53377_FIACKOS, PHILLIP_20090326

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[�CAIVIA / C DREDGE & FILL
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►L PERMIT Previous permit
❑New ❑Modi:ication El Complete Reissue ❑Partial RYV 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 T
,,.N Rules attached.
Applicant Name t 4`" t f! i:3 i
C K Q
Address
(A k .
c r State
ZIP 104
City—!! 1
Phone # (� lC)_ f,.. , Fax # O
y
Authorized Agent
tr
Affected ❑ CW ElEW ❑ PTA DES
❑ PTS
❑ OEA ❑ HHF ElIH ❑ UBA
AEC(s):
❑ N/A
❑ PWS: ❑FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Project Location: County C?C I
Street Address/ State Road/ Lot #(s)I�?rE
J
Subdivision .f"--J V
city _/ ZIP
Phone # (�%(�) . ' r ~" River Basin ! i';
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body —
Type of Project/ Activity
(Scale: / )0%le
)
—�
Pier (dock) length _
Platform(s)
Finger ier s
Groin length
number_
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other'Xi
j
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I
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r
i.
}
—
—
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r� .ri _
Shoreline Length �'="`
SAV: not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no r
i
A building permit may be required by:
Notes/ Special Conditions -�' �r' F^
-
See note on back regarding River Basin rules.
+ ►� f !�
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AgeRvor Applicant Printed femme
,4 1pw
Signature Please read comp lance statement on back off/J`
permit
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Application Fee(s) Check #
Permit fficer's Signature ft
Issog Date y / Expiratio6 Date
Local Planning Jurisdiction Rover File Name

41r'
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, certifythatthis 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
252-808-28u8/ 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

RALPH M PROVOST INC. PAGE 02
01/15/2009 09:15 9103263859 70:919103263859 p• !3'4
i JAN-�'�-2029 10:32 Frort,:DCM STY
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NCIDENR
North Carolina Department of Environment and Natural ReSOurces
()ivision of Coastal Management
6ev8lY Eaves Perdue, 00ver0f
James H. Gragson, Director Dee Freeman, Secretary
Date
j �A� KQS
Applicant NOW,,.�. ,{ •�
Mailing hddrrss ���� _._.
1 certify t$nt I have authorized (agent) fit —PO UQ5 F to act od rny
behalf, for the purpose of applying for and obtaining all LAMA Permits necessary to
install or con9truct (activity) R i P Rg P �AAT�� i N i oGr
At(location) 1 -3q" ANNA LA /'/ s���Tr ' `� �___•
This certincatiou�id th -,(date)
Signaturc
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone. [phone] FAX: [phone] Internet: www.nL=astaimanegement.net
M Equal Oprwouniry wvmarlue ktion Empioyer- 50 % Rewyded 110% Post Comumer Paper

01/15/2009 19:46 9103263659
Jgt.tij5-pooq 10t32 From:XM MHOCTY
RALPH M PROVOST INC. PAGE e4
70:9191W26.3859 P&,e:414
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
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1 hereby certify that l own Property 1d'acent'o (Name of Property Owner)
it I:z
property located at •�
(.Lot, Block, Road. etc.)
on
(Waterbody) ('Town find///orr County)
Applicant's phone #: Aiwlling Address: `T 0 � jti CT
410-4.i--1(D7 i;-t Ico 1 ! Mid IUm -.j
He has &scribed to me, as shown below, the development he is proposing at that location, and, I
hove nu objections to his prOWsal.
.... _ - ..._....... ------- -------
p,F,SCItiP'TION ANMOR DRAWING OF PROPOSED DEVELOPMENT:
(To be felled in by property owner proposing development)
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68/ )� �R`lVIEi.J .STATE.$ �OI�EIZ-(►J!
(Information for Property Owner Applying
for Permit)
113 ✓I i7 �,¢ye
Mailing Address
(Riparian Property Owner Information)
Me,rr, `f f- AlC, igss4
City/Stato/zip _ _.
A, -.-1, 79- s 6
Telephone Number
2.61 —
Signature UV Date
Signature J /
Print or Type Tame J
Telephonu Number
Dute

