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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to r (Name of Property Owner)
property located at _ ♦ f
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He has described to me, as shown below, the development he is proposing at that location, and,1
have no objections to his proposal.
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DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be fdled in by property owner proposing development) ,
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(Information for Property Owner Applying -(Riparian Property Owner Liformation)
for Permit)
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Mailing A:cfdress
City/State/Zip
Signature
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CERTIFIED MARL RETURrN RECEIPT REQUESTED
DIVISION OF COASTAL, MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
adjacent to � ,��'s
I hereby certify that I own property 3 (Name of Property Owner)
property located at .0
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HelShe has described to me as shown below the development he/ sh pr posing at that location,
and I have no objections to the proposal.-_M_-._._------------------------.-------'�--
. -- DESCRIPTION AND/OR DRAWING OF PROPOSED DE
(Individual proposing development must fill in description below or attach a site drawing)
pre
If you have objections to what is being proposed, you must aotify the Division.of Coastal Management (DCM) in writin
within 10 days of receipt of this aoUce. Correspondence should be waited to 127 Cardinal Drive Eat. Wilmington, NC
10) 796-?ZtS�
DCM representatives can also be contnded at (9
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WAYNE SMITH <> 03/01/11 11:44AM
Cancel
From:
'Timpy, David L SAW" <David. [e-mail]. mil >
To:
"Danny Sparkman" <[e-mail]>
Cc:
<[e-mail]>, <[e-mail]>
Received -On:
Today 8:49 AM
Subject.
RE: Dock Permit
More...
Le GP78-00`osigned.__. (575KB) Dovinload I one storag;_
Mr. Sparkman,
Reference the CAMA general permit dated 2-10-11 for a new private
bulkhead to protect eroding bank at Lotsl3, 14, & 15, Bankside Street,
Section B, IDA Bryant Fulwood Hiers Subdivision, in Bolivia, NC. The
proposed dock is located within Tangent 21 on the Lockwood's Folly River and
outside the Federal channel setback (34 feet) at this location.
Based on the referenced CAMA permit, the proposed docking facility
meets the terms and conditions of GP197800056 (Docks and Walkways, copy
attached). We have no objections to the project as proposed. The assigned
Action ID for this project is SAW-2011-00410.
It is recommended that you contact Mr. Chad Coburn, NC Division of
Water Quality regarding your proposal.
Dave Timpy
Project Manager
Regulatory Division
US Army Corps of Engineers, Wilmington District
69 Darlington, Avenue
Wilmington, North Carolina 28402-1890
Office: 910-251-4634
Cell: 910-617-3254
Fax: [phone]
Email:[e-mail]
Website:
Phe Wilmington District is committed to providing the highest level of
> support to the public. To help us ensure we continue to do so, please
> complete the Customer Satisfaction Survey located at our website at
-----Original Message-----
4rnm: Dannv Snarkmnn rmailfn:riannv_cnarlrmanRrmai1 rnml

DEPARTMENT OF THE ARMY
Wilmington District, Corps of Engineers
69 Darlington Avenue
Wilmington, North Carolina 28403-1343
http://www.saw.usace.anny.mil/WETLANDS/index.html
General Permit No. 197800056
Name of Permittee: General Public
Effective Date: January 1, 2011
Expiration Date: December 31, 2016
DEPARTMENT OF THE ARMY
GENERAL (REGIONAL) PERMIT
A general permit to perform work in or affecting navigable waters of the United States and
waters of the United States, upon recommendation of the Chief of Engineers, pursuant to Section
10 of the Rivers and Harbors Act of March 3, 1899 (33 U.S.C. 403), and Section 404 of the
Clean Water Act (33 U.S.C. 1344), is hereby modified and renewed by authority of the Secretary
of the Army by
District Commander
U.S. Army Engineer District, Wilmington
Corps of Engineers
69 Darlington Avenue
Wilmington, North Carolina 28403- 1343
TO MAINTAIN, REPAIR, CONSTRUCT AND INSTALL PIERS, DOCKS,
BOATHOUSES AND BOAT SHELTERS, MOORING PILES, DOLPHINS, JETTIES,
GROINS AND BREAKWATER STRUCTURES IN NAVIGABLE WATERS OF THE
UNITED STATES IN THE STATE OF NORTH CAROLINA.
Projects must be constructed in conformance with following standards in order to be authorized
by this RGP.
1. All piers, docks, boathouses and boat shelters will be pile -supported or floating
structures.
2. Mooring piles, dolphins, jetties and breakwater structures may be constructed of
wood, metal, or pre -cast concrete. Groins may be constructed of wood, pre -cast concrete, or rock
nprap.

