75498_George Lee House III_20200521

52"CAMA/ [I 1 DREDGE & FILLiii;i1
GENERAL PERMIT �b �Q(Q o �5 No. 75498
j ©
Previous permit# ,f
ew (Modification []Complete Reissue i 'Partial Reissue Date previous permit issued ,ri./4C D
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 a 7/{ 4�Jl2
L LetRules attached.
Applicant Name 6 es o i ye e•e- Oufz_ Project Location: County , t '--_74_
Address 19() 1"►s<_lT d,,,,,.. 1-Gx4 Street Address/State Road/Lot#(s) /9 /Iffc-
City ,_./4 c 4,e k State_/VC ZIP 02 ?f/U ‹r 4 uJ2 A ti o ie 1✓ /rC�
Phone#( •S:R).S.,31 O!!S_E-Mail-_ --- Subdivision
Authorized Agent o-r're/f4✓`ire-r. Cityg,! c ee - ZIP ..-2 A'/e)
Affected `'cW :i!IC 7P V TA ❑ r-ES 'PT (. -�
S Phone# f' rMe _ - River Basin �i-_///47- ,�.
:OEA ::HI-IF L71H t 1 UBA `1 N/A
AEC(s): Adj.Wtr.Body-_ec.n4/ e:�'<tc C . p�/-I t unkn)
PWs:
ORW: yes / no PNA yes / no
Closest Maj.Wtr. Body .h eve-/-_-.— _-- -
Type of1Project/Activity �c/td,,,'z/G / /7 ' , /_7.` ,2,,/ 2-7/ e e_i,/Y,�1 ,re 4.1
<'1v.,f c e ,r 1�,,s 44/,4G+e.cc� - (Scale: / '',2Q11)
Pier(dock)length _
Fixed Platform(s) ---- I • . , ' - i
Floating Platform(s) 1 i! •
•
I
Finger pier(s) — i flit N 4 `! t ' . . . t
Groin length _ \ j 1
number f :: _ ._ ___ -_. A/ --- _? i.� _
•
Bulkhead/Riprap length- _ i i .
avg distance offshore - {
max distance offshore
Basin,channel
cubic yards i
Boat ramp • : '
Boathou -440/—r _w/f'
Beach Bulldozing_ I ;choF,ttd ��
Other ___ . _ • -® , t�'� 1�`K/ t <� ...
t
I
•
_A/44_
Shoreline Length 7(2 _ l. 4. ' .
SAV: not sure yes no ' �� / i'(( ( ( LLLL t LLLt_'J4((1.�/( /l( t
}
1 Alf,:,,,o� .
Moratorium: n�a Yes 194r / -1-iv�t.fe- re-or- - i�., gle.el,„„,,,,
Photos: es o 11Waiver Attached: yes ` . _ - bss ra-I K rP uLj
A building permit may be required by: 'GGA'HitG✓f ;Kee note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions Sa,, 07// /_200 Al ....di/'/ / cc,,Q/ /If 2
FT;rre51 C---)Aft-en __5-1,_4n, _711 . .
Agent or Applicant Printed e Permit Officer's Printed Name
-_
Signature " ease read compliance statement on back of permit" Signature
Application Fee(s) Check# Issuing Date Expitation Date II

