72156_Pier & L-Head_20180627

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CAMA / ❑ DREDGE & FILL 0 7215.E -1•.F ?'`
GENERAL'
PERMIT'`
Previous permit
New - ❑Modification OComplete Reissue ❑Partial Reissue Date previous permit issued i.i 1,4
As authorized by the State'of North Carolina, Department of Environmental Quality
and.the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC =F7 12C<J
NRules attached.
Applicant'Name
'Address (� U "o v r-1 `t Li 1� C T� r) .
City 2, ^I-r E--YI ice. i E- s - State � LZIP 28 S
Phone # C20)--71 -- d 42_7 E-Mail
Authorized Agent n� ,Ll
Affected ElCN! �� ' A ❑ ES ElPTS
AEC(s): ❑ OEA ❑ HHF ❑ 1H ❑ UBA ❑ N/A
❑ PWS:
ORW: yes `noa PNA yes no
Project Location: County�4-�tT-c�r�
Street Address/ State Road/ Lot #(s)
Subdivision J A-2,v # 5 i A-r-Lpi 1)
City A-1 ZIP 2') --6-":K'
Phone # ( ) River Basin"T('s6_7 - Q(a M t- cy
Adj: Wtr. Body �r�r i + r c� Tt ut; Y?` < nat /man /unkn)
Closest`Maj. Mr. Body, L` cC�, '�`
.■■!■■■■\■i:■■■■■■■1■■■■■■■■■■■Ii■■■■■■■■■
.... ..
0 ... - .
s:r
a
Agent or Applicant rinted Name
Signature t* Please read compliance statement on back of permit
V rQ -,7 zxC> -1
Application Fee(s) Check #
. Permit is is Printed ame
( Sigyature
Issuing Date Expiration Date

o
r '
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
hereby certify that I own property adjacent to l,I a,/"r A//, L,W, r I
(Name of Property Owner)
property located at / j,J �7✓� S AV
(Address, Lot, Block, Road, etc.)
on in AV" le— , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
have no objection to this proposal.
have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
SDP
IF3'6 "-4
WAIVER SECTION
I understand that a pier, dock, mooring pilings, 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 initial the appropriate blank below.)
I do wish to waive the 15'-setback requirement.
V I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature }'
le -
Print or Type Name
Mailing Ad#pss
`✓',y/e,v,-Ar A/C 4&5-fa
City/StatelZip
o? .sa- 71% /y ,7 7
Telephone Number
-�O /y
Date
(Adjacent Property Owner Information)
Signature A�/laee
Print or Type Name
Mf Gavi<.1 ��re
Mailing Address
1%a sLi fay IVC 78 8 9
City/StatwZii
sa- 43 - 779/ as`� 9Ts 4'S'i7
Telephone Number 4
Date
(Revised 611812012)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to �`i ar��f�� �t�/rS' 's
(Name of Property Owner)
property located at
(Address, Lot, Block, Road, etc.)
on erg, /�•Y� , in 14via l.� , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
Iota_ tion.
i have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED'DEVELOPMENT
(individual proposing development must tall in descripfion below or attach a site drawing)
SDP
�ex--d
,�l�Oft �iaG
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
back a minimum distance of 15' fram 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 Owner Information)
Signattdre/
�JJv✓�Jr /i'�.rf� �r�/.r
Print or Type Name
�%D
--
MailingAd,dfigss
citylstatelZip
.2sa 7/% 11y7
Telephone Number
Date
(Adjjaacc�ent, Property Owner Information)
Signature / L�
Print or Type Name
/ss ST Xley
Milling Address
City/Sfate/Zip 910 -
Telephone Number
Date
(Revised 6/1812012)

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ROY CQGP-.ER
. croYefnor
MIICHAiL S. RIGAN
B RAXTO-N DAVIS
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 Resources (DWR) regulations 15A NCAC 02B.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).performingthe .
construction and/or land clearing to a civil -penalty. by DWR of up to $25,000 per day per violation:
1. 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 betaken 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 conditions listed above and verify
that. all information provided is complete and accurate.
Z/,,x
Agent or Applicant Printed Name Per tie ice i na e
gent or Applicant Signature Issue Date
CAMA GENERAL PERMIT #:1
State of North Carof na l Environmental Quality [Coastal Managgmebt
Washington Office 1943 Washington Square Nall WashingtmNC278891252-946-"81
Wit mingtonOffice 1 127 Carftal Drive Ext. WilmingtmNC2840S-38& 1 910-796-7ZS
Morehead City. Office 1400 Commerce Avenue Morehead Cdy, NC 28557 1 252-808 2808

Applicant: Ga/>Vt2L� S in'v�t'ta L l�
Date: 2'7 —Su Ft— —2-b t
-General Permit*.
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
c�Prc rJ
W'hT�rL
Dredge ❑ Fill ❑ Both ❑ Other [
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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 ❑