This RGP does not authorize excavation or the discharge of excavated or fill material within
Waters of the US, except for the placement of rip -rap material for groin construction. This RGP
does not authorize any work on Atlantic Ocean beaches.
The following definitions should be used for purposes of this regional general permit (RGP):
a. Mean high water mark (MHWM : The line on the shore, in tidal water, reached by the
plane of the mean (average) high water. The precise determination of the actual location of the
line can be established by survey with the reference to the available tidal datum., preferably
averaged over a period of 18.6 years. A less precise method, such as observation of the apparent
shoreline, which is determined by reference to physical markings, lines of vegetation, may be
used for the purpose of this permit.
b. Ordinary Hilt Water Mark (OHWM) The line on the shore, in non -tidal waters,
established by the fluctuations of water indicated by physical characteristics such as clear,
natural line impressed on the bank; shelving changes in the soil; destruction of terrestrial
vegetation; the presence of litter and debris; or other appropriate means that consider the
characteristics of the surrounding areas.
Special Conditions
a. Authorized structures located on or adjacent to Federally authorized waterways will be
constructed in accordance with the Commander's Policy on Setbacks Along Federally
Authorized Channels. You may review a copy of the policy at
http://www.saw.usace.army.mil/WETLANDS/library.html
b. This general permit does not authorize construction across or into any natural or
manmade channel or water body in any manner that may adversely affect navigation by the
general public.
c. Piers, docks, boathouses, boat shelters and mooring piles authorized by this general
permit may be extended or be located up to 400 feet waterward of the mean high water
(MHWM) elevation contour (tidal areas) or the Ordinary High Water Mark (OHWM) elevation
contour (non -tidal areas) or one-third (1/3) the width of a natural water body, whichever is closer
to the shoreline, except as otherwise governed by the presence of a Federally maintained
channel.
d. The width of any pier will not exceed six (6) feet, unless the Corps determines, in
writing, that a greater width is necessary for safe use, to improve public access, or to support a
water dependent use that cannot otherwise occur.

General Permit shall not exceed 400 square feet unless the Corps determines, in writing, that a
greater width is necessary for safe use, to improve public access, or to support a water dependent
use that cannot otherwise occur.
f. Boathouses and boat shelters will not be enclosed and will not exceed 400 square feet.
Boatlifts will be open and will not exceed 400 square feet.
g. Boathouses, boatlifts, boat shelters and floating piers will not be constructed over
Federally jurisdictional wetlands.
h. Docks and piers extending over wetlands will be elevated sufficiently (minimum of 3
feet) above the wetland substrate to prevent total shading of vegetation, substrate, or other
elements of the aquatic environment.
i. Piers, docks, boat houses, and boat shelters shall not be constructed in seagrasses and
other submerged aquatic vegetation.
j. Wooden jetties will not extend farther than 100 feet waterward of the MHWM (tidal
areas) or the OHWM elevation contours.
k. This general permit does not authorize the installation of fueling facilities on authorized
structures.
1. Riprap groins shall not exceed abase width of 10 feet or extend more than 25 feet
waterward of the mean high water or normal water level elevation contour.
m. Riprap groins must be constructed of clean rock or masonry material and be of sufficient
size to prevent displacement by wave or current action.
n. Riprap groins shall not be located within primary nursery areas, submerged aquatic
vegetation, or areas identified as essential fish habitat.
o. Floating structures will be supported by material that will not become waterlogged or
sink when punctured, will be installed to provide for fluctuations of water elevation, will be
designed so that the structure will not rest on the bottom at any time and will be secured in such
manner as to not break away.
p. Breakwater structures will be no longer than 500 feet. They will have a minimum of one -
inch openings between standard width (6 to 12-inch) sheathing boards and at least one, five-foot
wide opening for each 100 linear feet of structure.

