64516_Buck Jones_20190718

0 CAMA / ❑DREDGE & FILL NO. 73088 1��
GENERAL PERMIT =D# `'y5 "� permit ermit# ,JA C C
) Blew _IModification i_iComptete Reissue Partial Reissue Date previous permit issued Aj/A
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 I SA NCAC 07I7.I ZOo
❑Rules attached.
Applicant Name BOO( JV11( 5 Project Location: County r?AI4(i(O
Address 2- IOG nAJD Street Address/State Road/Lot#(s) 3.S f oc A,IP R.u
City NAPA));f State NC ZIP a F 5 /(l
Phone#( ) E-Mail Subdivision CC11
Authorized Agent 7f PkgSCt 7 ii City AYI1))O C ZIP 2 US/r
Affected JVN C ❑EW KPTA ❑ES ❑PTS Phone# ( ) River Basin NE HIf
s 111 OEA LiHHF IH ❑UBA ❑N/A
AEC : Adj.Wtr. Body -sad C Q 1)
- PWS: I �) 0/man /unkn�
ORW: yes / no PNA yes , Closest Maj.Wtr. Body NI N Si pQ 1 111/1
ORW: yes /9 P NA yes
Type of Project/Activity A iA Wog 1 r i 0 12 'i 14j / Liir 1 /z '$L ' tAi Ac K LJA'l
(Scale: / '30/ )
Pier(dock)length ~'
1 +
Fixed Platform(s) dd' Z'IL . 5d J C it lC 1 _ r
Floating Platform(s) - ►
Finger pier(s) I {- --;- t- �
Groin length -. 1 , 19 ' t— I 1 iri 14 40,, '?f',+ -j )2,ir
number - 4(+ .
Bulkhead/Riprap length ,�i1+ 01 I - -._ --i w Jo * ,
a distance offshore "IMPIP="'
max distance offshore I!IUI! - ; I 1 ! , • - ii�
1
1 id
Basin,channel �� v I_ - x
cubic yards - ;
i
I rag.iii_
7fmos• 1
- LI
Boat ramp "' Ili .
Boathous- Boatlift �Z �� L - I i
L i - _ Y
Beach Bulldozing �' -- - I , I_, I_ 1
Other "'r i H -I H
_
i
T 1
qq — - - — - +
Shoreline Lena'i h 00 rr I
SAV: IlliVb Yes no -+ . - I !- _ .
Moratorium: n/a yes
1_ 1 l , 1-
Photos: yes
Waiver Attached: yes -
A building permit may be required by: PAPIL I(0 C 0Nn1 r/ . i See note on back regarding River Basin rules. 1
(Note Local Planning Jurisdiction)
Notes/Special Conditions .- '' ;_- 0711 1 Z 0 O ('O^)D i 7)Ot�
- - Kr.v!J 1,11V7
Agent or Applicant Printed Name __ PermitOfficer_ Printed Name
J
Signature "Please read compliance statement on back of permit** Signature
/12O0,00 -- SLfLy �1°1 jr ,)o ) ZO/
Application Fee(s) Check# Issuing Date Expiration Date

r
Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become
null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The
applicant certifies by signing this permit that I)prior to undertaking any activities authorized by this permit,the applicant will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
landowner(s).
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief,certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar-Pamlico River Basin Buffer Rules Other:
Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the
River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of
Water Resources. Contact the Division of Water Resources at the Washington Regional Office (252-946-648 I) or the
Wilmington Regional Office(910-796-72 15)for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave 943 Washington Square Mall
Morehead City, NC 28557 Washington, NC 27889
252-808-2808/ I-888-4RCOAST 252-946-6481
Fax: [phone] Fax: [phone]
(Serves: Carteret,Craven,Onslow- (Serves: Beaufort, Bertie, Hertford, Hyde,
North of New River Inlet-and Pamlico Tyrrell and Washington Counties)
Counties)
Elizabeth City District Wilmington District
401 S. Griffin St. 127 Cardinal Drive Ext.
Ste. 300 Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax: [phone]
Fax: [phone] (Serves: Brunswick, New Hanover,
(Serves: Camden,Chowan,Currituck, Onslow-South of New River Inlet-
Dare,Gates, Pasquotank and Perquimans and Pender Counties)
Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/17

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 6,C 's
/ (Name of Property Owner)
property located at .�.- A/mod ki
(Lot,Block, Road,etc.)
on ZA-W s c i C e , in N.C.PeLA tic v ,
(Waterbody) (Town and/or County)
Applicant's phone #: (2S )(Q70- 357y Mailing Address: 3 c Xa/41'd /cL
io
Z�s
He has described to me, as shown below, the development he is proposing at that location, and,I
have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by property owner proposing development)
\\a,
0 t
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
-t' D\ c"\ ajerntA--)
Mailing Address v Signature
C 0<__\/\o� Y� C� cn5 ) 0 �Y an Jove eS
City/State/Zips Print or Type Name
Teleph ne Number Telephone Number
6)017/1 9 G- 23- 1c?
ign to Date Date

AVA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue,Governor James H. Gregson, Director Dee Freeman,Secretary
Date ( — 2 .-7 `" 7)
Name of Propertyy Owner Applying for Permit:
i /
'C/+C ,. ;? C S
Mailing Address:
i 5-- ki/-9 5J
I certify that I have authorized (agent) R y, €S .Olt- to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) c <I -4 Cc - r"
at(my property located at) .
This certification is valid thru (date) .
C____lilt , 4
/.1-!;
/ /c22 ci/i 9
Prope O Sig a Date
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone]\Internet: www.nccoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer—50%Recycled 110%Post Consumer Paper

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to ic_ (Jr."c2
n (Name of Property Owner)
property located at C /� G
(Lot,Block, Road, etc.)
/2063_ ron 4 Gvs� E-/"c-c ( � , in �r /i ,N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: Mailing Address: Al-3
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by property owner proposing development)
yl�4
eP
L ;/it
1
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
o\ ar,ck
Mailing Address Signature
acapace_, no— (28 ) c ) kel1�(
City/St /Zip .__) Print or Type Name
025 -Vt0-3/4a 'l a5A- 1Q1O - 3L-la7
Telep one Number Telephone Number
Cd5)(,(.2 Le/02-71 I cl Le I 9
i a Date Date

Applicant: U c Sb NC 5
Date: /8 iI C Y ZO/5
General Permit#: ?70S
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 I FINAL Feet
(Applied for. (Anticipated final (Applied for. (Anticipated final
Habitat NameDISTURB 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)
cQEAJ WArift Dredge❑ Fill 0 Both ❑ Other pf. 1 YO F T Z Z Y o r7 2
Dredge❑ Fill ID Both 0 Other ❑ /
Dredge 0 Fill❑ Both 0 Other ❑
Dredge 0 Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both 0 Other 0
Dredge❑ Fill❑ Both 0 Other 0
Dredge 0 Fill❑ Both ❑ Other 0
Dredge❑ Fill❑ Both 0 Other 0
Dredge❑ Fill❑ Both 0 Other ❑
Dredge 0 Fill 0 Both ❑ Other ❑
Dredge❑ Fill❑ Both 0 Other ❑
Dredge 0 Fill 0 Both ❑ Other 0
Dredge 0 Fill❑ Both ❑ Other 0
Dredge❑ Fill❑ Both 0 Other ❑