74172_Paul Swartz_20191029

CAMAii El DREDGE & FILL --MD 4 (4, LiejLi No. 74172 A u C D
GENERAL PERMIT Previous permit# ,✓/-
yam= LNew ❑Modification III Complete Reissue CI Partial Reissue Date previous permit issued w/i
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 5A NCAC 0 /1, /,2 O0 les attached.
�/� Project Location: County l -
Applicant Name /G, / -->w r r z I y //
Address -20 U PN f rh< /� Street Address/State Road/Lot#(s) /7,,7e) ,✓r, ..h i i�
City ��-4,r State"VA ZIP 236?t ,4 /.
Phone# (7S7) .0/4) - 745 E-mail Subdivision fe /r r -<?e-,c
G./r
Authorized Agent rlr, / City r -, /, . ZIP ,2 7 75
rr" j,�
®CW W [i PTA ES ❑PTS Phone# ( ) River Basin 7G r// ` #.-
Affected ❑OEA ❑HHF ❑IH ❑UBA ❑N/A
AEC(s): Adj.Wtr. Body at /man /unkn)
?I I.-yid v
❑ PWS: h L
Closest Maj.Wtr. Body
ORW: yes /C PNA yes 60
Type of Project/Activity / r , - f- Ie., / c/ l ; '�,,
(Scale: / .' 7G )
Pier(dock)length b '' '
Fixed Platform(s) 3(✓ '..2 0 I i
Floating Platform(s) �� , i
Finger pier(s) i v! �, t. 1
Groin length C P f
ji_ �1^
( number
Bulkhead/Riprap length
S
avg distance offshore 1 -
max distance offshore I I
Basin,channel
t ____ At,
i I I' `v
l' _
cubic yards j
{
Boat ramp III
1 -
Boathouse/Boatlift/ L _` f
i
Beach Bulldozing I
Other i I r i --, — .
sav: yes {
Shoreline Length - 4 Fk �1.....- � r _.:.._.__.
gt
not sure no
Moratorium: n/a yes no
Photos: yes no ' ' /
C `+a c 7�I'IPr '� � 1
Waiver Attached: yes no �'� �
�d Ree note on back regarding River Basin rules.
A building permit may be required by: �
(Note Local Planning Jurisdiction) A f f /
Notes/Special Conditions ,-A i 4•r/rC ,-,,-r,�„ 0` / t�00-f / ° / ` r _
c fre' LDc. (f(r1 �G.s„e. f- j- /Pr
Agent or Applicant Prin am Permit Officer's Printed Name
**4 „•-• ,-...< 7:::/..-0#4".
Please read compliance statement on back of permit Signature
Signaturep
44 /-(7.200.--,=--
Application Fee(s) Check# Issuing Date xpirat on Date

B. F. Warren & Sons, Inc.
180 Taylor Farm Road, Belhaven NC 27810
Office(252)964-4628 Fax [phone]
Forrest cell [phone] Freddy cell [phone]
NC General Contractor License#72600
www.ncpiers.com
Authorized Agent Consent Agreement
To:State of North Carolina Department or Local Government Department
from whom this permit is being applied for.
I,the undersigned property owner,do hereby authorize B.F.Warren&Sons INC.to act on my behalf in
obtaining the necessary permit/s for the below listed projects. I have contracted there services to perform
the work permitted.This agreement is limited only to the specific activity of obtaining permits for the
below specified projects.
Projects:
Concrete Pier
Project location/address:
1970 River Shore Rd.
Scranton,NC
Body of Water:
Pungo River
Property Owner Mailing Address:
Paul and Caroline Swartz
200 Putman Dr.
Seaford,VA 23696
[phone] ////(t
/0/20/5
Property Owner's Signature: Date: rq°Z d c 9
Date: /6 ' q - 19
Authorized Agent Signature: _

Adjacent Riparian Property Owner Statement
Prepared by
B. E Warren &Sons, Inc.
180 Taylor Farm Road, Belhaven NC 27810
Office [phone] Fax[phone]
Freddy Mobile [phone] Forrest Mobile [phone]
NC General Contractor License# 72600
www.ncpiers.com
October 7, 2019
I,the undersigned property owner,do hereby certify that I own property adjacent to Paul &
Caroline Swartz's property located at 1970 River Shore Rd. on Pungo River(body of water), in
Scranton,NC.
The applicant has described to me,as shown below,the development proposed at the above
location. 1 understand that any construction,excluding bulkheads,must be set back a minimum
distance of fifteen feet(15')from my area of riparian access unless waived by me.
Please initial the appropriate blank, sign and date below.
v I have no objection to the project as proposed but do not wish to waive the fifteen foot
(15')set back.
I have no objection to the project as proposed but do wish to waive the fifteen foot(15')
setback.
I object to the project proposed.
Property owner signature `
Printed name ( /Co c —
Address 7 2 c 67,v,a-r • Z 4Axi irx i Ale— .2 7,2.1 r
Telephone number( .2 S-)... ) -3 - 5-?S(o
Date /0 / e l / q
Description and /or Drawing of Proposed Development
Replace Florence damaged existing pier with a concrete pier
5x64 pier with 12x16 and 4x16 drop deck

Adjacent Riparian Property Owner Statement
Prepared by
B. E Warren & Sons, Inc.
180 Taylor Farm Road, Belhaven NC 27810
Office [phone] Fax[phone]
Freddy Mobile [phone] Forrest Mobile [phone]
NC General Contractor License# 72600
www.ncpiers.com
October 7, 2019
I,the undersigned property owner,do hereby certify that I own property adjacent to Paul&
Caroline Swartz's property located at 1970 River Shore Rd. on Pungo River(body of water), in
Scranton,NC.
The applicant has described to me, as shown below, the development proposed at the above
location. I understand that any construction,excluding bulkheads,must be set back a minimum
distance of fifteen feet(15') from my area of riparian access unless waived by me.
Please initial the appropriate blank, sign and date below.
f V` I have no objection to the project as proposed but do not wish to waive the fifteen foot
(15')set back.
I have no objection to the project as proposed but do wish to waive the fifteen foot(15')
setback.
1 object to the project proposed. --.4z4)
Property owner signature �-4
Printed name /�/C 4y . -f"n r 5 Le.)
Address /7 SS- 2Gvexti-h 4 e 13 e /4( V4�c e /C Z47Sg"'
Telephone number( . � ) ..)4l! 6
Date 70 / 3 / c 0/ 2
Description and/or Drawing of Proposed Development
Replace Florence damaged existing pier with a concrete pier
5x64 pier with 12x16 and 4x16 drop deck

NC Division of Coasta9 Mgt Habitat Impact Computer- Sheet
Applicant:
Date: /o/�y'//9
General Permit#: 7Y/ /7
Describe below the HABITAT disturbances for the application. All values should match he 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 tern p restoration or temp impact
temp impacts) impact amount) temp impacts) amount)
4e4- Dredge❑ Fill❑ Both ❑ Other 7-2 5 7..2 -5 -
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❑ Fill❑ Both ❑ Other ❑
1
• Dredge❑ Fill❑ Both ❑ Other ❑