63564_bulkhead, dock_20181205

r`CAMA
/ DREDGE&.FILL` .O°
GENERAL• PERMIT-
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Previous permit#.
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1Vevv Modification' . ❑Compl'ete Reissue ❑ Partial. Reissue , Date'previods permit issued
As authorized- by the State �of North Carolina; Department of, Environmental
the environmental
Quality ;,' : :' : ' ` • • " `.
I SA NCAC i_1. • -' } D.• ?`` '..� v cJ- ,'.'' • ' _
and Coastal,Resources.Commission'in an area of concern
pursuant to D') ,
® Rulevattached.
.
Applicant Name Gij 1?-�S 4 'J' ss•�'.Gi� . `3`ss i'=i ;
Project Location: County • 3c ca,:r�o,-. ' <:
<Address
Street•Address/ State -.Road/ Lot #(s) •n F. F
City.'1r✓'A �rl;r�l� Tp i' State L ZIP-' 3f3"I�
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Phone # E-Mail'
Subdivision',
Authorized Agent.
City- ZIP, ' L� S' `� 9•'..
❑CW ❑EW APTA :❑ES - OPTS,
Affected '❑
Phone # (' ) River BasinTA I::�-
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OEA 0 HHE ❑ IH ❑ UBA ❑ N/A
AEC(s): -
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Adj. Wtr. Body I nat /m
ElPWS:
O,RW: yes / PNA yes
-Closest Maj. Win Body P14 �-"' tVrvL
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.Agent or A pl•cant Printed Name .Perms Of
Signature Please read compliance statement on back of permit igS nature
La
Ited Name
l -
po
Expiration Date
Application Fee(s)
4�
Check# Issuing Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
[hereby certify that I own property adjacent to Ghr1S 01nd Jessf COI Be155 it-- 's
(Name of Property Owner)
property located at % 10' J2a G x D YI K U h
(Address, Lot, Block, Road, etc.)
on TYOiVIft'iY.S (.1'�GK , in \NDI. IF Sul , N.C.
(Waterbody) (City/Town d/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
_.pc-o?off 6,-,kKIk".
f r,vose'. - bck
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.)
Y I do wish to waive the 15' setback requirement.
.,:
I do not wish to waive the 15'-setback requirement.
(P7MOOermation)
11
Si ature pp
f"e
Print or Type Name
Z 1 n FC)I-&Wo l KLA h
Mailing Address
aKV\inUtbn . N b 2100te1
Ci / tate/Zi
Telephone Number/email address
I I - D--n -ick
Date
(Adjacent Property Owner Information)
Sign re
6 ev7�
Print , Type Name
3 �(4CC aoN ��P/�✓
Mailing Address
City/St te/Zip
l�'TSZiWCA0'J /y G
Telhone Numb r/email address"
e
Date*
(Revised Aug. 2014)
*Valid for one calendar year after signature*

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to GhY1S lan.-A t eSCIt: 220cCiff 's
(Name of Property Owner)
property located at 210 KQ U o n n � L I'1
- (Address, Lot, Block, Road, etc.)
on J�anfc'{-S GI'ef"k ,in �j�(1^z nihoib)h N.C.
(Waterbody) (City own 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 -
�'!'.i {r �t ,t ���' 7` sy c pp t } �, [ c _x r o•" �t ���'7r: t: Mjr r. � x�iel� '`�'':
� �4_.. k „ti.�.i rL ..J. ..`.�a.Fvb„._i�;i�; y_+. 9,A?,f,, .d,c...1. _ JJ dt�, %_Y'�,i� .k ,-�1.,., ..{{4 • : z
- ?r0poseok doic
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.
V I do not wish to waive the 15' setback requirement.
(PropertyOwnerInformation) (Adjacent Property Owner Information)
Si aturenn Signature
nC' S `9A S51'K Zcl a f- JOAZ
Print or Type Name Print or Type Name
n=h
Mailing Address
N(, 111hb9 41AJ1fAl o?> v
City/State/Zip City/State/Zip
Telephone Number/email address Telephone Number/email address
I\ -it - is /////'ff
Date Date*
(Revised Aug. 2014)
*Valid for one calendar year after signature"`

A*
NCDENR
North Carolina Department of Environment and Natural resources
Division of Coastal. Management.
Pat �/IcCror•� � 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.
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 monitoring efforts. -
9 Pre -project site
By your signature below you agree to be held responsible for meeting all of the conditions .listed above and verify
that rn a 'on provided is complete and accurate.
x CAS PS S
Age n ricant :Printed Name Permit OAP's Signatu��
,C
20 l g'
Agent or Applicant Signature Issue Date
CAMA GENERAL PERMIT #: 72.9.32� �
Washington ice 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 3945
Phone [phone] Phone [phone] Phone [phone]
An Equal Opportunity/Affirmative Action Employer — 50% Recycled/10% Post Consumer Paper

Applicant: C-AIZ15 13Ar-Ss 1 'rT'
Date: S pse.,&twg�-2 z� t 54
,General Permit*..-7-2 q 3`t 3
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
temli impacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
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Dredge ❑ Fill ❑ Both ❑ Other
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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 ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