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CAMA / ElDREDGE & FILL a�� N® 72145
GENERAL PERMIT Previous permit#N.��-`
New ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued JO
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
R ules attached:,-
Applicant Name -"PP �i �l j� M a '���� Project Location: County
Address _7 'F5A-� z. i -Yz) -c Street Address/ State Road/ Lot #(s) C 4n, YL
Cityf7:6 (pl.3I State )4LLZIP _Z. -7B 1 `7 a!L �c • '�A�� 1 ,J'•�
Phone # E-Mail Subdivision.
Authorized Agent Y 6_:> S &'y v City r L.' -r- -ZIP
Affected ElCW r'EQJEW -PTA E S OPTS 'Phone # ( ) River Basirt"j"/L2- {�(ap1l,� (c�
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
AEC(s): Adj. Wtr. Body
❑ PWS:
M_: \A/.._ D.J.. i�A i✓� I_l l r\ F+] l�'Yti\ -
B-a %J �_ 6 S C- -
Agent orApplicant Printed Name
Signature "Please read compliance statement on back of permit
�l--
Application Fees) Check#
/ _,Permit fficer's Printed Name
Sigpature,�;` .
Issuing Oite .Expiration Date
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own -property adjacent to 's
(Name of Property Owner)
property located at
(Address, Lot, Block, Road, etc.)
on , in , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must -fill in.description below or attach a site drawing)
0
0—
WAIVER SECTION
Iunderstand 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.)7!,W—
1 do wish to waive the 15' setback* requirement?' -
I do not wish to waive the 15' setback requirement.
(Property
oPgpatu \�
rz. o r Tye Ie Je
Mailing Address r C D-71
r(A6C.OA,l
Telephone Number/email address
(Adjacent Property Owner Information)
13ry�,., [-a
Signature *
Print or Type Name
Mailing Address
City/State/Zip
Telephone Number/email address
Date*
(Revised Aug. 2014)
*Valid for one calendar year after signature*
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address:
Phone Number:
Email Address:
I certify that I have authorized
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
in County.
I furthermore certify that 1 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:
k�
signature
Print or Type Name
0 W 1Je'CC_
Title
Date
This certification is valid through I l
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
1 hereby certify that I own property adjacent to /2`'INI'i ECIM6 /v 0' 's
(Name of Property Owner)
property located at D D, E-.It V-i U er
(Address, Lot, Block, Road, 'etc.)
on ; in r-' , N.C.
(Waterbody) (CityITo and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
pto I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(lnd�vidual proposing development must fill in description below or attach a site drawing)
.D u I k%C A c� DN C'Fl Nil .
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.)
-r?> I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Ad' cent r e caner Information)
Kiev-, 6e4�
Sign tuNe X Signature
I
82jAof EJWIZNd S (', -Todd -S'Qn WJ22.. > ®N L(ZFT 5"Cl'a
Print or Type Name Print or Type Name
'o MS SI%Rg" A%oyL '-%L�aq Lp4po w C\RCL2
Mailing Address Mailing Address
N c a 8S 90
City/StatelZip City/State/Zip
_ S�-7aa -07a1 --SeJw►o@WWI C:d� �asal 3 41- a\lain
Telephone Numberl email address Teleph ne N tuber/email address
�' - � - �a \�? X Date*
10 11
Date
(Revised Aug. 2014)
*Valid for one calendar year after signature*
Coastal Management
ENVIRONMENTAL QUALITY
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
BRAXTON DAVIS
Director
BUFFER AUTHORIZATION CERTIFICATE FOR SHORELINE STABILIZATION
A riparian buffer authorization is required for shoreline stabilization activities within the Neuse and Tar-Pamfico River
basins per -Division of Water Resources (DWR) regulations 15A NCAC 02B. 0233 and 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
provided 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 and the party (contractor) performing the
construction and/or 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
normal water line (NWL) or normal high water line (NHWL) 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 Civerwash: 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.
s. 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 260 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 ail of the a conditions and verify that all
inormattioKisscomplete and accurate.
AgMnt Applicant Printed Name nd er's Signature
1V
Agent or Applic nt Signature Is Date
CAMA GENERAL PERMIT It: -7eLJ �S
State of North Carolina I Environmental Quality I Coastal Management
Washington Office 1943 Washington Square Mall Washington. NC 278891252-946-6481
Wilmington Office 1127 Cardinal Drive Ext. Wilmington. NC 28405-38451 910-796-7215
Morehead City Office 1400 Commerce Avenue Morehead City' . NC 28557 1 252-808-2808
Applicant:'W-YA tJ
Date: 4-- c�u 1J� 2v l
General Permit ��,� +c ^�
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
TOTAL Sq. Ft
FINAL Sq. Ft
TOTAL Feet
FINAL Feet -
(Applied for.
(Anticipated final
(Applied for.
(Anticipated final
Habitat Name
DISTURB TYPE
Disturbance total
disturbance.
Disturbance
disturbance.
'Choose One
includes any
Excludes any
total includes
Excludes any
anticipated
restoration
any anticipated
restoration and/or
restoration or
and/or temp
restoration or
temp impact
temp impacts)
impact amount)
temp impacts)
amount) ,
EL r 6
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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 ❑