55022_JORGE, ED_20091103

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C�rCAMA / ❑ DREDGE & FILL
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GENERAL PERMIT
Previous permit #
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❑New ❑Modification ❑Complete Reissue El 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
-
Mulles attached.
Applicant Name , ; . _ ��
Project Location: County ( l C 0
Address L) r��LY(t i�lt Hai
Street Address/ State Road/ Lot #(s) © r ! /�
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city1C 1 41 st t�1S"1 zlP�
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Phone # (: ��) !�^--`-'� Fax # (^' "-'
Subdivision ,^� �,A tiny 117��
Authorized Agent _.` i.:o ` `� �° %, ? ;_�
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City , It ZIP
❑ CW ❑ EW �] PTA DES ❑ PTS
Phone # L.-s. ( -) ""'^' River Basin vl l
Affected
Ll OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
AEC(s):
; ,
Adj. Wtr. Body �U11 `^ �__ . �r�at /man /unkn�
Closest Maj. Wtr. Body
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Type of Project/ Activity I i
Pier (dock) length '
Platform(s)
Finger piers) It
Groin length
number �y
Bulkhead/ Riprap length
avg distance offshore_
max distance offshore_ `�
Basin, channel
cubic yards_
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other ` 1
Shoreline Length
SAV: not sure yes
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes o �'s--- --
A building permit may be required by:A
Notes/ Special Conditions Y i ' q6O
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See note on back regarding River Basin rules.
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Agent or Applicant Printed Name
1,
Signature Please read comp ance statement on back of permit
Application Fee(s) Check #
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Issui g Dati6 Okpirati6n Date
AM jC-"7
Local Prann}ng 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
252-808-2808/ I-888-4RCOAST
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

P.O. Box 268
Merritt, NC 28556
www.BroadCreekConstruction.coni
"The Original Concrete Pier"
October 29.2009
Ed and Cheryl Jorge
4550 Tranquility Lane
Zanesville, OH 43701
Description of work at Lot #217 Dawson Creek
• Concrete Dock, to include:
- 5'x 50' Walkway
- 11'x 13' Platform "L"
- 5'x I Drop Down
- 5'x 12' Finger
• Four additional 30' Pilings, for future lift
• Two tie off pilings
• 180', 4' of exposure, 3.5 grade ESP Vinyl Seawall
Phone: [phone]
Fax: [phone]
N.C.G.C. License#45686

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North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, C-oveirior Charles S. Jones, Director VyIilliarr, G. Rass Jr.. SP_creiary
Date '-p C) C)
Applicant Name J o r G
Mailing Address
I certify that I have authorized (agent) b rj Clet k to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (actin. ity)
at (location) Lc+
This certification is valid thru (dat
Signature 1144 f
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] `ti PAX: 252-247-3330 t Internet: www.nccoastalmanagement.net
An Equal Opportunibj 1 Atfumadve Action Employer— 50% Recycled 110% Posi Consuiner Pacer

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to
91
property located at
C-B s
(Name of Property Owner)
ALA
(Lot, Block, Road, etch.)
on fit, J50 n ',SC et' k , in 1 Ct,4Y1 I I C Q 0 0U di A , 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) I
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Signature
M i U`A W ✓ ,4- DAL
Print or Type Name
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Telephone Number
Date: f lJ�2 �/G2

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Parcel Number: H094-1-217 Deed Book:456
Pamlico County, NC Record Number: 17641 Deed Page: I
Owner Name: COASTAL MARKETING & DEVELOPMENT CO Legal 1: LOT 217 DAWSON CREEK SEC 11
Owner Address: 309 MIDDLE ST STE 9 District: D05
PROPERTY MAP Owner Address2: Deed Acres: 2.1700
Owner City: NEW BERN Value: 160500
Disclaimer
Owner State: NC Tot Cur Value: 160500
The data provided on this map are prepared tot the Inventory of real property found Within
Pamlico County, NC and are compiled from recorded plats, cases. and other public records Owner Zip: 28560 Sale Date: I
and d ta This data is for informational purposes only and should not be substituted
a Situs Number: 950 Sale Price:
"i�q ku" to, a true 14)1, a,,.1ch. property appraisal. survey or for zonIrg ver fication,
SItus Street: SOUTHERN PLANTATION DR N NC PIN: 647616622500 One Inch = 154 Feet
3'd 5 3 k

Document Details
Page 1 of 1
Print
Document Type: DEED
Book/Page....: 531 /639
Record Date..: 06/09/2009
Stamp Amount....: $612
Location.....: LOT 217 DAWSON CREEK; #5 TWSP PCA 165-19 & 20; PCA 166-1 THRU 5
Grantors:
COASTAL MARKETING & DEVELOPMENT CO
DUNCAN HARRISON
J MICHAEL SANDERS
Grantees:
EDUARDO JORGE
CHERYL L JORGE
http://www.parker-lowe.net/view/details.i)hi) 10/6/2009

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Broad Creek Contracting, Inc. `Ov i 100
Me Box 268 Date (� 1 66-716212531
Merritt NC 28556 .___�
Pay to the
order of I $ L I
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Firs South Bank
` ` c a rs e
Washington NC 27889
MEMO SIGNED
1:2531 6211: P.B00957794ii'OL00

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NCDENR
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ivision or .oastai ivlanagF er`
3e`✓erly =a,/eS ,r",.. tames H. Gregscn :wee er'lar
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 (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.
1. 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 veaetation is allowed- ! fK _ r _ . . -
Pre -project site conditions:
C 1A
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 vegfy that all
information is complete and accurate.
_4r, a W
Agent plicant Printed Name Permit Officer's Signature
Agen r pplic t Signature Issu4e D to
CAMA GENERAL PERMIT #:
Washington Office Morehead City Office
943 Washington Square Mall 400 Commerce Avenue olle
Washington, NC 27889 Morehead City, NC 28557
Phone [phone] Phone [phone] �/ y 1l N�o%r�tyhCaro/l/ina
An Equal Opportunity/Affirmative Action Employer - 50% Recycled/10% Post Consumer Paper h=i`Y
Version 5, 09/2009