53388_MCFADYEN, DAVE_20090406

r lI CAMA / ❑ DREDGE & FILL �,%
GENERAL PERMIT Previouspermiti#
❑New ❑Modification El Complete Reissue ❑Partia Reissue U 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
El Rules attached.
Applicant Name * Project Location: County
Address -
City —.—
Phone # ( ) _
Authorized Agent
❑ CW
Affected
0 OEA
AEC(s):
❑ PWS:
ORW:
yes / no
State ZIP
Fax # ( --)-- _
APEW ' '"TA 4PS (,TS
El HHF ElIH ElUBA ❑ N/A
❑ FC:
PNA yes / no Crit.Hab. 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
S": 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
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit *4
Application Fee(s) Check #
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # ( ) River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
(Scale: )
QSee note on back regarding River Basin rules.
"77, a,'Y'J'I
Permit Officer's Siqture
i
Issuing Date t Ex iration Date
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 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
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
252-808-28u8/ 1-888ARCOAST
Location:
Fax: [phone]
2728 Capital Blvd.
(Serves: Carteret, Craven, Onslow -above
Raleigh, NC 27604
New River Inlet- and Pamlico Counties)
919-733-2293
Fax:[phone]
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

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to Mc -Fa k1 l e,., I
(Name of Property Owner)
property located at 5 0 i � S wn C(rp, e (.c.. P -,- • ,
(Lot, Block,, !Road, etc.)
on W SoyA Cy��el , in N eA J B e✓,n , N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: 25 2 - (, S (e- 2 Selo Mailing Address: 56 c- LA. W , s o" Cry.. I,- D'.
Dew c 2SQ,2-
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. (If you wish to waive the setback, you must initial the appropriate blank
below.)
I do not wish to waive
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
/e}hA ,
� W`=111 ,✓ova wl I1 �Q 5Lk ffo✓te® y Pifl�
o�,,. J� � � �� �t" i-ie.� �,r- �. •I-ti. � � Q� p a,,,�s i/� � � ,r 1 � d oc. •f- � '
--------------------------------------------------------
(Information for Property Owner Applying
for Permit)
(Riparian Property Owner Information)
say W . w
Mailing Address Signature
fJP,w ,, l e 24sS�2 C LI.,tL -• a Tt�
City/State/Zi Print or Type Name
2S"2- (Q36 —2Sz(-
Telephone Number
3-(-7-e
Signature Date
�Sa-�33-3�aln
Telephone Number
�3 0
Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to cw e (r''1 c Fa. & e-, is
(Name of Property Owner)
property located at 5 0 �/`l In) 1 San C,r e, e (.c. Q -- - ,
(Lot, Block,, (Road, etc.)
on VJ 1 S�v, C✓�e �k_ , in N 6,t-J S e N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: 252 - Mailing Address: 56t- LA. W, � o,N C,rc e I- Dom.
►J el.,, A , tJ c 2 S SZ 2-
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. (If you wish to waive the setback, you must initial the appropriate blank
below.)
I do not wish to waive
Y -'� 1 do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
T4 �oa� ? T W o o �l r,<, d o 1 ` (�/ am a J'J '1/ I q
a-K,J `J ,
ac, J� ��'1 �e �te� �.1i,�e Q�pav,s�/�„a✓ ` Ana f-�
(Information for Property Owner Applying
for Permit)
sob W. w ,
Mailing Address
fJ t-,) Pye.,rv, , ! a 2
City/State/Zi
252- (e36 -2Sz(,
Telephone Number
3-17
Signature Date
(Riparian Property Owner Information)
Signature
ID 3e
Print or Type Name
as"a-(033-5 9&6
Telephone Number
3/a V 69
Date

W , DAVID McFADYEN III
NCDL 7662083
PH. 252-636-2526
506 W • WILSON CREEK p-'
28162
TRENTWOODS,NC 0 12
NG�
1184
5g-770412531
i4g7490
DATE
$Z00
PAY TO
THE ORDER OF
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State Em to ees �.
P1eW gem, North Carolina
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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 ($25,000.00) per violation per day.
Applicant/Agent
CAMA General Permit Number:
North Carolina Division of Water Quality
943 Washington Square Mall
Washington, NC 27889
53'3$�nc
Internet: www ncwateraualitv.orc
Phone: [phone]
FAX [phone]
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Date
NorthCarolina
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North Carolina Department of Environment and Natural Resources
Coieen 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.htmi.
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 ncwaterquality.org
943 Washington Square Mall Phone: [phone]
Washington, NC 27889 FAX [phone]
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orthCarolina
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