elPG-AMA/ ❑DREDGE & FILL No. 75498
A © C D
G�NERAL PERMIT Previous permit# �t/7.¢
�
New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued ,r//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 ISA NCAC O /y/y. 4.200
(1,
++ /,// fa'Kules attached.
Applicant Name
e ( 7GOrgr 'kit /Butt Project Location: County LI sjCr71''
Addressn�J/ 7 ') /•f� Co wt+ tent- Street Address/State/Road/LotJ #(s) / Q _-4 ow ..
City tat via State/VC ZIP a27�/U !arlc 0-x ifte co ' jev /cA
Phone#€2sa)$3/ —oils E-Mail� /� — Subdivisionon� //
Authorized Agent )arre/# [✓error. City /Jalhsorrl ZIP 2zf/U
Affected ❑CW IW "A DES OPTS Phone# (_JG r^e River Basin )*C //got.
❑OFA ❑HHF ❑IH ❑UBA ❑N/A AEC(s): Adj.Wtr. Body Cone tJ'cu 1 / j �/(At e/unkn)
❑PWS:
Closest Maj.Wtr. Body a rylio /t,rer•
ORW: yes / no • PNA yes / no
Type of cProject/Activity �/o,.i,'?e /7 ' /` /7 1 A,I �//A G e'.A-.l� Le hi -
A" (Litt cs 'c ih..� 44./41 t-e / (Scale: / 1, 0%)
Pier(dock)length /
Fixed Platform(s)
Floating Platform(s) /'
Finger pier(s) IA 4
Groin length
number
Bulkhead/Riprap length ,
avg distance offshore
max distance offshore
Basin,channel
i
i
cubic yards
Boat ramp
Boathouse patli t /17.'VJ' 1
Beach Bulldozing �"
11 is
•
Other ® Jr- J
Shoreline Length 70 , ( , _ r at/ ,�
SAV: not sure yes no � ' )111/�/ (U �_/ I(_1�_I_i (_(l l_ �((.(/f��/�� ��(. (1 %h ___ ///J��f II"�—/ _G._ —
Momtorium: n/a yes � ''j IPt-?�t� I I� �'S— .4 ( � �I I�
Photos: yes to I{� I _ �, CD.eL._
Waiver Attached: yes e y I hoc. F< /1 r r am^ ,
A building permit may be required by: e ecmiler . ER fee note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) / /
Notes/Special Conditions ne (774 /2pf/ 4 H.d`i at cabal ix oZ/ 1
5i„.7 F cif//
Agent or Applicant Printed Name PermitOfficer's Printed Name
Signature **Please read compliance statement on backof permit** Signature
,A'BOO- 37S:2_ zazo .2/ 5 Ic-.'I.— ..20-2e
Application Fee(s) Check# Issuing Date Expifation Date

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 (252-946-6481) or the
Wilmington Regional Office(9 I 0-796-7215)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 252-946-648 I
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

0 : CAMA/ DREDGE & FILL No. 75498 A B C D
GENERAL PERMIT Previous permit#
)G 7New ❑Modification iComplete Reissue ❑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 ISA NCAC 6 ./1/ 4-16`( ) .
El Rules attached.
Applicant Name .. . Project Location: County /
Address / `>`r",,' r, • ! Street Address/State Road/Lot#(s) /,, c .
City / `. /I . . . , State ZIP
Phone# ( - ') E-Mail _ Subdivision
Authorized Agent 7;. ' '.- ; ' - City ZIP `.
_CW CIW E El-PTA ❑ES ❑PTS Phone# ( ) River Basin /i
Affected _OEA ❑HHF ❑IH ❑UBA El N/A •AEC(s): Adj.Wtr. Body . ' (hat LenaD)/unkn)
il PWS:
ORW: yes / no PNA yes / no Closest Maj.Wtr. Body
Type of Project/Activity '
/A ; .• / (Scale: J C.. 1)
Pier(dock)length
I
I I I I
Fixed Platform(s) I
Floating Platform(s) { ! i I, e ` I I
Finger pier(s) I __. (-. '• 'I ( I I
Groin length
I
number I - --
Bulkhead/Riprap length !
avg distance offshore
max distance offshore / !
/Basin,channel —f
/ '
cubic yards 4 MI
Boat ramp
BoathouseCBoatlift .' -/-- I _. ---H-
!
'', I
Beach Bulldozing :+ �'" '�✓
Other I © Cv ��'�
I
Shoreline Length /G • �� /_
SAV: not sure yes n _ t„t ._1 4,_. - -- _.,.__ ._.._...__.._.__
Moratorium: n/a yes no / / ' ,,. 1 . �� a
Photos: yes rno /' r. £'
Waiver Attached: yes 0.29'
r
A building permit may be required by: / / H See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions ; 1/ /_ c:- t',• ,• / / /
'.. ///�
Agent or Applicant Printed Name Permit Officer's Printed Name
j `-; i.l*.a-- - /—
Signature **Please read compliance statement on back of permit** Signature
G .1L' / ,/ , /.. ..'G.14
Application Fee(s) Check# Issuing Date Expiration Date

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 (252-946-648I) or the
Wilmington Regional Office(910-796-7215)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

