53638_LIEBERMAN, ED_20090507

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❑ CAMA / ❑ DREDGE & FILL
GENERAL PERMIT 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 I SA NCAC
❑ Rules attached.
Applicant Name
Address
City —_ Statei - ZIP
Phone # O Fax # (
Authorized Agent
� Cw ❑ EW ❑ PTA
Affected
F , OEA ❑ HHF ❑ IH
AEC(s):
PWS: ❑ FC:
ORW:
yes / no PNA yes / no
Type of Project/ Activity
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
Beach Bulldozing
Other
Shoreline Length
SAV: not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
❑ ES ❑ PTS
❑ UBA ❑ N/A
Crit.Hab. yes / no
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit _
Application Fee(s) Check #
Project Location: County_____
Street Address/ State Road/ Lot #(s)
Subdivision
City_ ZIP
Phone # ( ) River Basin
Adj. Wtr. Body____ — (gat /man /unkn)
Closest Maj. Wtr. Body —
(Scale: )
See note on back regarding River Basin rules.
Permit cer's Si ature
Issui Date / x iration Date
Local Planning) urisdiction 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 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 or certified mail return receipt has been obtained from the adjacent riparian
landowners).
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
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/ 1-888ARCOAST
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

law
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor James H. Gregson, Director William G. Ross Jr., secretary
Date Z d Ll
Applicant Name H L e !rev w\o-\v\
Mailing Address 1 il'y, L g I n
/I-f'rV'kw N6, 01, q6-5s
I certify that I have authorized (agent)
-A-N^hev-bAAVS / ' I ^d" -v`e- to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) 'Jz'-
at (location)
This certification j
Signature
thru (date)
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] \ FAX: [phone] \ Internet: www.nccoastalmanagement.net
An Equal Opportunity \ Affirmative Action Employer- 50% Recycled 110% Post consumer Paper

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOO1p M PH-MGSIBOATLIFTBOATSOUSE)
I hereby certify that I own property adjacent to E v L k ` - `^ \ -%V0 is
(Name of Property Owner)
property located at 1 G\ 0 N � lL voA,)h
(Lot, Block, Road, etc.) �y
on i;�VZ Z L( 1 in ✓J t 11 , N.C.
(Waterbody) (Town and/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/boadiffi/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 frlled in by individual proposing development)
r
j1) �
(Applicant Information)
ry o 5"y' 1(I C)
Mailing Address
Of;_ 'vAoA � 6 3.? 511
City/State/Zip
Telephone N
17 �i
Date
(Riparian Property Owner Information)
L t .
Signature
TEA N '
Print or Type Name
Telephone N ber
M 7&. A n
Date

Page 1 of 1
Site: 191 OLD LUPTON RD
3354
h%5
K071-39
(335)
START B418
ACCTNUM 23225
FIRSTNAME
ADDR1 191 OLD LUPTON RD
Property Details:
UNIQUEID
LASTNAME
CAREOF
ADDR2
8261
LIEBERMAN, EDWARD MARVIN
ET UX HARRIET HANDMAN
CITY
MERRITT
STATE11
NC
ZIP
1128556
PARRECNUM
4888
NAME
JILIEBERMAN, EDWARD MARVIN
IMAPNO
K071-39
CONTROLNUM
CLSCODE
INSERT K071
BLOCK 39
SITEADDR 191 OLD LUPTON RD
SITUSROAD OLD LUPTON RD
LEGDESCI FJS SR 1326
PIN
DISTTOWN D02
DBLCIR
PARCELNO
SITUSADDR 191
EXEMPT
LEGDESC2
TOTACRES
0
CRNTTOTUSE
0
CRNTTOTDEF
0
CRNTLANDVA
1154600
CRNTBLDGVA
1129019
JJCRNTOBLDGV
14943
TOTCRNTVAL
98562
FiRECODE
F
II HOUSECODE II P
IISEWERCODE I
SALEAMNT
125000
SALEDATE
10/26/2004
SALEDATE2
74,447
11 SALECODE
S
ROADNUM
1326
PCTCOMP
100
WILLBOOK
0
WILLPAGE
0
DB PG
434/1
DEEDBOOK
434
DEEDPAGE
1
PLAT
XXXXXXX-XX
JI MOBHOME 110 I
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to E � [;% e'—W-v-,`\ S 's
(Name of Property Owner)
property located at bup'-\,),\
(Lot, Block, Road, etc.)
on in M of 4 , N.C.
(Waterbody) (Town and/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:
(To be filled in by individual proposing development)
1Je��
LLB ` CteJ 1 _
-------------------------------------------------------------------------------------------------------------------
(Applicant Information)
Mailing Address
Uf�c��N�
City/State/Zip
)-MI- I�lcl
Telephone N tuber
q 17 41
Date
Information)
Name
Tel Nu ber
X � Z
Date
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INNERBANKS MARINE CONSTRUCTION, INC.
P.O. BOX 190 PH# [phone]
ORIENTAL, NC 28571
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North Carolina Cepartment 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
02B.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 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.ora
943 Washington Square Mall Phone: [phone]
Washington, NC 27889 FAX [phone]
An Equal Opportunity/Affirmative Action Employer— 50% Recycled/10% Post Consumer Paper
NorthCarolina

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 Mali
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.
Applicant/Agent's Signature
CAMA General Permit Number:
_�-3(03? C
4- 5�633<f
_�_ ��-36 --2.) 7 C,
North Carolina Division of Water Quality Internet: www.ncwatcrqualitv.ord
943 Washington Square Mall Phone: [phone]
Washington, NC 27889 FAX [phone]
An Equal Opportunity/Affirmative Action Employer — 50% Recycled/10% Post Consumer Paper
Date
NorthCarohna
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