63567_Rovert Johnson_20190107

CAMAr/ 'DRE ❑ DGE &FILL No..7295� �
• L P_ ERMLIT Previous "ermif #
GENERA - - p
ew ❑Modification ❑Complete Reissue ❑Partial Reissue Date,"' permit,issued,
As authorized-by'the State of North Carolina,,Department•of Environmental Quality
F' and the Coastal Resources Commis- sion-in'an4rea of environmental concern pursuant.to 15A NCAC 12 0
I,211ules attached:
;.Applicant Name f1�--ter-¢ T w �• �SC�tJ ` Project Location: ,County �A�� �c7 =i�:•
Address_"?,I"� J-�,'c:1Lo�•�r �J���r-d StreetAddress/StateRoad/,Lot#(s) ,�2•'Tcj6C�.
"City �Xl? �2f� " -Stag"- �'�'-ZIP 2' 7�! �� 31:45 G"tiC. � �
f
Phone # -( ) - E'-Mail Subdivision L o ' L� �C. n._)1.
!`� J'' L_ City �u'1"—� a �!, ZIP
k Authorized•Agent - 1-3 i 6' u y "c, ty
❑ CW �EW PTA LIES ❑ PTS Phone # ( ) River Basin ft-a -PAr�L� c�
f Affected ❑ OEA ❑ HHF • ❑ IH ❑ UBA El N/A
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Agent or Ap ]i nt Pri ted Name
Signature Please read ompliance statement on back of permit
ta
AI placation Fee(s) Check#
/ P' eitOJfice�s!?rted Name
Signature
Issuing Date Expiration Date

1
Coustal'I Glanzrgernent
ENKIBCNMEi, AL OGALTrV
BUFFER AUTHORIZATION CERTIFICATE
FOR PIER AND DOCKING FACILITIES ACCESS WAY
ROY COOPER
advernor
MICHAEL S. 'REGAN
w-etary
BRAXTON DAVIS
DiFeci
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
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. 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 betaken 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: Ir. Iz.
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.
_97e,b (f /7
Agen r Ap . nt 'nted Name emit icer's ignat e
Agent or Applican ignature Issue Date
CAMA GENERAL PERMIT #: `l'L"� S $
State of North Carolina I Environmental Quality j CoastalManagement
Washington Office 1943 Washington Square -Mall Washngton, NC278891252-946-6481
Wilmington Office 1 127 Cardinal Drive Ext Wilmington: NC 28465-38451 910-796-7215
Morehead City Office 1400 Commerce Avenue Morehead City, NC 28557 1 252-808-2808

Spivey, Kelly
From: bob carlyle <[e-mail]>
Sent: Monday, January 7, 2019 3:19 PM
To: Spivey, Kelly
Subject: [External] FW: CAMA Adjacent Landowner Permit Application
Attachments: CAMA_AdjPro pOwner.pdf
Sent from Mail for Windows 10
From: Robert Johnson <[e-mail]>
Sent: Tuesday, December 18, 2018 6:55:01 AM
To: [e-mail]
Cc: Bob Carlyle
Subject: CAMA Adjacent Landowner Permit Application
Tim,
Per our discussion last week, please review the attachment and let me know if you have any questions. Once
you sign and scan, please email directly to Bob and copy me. Bob is copied here so you can respond directly to
his email. ,
Thanks for the help,
Robbie
1

Spivey, Kelly
From: bob carlyle <[e-mail]>
Sent: Monday, January 7, 2019 3:19 PM
To: Spivey, Kelly
Subject: [External] FW: CAMA Adjacent Landowner Permit Application
Sent from Mail for Windows 10
From: Tim Mathews <[e-mail]>
Sent: Thursday, December 20, 2018 8:11:47 AM
To: Robert Johnson
Cc: Bob Carlyle
Subject: Re: CAMA Adjacent Landowner Permit Application
I have no objection to Robert Johnson rebuilding his pier as planned in the permit. Thanks
Tim Mathews DePuy Synthes Joint Reconstruction 252-916-8618
> On Dec 18, 2018, at 6:55 AM, Robert Johnson <[e-mail]> wrote:
> Tim,
> Per our discussion last week, please review the attachment and let me know if you have any questions. Once you sign
and scan, please email directly to Bob and copy me. Bob is copied here so you can respond directly to his email.
> Thanks for the help,
> Robbie
> <CAMA AdjPropOwner.pdf>

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to ;Znp!_,�, -'s
(N m'e.of Property Owner).
property located at Lallur-
(Addr6ss, Lot, Mock', Road, 6tc)
in 40'fig&A 'k
on 'Soo-,-w 61 Zz/17, Rr N.C.
- & & Zd?=
(Waterb6dy) tylTown andor coun�y
The applicant hat described to me, as shown below, Jhe -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 DEVELOPMEDIT
(Indhn*dbal pro poslagVevelopment must flit in description below or attach a site drawing)
70
Z­
P_
Jl�
I understand that a pier, dock, mooring pilings, boat ramp, break -water, 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 IS' setback requirement.
I do not wish to waive the 151 setback rbquirernent.
(Property Owner Information)
(Adjzoent Property Owner Information)
'51 w1ur,
Signature
pfinfor 'r, Name
Print or Type Name
Marling Address I
Mailing Address
0(YtSWOIZrD
Telephone IVumbdr I email address
Telephone Numberl email address
114 /Lze
Date /
Date*
(Revised Aug. 2014)
*Valid for one calendar year after signature*

AppliqrtW4'19-t►2T e,14
Date:
•General Permit *-I
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
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 ❑ FII ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