•
B. F. Warren & Sons, Inc.
180 Taylor Farm Road, Belhaven NC 27810
Office(252)964-4628 Fax[phone]
Forrest cell(252)945-2492 Freddy cell(252)945-4240
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:
4 post lift
Project location/address:
190 McGowan Lane
Belhaven,NC 27810
Body of Water:
Pungo Creek
Property Owner Mailing Address:
George Lee House III
190 McGowan Lane
belhaven,NC 27810
[phone]
Property Owner's Signature: jam. Date: s A./2'"
Authorized Agent Signature: Date: 11/900.0
1

Adjacent Ihpal an.Property Owner Statement
• Prepared by
B. F. Warren &Sons, Inc. .
180 Taylor Farm Road, Belhaven NC 27810
Office(252)9644628 Fax[phone]
Freddy Mobile[phone] Forrest Mobile[phone]
NC General Contractor License#72600
www.ncpiers.com
•
April 22, 2020
. I,the undersigned property owner, do hereby certify that I own property adjacent to George Lee
House III's property located at 190 McGowan Lane,Belhaven,NC on Ptmgo Creek(body of
water),in Beaufort County 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.
VIhave 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_pro t p3oposed. S
Property owner signature /116
Printed name�5.C: /4t(i5pa1' .
Address In D me(j-dwa,_ ‘..... •
Telephone number( eJ i 9. 19 -__________
Date 1 6 1 z d •
I Description and/or Drawing of Proposed Development
1 installation of a 10K 4-post lift

•
A4/aceat Riparian livpertyOwnerStaternent
.Preparedby
B.F. Warms&Sans Inc
180 Taylor Farm Road.Belhaven NC 27810
Office(252)9644628 Fax[phone]
Freddy Mobile[phone] Forrest Mobile[phone]
NC General Contractor Liccnse0 72600
www.nepiem.com
April 21,2020
1.the undersigned properly owner,do hereby certify that I own property adjacent to George Lee
Flame in's property located at 190 McGowan Lore,Bellavm;NC on Panto Creek(Indy of
warm),in Beaufort County NC
The applicant has dam-bed to me,as shown Mow,the development proposed et the above
lomtioe,l understand that any conduction,excluding bulkheads,must be setback a minimum
distance of fifteen fed(IS')from toy arca of riparian access unless waived by me.
Please i fti 1 the omrmmiateblanlc sign need date taw
�.. 8v l have no objection to the project as proposed but On no(wish to waive the fifteen foot
(15')set back.
1 have no objection to the project as proposed but ljgwish to waive the fifteen foot(15')
setback.
1 object to the project / ///�Jr
Property owner signature JAL.a,./yrr
Printed name PEsizrl- A. Bare)
nddress_soc 64N'I,4,4 /Qa(eic.4 A/C Z7A03
Telephone number( ' t ) A?n-35-22
Date 5", 7 1 2ozo
Description and!or Drawing of Proposed Development
installation of a 10K 4-post lift .
On May 6,2020,at 2:13 PM, Lee House wrote:

ii
ii
NC Division of Coastal Mgt; Habitat Impact Computer Sheet
Applicant 67 es lee_ gait 2 •
Date: 2/ ,/14 aY
General Permit#: 75 q 7 f L
• Describe below the HABITAT disturbances forte application. Ail values should match to name,and units of measurement •
•
found in your Habitat code sheet
TOTAL Sq.Ft FINAL Sq, Ft. TOTAL Feet FINAL Feet .
•
(Applied for. (Anticipatedfital (Applied for. (Anticipated final •
DISTURB TYPE Disturbance total disturbance Disturbance disturbance.
Habitat Name includes any Excludes an total includes Excludes any •
Choose One
anticipated restoration any anticipated restoration and/or •
restoration or and/or temp restoration or temp impact
/'� [�// • tethp impacts) _ impact am cutt) temp impacts) amount)
Open We le-/' Dredge❑ AI❑ Both ❑ Other Er /6 F l 6 f
Dredge❑ Fill❑ Both 0 Other 0
Dredge❑ All❑ Both 0 Other 0
Dredge❑ FII❑ Both 0 Other 0 •
I _
Dredge 0 "FRI 0 Both ❑ Other ❑
Dredge❑ F01❑ Both 0 Other 0
Dredge❑ Al❑ Both 0 Other 0
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge 0 Fill 0 Both ❑ Other 0
Dredge❑ AI❑ Both 0 Other 0
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge 0 Fill.❑ Both 0 Other 0
Dredge❑ FBI❑ Both 0 Other ❑
Dredge 0 Fill 0 Both 0 Other ❑ •