64322_Peggy Koonce_20190529

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'-,,, '•-•• -,'''' GENERAL PERMIT' . '
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.,,,,,,,, As authorized by the State of North Carolina,Department of Environmental Quality • ' • '' A:63,, -.);" C-
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Date previou-s permit issued , ")q.//. .
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r. . and the Coastal Resources Commission in an areakif environmental concern pursuant to 15A NCAC 1.4 . i'').-0 C.‘j• . -- ',` : : • . --
,' : :- ' : .'' "• :., - yl Rules attached._,, - ,1 , ' • ,
:.. Applicant Name- 1-------4‘-,j ::---‘545"`•/: ---L-.- • Project Location: County .2-,:3 -e•-j-z-, 1,--..-6.7.e.-7• ;---cb.'IS-= `...' ',' ''.';'..
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A building permit maybe required by: 3 p-cp-t--, rrvt-r- (-(..., • . IF;See note on back regarding River Basin rides.
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Notes/Special Conditions /-,-;,-.1 ./3 -. ' ,,,,-,,,,,,-)-T"A-, r4-?..-..--y") /-4\ LA-, •i--.) . 7 2 c}aC:'5 r -2:2; 6mt. te-
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Agent or Applicant Printed Name , - • Permit' fficer's Printed Name .
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:Signature, 44?li(qa..§efeaci compliance statement on back of permit - Siinatur - , . , • , - • ,:
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Application Fee(s): .. '], •-s -. .- - :•'•s -- 'CheCk# . ' . Issuing Date '•Expiration Date , -±
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ROY COOPER
Governor
MICHAEL S. REGAN
evetary
C©astalManagentent BRAXTON DAVIS
• ENY160NFtE4rAL QUALetY Director •
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 026.0233 &.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.
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 monitoring efforts.
• Pre-project site
By your signature below you agree to be held responsible for meeting all of the conditio listed above and verify
that all information provided is complete and accurate.
-/jD D t•-e.) •
Agent or hpplicant Printed Name Pe i • cer's ign•
Age r pplicant Signature Issue Date
CAMAGENERALPERMIT#: -73a4,75
State of North Carolina I Environmental Quality I Coastal Management
Washington Office 1943Washington Square Mall Washington.NC278841252-946-6481
• Wilmington Office 1127 Cardinal Drive Ext.Wilmington,NC 28405-3845 1910-796-7215
Morehead City Office 1400 Commerce Avenue Morehead City,NC 28557 1252-808-2808

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to ,p e . ,
(� t t� P operty Owner)
VJ
property located at 1 eX As s �-
•
, (Address, Lot, lock, Road, etc.)
on `Te. LiCo 1i/ev� , in 1,J�a 4,To n , N.C.
(Waterbody) (City/Tobi+n 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
1 L f l.,s :�,.3..�iri,:7.+y,,.y .,��':,>:'a-r iu 2+x ' a,S..44241 -4, 1.,2_3. u>«. ,74
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U S 0,10 , MTh �'l 0.�11 ,l b 1''e.4 C1.,Cre_)
ee,r‘ A:t f\-e-Y1 `4\-fb 'ems � 1 Yl r `-0 t.)r-
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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.
- 1
X T I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Ad ac:nt Pr wue ,Information)
/?2;-0-,-‘02__/
ignature igni
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"Pe �l ohs() .W n
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Print e Name A Pri t v r Type►anie
Mailing A�dclress Mailingn Address
Wct� u T'om L J r 7$&. I w0�c►`Q-n Da i ca 3
City/State/Zip� ity/State/Z&,
9 In 0`7 0 Q - 5 4/6- leg' racd (®
Telephone Number/email address T hone Number/email address/ 'Ve f'IeZp)1
Date Date*
- __a._-----•-�•-.�..
(Revised Aug. 2014)
*Valid for one calendar year after signature*

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to f• l Q 's
f Property Owner)
property located at 25 4 ,itior 4,0
/�� �f� C�`A (Address, Lot, Road, tc.)
' on , in s 4 , N.C.
(Waterbody) (City wn and/or County)
The appl. nt has described to me, as shown below, the development proposed at the above
locatio .
I have no objection to this proposal.
I have objections to this proposal. -
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT,
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ry p Ic.n tc-04-0 reps '� te f► fih�
&x i pe/
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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) (Ad'acent Pro erty Owner Information) '0-) .-` )1379--kt_e_sz__I ...., 4*k 119 5 eq_giga
Stgn= i t e
'Pe 551 1- o o vi 0..e, A '- Hai grejAe ll es'
Print or Type Name'A' Print or T e Na
Yl t
Mailing Address c��S � Mai��Ad� �� ����
Nmaishi� m,� NC a. i gR9. %� r � - a?
City/State City/St Z0
i '
Telephone Number/email address Telephone urnb r/email address
Date 6V J 4 f ' 17 * 5 ' &fil
Date
(Revised Aug. 2014)
*Valid for one calendar year after signature* i

Applicant: Y �oor, e -
Date: 'Z q ,144 y
-General Permit#: •
73p6 B
•
•
Describe below the HABITAT disturbances for the application. Ail 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
DISTURB TYPE • Disturbance total disturbance. Disturbance disturbance.
Habitat Name 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)
1/1_9 4-r.e y. Dredge❑ Fill 0 Both 0 Other (e) �j�� � f,O&S
• Dredge 0 Fill El Both 0 Other El
Dredge 0 All 0 Both ❑ Other ❑
Dredge❑ Fill 0 Both 0 Other.): -
Dredge 0 Fill Cl Both ❑ Other 0 -
Dredge 0 All❑ Both 0 Other ❑
Dredge❑ Fill❑ Both El Other ❑
Dredge 0 Fi(I❑ Both 0 Other 0 -
Dredge 0 Fill 0 Both 0 Other 0
Dredge 0 Fill❑ Both 0 Other 0
- 1
Dredge❑ Fill 0 Both 0 Other 0
Dredge 0 Fill❑ Both 0 Other ❑
Dredge 0 Fill 0 Both 0 Other 0 -
Dredge 0 Fill 0 Both El Other ❑
•