74091_Maecy H. Douglas_20191019

41DULCAMA/ ❑DREDGE & FILL M 10L� i D No. 74091 t OD C D
GENERAL PERMIT o ► Previous permit# -73 4j- ;B
>Z ❑New ❑Modification ,,Complete Reissue ❑Partial Reissue Date previous permit issued /ZMaIALA/ /
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 / 1/ 1 `- 0
lia Rules attached.
Applicant Name P IAE C) 4I. . D�4/-4 S Project Location: County 1?a ti-F J72 r /0 ,
Address v.l p.IT G.RE.S , Street Address/State Road/Lot#(1) Of F r-I <f«y 'y 2
City i<+5t- ,Ll4-f-a�' State Ai G. ZIP '7 V$y G% 2 9-7 >.qti 4(2 i IA.+F 30<
Phone# (2s'2)J y•/-4,/ Z.it E-Mail Subdivision 6 ).e._5 "k'd. / _7�1L,4[ t/A g 8
OATz
Authorized Agent ,./ I A City i .A-r/-1 A ZIP ?—7'4..)
C Cw ❑EW PTA ❑ES )PTS Phone# ( ) River Basil 7,,L i�M L' � 7IU
Affected ❑OEA ❑HHF C IH ❑UBA /❑N/A
AEC(s): Adj.Wtr. Body.L11 GAL' ‘-X.a:6 lL (nat /man /unkn)
❑ PWS:
Closest Maj.Wtr. Body/7-rt"'"'- 6.-o 'k'L",ciZ
ORW: yes / no PNA yes / no
y - k/EA .7 Z v /2 /
Type of Project/Activity / '/ x Lo p/c 2 ) / /6 )- /4,
7 0 D ✓t -e ) / -1-2-/ "i---f' • (Scale: ,x/ ) 4• )
Pier(dock)length/D 4 '- in ' i i
Fixed Platform(s) /6 r / to II
Floating Platform(s) I i 1
Finger pier(s)
Groin length \\\
•
number ■®■.■mII"3 r2Z
•
Bulkhead/Riprap length ■ ■��■■■■� .. irikriiiiuiiu
■■�.� �a■������ �/ ii , .,
{ max distance offshore /
Basin,channel IcubicYardsiHih( I j ii
IIIIll I
1 III
Boat ramp _ , j i i {
Boathouse/Boatlift�u fit vv t
I I
i /_z X / Z
Beach Bulldozing It
I I
Other I 1 I
1 I 1 i i
Shoreline Length /06.) I I
SAV: not sure_.i yes no —t---
■ ■a all 1.1• II, L
I Moratorium: n/a yes r c
Photos: yes .na U®,,, ' II " '
!
Waiver Attached: yes no I I I '
A building permit may be required by: gys�F-rarl T /c . . See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions t,r ,5 /,--" 7,-/7A7t-4-119 L4....v '--1 +.J/Ta1 t-t - A-a_b le)'15"AL
1 y,
% �'(. f Lt D')-U tl s /� 4_4.T' S P',•c y
'' Agent crApplicant Print d Name Permit Officer's Printed Name
Signature **Please read c mpliance statem nt on back of permit** Signattre
,d chi d� D = �/C ri- /‘ ,), 7. /g !6 3 ZaZo
Application Fee(s) Check# Issuing Date Expiration Date
I
4

Oft'I■CAMA/ ❑DREDGE & FILL ID U3q j . 7 1003 A a6 C
ItI 'GENERAL PERMIT : Previous permit#
> ew ❑Modification ❑Complete Reissue 7.Partial Reissue Date previous permit issued
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 44.44, .
0 Rules attached.
Applicant Name Project Location: County `-
Address Street Address/State Road/Lot#(s)
City State ZIP ,.
Phone# ( --) E-Mail Subdivision
Authorized Agent - City :-''-::_ ZIP ---
Affected - CW ❑EW L PTA ❑ES ❑PTS Phone# ( ) River Basin r -
❑OEA ❑HHF =IH ❑UBA ❑N/A ---
AEC(s): Adj.Wtr. Body (nat /rnan /unkn)
❑ PWS:
ORW: yes / no PNA yes / no Closest Maj.Wtr. Body • 4-•a ,
Type of Project/Activity - - -
(Scale: )
Pier(dock)length
I '
Fixed Platform(s) f" # _ f L
Floating Platform(s) 1<- 1 , 2
Finger pier(s) ; i. fi .
4-t
Groin length ./-
number
Bulkhead/Riprap length
avg distance offshore ,
max distance offshore _
Basin,channel 'T TI I—
cubic yards f ;
Boat ramp
— --
Boathouse/Boatlift __ __
1
I:__ t-' i_ _
Beach Bulldozing -_r— _
Other
r
Shoreline Length
i
SAV: not sure yes no t t t +
i
Moratorium: n/a yes no ;
Photos: yes tsar
Waiver Attached: yes -no''
A building permit may be required by: . -See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions -
Agent or Applicant Printed Name PermitOfficer's Printed Name.
Signature **Please read compliance statement on back of permit** Signature
Application Fee(s) Check# Issuing Date Expiration Date

