70638_Uncovered Boatlift_20171204

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GENERAL PERMITPrevious permit#.
kzNew - ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued - "N
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 15A NCAC
[.Rules attached.
Applicant Name M R"Ga-)e,, �Project Location: County _3�&A t,1 'F-4;dL 1
Address 2$ LL5- rl G 4 / 3D 45) S
State to ef_ ZIPZ-
Phone # () E-Mail
Authorized Agent >01�S L
Affected ❑ CW 'SEW ,'�PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ElHHF ElIH ElUBA ❑ N/A
❑ PWS:
ORW: yes / n PNA - yesCo
Street Address/ State Road/ Lot #(s) 6? I u c)'f—
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Subdivision
City-A[JA it,7a A ZIP
Phone # ( ) River Basi-ri­rAJ2--PAPAL-t C 0
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Agent97plica P i ee Name
Signature "Please read compliance statement onback ofpermit
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Application Fee(s) :' •Check #
Permit -Officer's Printed Name
Signature U
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Issuing Date Expiration Date.

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Spivey, Kelly
From: bob carlyle <[e-mail]>
Sent: Tuesday, November 21, 2017 5:00 PM
To: Spivey, Kelly
Subject: [External] Fw: Mitchell Roberson
From: bob carlyle <[e-mail]>
Sent: Sunday, November 19, 2017 5:54 PM
To: bob carlyle
Subject: Mitchell Roberson
We give our permission for Mitchell Roberson to put in poles .
Sent from my LG Mobile

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: 'i 4g�ZA j06V--SC)Y--\
Mailing Address:
Phone Number:
Email Address:
I certify that I have authorized
Y
_Q2 ,Z - 9 4-1-PS -L-A Zl�
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: -16 in c-. \
-0�
at my property located at a Cs 1\0,
County.
i furthermore certify that I am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
Signature
n1T t-l366trSCOYI
Print or Type Name
Title
11 / /3
Date
This certification is valid through I I

hereby certify that I own property adjacent to U M fih� /V 's
S l 4 \f \ �vJ (Name of Property Owner)
property located at 2Gl
(Address, Lot Block, Road, etc.)
on SeSti` .G`��z �L , in , N.C.
(Waterbody) (City/Town and/or County)
The a plicant has described to me, as shown below, the development proposed at the above
locat' n.
I have no objection to this proposal.
i have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
-lii ividu�0°"m osn 'wa'�dece/o ` �rxenf � ��sf `fill ink alescrf "tion>�ielo'w;or-�aifach°'a, ��ite� tlrawin`
WAIVER SECTIO
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 y u 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 Propperttyy, Owner Information)
Si ti4re*
Print or TVDe Dame
M ' d Address AVC-, 2� � G
ity/StatelZip
Telephone Number/email address
*Valid for one calendar year after signature*
(Revised Aug. 2014)

ADJACENT RIPARIAN PROPERTY O)NL4ER STATEMENT
I hereby certify that I own property adjacent to O"Ckl- c I tR� 's
nn (Name of Property Owner)
property located at 01 ie w
ff (Address, Lot, BIRck, Roa , et )
on i) �`' C (ee e,k in IS �Q c� ►' �I.__, 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
Iridivldi ►° ro osln al v toiirie f- nus(Ak" ri{d+ scri tio 'belowForaftachYa` i :draann
WAIVER SCCTION
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)
Date
Signature *
Print or Type Name
Mailing Address
City/Statelzip
Telephone Number/email address
Date*
(Revised Aug. 2014)
*Valid for one calendar year after signature*

F;
!fCDtEkR
North Carolina. Department of Environment and Natural Resources
Division of Coastal Management
Pat McCrory Donald R. van der Vaart
Governor `
. _ Secretary
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 0213.0233 & .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
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 may subject the property owner & the party (contractor) performing the
construction &/or land clearing to -a civil penalty by DWR of up to $25,000 per day per violation.
1. Crossing .1s Perpendicular: Pier and docking facility access way must cross the 50 ft. riparian buffer
perpendiculady (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.
s. 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: 4
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.
Age t or Applicant Printed Name APermlfOfficer's Signatur
PP
Agent or A 'aitt Si9 nature Issue Date
9
CAMA GENERAL PERMIT #: _70�Z3 g 5
Washington Office Morehead City Office Wilmington Office
943 Washington Square Mall 400 Commerce Avenue 127 Cardinal Drive Ext
Washington, NC 27889 Morehead City, NC 28557 Wilmington, NC 28405 3845
Phone [phone] Phone [phone] Phone [phone]
An Equal Opportunity/Affirmative Action Employer - 50% Recycled/101/o Post Consumer Pager