68396_Kenneth P Braddy_20181004

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,EN,ERAL PERMIT Previous permit
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New 0Modification ❑Complete Reissue _ 'El Partial, Reissue -Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and:Natural Resources
and the Coastal Resources Commission'in''an area of environmental concern pursuant to I5A NCAC
�jRules attached..
Applicant Name /�G-�%'f ,' v2 •!%/�-'�.�G `��~ 'Project Location: County`/i
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Address hrtr"/' % .t==�� �il'fi L r%�/ �G Street Address/ State Road/, Lot #(s)
' City .I/`%/ (rl StafeX((� zl.P,! r
Phone,#��) �y�-` .�• E-Mail/
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Authorized Agent
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Affected •'
AEC(s): ❑ oEA
�PWS:.
D HHF ElIH ❑ UBA El N/A
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yes / nn
PNA yes / no
Subdivision /i24%%.i
City
Phone # ( ) River Basin
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Adj. Wtr. Body_- 66,,1, /yll a, -tea' l (nat�/man nkn)
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Agent or pplicanntt/P/riinted Name Pe
Signature Rlease�ead'complianc s atementon b'ackofpe' rnfi 't* - 'Sq
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Application Fee(s), eck# ls:
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Expiration Date

NC Division of Coastal Mgt.
Habitat Impact Computer Sheet
Applicant:k�/
Date:
General Permit #:V��G
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 ❑ Other'A
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 ❑
l
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
252-808-2808 :: 1-888-4RCOAS'T :: www.nccoastalmanaaement.net revised:02/03/10

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal ManagementPat �11cCrory � 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 Wor 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 monitpring efforts.
• Pre -project site
By your signature below you agree to be held responsible for meeting all of the conditions listed above and verify
that all info do rovided is complete and accurate.
Agent or Applicant Printed Name Permit Officer's Signature
Agent or Applicant Si ature Issue Date
CAMA GENERAL PERMIT
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/10% Post Consumer Paper

I hereby certify that I own property adjacent to �J ' is
,�- (Nam perty O �.t
property located at d i -
/�� Add ss, Lo Elo oad, etc.)
on &,o,- /"'47, in -LLN.C.
(Waterbody) (CitylTown and/or County)
The applicant has described to me, as shown below, the development proposed at the above
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION ANDIOR DRAWING OF PROPOSED. DEVELOPMENT
(Individual proposing developmet roust fill in description below or agach 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 a ropriate blank below.)
g I do wish to waive the 15' setback requiremen .
I do not Wish to waive the 15' setback requirement.
a
(Property Owner Information) (Adjpcent Property Owner Information)
lol
or Type Name
Mailing
City tat P
Telephone ,Number/ erfiall address
Date
*Valid for one calendar year after signature*
A'/ DIU
TelephoneiNNumber/emall address
Date* 6� do o al
(Revised Aug. 2014)

ADJACENT RIPARIAN PROPERTY QWNER STATEMENT
I hereby certify that I own properly adjacent tom,
s
property located at lit
Of
etc.)
on n �►
Z��� "c ..
' (Waterbody)' Y (City/Town and/or County) _
The applicant has described to me, as shown below, the development proposed at the above
location. r
/—L— I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
Ondividual proposing development must fill in description below oraStach a site drawino
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) (Adj ent Property Owner Information)
�J
Sign= "Ii tur, 1 i (Q n R /l1
Ki
M
-�)SiD-19VS-
Date' /o - I
*Valid for one calendar year after signature*
1,l A! ►Q.-,�
Man Address
City Sta r; 9-W �1) Aic . `d,l%�
Telephone N, ber/email address
`iIct3-3g(to
Date*] ® - 2)- M \11
(Revised Aug. 2014)