72174_remove and construct new boatlift_20180626

CAMA / ❑-DREDGE &FILL
G155
ENERAL PERMIT
New ❑Modification ❑Complete Reissue, El Partial Reissue
As auth6nzed,by the State.of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission -in an area of environmental, concern pursuant to 15A NCAi
N 72174, CB C D
Previous permit'#-
D`a�t`e previous permit' issued
• Applicant Name r�� C %��/ i'?L Project Location: County_
Arbil PSG / f / l /7`Gf/ ! /_` Street Address/ State Road/
Ci-St'ate�e Zip
' Phone,#4( "1." -E-Mail.'
Authorized Agent
❑CW`EW -TA ❑ES ❑PTS
' Affected, ❑_OEA - ❑ HHF ❑ IH ❑ USA ❑ N/A
AEC(s); ,
❑ PWS:
ORW:• yes / no PNA yes / fi�o ,;/
Type of Project/ Activity
Pier (dock) le gth
Fixed Platform(s) - '^
Floating Platform(s)
Finger piers)
.Groin length ' �—
hum ber
Bulkhead/ Rip'rap length"
avg distance offshore -�--
c'` max distance offshore
'Basin, channel
cubic yards
' _Boat ramp �/ r
Boathouse/-Boatlift[
- - . Beach Bulldozing
Other ..
A 1; r '
Shoreline Length��� f
SAM, not sure yes no
Moratorium: n/a , yes
Photos: ~' yes 5h;
Waiver Attached: yes no
#(s)
c_ !/ije-er�-�c.z,,K� i !,
Subdivision
City
Phone # ( ) � - River Basin ; /Adv
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A building permit may be required by: �/ / / `l� See note on back regarding River Basin rules.
• (Note•Local Planning Jurisdiction)
Notes/ Special Conditions
Agent or -A plicant Printed Na ` Permitoffi 'er's'P'intedN*a-r e
Sign ture - ** Please read coin Hance statement on back of permit Signature
Application Fee(s) Check# Issuing Date Expiration Date
in

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
(Name of Property Owner)
property located at
(Address, Lot, Block, Road, etc.)
on , in
(Waterbody) (City/Town and/or County)
's
N.C.
The applicant has described to me, as shown below, the development proposed at the above
location.
I have no objection to this proposal.
I 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)
WAIVER 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 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) (Adjacent Property Owner Information)
Signature Sign e*
nl-4Ve �,e Ale Sa K
Print or Type Name Pri or T pe Name
l
Mailing Address Mailin ddre s '79 In
City/State/Zip City/State i
Telephone Number/email address Telephone N mber/e ail address
Date Date
(Revised Aug. 2014)
-,*Valid for one calendar year after signature*

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT'
I hereby certify that I own property adjacent to
(Name of Property Owner)
property located at
I
(Address, Lot, Block, Road, etc.)
on , in , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
I have no objection to this proposal.
I 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),
WAIVER 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 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)
Signature
Print or Type Name
Mailing Address
City/State/Zip
Telephone Number/email address
Date
(Adjacent
e*
a oe Name
Owner Information)
ailing Addrpss
City/ ate/Zip
4f
Telephone Number/email address
42— 16 f&'
Date*
(Revised Aug. 2014)
*Valid for one calendar year after signature*

IFSL
L"I-- q
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 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) 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 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 mon�oring efforts.
• Pre -project site conditions:
By your signature below you agree to be held responsible for meeting all of the co
that all information provided is complete and accurate.
or Applicant Prjnt> d Name Permit Officer's
icantl aKature — Issue Date
9
CAMA GENERAL PERMIT #: 7Q) / ✓�
State of North:Carolina I Environmental Quality I Coastal Management
Washington Office ( 943 Washington Square Mail Washington, NC27889 f 252-946-6481
Wilmington Office 1127 Cardinal Drive Ext. Wilmington, NC 28405-3W_I 910-796-7215
Morehead City Office 1400 Commerce Avenue Morehead City, NC 28557 1 2S2-80872808
ature
and verify

NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: -/X0M* '
Date: .;,)6 5lli2e-- a-e:;l00
General Permit #: ;2,;,w?3
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 ❑ OtherA
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Dredge ❑ Fill ❑ Both ❑ OtherA
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.nccoastalmanagement.net revised:02/03/10