70680_Platform & Boathouse_20180305

CAMA I MAIDREDGE &FILL
0
New __'I4P,1iaI Reissue
E Nit., k AL PERMIT
LIAWific�tion ElCompiete Reissue
No "(35U A C
Previous permit # r,l ).A.
Date previous permit issued 1 1 I A
As authorized by the State of, Nbrth * Carolina, Department of Environmental Quality
and the Coastal Resources* Commission in,an area of environmental concern pursuant to 15A NCAC 0­1 1- - 1 2- D CD
Rules attached.'
Applicant Name 0 LA' Fa-1 y Project Location: County �r_ ate,
Address-412. C>.'. y )< Street Address/ State' Road/ Lot #(s)_n_'r- F-' 3 0
City aq-,� C-.,L- State tl ZIP —7 � I _Z_ -7— 0Jr 2r--.)
Phone 31 i? 6 i 3 E-Mail Subdivision � IZ_ V_'_ o -I?- T
Authorized Agent city _-ZIP
Affected El CW XEW ;KPTA LIES, El PTS Phone# River B asin__rA___", --,P4"J_ );CD
El OEA E) HHF 0 lH El UIBA El N/A
AEC(s): Adj. Wtr. Body_-w � -r-i-4 na /man Junkn
El PWS: _L - - I I - .
ORW: yes /(no PNA yes
Closest Maj. Wtr. -Body
([D'
Type of. P roject/ Activity r- 14'
ale:
,Pier (dockYJebqth__
Fixei
Fingi
Groi
Bulk
Bash
Boat
Boat
Beac
Oth
Shop
SAV
Mor
Phot
Wah
■
��■■■
ii
■■■�■■
■■■■■■M■■■
.��.
EWE
ME
,channel
®■l��l'1��■.�!!�■
EIEMMMM
NOISOMENESS=
cubic yards
ramp
mom
Bulldozing
i
line. I
torlum: n/a yes r_-n10
�nq
INNIONNOWN
OBOE
-_rA-it?Aed- Aoft, .
A building permit may be reci6ired by: •✓-See note on back.regarding River II rules'.
Note Local Planning Jurisdiction)
Notes/ Special Conditions A-, LA, r-3 1"D P L,
y
a
signature ' �* P ileastread compliance statement on back of permit
3 0 �L-q­
62,
-,Application III Check #
K6 Li-Y _­75* -e I -Ui_ Y
M
2_6
Issuing Date �-,,','-txpiratio' n. Dite'•

4
APPfIcant Pennitt
Date;
S��Gl-I- 2c9 l�
Desmabe 6efaw the HASMAT disturbances far the application, All'vafuC=s should match the name, and t ruts of measurement
found in your Habitat code sheet
TOTAI Sq_ F'
FII�tAL Sq_ Ft
TOTAL Feet
FILIAL Feet
(Applled far.
(Anticipated Final
(Applii5d ?oC4
(Anffcl*a kal
Habifat Name
C)ISTURS-TYPE
Ofsturbance total
disturbance.
Distdi barice
(fisturbance,
.'
Chobse, one
includes any
Excludes 2
total includes -
Excludes any
an
me taratfarr
any aaddpsted
res Wagon andlor
restoration ar
andlar temp
restoration or
temp'imgact
temp impacts}
impact amount)
temp impacts)
amauaf)
Dredge Q.' Fill Bath. Q Other
t 2
S/92 %2
Dredge [[ , FRI Q Sath Other Q
'
Dredge-Q Fig Q Bath Q Other [j
Dredge [f FrlI 0 Bath Q Other Q
Oredde 0 FRI Q. Goat Q Other Q
L .f
Predge'Q'. HT .r 9aiit Q Other+Q
I
I
-
Dredges i ; 3 �` Rohl Ca er Q
L
.
�.
f3r dde Cl- off Q �attt f� rJther
1
uredgg^ cf •�'-il_M. Bath C. - :]itieC-
t
l
�-
Elkin
4'
QrSCP i 1: �t C Q aitw- Q'
I
!. �.
Dtefige k i Q Bath �"' Othe' l_' •l. _ :
-
1
I
' i
�i-EEIG3 _; �t ' =etr! iu�ieC f'
_ _
i. • _ l ..
� -
i
Ciecrge r�; 'C. 3ath' Cther 0 i r
Oredge Q Rif Q' eaitr Q Other. Q f
[kedge Q . Fill CI Bah El Mier -[I

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to ti E • Pa '" V" s
(Name of Property Owner)
property located at 3, l't r• �� c r y P c, V"4 Ay q d
(Address, Lot, Block, Road, etc.)
on cau'� C-r--t,e (+�. , in PMr o r cj , 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.
UU
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED_ DEVELOPMENT _
(Individual proposing developmant eust_fill in description below or attach a site drawing)
NJd;rq
ev\Itd i
B
.9 + 1
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, Ott, 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)
C_ 4 e Lizw
Signature
o l 46 P r•
Print or TyQQe -Name
d'►c� 90Y' qL�
Mailing Address
City/State/Zip
Telephone �um�bf�/email add ess
Date
(Adjacent Property Owner Information)
L 4
Sa ature
Pk,- t_ ��"t,���
Print or Type Name _
Mailing Addr 1 ss
" .P,-2�
amity/Sta e/Zip
i'io66ar►
Telep-hone Numbe lema'17 address
alus I PK
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 ® 1 C, E . elf, r rs
(Name of Prope y Owner)
property located at 3 a TS % t-y !V Q a .1 Q a
11 (Address, Lot, Block, Road, etc.)
on SC•u'1 C�ee��. , in ku rr o t.- G , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
:g -- I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fall in description below or attach wa site drawing),
Cv��eHP� I t
WAIVER SECTION
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.)
_A/ —I do wish to waive the 15' setback requirement.
do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature
o1% E. Perr%\/
P' t or Type Name
rF,O G0x 4L5
Mailing Address
City/State/Zip
ta.s.:o
Telephone Number/email address 9
-al Q-1l1S
Date
(Adjacent Property Owner Information)
�44�
Signature*
Print or Tye Na a /l
,P"/)' A42, 7
Ma ing A r ss c
� •U�. a2 7�%Z
City/State/Zip
w aS-�Z-sr2 -noel �8 �i, ZZe-
9 Telle�phone Number/email address
a-17—,2D�Sr
Date*
(Revised Aug. 2014)
*Valid for one calendar year after signature*

Cbastgl',Manggernpnt
•EN{i1R6tJF1EFtTAL,GUA[.tT1l
BUFFER AUTHORIZATION CERTIFICATE
FOR PIER AND DOCKING FACILITIES ACCESS WAY
ROY'COORER
Governor
MICHACL S. PLWAN
Secrietary
BRAXTON DAViS
Dtr2ctoi
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 pa rty.(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.
z. 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:�1/Cr
V
By your signature below you agree to be held responsible for meeting all of the ns listed above and verify
that all information pr ided is complete and accurate. J`
.� & Ch vZ==,4,
Agent ox-AWicarAP j�9ted Name mit Officer's Si nature
Agent or Applicant SFgnature Issue D
CAMA GENERAL PERMIT #:f:: 2� 2 /_�
State ofNorth.Carolma I Environmental Quallty I CoastafManagement
Washington Office ( 443 Washington Square'Mall Washington. KC 27M§ C252 94&648Y
W Imington Office 1127, Cardinal Drive Ext. Wilmington, 14C 284054845, I %0-746 7Zi5
Morehead City Office 1400 Commerce Avenue Morehead.City, NC 28557 f 252-80&2808