57175_SMITH, DOROTHY_20110322

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GE%IEFIAL. PERMIT c, , 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 1. . i
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC `
[] Rules attached.
Applicant Name
Address i •^� .<<-i �".
City 140_,t CuIState /VC. ZIP
Phone # ("-c-) Fax # ( )
Authorized Agent T-Vi44e T C GA-e -iu) �-
Affected D CW D EW ❑ PTA DES p PTS
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
AEC(s):
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / Crit.Hab. yes / all
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision r., r (J j + r
City
t�-- ZIP
Phone # (`' 2) 1 2� -096-1 River Basin N•OV) e.
Adj. Wtr. Body b � I Ors i_.,o,r (nat 4nkn)
Closest Maj. Wtr. Body
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Agent or Applicant Printed Name Permit Officer's Signature
:itzr,,/?,z -
Signature ** Please read compliance statement on back of permit ** f 'a 'Issuing Date Expiration Date
Application Fee(s) Check # 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
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

NC Division of Coastal Mgt. Habitat Impact Computer Sheet
l
Applicant: Smith Permit #: 57175C
Date: 4/18/11
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
Habitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
Shoreline
Dredge O Fill ❑ Both ❑ Other ❑O
135
135
High ground
Dredge ❑ Fill 0 Both ❑ Other ❑O
2025
2025
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
252-808-2808 :: 1-888-4RCOAST :: www.nccoastaimanaElement.net revised: 02/03/10

Serial Number
18343264860
Pay to
Address
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Memo
7/ 7 5-
1:00000800 21:
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Month, Day
Post Office U.S, Dollars and Cents
V
Fill'
Clerk
From
`,� -Address
WARNING • NEGOTIABLE ONLY IN THE U.S. AND POSSESSIONS
$34326ti86OIla
. ......... .

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
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 (LAMA) 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.
i. 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. ,
• Pre -project site conditions: L yy
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 tlliat all
infoP4 ation ism pi I ka.and accurate. '\
Printed Name
Applicant Signature
Permit Off' s ignature
2Z
Issue Dat
CAMA GENERAL PERMIT #: I 5C_
Washington Office
943 Washington Square Mall
Washington, NC 27889
Phone [phone]
Morehead City Office
400 Commerce Avenue
Morehead City, NC 28557
Phone [phone]
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One
NorthCarohna
NahIM11Y
Version 5, 09/2009

ADJACENT RIPARIAN PROPERTY oNvNER SWAzEMMNT a t
(Bulkhead/rip rap)
I hereby certify that I own property adjacent to
(Name of
property located al
on d - in. �,r7 �i � i� �7I N.C.
(water body)(Town and/or County)
He has described to me as shown below,. the: development he is proposing at the
location, and, I have no objections to his.proposal.
DESCRIPTION AND/OR DRXWIWG OF PROPOSED'1)E ELOPMENT
(to be f filed in by Ind vid&al proposing developnwV)'
Foley & Foley Contractors, Inc.
Phone#: [phone]
Fax# [phone]
pjlkbic�Lf
Print or Type Name
Telephone Number
Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(Bulkhead/rip rap)
I hereby certify that I own property adjacent to 4 ma c_ , s
(Name of PJoperty Owner)
property located at
(Lot, Block, Road, etc.)
on C C in / )r,-e) r-J- i (-c.;-n , N.C.
(Water body) (Town and/or County)
He has described to me as shown below, the development he is proposing at the
location, and, I have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(to be filled in by individual proposing development)
`'v r
Rjlk���
xr.
Foley & Foley Contractors, Inc. Signature
Phone#: [phone]
Fax# [phone]
Print or Type Name
Telephone Number
Date

North Carolina Department of Environment Resources
Division of Coastal Management
Charles S. Jones, Director
Michael F. Easley, Governor
Date ,2 -((- 1 /
Applicant Name
Mailing Address �� a1 °�►x. ,%j�d_�
I certify that I have authorized (agent) Foley Contractors, LLC to act on my
behalf, for purpose of applying for and obtaining all CAMA Permits necessary to
' install of construct (activity) ,
at (location)
This certification is valid thru (date) 1 year
Signature
William G. Ross Jr., Secretary
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone]/ FAX: [phone]/ Internet: www.nccoastalmanagement.net
An Equal Opportunity/ Affirmative Action Employer-501/oRecycled/10% Post Consumer Paper

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(Bulkhead/rip rap)
I hereby certify that I own property adjacent toj��—� 's
(Name of W operty Owner)
property located at 9e.
(r
(Lot, Block, Road, etc.)
on in /t7 ��r t7n , N.C.
( -water body) r (Town and/or County)
He has described to me as shown below, the development he is proposing at the
location, and, I have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(to be f lled in by individual proposing development)
gdkhx;�Lf
Foley &. Foley Contractors, Inc. Signature
Phone#: [phone]
Fax# [phone]
Print or Type Name
Telephone Number
Date

North Carolina Department of Environment Resources
Division of Coastal Management
Charles S. Jones, Director
Michael F. Easley, Govemor
Date /— / /
Applicant Name 17 z i
Mailing Address
rer
I certify that I have authorized (agent) Foley Contractors. LLC to act on my
behalf, for purpose of applying for and obtaining all CAMA Permits necessary to
install of construct (activity) RU
at (location
This certification is valid thru (date) 1 year
Signature Xc'ti^�� C�� 4
z�
William G. Ross Jr., Secretary
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone]/ FAX: [phone]/ Internet: www.nccoastalnianagement.net
An Equal Opportunity/ Affirmative Action Employer-50%Recycled/10% Post Consumer Paper