76076_Kathryn Lyon_20200721

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CAMA / ❑DREDGE & FILL ' `Ay No. 76076
GENERAL PERMIT 4()(405g'a A CB C D
Previous permit# �/
)C New . 'Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued -./ 1
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 v c (-,;—
La- •
Rules attached.
Applicant Name r'y �� Project Location: County
Addresss Z 0 75 ,_(/ , / /9j. " Street Address/State Road/Lot#(s) 1470 I ,
City L r�x-„(9 2/i7 State X ii ZIP (,/O6-6,iZ _--
Phone#( - ,?1/..,9. `/1/2 E-Mail Subdivision imiiii= /,-?, f ,- t, , -
Authorized Agent /,..) /4/ i r<< - , '' City - ZIP '4'/
Affected ❑CW L�' W LI�PTA DES L?PTS Phone # ( ) - River Basin TU r/ '
❑OEA ❑HHF ❑IH ❑UBA ❑N/A , r at /man /unkn)
Adj.Wtr. Body
❑ PWS:
Closest Maj.Wtr. Body
• ORW: yes / no PNA yes /,•iioj
Type of Project/Activity /! //..,t0 '%r.,,.- l,.at- i / /// - ,/; /- ( ,
le-te, •'f._ / (Scale: / i':. U )
Pier(dock)length
Fixed Platform(s)
t/�J
���r
Floating Platform(s) \ — vl t 6
Finger pier(s) /�/ _
Groin length // �.,� . 4 .......--i---'_..__�
number
< (Bulkhea 'pray length y.i' \ `�
avg distance offshore Ci 1 U (1 'y ( i .
I .
max distance offshore 0 1 I i a ii `.
I
-
Basin,channel / 0 I
r f _ 1
cubic yards \,.1\I/ r i 'le ��
Boat ramp ` f't
J ` \J✓ I
Boathouse/ oatli ' i . } —
I
JJV � I s , ,
Beach Bulldozing . j I
W/ jo: . + r'``is -
Other_ + �'AI 4\-"'e.---,ri,:1. —1— 1--
/5
Shoreline Length /J(7 / /, /P,.iSAY: not sure yes no ' I i
Moratorium: n/a yes no
Photos: c.es no 11 �'J )' '
Waiver Attached: yes no L (h i I . 5 ,v�q
A building permit may be required by: ,� c., - -' See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions (>'/" /200
P.;;;(-r� .- . ,.� f re, I __J / e f. 57i• ;
Agent or Applicant Printed Name PermitOfficer's Printed Name
Signature Plea Ss read compliance statement on back of permit Signature
'/ .; y
— -:,!( ..,Z.- ,2Gv, ,
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 (252-946-6481) 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 252-946-648 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

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 [phone]
NC General Contractor License#72600
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:
Bulkhead and boatlift
Project location/address:
500 Lyon Drive
Belhaven,NC 27810
Body of Water.
Pungo River
Property Owner Mailing Address:
Kathryn Lyon
2075 Manor Drive
Lexington,KY 40502
[phone]
Property Owner's Signature: /il'Qri ,(�Jj� Z I \ Date: //
Authorized Agent Signature: ` Date: J 020

Adjacent Riparian Property Owner Statement
Prepared by
1:'.. 0, 66,010 B. F. Warren & Sons, Inc.
vic AZees(‘,"e /"'�° 180 Taylor Farm Road, Belhaven NC 27810
•6 / 4-7---/ Office [phone] Fax[phone]
fc"t I �K6 Mobile [phone] Forrest Mobile [phone]
€,,,) d roc J NC General Contractor License# 72600
i t www.ncpiers.com
L y°`r (-4 l June 18, 2020
hoperty owner, do hereby certify that I own property adjacent to Kathryn
ted at 500 Lyon Dr, Belhaven NC on Pungo River(body of water), in
ir 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.
I have no objection to the project as proposed but do not wish to waive the fifteen foot
. (15') set back.
V I have no objection to the project as proposed but do wish to waive the fifteen foot(15')
setback.
10 I object to the project proposed.
Property owner signature ALlie //,‘0! -c>a - --
Printed name WQde 14xter5 I. ri,Ld y 17v-lac rS
Address I too Ti ger- I.-azne e 1 \cote_r1 ) NC 2.*781D
Telephone number( a 5 a ) I `i 3 - 4 11
Date 06. I 18 I � © 'a0
Description and/ or Drawing of Proposed Development
install 45ft of bulkhead to close gap next to dock and install a 4 post lift on dock

JUL-17-2020 09:07 From:000NTRY_CASUALS 8286675339 To:12529646861 Paee: 1'1
CERTIFIED MAIL ' RETURN Rg,CFIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner. Kathryn& Richard Lyon
Address of Property: 500 Lyon Dr., Belhaven, NC 27810 T
(Lot or Street#,Street or Road, City&County)
Agent's Name#: Forrest Warren Mailing Address: 180 Taylor Farm Rd
Agent's phone#: [phone] Belhaven, NC 27810
Agent's Email: [e-mail]
- I hereby"certify that-I-own property-adjacent-to-the-above-referenced-property. 'The individual • '.
applying for this permit has described to me as shown on the attached drawing the development
they are proposing.A description or drawing, with dimensions, must be provided with this letter.
;I\ I have no objections to this proposal. I have objections to this proposal.
If you have objections to whet Is boingproposed,you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at http://www.nceoastalmanarrement.net/web/cm/staff-listing or by calling 1-888-41?COAST.
No response Is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift 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) (Riparian Property Owner Information)
i44:e4-t'Glevd for; ,# t--
Signature Signature
Kathryn & Richard Lyon gLheir h. ( Qig& 1
Print or Type Name Print or Type Name
2075 Manor Drive q( 0 es Cove Pe
Mailing Address Ma''ng Address
Lexington, KY 40502 caeA.`-n-C- a 7 I$ ,
City/Statel/ip City/State/Zip
859-321-6399 _ 5 a c'- 'j t ,-r ac 0
Telephone Number/Email Address Telephone Number/Email Address
07/11/2020 fi lik,12--e)
Daft Date
(Revised Aug. 2014)

AIC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: 11 L H
Date: f J /y 02O,2-0
General Permit*: 76 v 7
Describe below the HABITAT disturbances for the application. All values should match tie lame,and units of measurement
found in your Habitat code sheet
TOTAL Sq.Ft FINAL Sq. Ft. TOTAL Feet FINAL Feet
(Applied for. (Anticipatednael (Applied for. (Anticipated final
DISTURB TYPE Disturbance total disturbance Disturbance disturbance.
Habitat Name includes any Excludes any total includes Excludes any
Choose One
anticipated restoration any anticipated restoration and/or
restoration or and/or temp restoration or temp impact
temp impacts) impact amount) temp impacts) amount)
XG,Ore j'„, Dredge❑ Fill Both 0 Other 0
le ) Dredge❑ Fill❑ Both 0 Other 7_ v
Og C* L4 /er- Dredge 0 All❑ Both 0 Other 1 v 9 / r
Dredge 0 Fill❑ Both 0 Other 0
Dredge❑ Fill❑ Both ❑ Other 0
� I
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge 0 Fill❑ Both El Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fitt.❑ Both 0 Other ❑
•
Dredge❑ Fill 0 Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