01/26/2009 09:44 2529404777 WATERFONT PRO
19:46 9103263659 RALPH .4 PROVEST INC. PAGE 04
101je From'"
PAGE 02
ADJACENT RLPAAW pRop.EXTy 4c)WNER STATEMENT
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"e hsv, &imibad to me, u shawn WWA, j)tc d-elortl)Cilt 110 is proposing at 11111L jMQXiC' % and, 1
him: au aki-Li-I to hio vropwl.
... . ....... --- .................. -------- —1 -- ----- ------
1)7,r,r 'Rr"10N Afql)rgR I)IRAWING OF PROPOSED DEVELOPMENT!
1. ;. A" a pply pwnrp propasifig d"1210pnienO
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........ . .. ... .1 .... . .. ---I-.----
(Riparian PYOVertY Owner InfarmIti0n)
for permit)
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RALPH M. PROVOST, INC.
PH. 91(1-326-3184
1433 BELGRADE-SWANSBORO RD.
MAYSVILLE, NC 28555
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north Carolina Department or Environment and Nlaturai Resourcas
Coleen H. Sullins, Director
Chuck Wakild, Deputy Director
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.0233 & .0259.
Activities covered by your Coastal Area Management Act (CAMA) permit are deemed to have
a Buffer Authorization from the DWQ only if the project can meet ALL of the conditions listed
below. If ALL the avoidance and minimization guidelines described 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 web site http://h2o.enr.state.nc.us/wetlands.htm1.
Questions regarding this process should be directed to 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.
❑ Minimize removal of woody vegetation in Zone 1 to what MUST be removed for the
installation of the shoreline stabilization project. Zone 1 begins at the most landward of
either the waters edge or the coastal wetland line and extends 30 feet landward.
Unnecessary clearing is a violation of the riparian buffer rules and may result in a civil
penalty assessment of up to $25,000 per day per violation.
❑ The property owner is responsible for site restoration of woody vegetation. Pre -project
site conditions MUST be re-established. A site that was wooded prior to this
shoreline stabilization project MUST be restored with native hardwood trees at a stem
density of 320 trees per acre. Hardwood restoration must be completed by the first
subsequent planting season (November 1 through March 30).
❑ Disturbance in Zone 2 of the riparian buffer, which begins at the landward edge of Zone
1 and extends 20 feet is restricted to uses listed under 15A NCAC 2B .0233(4)(b) & (6),
and 15A NCAC 2B.0259(4)(b) & (6). Clearing and grading of Zone 2 is allowed provided
that it is re -vegetated immediately and Zone 1 is not compromised, which includes
maintaining diffused flow of storm water runoff through Zone 1.
North Carolina Division of Water Quality Internet: www.ncwaterquality.ora One
943 Washington Square Mall Phone: [phone] NOrthCarohna
Washington, NC 27889 FAX [phone] Naturallff
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❑ For vertical shoreline stabilization projects (bulkhead) only; sites where wave overwash
is expected to be severe, the first ten (10) feet landward from the structure may be
maintained as a stable lawn in order to provide for structural stability. This certificate
condition is intended to apply only to projects adjacent to larger water bodies where the
conditions may routinely produce severe overwasn.
❑ Construction corridors are allowed for shoreline stabilization projects, but they must be
satisfactorily restored, see the first condition of this authorization.
❑ When restoration is required Please submit a project map of your property indicating the
area to be restored, and a restoration plan. The DWQ website (Helpful links),
hftp://h2o.enr.state.nc.us/ncwetiands/RiparianBufferRules.htm may be helpful in the
preparation of the restoration plan.
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. Only the property owner is
responsible for the second condition. Please be aware, violations of the above -listed conditions
are subject to civil penalty assessment of up to twenty-five thousand dollars ($25,000) per
violation per day.
Applicant/Agent's Signature
CAMA General Permit Number:
North Carolina Division of Water Quality
943 Washington Square Mall
Washington, NC 27889
5-
3377 C
Internet: www newaterquality.or�
Phone: [phone]
FAX [phone]
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Date
Nne
orthCarohna
,Vaturally