76063_James Fourney_20200701

er lTCAMA/ El DREDGE & FILL No. 76063
A
GENERAL PERMIT ='° l�lDylo Previous permit# C i14
��- 7}New OModification ❑Complete Reissue ❑Partial Reissue Date previous permit issued Al
As authorized by the State of North Carolina.Department of Environmental Quality � 1 C�0
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC .
Rules a ched.
Applicant Name 5 u�c Project Location: County &)Q
Address er,ri 'S �e.cc{, fa, ____ Street Address/State Road/Lot# s 575 �r-wr�/t3
City P,,, State NC ZIP .7, C2 t&'r L,2/ , e r, Sg /3/ <'
Phone#69)07 6 - E-Mail '" irk fr`±► �•��1 Su
bdivision ubdivision Le�.cj'5 ae. .h.
Authorized Agent A'f4 V City_Yo j Le _ ZIP 2.77C7
O CW f•',tEW t�PTA ❑ES OPTS Phone# 21 g 4/7 se Sa River Basin
Affected ( j---- �f`c0
AEC(s): OOEA 0 HHF 0 IH I UBA CI N/A Adj.Wtr. Body A/bi. le ra t unkn
O PWS:
Body,9I
ORW: yes ! no PNA yes / no Closest Maj.Wtr. 7' tr't 1 e ',
Type of Project/Activity l-crteSc_5 '1a . -.& i( o, 12)X I- -* e(o."--A-,r4 d;f cA-(LA 6
-4-k e..1F s-'r.n 10,,•11c. A (Scale: /r Ze, )
Pier(dock)length -
Fixed Platfonn(s) /2,X./2- • — ■ I i I i ._I—._L. ___ I _
1
Floating Platform(s)
_ -■ _� _.. .- 1-I _ _ __
i
4--
,Finger PISS)____ ITT
T .
--,- - - 6 �-1'- 50 - ._ ,_ N-`.
Groin length , r "^'- , i j
number _. ,1 , --__ __ __ - j I..-.}.._J. , ,
Bulkhead/Moral>length ___ ' ,
avg distance offshore j I ; b t i
max distance ofbhore_—._ ' ._-_i
-4_f aBasin,channel ..I __I .L..
pubic __. . -_ _ --. ...i _ ..t 1 i.. . ....I ..i . 1.. -- - 4_ _ - _
Boat ■ 1 r fJ I- - ■ --I--;
5... i
_._ q I ■ 1 p f _ - ' _N■ _;
Boathouse/Boat* ■__ ■ - /-
_
__ 1.10
Beach Bulldozing _ I. - -r __ .f----.. ---
Other 4. ` —
1 I i a f ' }
j14FIN 1 ,
,
Shoreline Len -- / D -T "
u .. Ii ■ i i i ,o,,, n
I _ f 1
SAV: of yes no --. - . -. ..a_-. _.-,--. at"... - --- _ ;. - -4'1- -- .F_-.-
Moratorium. Yh9 r- I -� .. . _i i-.--1--�--"- __i_,-_
rJayes ® 4 _ ...__.
1 rate
Photos: yes �t77' ( P ■ - —' 1 i-1 1 .--.�1 ■ C
Waiver Attached: yes ge...
A building permit may be required by: tAJ r•SL:1..A•e- . C.o . 0 See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) �,
Notes/Special Conditions f%ep/i&..../ i(p`J
v '*v.6 4. 5 n'S1'a 4..L. 14 i.4 4 .6 ,_ (?1"4-ss(#_ - (1\&ZC •.((o-.U4,0 14a_.
id. rh /rmiA I Its
5//e _ _
�►Es tit � �✓E Mh
Agent or Applicant Printed Name Permit Offlc s Pri N e
Sig Please re comp) statement on back of permit** I
5.26
Application Fee(s) Check# Issuing ate E irati n Date