r. If the display of lights and signals on the authorized structure is not otherwise provided
for by law, such lights and signals as may be prescribed by the U.S. Coast Guard will be installed
and maintained by and at the expense of the permittee.
s. It is possible that the authorized structure may be damaged by wavewash from passing
vessels. The issuance of this permit does not relieve the permittee from taking all proper steps to
ensure the integrity of the permitted structure and the safety of moored boats. The permittee will
not hold the United States liable for any such damage.
t. This general permit does not authorize habitable structures or any structure or associated
facility for nonwater-related use.
u. Structures and their attendant utilities, authorized by this general permit, located on lands
subject to an easement in favor of the United States for the operation, maintenance,
improvement, and enlargement of the Atlantic Intracoastal Waterway (AIWW), will be removed
at the expense of the permittee, in the event that, in the judgment of the U.S. Army Corps of
Engineers (USACE) acting on behalf of the United States, the lands are needed at any time for
any purpose within the scope of the easement. Permanent buildings will not be constructed
within the easement.
v. This general permit does not apply to structures within existing or proposed marinas as
defined by North Carolina Administrative Code, Title 15, Subchapter 7H.0208(bx5).
w. Should all or part of a proposed development activity be located in an Area of
Environmental Concern (AEC) as designated by the North Carolina Coastal Resources
Commission, a Coastal Area Management Act (CAMA) permit is required from the North
Carolina Division of Coastal Management before the onset of the proposed activity. Should a
Federal activity within any one of North Carolina's twenty coastal counties or which could affect
a coastal use or resource in any one of North Carolina's twenty coastal counties be proposed by a
Federal agency, a consistency determination pursuant to Subpart "C" of 15 CFR 930 must be
prepared and submitted by that Federal agency to the North Carolina Division of Coastal
Management before the onset of the proposed activity.
General Conditions.
a. Except as authorized by this general permit or any USACE approved modification to this
general permit, no excavation, fill or mechanized land -clearing activities shall take place within
waters or wetlands, at any time in the construction or maintenance of this project. This permit
does not authorize temporary placement or double handling of excavated or fill material within
waters or wetlands outside the permitted area. This prohibition applies to all borrow and fill

c. All work authorized by this general permit must comply with the terms and conditions of
the applicable Clean Water Act Section 401 Water Quality Certification for this general permit
issued by the North Carolina Division of Water Quality.
d. The permittee shall employ all sedimentation and erosion control measures necessary to
prevent an increase in sedimentation or turbidity within waters and wetlands outside the permit
area. This shall include, but is not limited to, the immediate installation of silt fencing or similar
appropriate devices around all areas subject to soil disturbance or the movement of earthen fill,
and the immediate stabilization of all disturbed areas. Additionally, the project must remain in
full compliance with all aspects of the Sedimentation Pollution Control Act of 1973 (North
Carolina General Statutes Chapter 113A Article 4).
e. The activities authorized by this general permit must not interfere with the public's right
to free navigation on all navigable waters of the United States. No attempt will be made by the
permittee to prevent the full and free use by the public of all navigable waters at or adjacent to
the authorized work for a reason other than safety.
f. The permittee understands and agrees that, if future operations by the United States require
the removal, relocation, or other alteration, of the structure or work herein authorized, or if, in the
opinion of the Secretary of the Army or his authorized representative, said structure or work shall
cause unreasonable obstruction to the free navigation of the navigable waters, the permittee will be
required, upon due notice from the Corps of Engineers, to remove, relocate, or alter the structural
work or obstructions caused thereby, without expense to the United States. No claim shall be
made against the United States on account of any such removal or alteration.
g. The permittee, upon receipt of a notice of revocation of this permit or upon its expiration
before completion of the work will, without expense to the United States and in such time and
manner as the Secretary of the Army or his authorized representative may direct, restore the
affected water of the United States to its former conditions.
h. The permittee will allow the Wilmington District Engineer or his representative to inspect
the authorized activity at any time deemed necessary to assure that the activity is being
performed or maintained in strict accordance with the Special and General Conditions of this
permit.
i. This general permit does not grant any property rights or exclusive privileges.
j. This permit does not authorize any injury to the property or rights of others.
k. This general permit does not authorize the interference with any existing or proposed
federal project.

