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Home My WebLink About72144_7H.1200 Dock_2018053114 ,�SCAMA /: ❑DREDGE &-FILL N�T2 '721 � �! .� 1� _ ln� 'C . D , GENERAL PERMIT Previous permit#�47 New, ❑Modification ❑Complete Reissue El Partial Reissue Date previous peri—ndissued ly As authorized by the State of North Carolina, Department of Environmental Quality 11/�� and the Coastal Resources Co mission in an area of environmental concern pursuant to 15A NCAC �/ [Rule . attached. " Applicant NameProject Location: County ! �G Address 0?0 Ge, Street Address/ State Road/ Lot #(s) p �f�%1✓a2� City GAG f7l'l �_ _ State& ZIP 100446; Phone # (� ,13� E-M it Subdivisio Authorized Agent City l/`ZIP ❑ CW- �EW ,PTA ❑ ES ❑ PTS Phone # ( ) River Basin ; Affected 0 OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A !� AEC(s): Adj. Wtr. Body nat.` rian� unkn ' ❑ PWS: ORW: yes / PNA yes / o Closest Maj. Wtr. Body Type of Project/ Activi ty • .. i; ■■■ ■■MEN ■■�■■■■■■■■■■■ ■ ■■■■■■■ MEN MEN ■...■...■■NOMMEA.■■■MEMEM M■■■■■■■■O■■■■ EMEMM■■■■■■■■■■M■■ . ■■M■■MM■■■MM■MMMM M. ■■r:Mi%■■■■■■■■■M��i rr��w Mlq■E■M■■MM■ DER ■■ri■r■■■■■■■i�mrnnrrri■mr■r��■■■O■FA■■■ ■M■■M■■■►� now ■■ �(il■IlMO20FIE■ • Ei■ MO■■■ ■■■■■■■■■■ ■■■ ■■■■■ MEN 0•..�■ �...■■....■■..��..■.■■.■■MEMO ISI Signature* Pease read�m fiance statement on back of permit Fee(s) /" ' Check# 2 Q®��IT RIEARIAN P�Cc P��3`1� ® VTR 3 A��61ia�6�l`n I hereby certify that I own property adjacent to ,s (Name of property Owner) property located at (Address, Lot, 8Iock, Load, etc.) • in , N.C. on (Waterbody) ptylTown andlorr County The applicant has described to me, as shown below, the development proposed at the above I have no objection to this proposal. i, I have objections to this proposal. f . DESCRIPTION ANDI R DRAWING OF PROPOSE® DEVELOPMENT (Bat:dividuti proposing dedeiopsent mugg rgii in descrriptlon hslow or ach a side dlraWing) f. . @iWlAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin must be set back a minimum distance of 15' from my area of riparian access unless waived by . me. (If you wish to waive the setback, you must InKIal the appropriate blank below.) _ I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Infformation) (Adjacent Props Owner Owner information) Signature S �ture* Print or Type Name Mailing Address CWState-&ip Telephone !.Number/ email address Dare "Valid for one calendar year after signature° Dare's (Revised Aug. 2014) I ADJACENT RO PAROAM PROPER ®��1� Z STAT1I�ENT 1 I hereby certify that I own property adjacent to ('s ' lala®� �ae fPr@pe�s�9 ®per➢ property located at QAddreas, Lot, [Mock, loads etc.) on , in , Iv.ii. �a ITovm and/or County/) . Q@�elterbody) Q . �� The applicant has described to me, as shown below, the development proposed -at the above c I have no objection to this proposal. I have objections to this proposal. DESCRIPTION ANDi®R DRAWING OF PROPOSED DEvE O Phy ENT padividual prroposing development must fii/ in deserripdon WOW or 898c a ske 'o7rraw/n� KA8VER SECTION I- understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin must be set back a minimum distance of 16 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 wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Omer Information) adjacent Propeny Owner Information) Signature a rep` a Print or Type Name Prim or Type Dame qwq 3a3.?z Hwy Z Y Mailing Address MaNn Address ��u.�a� r� G 04MateMp City/state2ip 2 -7 0 0 Telephone Number/emall address Dare "Valid for one calendar year after signature Telephone Number/email address 725 L- Z 0 Date* sJ111 1 9 (Revised Aug. 2014) Coastal Management ENVIRONMENTAL QUALITY BUFFER AUTHORIZATION CERTIFICATE FOR PIER AND DOCKING FACILITIES ACCESS WAY ROY COOPER Governor. MICHAEL S. REGAN Secretary BRAXTON DAVIS Director 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 Resources (DWR) regulations 15A NCAC 026.0233 & .0259. The Division of Coastal Management (DCM), through a Memorandum of Understanding with the Division of Water Resources (DWR) has reviewed your project proposal and has determined that the project as proposed complies with the aforementioned regulations. Those activities covered by your Coastal Area Management Act (CAMA) permit have received Buffer Authorization provided the project is constructed in a manner that continues to meet all of the conditions listed below. Failure to comply with this Buffer Authorization may subject the -property owner and the party, (contractor) performing the construction and/or land clearing to a civil penalty by DWR of up to $25,000 per day per violation. i. Crossing is Perpendicular: Pier and docking facility access way must cross the50 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. • Pre -project site conditions: By your signature below you agree to be held responsible for meeting all of the � n i ed abov a verify that all inform 'on provi ed is complete and accurate. /e�nt or A licant ri ted N e PIOffice is Signate ��G�� Agent or Applicant S gn re Issue Date CAMA GENERAL PERMIT #: Z 114 _�> State of North -Carolina I Environmental Quaitty I Coastal Management Washington -Office 1943 Washington Square Mall Washington, NC 27889 1252-946-6481 Wilmington"Office 1 127 tardinal Drive Ext. W11mington, NC 28405-3845;1 910-796-7215 Morehead City Office 1400 Commerce Avenue Morehead'City, NC 28557 1 252-808-2808 NC Division of Coastal Mgt. Habitat Impact Computer Sheet Applicant:�,G /v Date: J?r ARy2'�'(p General Permit #: RoZ 11V-13 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 Dredge ❑ Fill ❑ Both ❑ Other &,V 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.nccoastaimanagement.net revised:02/03/10