0.2CCAMA/ ❑ DREDGE & FILL No. 76063 A c
GENERAL PERMIT Previous permit# - Ar
>( 7iNew Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued /KA
As authorized by the State of North Carolina, Department of Environmental Quality ?Ad-� /��
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC .
'tkules a ched.
Applicant Name 5 Ft t- Y1�/ Project Location: County �Q 5 f
Address -7 L�r `S c CadStreet Address/State Road/Lot#(s) 575 1,-.q c. 9
City (o f State NC ZIP Z""797l9 .cc t alb' S /2 /3/ 4
Phone# ©q) �//7 S43‘i E-Mail `�i(n `�`r'^0''�� W ( �/ I Subdivision Lzc .•J 'S cJ.
Authorized Agent HP V City RoptY ZIP l77C7
❑CW igEW YPTA ❑ES ❑PTS Phone# (9/9 ) 4/154--`3C. River Basin ?-51ao i/
tA-
Affected ❑OEA ❑HHF ❑IH ❑UBA ❑N/A
AEC(s): Adj.Wtr. Body ,4Jh 1w le 50,4A.e4 6 man /unkn)
❑ PWS:
ORW: yes / no PNA yes / no Closest Maj.Wtr. Body/¢(fir v'le
Type of Project/Activity ff-Dec5c.s '1 - C ( o. l 2--- )( I Z- pfAlr- .. • d;:� I•A 6-
-44 C' 5‘.'., i,,, A... k (Scale: ii ZU )
Pier(dock)length
Fixed Platform(s) /2 5XI 2- I - i
Floating Platform(s)
j j- -
ptlb� l N
Finger pier(s) e, 5EM
Groin length -�� ,
number
Bulkhead/Riprap length !
' I
avg distance offshore i
max distance offshore j I
Basin,channel
cubic yards _
Boat ramp
Boathouse/Boatlift R of" 2 I
2',A, r,,i r
Beach Bulldozing L
1 .. • .
Other .4-/ PI, '
sx�• ^1 ,8�l •Id
V I
, I
Shoreline Lengthr/O 0 I I �
� �� kik—
e
SAV: of es no . 6 h- ----.._.___-
Moratorium: n/a yes FIWY" I I �r �O
Photos: yes Cppirl fl� 0
Waiver Attached: yes no I ( I __ ____._I
ZL ^
A building permit may be required by: Wt. 1.,.'l,, !s Co . I I See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) •, n y ,_
Notes/Special Conditions Afeheoh p-{ ver, -S 4s. i^S +F l- 144 A OA- 6k4" 4'- ` f\&(C Ve� r(jot-
/�ok r S /ilc`i. n
v41 L€ L 4.4.4.41
"a7 -- .4 -J,
Agent or Applicant Printed Name PermitOffic-,s Pri d N. 4e
-.061.6. 'd
Sign re **Please read compliance statement on back of permit** is•. $ ,
/41 Cl ot- 2i'7.° / Zo za — 1/ / zo zJ
ApplicationFee(s) Check# Issuing sate E .irati•n 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

