70630_Pier L- Head Stepdown and Boathouse with Catwalk_20171121

CAM�r,/ ❑ "DREDGE &FILL. IlJ- tr �' 70630
- "
GEN'ERAL -PERMIT, Previous permit #' - : � A�
lew. ❑Modification. ❑Complete:Reissue ❑Partial"Reissue Datelprevious permit issued
As authorized by ihe-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 roe l "f5'£-I I -• �'"�+ �-Q Project Location: County
T SA gZLA Vr �'r`� • Street Address/•State Road/ Lot #(s)
City 1n/!A; E-rn> State N ZIP. Z­7S9-
-Phone #. (Zs�) ��z- (oZ y'E-Mail ' Subdivision IJo�-n-1 Srlv�3
Authorized Agent5 �FZD + S-t:� City�,l�+ �,-I rn-ro,.� ZIP
Affected ❑ CW EW PTA El ES ❑ PTS Phone # ( ) River Basi )
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
AEC(s): Adj. Wtr. Body'Ann t=,i e e,, �I VCY L (nat '/man./unkn); ..
❑ PWS:-1'4ML%'L(� `�IVt: l
ORW: yes / no PNA yes /(g)
Closest Maj. Wtr. Body {
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Type of Project/ Activit r 91.A K '4, I -- `I -Y-
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Pier-
Fixe
Float
Fing
Groi
Bulk
Basi
Boat
Boat
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A building permit may be required by: ,--)-r-i o r- WPr<I:b ±-� � ee note on back regarding River Basin,'rules.' S
( Note' Local Planning Jurisdiction)
Notes/ Special Conditions •1-ol- 14 MA ;,J rA-r-4-- LA w �� . `ram ti Iry Yr
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Agent or Applicant Printed Name '
o l J
Signature lease read complianced'statement on back of permit
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Application Fee(s) Check#
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Signature
21 iV Del~ ��� �-JI "�-- Z I r-t A;t�,,-a-Zt;��-}; , . •`
Issuing Date Expiration Date L

Applicant fat lrl� 1 11.1 Sa i
- - I'erm1tt 1b�3
Date;
21 1Jp V r M Y3b--,_ ZD 1­�-
Oescaba 6elowthe HABITAT disturbances far the applicadon-• All values should match the name, and uruts of measurement
feurtd in your Habitat code sheet.
TOTAL 5q_ I=L
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TOTAL -Feet
F1tIA1. Feet
(Applied lbr-
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(Applied faro
(Artdc€pated frW
Habitat blame
01sTURH-TYPE
Disturbance total
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Chiodse One
includes any
Excludes an}�
total includes -
Excludes any
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temp Impacts}
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AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: em'I ayi
,Ir. 7s� Mailing Address: o-�W I��GG C/o-
. EJ,- ,
lAjAs#<ti6-rQrJf C oa 7,Pff
Phone Number: 2 b Z� g V 2- a /
Email Address: roil; "soni) cinf&sK 1 o ✓a. -trait
I certify that I have authorized 1,69
�
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
at my property located at eys- (r- A v/'� : Srf,
in ffh-;0%e -T County.
l furthermore certify that / 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
/` 0)-7//1 so °V
Print or Type Name
Title
Date
This certification is valid through / /

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to :a H d E ZT;-rtl X-'&XIA90A) 's
INa'me of Property Owner)
property located at 805" �✓. �s,4 BE [aQ A✓F 67
(Address, Lot, Block, Road, etc.)
on-Pe1yG/GD ed� , in _ -Ac1 R-r cay'ar'r , 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
' l�i�/v/i�/.I /_ / r_-� -v�; +rr,_,... -•-az 3: ^s a -..,- . ,. t..�r,. �._.._. �.�..�....g,.- .._{,-�,.r:.-. -, ,-_. ... _ ,_
(_ __ a .pop_osir�g dev%j�ment musffi/ irixdescrrption�ae%wor'attachasiie'draiiring)
a RXg4 c
T,P GAP
6c9,4-R.6
d7--7 Et&kle? 9A
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GvVERE.P
SPA
HOUSE 8 F467 IN TbW412D re?OREF
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)
4ignature�.�Ilfe/so)
Print or Type Name
D?DS hJ Xf.4 6 A .!x%
Mail' Address
gar
City/st te)Z
(2.52� 2 - --L7
Telephone Numm)b�er/email address
/a/r 7/ 1 7
Date
*Valid for one calendar year after signature*
Information)
Print or TQpe Na
Mailmg----k'Address \
City/state2ip
ZS2- 3V2- :SQ���
Telephone Number/email address
Date*
(Revised Aug. 2014)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
r
1 hereby certify that I own property adjacent to �c /,c> £' /�A-T�J 0L W-Ul is
property located at
(Name of Property Owner)
r
.� (Address Lot Block Road etc.)
on �GIGyt/�P , intTy- , 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
/nalvidua.'lxpoposingdevelopmenfmustfillrinescripiion _be1_ow;or,.attach:a. site: drawing)
X/1TiA* P10,e 141Y
WPVE j�64,IaZ;b
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.
X��nnature
Owner Information) (Adjacent Property Owner Information)
Sr.*�n tare *I
Print or Ty a Name �% Print or Type Na , e
0 s o z gs l �1yE. �% 807 1-5 ghP,a 4ye, -Lx�-'
Ma rng Address i ing Addre s
'Pitylst e/Z*?-
CitylStatelM
f`z 25-2- /q-1 9
Teleph ne Num er/email address Telephqne umber/email address
Date Date
(Revised Aug. 2014)
*Valid for one calendar year after signature*

NCDENR ___...
North Carolina Department of'Erivironment and Natural Resources
Division of Coastal Management
Pat McCrory Donald R. van der Vaart
Governor Secretary -
-SUFFER AUTHO RATION CERTIFICATE
FOR PIER AND DOCKING FACILITIES ACCESS WAY
A riparian buffer authorization is required%for pie `ah4Aocking 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 projecf 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.
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 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.
Agent or Applicant Printed dame p rmit Officer's Sig e
Agent or Applicant Signature Issue Date
CAMA GENERAL PERMIT #: lk D 63 6
Washington Office Morehead City Office Wilmington Office
943 Washington Square Mall 400 Commerce Avenue 127 Cardinal Drive ExL
Washington, NC 27889 Morehead City, NC 28557 Wilmington, NC 28405 3845
Phone [phone] Phone [phone] Phone [phone]
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