A- u
(Applicant Information) (Riparian Property Owner Information)
'5:s�� Zc�a
Mailing Address Signature
S ha,r- o r1 C�-rclj
City/State/Zip Print or Type Name
2.52- (Q 3 - 253(o
Telephone Number
Date
Telephone Number
(O
Date

NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: Michele Kroeger
Date: October 7, 2010
General Permit* 56380C
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
TOTAL Sq. Ft.
FINAL Sq. Ft.
TOTAL Feet
FINAL Feet
(Applied for.
(Anticipated final
(Applied for.
(Anticipated final
DISTURB TYPE
Disturbance total
disturbance.
Disturbance
disturbance.
Habitat Name
Choose One
includes any
Excludes any
total includes
Excludes any
anticipated
restoration
any anticipated
restoration and/or
restoration or
and/or temp
restoration or
temp impact
temp impacts)
impact amount)
temp impacts
amount
HG
Dredge ❑ Fill ❑ Both ® Other ❑
3,750
300
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑

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MICHELE C KROEGER
RICHARD J KROEGER
1168
68
5317 Trent Woods Drive
New Bern, NC 28562-
ss-z /530
�� -. x BRANCH 77620
Pa to the ,
Date
order of
$
f
GO
Dollars
WACHOVIA
Wachovia Bank, N.A. until March 20, 2010
Wachovia Bank, a division o ells Fargo Bank, N.A.
effective March 20, 2010 `
For
1:0 5 3000 2 191: 10
l
10 2 3 4 98 2 30 70 i i 68

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Iblanagement
Beverly Eaves Perdue James H. Gregson Dee Freeman
Governor Director Secretary
BUFFER AUTHORIZATION CERTIFICATE FOR SHORELINE STABILIZATION
A riparian buffer authorization is required for shoreline stabilization activities within the Tar -Pamlico & Neuse River basins
per Division of Water Quality (DWQ) regulations 15A NCAC 02B.0259 & 0233. The Division of Coastal Management
(DCM) through a Memorandum of Understanding with the Division of Water Quality (DWQ) has reviewed your project
proposal, determined that the project as proposed complies with the aforementioned regulations, and made a "no practical
alternatives" determination per those regulations.
Those activities covered by your Coastal Area Management Act (CAMA) permit have received Buffer Authorization as
long as the project is constructed in a manner that continues to meet all of the conditions listed below. Failure to comply
with this Buffer Authorization shall subject the property owner & the party (contractor) performing the construction Wor
land clearing to a civil penalty of up to $25,000 per day per violation.
1. Impacts: Impacts to woody vegetation from clearing and filling in Zone 1 (begins at the most landward of either
the waters edge or the coastal wetland line and extends 30 feet landward) shall be minimized to what must be
impacted for the sound installation of the shoreline stabilization project. Unnecessary clearing and filling in the
buffer is a violation of the riparian buffer rules.
2. Clearing & Grading: Clearing and grading of Zone 2 (begins at the landward edge of Zone 1 and extends 20 feet
landward) is allowed provided that it is re -vegetated immediately and Zone 1 is not compromised, which includes
maintaining diffused (non-channelized) flow of storm water runoff through the buffer.
3. Construction Corridors: Construction corridors are allowed for shoreline stabilization projects, but they must be
satisfactorily restored as described in condition 5 below.
4. Potential Overwash: For vertical shoreline stabilization projects (bulkheads) only; sites where wave overwash is
expected to be severe, the first ten (10) feet landward (unless specifically authorized otherwise by DCM) from the
structure may be maintained as a stable lawn in order to provide for structural stability.
5. Site Restoration: At minimum, pre -project site conditions must be re-established. A site that was wooded prior to
this shoreline stabilization project must be restored with woody vegetation at a stem density of 320 stems per
acre. Non wooded sites may be re -vegetated with woody vegetation. Restoration must be completed by the first
subsequent planting season (November 1 through March 30) after completion of the bulkhead. Once re-
established, understory vegetation in Zone 1 is to be undisturbed and no mowing or any other activity that would
remove understory vegetation is allowed. e t,
• Pre -project site conditions:
6. Project Drawing: The drawing on the CAMA General Permit is considered the project drawing of your property
indicating the location of the shoreline stabilization structure and any associated clearing, grading, and
construction corridors. This drawing will be used to aid in compliance and monitoring efforts.
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.
3-a CY\
Agent o pplic ri t me Permit Officer's Signature
Agent 0(ARR1iDa-AfSig,_natuoi Issue IDto
CAMA GENERAL PERMIT
Washington Office Morehead City Office
943 Washington Square Mall 400 Commerce Avenue One
Washington, NC 27889 Morehead City, NC 28557 One
Phone [phone] Phone [phone] y+ J
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Version 5, 09/2009