41 LAMA/ ❑DREDGE & FILL No. 76063 A & C
GENERAL PERMIT Previous permit# - Zca,.. /Vu
)C LNew Alodification ❑Complete Reissue ❑Partial Reissue Date previous permit issued A /{
As authorized by the State of North Carolina,Department of Environmental Quality 2N /70 0
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC .
Rules attached.
Applicant Name 7025 (--k c (N�`/ Project Location: County /r JO5 i�
Address )7 1. P ( ?e,( I -<<, Street Address!State Road/Lot#(s) / 573 4.r,1'J
City fir;e'-r State NC ZIP 2' 7O 3 A e. I\ IA 7(' II F /
Phone# Ok) !//7 cc•%C— E-Mail -per-F0v1 e,,�.�s 'Subdivision / -, , ; i?r. }
Authorized Agent Ai-) City y'c i,e r ZIP L79I7o
❑CW IfEW YPTA ❑ES ❑PTS Phone# (9,9 ) 4/7 S' . 0 River Basin ? y,, 4 L
Affected ❑OEA ❑HHF ❑IH ❑UBA ❑N/A
AEC(s): Adj.Wtr. Body Abc.,,-. to 50 4' (pat/man /unkn)
❑ PWS:
ORW: yes k no PNA yes /no, Closest Maj.Wtr. Body/j'(°01 ,tr re Soo.
Type of Project/Activity ,, j. , -`c- 1 r ' -?- 3 (1
-t ,,,„ C �l , n` b...1kA.caek (Scale: /:g' )
Pier(dock)length
Fixed Platform(s) /2 X/2-
Floating Platform(s)
IN
Finger pier(s) ( �bk rsW+e CA . A
Groin length
number
Bulkhead/Riprap length
avg distance offshore
max distance offshore
Basin,channel .
cubic yards 1
Boat ramp f _
pd`'Kt
Boathouse/Boatlift �l al .�
rt`W1 (1P
Beach Bulldozing hi t✓t—
Other ti u1L ` 4 ....1.16 , --.• .
kit I 1,11(
Shoreline Length_�'- /�0 �,��� I I n e
SAV: not sure yes no-- yt�[A -- 1 F-�.t I t�.f,. {
Moratorium: n/a yes Cam= ri5tretrD I "A-)
Photos: yes Apo/ P Pe _
Waiver Attached: yes nnoo -
r*L q
A building permit may be required by: (Ili �;. `�a.- Co . I See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) -" ^_
Notes/Special Conditions /le/A PP--I 6rr�5 -)•e '..`SOLI 1'-I11 i.�T.j- , 1e\+ n• i . .,(IF�L`(€' �eD-
,�bl i' )�, , e:/.\`6t'>i fe/ ! atA-41
1 X., 1
/ ... ,, r,1 Y,
' Agent or Applicant Printed Name Permit Office s Prin N
Sign re **Please read compliance statement on back of permit.** 5i ure
tile �6) y- 26 -7�i ZOW — // / 2�zv
�` IssuingDate E irati n Date
Application Fee(s) Check#

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 � J 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 1 0-796-72 1 5)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

0rt
CAMA / ❑DREDGE & FILL No. 76063
GENERAL PERMIT Previous permit# -- B C D
>Z New ❑Modification II Complete Reissue El 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 15A NCAC .
El Rules attached.
Applicant Name } ,;
Project Location: County /
O
Address / Street Address/State Road/Lot#(s)
City State , ZIP .r;_7 77i-2
Phone#( ) E-Mail 1. ,( Subdivision
Authorized Agent City ZIP
Affected ❑CW tfEW [PTA ❑ES ❑PTS Phone# ( ) River Basin
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
AEC(s): Adj.Wtr. Body (nat /man /unkn)
❑ PWS:
ORW: yes / no PNA yes / no Closest Maj.Wtr. Body
Type of Project/Activity ,- • )( ' e> #
i _-„\ (Scale: I; /6;., )
`` Pier(dock)length
I Fixed Platform(s) /`- //2-
1 1 4 a Floating Platforms) i rr I - !
Finger piers) tYly 1 {.. cl
, II
Groin length ,
number \ I
\ 111111111111MEMI....1111 11111111111111 _ T OM EN1111®111111 U
:: : ?e
Ripp length I
..... ....��. Innel 1 .
/ �� ..� ���01 ......0 f 1�� ®..0 ...
cubic yards �/`
Boat ramp f , iiiii
' I
Boathouse/Boathft I/ ii`
ili
i 1 ill
Beach Bulldozing • I
III1•0 t1,,, . 1
Other ��� e/j �._ iIi3 II 1 _ - Ii_ NIL.... II I ._ II -Ai ' I
i Shoreline Length =,- _ + j 111
j ,
SAV: not sure yes no r
{
I, Moratorium: n/a yes no — , ' I
j\
Photos: yes no III "I
Waiver Attached: yes no i I
A building permit may be required by: i ,c. n See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
l
Notes/Special Conditions
Agent or Applicant Printed Name Permit Officer's Printed Name
Signature **Please read compliance statement on back of permit** Signafure
7 1 y,1 C3 --- /1 // c,z e,,>
Application Fee(s) Check# Issuing�� E irati n Date
PP