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
Coastal Management BRAXTON DAVIS
ENVIRONMENTAL QUALITY 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 conditions:
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.
k 19�ry,\ 1 ‘A ram,{
Agent or Applicant Printed Name i ature
\,� ,� � _I Imo"
Agent or Applicant Signatb'l`e Issue Date
CAMA GENERAL PERMIT#: 3 Db 3.3
State of North Carolina I Environmental Quality I Coastal Management
Washington Office 1943 Washington Square Mall Washington,NC 27889 1252-946-6481
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 MGIP,C -1 j-}. sbo t«.S 's
(Name of Property Cnvner)
property located at LQA• Lj Shy uo v� (-
(Address, Lot;Block, Road, etc.)
on b()A(v4 , in l'� �.�-}r� , N.G.
(Waterbody) (City/Town and/or County)
The applicant 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
(individual proposing development must fill in description below or attach a site drawing)
•
II
4
Tt
o
N p Boa-1 L;-c 4-
/
WAIVER SECTION
I understand that a pier, dock, mooring pilings, 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.
(Prrooperty Owner Information) (Adjacent Property Owner Information)
Signature • lz .e
Print or Type Name, Print or Type Name
Mailing Address Mailing d res •
City/State 7 City/State/Zlp-�
Telephone Number Telephone Number
It I
Dale Date
(Revised 6/18/2012)

I
i
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Mcteicki i .
kQ�1� 's
property located at LQ� s (Name of Property Owner)
y u C f-lu -' r
(Address, Lot;Block, Road, etc.)
on BrAk Cme_t.c , in `1-22 c.-k--
, N.C.
(Waterbody) (City/Town and/or County)
i
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
(Individual proposing development must fill in description below or attach a site drawing)
cT;c?fh(. i
") ry o Q Baa t 1;�k WAIVER SECTION
I understand that a pier, dock, mooring pilings, 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.
y
Y I do not wish to waive the 15' setback requirement.
(Property Owner Information) (fIjacent Propert wner lifor tion)
ri)Uc1,1
,„2 ,
Si t ahu'e gnatura
anq Oct A krAS ( I 01 kP 0 T-)( I
Print or T peNam� ntorT peNa e
�s1 ,. qhk Noes c ? ,I, ,fl y�� ��-
Mailing Address iling Arld-ress r--, 0
i�lt,��,; -i-nr\ . N L a 1 tCd`1 l( 1 t I
City/State/ a'
D-c2-A(4i-k4t4 Co qrtlte/p6 s \,0
Telephone Number Tel i i nl Vumi e
"1q/,8
Date Date
(Revised 6/18/2012) ,

NC Division of Coastal Mgt Habitat Impact Computer Sheet
Applicant: igga y
Date: l GP O GT. 2 e>fezi
General Permit#: 7¢ky 9 f
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. (Anticipatedfinal (Applied for. (Anticipated final
DISTURB TYPE Disturbance total disturbance. Disturbance disturbance.
Habitat Name j Choose One includes any Excludes any total includes Excludes any
anticipated restoraticn any anticipated restoration and/or
restoration or and/or tern p restoration or temp impact
temp impacts) impact am curt) temp impacts) amount)
DPE•t/ Zit
L✓A C_ Dredge❑ Fill El Both ❑ Othe /,d 4 6119 �--.-
1
Dredge❑ Fill❑ Both ❑ Other ❑ ` _
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
IDredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
i I I
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
I ' i
Dredge❑ Fill❑ Both ❑ Other ❑ 1
I Dredge❑ Fill CIBoth ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
I Dredge❑ Fill❑ Both ❑ Other ❑