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AMA/ 0DREE)GE'&,F1LL-.
D GENERAL- PERM.. IT
Previous , pernit#
IJNewr.,OModification EC&npiete Reissue Reissue Dateprqvious per/nit,
issued
e North Carolina, v roh�nent and Natural As'auth8rized by the State'of N aparirqe.ntof� Resources
and rc' e rn
the Coastal Resources Commission ssioh in an area o environmental concern p6rsuant to 1'5ANCAC
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ell,
policant-Na�n6,, Count
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Address Street Address/'State Road/
Lot#(s)
,City 'S'ZL6- Z-0
State
Phone # 'Ma I i I" -,F
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I Aff I ect6d b-C I w AW, - ZIPTA El ES El PTS
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AEC(s):
El Pws:
6RW PNA, -yes IU es eh;D
Type of Project/ Activity lnl2npf�
-Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
JGroinlength
number
Bulkhead/ Riprap length,,
avg distance offshore
max: distance offshore
Basin, channel
,-cubic yards
B`
oat ramp
Boathouse/5pa lift
,
Beach Bulldozing
Other',
Shoreline -Length
SAV: not sure
yes no
•
Moratorium: n/a
yes
Photos:'
yes no
Waiver Attached:
I ',fes no
Ci
Phone#
Adj. Wtr. Body
Closest Maj. Wtr. Body
/a
Zip
iver Basin
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'A building Permit may be required by: 1 61y 2see note on back regarding River Basin rules.
Note Local Planning jurisdiction)
Notes/ -'Special, Conditions e",-,
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Signature' 'Please read c4mplianice*st�t` -pn,ba5k,6fpbrrnit:** Isq
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Geiieral-Permit#:�Z
Describe below the.I. BBI iAT di�turbanaes for the application. �111 values sitatili# maicll the name, and unlit o f.mbasuretnent .
%und In your Habiiat code sheet~
D(Si'UItB't'YP
flabltat Name Goose One
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Pat McCrory
Governor
d-
CDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Donald R. van der Vaart
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 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
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.
1. 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 monitodr)g efforts.
• Pre -project site condition
By your signature below you agree to be held responsible for meeting all of the conditions li§W above and verify
that all info atio rovided is complete and accurate.
lC
Ag t or pli P 'nted Name Permit Officer's Signature
get gr ApplIcA Signature Issue D e
CAMA GENERAL PERMIT #:�,P_3_q2-6
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 252-946-6481 Phone 252-808-2808 Phone 910-796-7215
An Equal Opportunity/Affirmative Action Employer — 50% Recycled/10% Post Consumer Paper
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