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 CityHeadquarters Washington District
400 Commerce Ave 943 Washington Square Mall
Morehead City, NC 28557 Washington, NC 27889
252-808-2808/ 1-888-4RCOAST 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

James M Fourney
878 Leary's Beach
Roper, NC 27970
919-417-5636
June 26, 2020
Kelly Spivey
District Manager, Division of Coastal Management
North Carolina Department of Environmental Quality
943 Washington Square Mall
Washington, North Carolina 27889
Subject: General Permit Request for Dock at 878 Leary's Beach, Roper, NC
Dear Mr. Spivey,
Please find the enclosed check for$200 as fee for a general permit to construct a dock at the subject
address.
If you haven't received the two Adjacent Property Owner Statements yet,they should be available very
soon, I will email them to you when they are completed.
Thanks for your assistance in this project.
2eç7

I

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to James M. Foumey's
(Name of Property Owner)
property located at 878 Learys Beach
(Address, Lot, Block, Road, etc.)
on Albemarle Sound, in Skinnersville Twnshp, Washington County, N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me. as shown below, the development proposed at the above
location.
X 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)
12x12 dock adjacent to exisiting bulkhead no less than 20 feet from the east side of the property
7
adjoining the Killette property.
/Zx/Z
_______________1
1 7,,
fMfrt‘
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.
(Pr Owner Information) (Adjacent Property Owner Information)
S' afore Signature
ames M. Fournev 4 b raft\ lvt IC Z.-if C.--
Print or Type Name Print or Type Name
878 Leary's Beach g D 'fLICy S 43P&C,�i Poi
Mailing Address Mailing Address
Roper, NC 27970 ?7/xer 1 Nr, 079 70
City/State/Zip City/State/Zip
919-417-5636 7 0`- - 2 2 3- .77/ 3
Telephone Number Telephone Number
6/26/20 (9--;2 _, .0 Dare Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to James M. Fourney's
(Name of Property Owner)
property located at 878 Learys Beach
(Address, Lot, Block, Road, etc.)
on Albemarle Sound, in Skinnersville Twnshp, Washington County, N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
X 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)
12x12 dock adjacent to exisiting bulkhead no less than 20 feet from the east side of the property
adjoining the Killette property. —A, tr.--
(ZxlZ-
fge .fr‘34 (1M fff
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.
(Property Owner Information) (Adjacent,Property OwpeT Information)
.17T-12 -/),, /
ignature Signature
James M. Fourney
Print or Type Name Print or Type Name
878 Leary's Beach
Mailing Address Mailing Address
Roper. NC 27970
City/State/Zip City/State/Zip
919-417-5636
Telephone Number Telephone Number
6/26/20
Date Date

NC Division of Coastal Mgt. Habitat Impact Computer Street
Applicant
Date: 7/ I2..c�7
General Permit it: 70 3 0 /3
Describe below the HABITAT disturbances for the application. All values should match he lame,and units of measurement
found in your Habitat code sheet
TOTAL Sq.Ft : FINAL Sq, Ft. TOTAL Feet ' FINAL Feet
i (Applied or. (Anticipatedf tal (Applied or. ,Anticipated final i
DISTURB TYPE Disturbance total disturbance. Cisturbance disturbance.
Habitat i lame Choose One ! includes any Excludes !ny total includes • Excludes any
anticipated restoration any anticipated restoration and/or
restoration or and/or ema restoration or temp impact
temp impacts) impact am cunt) temp impacts) ; amount)
U Dredge❑ `-!II❑ Both ❑ Others � A
Dredge❑ Fill❑ Both ❑ Other ❑
i i i f
Dredge❑ Fill❑ Both ❑ Other ❑ 1 j
Dredge❑ Fill Both !_l Other ❑
Dredge J Fill-❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge'❑ Fill❑ Both !❑ Other ❑ •
Dredge❑ Fill E Both i❑ Other ❑
DredgeE Fill❑ Both ❑ Other ❑
•
Dredge❑ Fill❑ Both 7 Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge 77 Fill❑ Both ❑ Other
Dredge❑ Fill 7 Both ❑ Other iU
•
Dredge❑ Fill❑ Both ❑ Other E