70619_Boatlift, blukhead_20181101

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FILL'
/,KDREDGE & FI' � \�
ENERAL PERMIT
New - ❑Modification ❑Complete Reissue El Partial Reissue
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.
No 70619�/
Previous permit #
Date previous permieissued
Applicant Name "QelflZ6 (:2CMALProject Location: County
Address % � J_o // Mo /0I Street Address/ State Roa,
,27 les r ched.
City 100/1
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Phone #QV) ���- %//� E-Mail
Subdivision
Authorized Agent
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City.
ZIP-
Affected ❑ CW
❑ OEA
YEW APTA )�ES APTS
ElHHF ElIH ❑ UBA ElN/A
Phone # ( ) V e� Basin
AEC(s):
Adj. Wtr. Body C�'/j�
l�1 �''/ nat AD unkn
ORW: yes /
00
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PNA • yes / t: /
Closest Maj. Wtr. Body
I
Type o Project/ Activity ,I"rOo��-_ 7-0
Pier
Fixe
Float
Fing
Groi
Bulk
Basii
Boat
Boai
Bea(
Oth,
Shor
SAV
MOM
Phot
Waiv
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:ng Platform(s)
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length
number
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A building permit may be required by:
( Note Local Planning Jurisdiction)
Notes/ Special Conditio s �L
XSee note on back regard
ig River Basin rules.
Agent or Applicant Pri ted Name, P�ermi "Officer' Printed Na e
/
Signature Please .eadcc pliancestatementonbackofpermit Signature ( ,�
1 Ap[ Iication Fee(s) Check Issuing Date Expiration Date
=�s/a9

02-09-'15 13:55 FROM- T-017 P0002/0003 F-056
1 hereby certify that 1 own property adjacent to _5A M EfS_(3f4PACS 's
_ ..opertyr
on CA 1�L -- , In,
-jJ , [V.C.
(Waterbody) (CityITOWtr and/or County)
The applica as described to me, as shown below, the development proposed at the above
location.
1 have no objection to this proposal.
�. -- l have objections to this proposal.
DESCRIPTION AN1b16R DRAWING OF PROPOSED DEVELOPMENT _
(lodividual proposing developmeat must fill in description below oraffach a site drawing)
IT A
WAIVER SF_CiION
1 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.
—not wish to waive the 15' setback requirement.
z. -
(Property Owner Information).
Signature _
''CAPQy 5 6 IZt
Print or Type Name
116A7�1 2�_'�%
Mailing ddre
City/state/Zlp
.
telephone iNumber
Date
Date
(Revised 611812012)

'NC Di'visicn of Coastal Mgt.
Applicant:1:5A1%&S
9 L
General Permit #: q6o19
Habitat Impact Computer Sheet
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
f
Dredge lam! Fill, Both ❑ Other ❑
W,
Dredge ❑ Fill ❑ Both ❑ Other ❑
j'
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

-s-aLo,�I , �) �-2�A-U'

AGENT AUTHORIZATION FORM FOR PERMIT APPLICATIONS
r
Nam of Property Owner Applying for Permit: 6 �15
Mailing address:
Telep one Number: �� !b 7 $ 7 -~Z q/-S
I certify that I have authorized _ -R(agent/contractor),
to act, on m behalf, for the Y purpose of applying and obtaining all CAMA permits �
i
nece sary for the proposed development of _ j5f 43 fr LL -e i (.1 Vi -
at my property located at l�'�� — -rj,-J IJ C
This certification is valid through
(Property Owner Information►
1 e�
Title, F0. owner or trustee for property
�'
Date
la fig"?- '-7y13
Telephone Number
Email Address
(date).

51-
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 SHORELINE STABILIZATION
A riparian buffer authorization is required for shoreline stabilization activities within the Tar -Pamlico & Neuse River basins
per Division of Water Resources (DWR) regulations 15A NCAC 0213.0259 & 0233. 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 Vor-
land clearing to a.civil penalty by DWR of up to $25,000 per day per violation.
1. Impacts: Impacts to woody vegetation from clearing and filling in Zone 1 (begins at the most landward of either
the waters edge or the coastal wetland line and extends 30 feet landward) shall be minimized to what must be
impacted for the sound installation of the shoreline stabilization project. Unnecessary clearing and filling in the
buffer is a violation of the riparian buffer rules.
2. Clearing & Grading: Clearing and grading of Zone 2 (begins at the landward edge of Zone 1 and extends 20 feet
landward) is allowed provided that it is re -vegetated immediately and Zone 1 is not compromised, which includes
maintaining diffused (non-channelized) flow of storm water runoff through the buffer.
3. Construction Corridors: Construction corridors are allowed for shoreline stabilization projects, but they must be
satisfactorily restored as described in condition 5 below.
4. Potential Overwash: For vertical shoreline stabilization projects (bulkheads) only; sites where wave overwash is
expected to be severe, the first ten (10) feet landward (unless specifically authorized otherwise by DCM) from the
structure may be maintained as a stable lawn in order to provide for structural stability.
5. Temporary Stabilization: Immediately post- construction, bare soils must be stabilized as quickly as possible by
providing a temporary -ground cover. Newly seeded areas should be protected with mulch and/or erosion matting.
This ground cover is a temporary measure used to address erosion until site restoration can be accomplished.
6. Site Restoration: At minimum, pre -project site conditions must be re-established. A site that was wooded prior to
this shoreline stabilization project must be restored,with woody vegetation at a stem density of 320 stems per
acre. Non wooded sites may be re -vegetated with woody vegetation. Restoration must be completed by the first
subsequent planting season (November 1 through March 30) after completion of the bulkhead.
Pre -project site conditions:
7. Project Drawing: The drawing on the CAMA General Permit is considered the project drawing of your property
indicating the location of the shoreline stabilization structure and any associated clearing, grading, and
construction corridors. This drawing will be used to aid in compliance and monitoring efforts.
By your signature below you agree to be held responsible for meeting all of the above listed conditions and verify that all
information is complete and accurate.
Agent or Applicant Printed Name
0 Ato
Agent or Applicant Signature
CAMA GENERAL PERMIT #:
Permit Officer's Signature
Issue Date
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]
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