56008_SKINNER, RICHARD_20100706

CCAMA / ❑ DREDGE & FILLp�'Jb��
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
3 E] Rules attached.
Applicant Name �1 (^ / ; c �.[ ( r 1 (1 / fly Project Location: County
Address 4 j �7 a Street Address/ State Road/ Lot #(s)
1-17
City �` ,J PV �" I {:V i1 State . ZIP I
Phone # Fax # ("�`- Subdivision
Authorized Agent City ZIP
Affected ❑ CW ❑ EW -]� PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FQ
ORW: yes / no PNA yes / no Crit.Hab. yes % no
Phone # ( J // River Basin
Adj. Wtr. Body lC_' (1 i`' P`' 1 l �t (nat /man /unkn)
Closest Maj. Wtr. Body /V c t `i ' �, i K CA
Type of Project/ Activity t
(Scale:
Pier (dock) length ��' %�
Platform(s) i o
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Y
Boat ramp—�
Boathouse/ Boatlift
i
-
—
—J—
-
-
I
�I
I
'
I
I
Beach Bulldozing
Other r
-
—
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
I
i
on back regarding
r
--
River Basin rules.
r-..
,
:�
❑ See note
1ps
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit **
Application Fee(s) Check #
Permit Officer's Signature
f�
Issuing pate , �,�Expiirradoonn Date
L-0'7 ice /®J
Local Planningf 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
landowner(s) .
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certifythat 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/ 1-888ARCOAST
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

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORI_NG PILINGSIBOATLIFTIBOATLIOUSE)
I hereby certify that I own property adjacent to -Ki kKJ S < 10 ficK 's
r (Name of Property Owner)
property located at J b V
(Lot, Block, Road, etc.)
on ere- in C° R ue v Cou&,T Y N.C.
(Waterbody) (Town and/or County
Applicant's phone Z- 3?•'23 d Mailing Address: 50f I/AigpOl. CV4VC
Ne-w NPO Mac.. 2k" o
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 (11�')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)
V
---------------------------------------------------------------------------------------------------------------
(Information for Property Owner Applying (RiZ=Z
for Permit)
S'o 9 N t2 )3vQ b J2 e
Mailing Address re
w IFe
City/State/Zip
ZYz-6Ig -25y-
Telephone Number
Signature
Date
W1 Q s70&) iW. 3 Ixo,J
Print or Type Name
292 - 229
Telephone Number
S
Date

07/0542010 13 36 191954403B1
:]U 05 2010 11 : 57AM
HP LASERJET FAX
TrianglePharmacy
42730 P.002/002
p - 2
i
ADJACENT RIPARI_-kN PROPERTY OWNER STATEMENT
(FOR A PI ,MO01!?3NG PILrNGS/BOATLIFT/BOATHOUSE)
I hereby certi-fy that I owr, propel y adjacent to y Git�j d S / _ 's
I
(Name of Property Owner)
property located at
t, Block, Road, etc.)
on in C C 0U &JT V
('Vaterbody) (Town and/or C unty)
Applicant's phone ,Mading Address: T9IJy.
i ^6v
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 I derstand that a,-4Wmooring pilings / boatlift / boathouse
must be set back a minimum distance of fifteen feet (IS') from my area of riparian access unless
waived by me_ (If you wish to wa►vei the setback, you must initial the appropriate blank
below.)
I do not wish to waive
I do wish to, waive that s4ack requiremert.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
4�
o '
N
(Information for Property. Owner �pplying
for Permit)
S-o 9 of l Ve
Mailing Address T
City/5tate/zip
2S2r 631- Z3�f-d
Telephone Nr;m er
Signature Date
(Riparian Property Owner Iufor-n
a/41 D, I IM Imo— A-r,y 9-4 �--
Print or Type Name
ZvySr
Telephone Number
Date

RICHARD L SKINNER
PROPERTIES ACCOUNT
509 HARBOR DRIVE
NEW BERN, NC 28560
PAY �/ C` Civ �z
TO THE
ORDER OF_
Uo
1712
/ J Q DATE 66-679-531
(� /
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N— 3—,, N olina 28562FOR
II'D0 L7 L 211' 1:053 L067991: 01,6E 2 LG968u'
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DOLLARS B
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NC Division of Coastal Mgt. Habitat Impact Computer
Applicant: Richard Skinner
Date: July 6, 2010
General Permit #: 56008C
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)
amount)
temp impacts)
amount
OW
Dredge ❑ Fill ❑ Both ❑ Other ®
—impact
250
250
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑

I� ,
JWI �i�r�
NCDEN
Mcrh I-arciina Departmen of Environment and, Flescdrees
CivisiGr, of Coastal Management
Beverly Eaves 'Perdue James H. Gregson Dee reeman
GovernGr Director Secretary
BUFFER AUTHORIZATION CERTIFICATE
FOR PIER AND DOCKING FACILITIES ACCESS WAY
A riparian buffer authorization is required for pier and docking facilities access ways through the Tar -Pamlico &
Neuse River Riparian buffer per Division of Water Quality (DWQ) regulations 15A NCAC 0213.0233 & .0259.
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.
i. Crossing is Perpendicular: Pier and docking facility access way must cross the 50 ft. riparian buffer
perpendicularly (which is defined as between 75 and 105 degrees) unless otherwise approved by DCM.
The alignment shall minimize the removal of woody vegetation to the greatest extent practicable.
2. Pervious Materials: All reasonable measures shall be taken to ensure the access way is made of
pervious materials like open -slatted wood or composite, mulch, or grass to meet the intent of the rules
to the maximum extent practicable.
3. Access Width: The width of the pier or docking facility access way shall be limited to six (6) feet.
4. Project Drawing: The drawing on the CAMA General Permit is considered the project drawing of your
property indicating the relative location of the pier or docking facility and any requested access way.
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 conditions listed above and
verify that all information provided is complete and accurate.
1
) f
Agent or pplica t Printed Name Permit Offi er's 9ignature
71 W/c,
Agent or Signature Issue ate
CAMA GENERAL PERMIT #: rz ? G
Washington Office Morehead City Office
943 Washington Square Mall 400 Commerce Avenue
Washington, NC 27889 Morehead City, NC 28557
Phone [phone] Phone [phone]
An Equal Opportunity/Affirmative Action Employer— 50% Recycled/10% Post Consumer Paper
Version 5, 0912009