(2) Damages to the permitted project or uses thereof as a result of current or
future activities undertaken by or on behalf of the United States in the public interest.
(3) Damages to persons, property, or to other permitted or unpermitted activities
or structures caused by the activity authorized by this permit.
(4) Design or construction deficiencies associated with the permitted work
(5) Damage claims associated with any future modification, suspension, or
revocation of this permit.
m. Authorization provided by this general permit may be modified, suspended or revoked in
whole or in part if the Wilmington District Engineer, acting for the Secretary of the Army,
determines that such action would be in the best public interest. The term of this general permit
shall be five (5) years unless subject to modification, suspension or revocation. Any
modification, suspension or revocation of this authorization will not be the basis for any claim
for damages against the United States Government.
n. This general permit does not authorize any activity which the District Engineer
determines, after any necessary investigations, would adversely affect:
(1) Rivers named in Section 3 of the Wild and Scenic Rivers Act (15 U.S.C.
1273), those proposed for inclusion as provided by Sections 4 and 5 of the Act and wild, scenic
and recreational rivers established by state and local entities.
(2) Historic, cultural or archeological sites listed in or eligible for inclusion in the
National Register of Historic Places as defined in the National Historic Preservation Act of 1966
and its codified regulations, the National Historic Preservation Amendment Acts of 1980 and
1992, the Abandoned Shipwreck Act of 1987 and the Native American Graves Protection and
Repatriation Act.
(3) Sites included in or determined eligible for listing in the National Registry of
Natural Landmarks.
o. This general permit does not authorize any activity which will adversely affect any
threatened or endangered species or a species proposed for such designation, or their designated
critical habitat as identified under the Federal Endangered Species Act (16 U.S.C. 1531).
Information on the location of threatened and endangered species and their critical habitat can be
obtained directly from the Corps field offices or at the following internet address:
http://www.ncnhi2.or /g_Pai es/heritagedata.htmi. or hgR:Hnc-es.fws.gov/es/es.htmL Permittees
should notify the Corps if any listed species or designated critical habitat might be affected by

floodway that results in any increase in base flood elevations. This general permit does not
authorize any activity prohibited by the National Flood Insurance Program.
q. The permittee must install and maintain, at his expense, any signal lights and signals
prescribed by the U.S. Coast Guard, through regulations or otherwise, on authorized facilities.
For further information, the permittee should contact the U.S. Coast Guard Marine Safety Office
at [phone].
r. The permittee must maintain any structure or work authorized by this permit in good
condition and in conformance with the terms and conditions of this permit. The Permittee is not
relieved of this requirement if the Permittee abandons the structure or work. Transfer in fee simple
of the work authorized by this permit will automatically transfer this permit to the property's new owner,
with all of the rights and responsibilities enumerated herein. The permittee must inform any
subsequent owner of all activities undertaken under the authority of this permit and provide the
subsequent owner with a copy of the terms and conditions of this permit.
s. At his sole discretion, any time during the processing cycle, the Wilmington District
Engineer may determine that this general permit will not be applicable to a specific proposal. In
such case, the procedures for processing an individual permit in accordance with 33 CFR 325
will be available.
t. Except as authorized by this general permit or any USACE approved modification to this
general permit, all fill material placed in waters or wetlands shall be generated from an upland
source and will be clean and free of any pollutants except in trace quantities. Metal products,
organic materials (including debris from land clearing activities), or unsightly debris will not be
used.
u. Except as authorized by this general permit or any USACE approved modification to this
general permit, all excavated material will be disposed of in approved upland disposal areas.
v. Activities which have commenced (i.e., are under construction) or are under contract to
commence in reliance upon this general permit will remain authorized provided the activity is
completed within twelve months of the date of the general permit's expiration, modification, or
revocation. Activities completed under the authorization of this general permit which were in
effect at the time the activity was completed continue to be authorized by the general permit.
BY AUTHORITY OF THE SECRETARY OF THE ARMY:
(11']?Aw Z„

licant:d
Permit #: �� h6l D
cribe below the HABITAT disturbances for the application. All values should match the name, and units of measuremen'
id in your Habitat code sheet.
itat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)
FINAL Feet
(Anticipated fine
disturbance.
Excludes any
restoration and/
temp impact
amount)
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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 ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑

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