77226_Douglas Evan Portno_20200915

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0 CAMA / DREDGE & FILL —I-D4 i ,�i „01 73 N° 77226 A 0 C D
GENERAL PERMIT ((AO Previous permit# NI
)G ., New Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued NI AI
As authorized by the State of North Carolina,Department of Environmental Quality 1 2 -_
and the Coastal Resources Commission in an area of environmental concern pursuant to ISA NCAC t7 ' (, 9 . .
Deltuies attached.
Applicant Name POu5,06 EvC,An }?O tr••cy Project Location: County .F,P0,LA Co A
Address (o9 Qn Oa\( 7._;t) c T,(. Street Address/State Road/Lot#(s)
City �cr)elckn State IJC ZIP. 11017- (]aA:bv-NcA IZ:\
Phone#Mil) 399 -630 i_Mail Subdivision Authorized Agent 7 5 ‹ moil h C CONv51.• City Be I „ver, / Ni c- ZIP , 381 0
Affected ❑Cw ❑EW I�PTA ❑ES ❑PTS Phone# ( ) River Basin TAiZ f p4}Ar)❑OEA ❑HHF ❑IH ❑UBA CI N/A
AEC(s): Adj.Wtr. Body u•t-h Sr r cJ nat /man /unkn)
❑ PWS:
ORW: yes / no PNA yes / no')
Maj.Wtr. Body ?LAN L- O �SV�� -
• /Type of Project/Activity boQlcV1 c
3c>' )
Pier(dock)length _I
I
Fixed Platform(s) ( j i
i
Floating Platform(s) i I I OP° ' .
Finger pier(s) -r -----
Groin length t j I f
numberi :. _.._._._..__._........_......_�.._._.._.... {.._.._ ..._...,.._.._._..__._.......- _.._._.__._...:---
Bulkhead/Riprap length „- i ...T __.___._..}_.__._..._.;____.�._.__.._._..._. j — —
avg distance offshore {
max distance offshore _ _ _ ,
Basin,channel i j
I 1 I i ,?
cubic yards i
Boat ramp l�Y :�I 1 ,
Boathous Boat_ I e /3'X 13' �_ {._ �''; - i I : _�'}y IDOL
—, -......
I � r,• tl_�
D — i
Beach Bulldozing { j �l A i
Other s 9�� �. . } __j, j t4.ST '
1 %1 \ .047. , bt,,#) 1- !, ! , - )1 t i ,, _ iv.-Itt• —
Shoreline Length t .-�,,,L.,d� ' 1 , , el-S j'r ci D ,
�N'
SAV: not sure yes no ir+i p.'t { I — l, .L. , - .
Moratorium: n/a yes no to B TNo
Photos: yes no,yes R _' ......... : f ..�._. - -
Waiver Attached: no i I A`
A building permit may be required by: S Pau 0 r\ Cs)L&P\`/ See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) . L \ I
Notes/Special Conditions L t f) /S 17)al H 'GtI/^Pu /G(AO
)i-/ I / / 1
' f ; ç L ) /afQ L. 4NL / , s 7 JI-�
Agent or Applicant Printed Mame PermitOfficer s 'nted Name -
\/—
‘a DC4C44 \....IC -..,
Signat a Please read compliance statement on back of permit'* ignature
4200 /-;'SUo � ' /.� : -1a J4H / : ‘="2- 2-c)
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 I I 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 (252-946-648 I) 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

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41❑..CAMA / El DREDGE & FILL .n..:) ,\tl' W+ ,A 0 Cl 73 No 77226 A C D
1
GENERAL PERMIT Previous permit# NI A
>'Z LJNew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued tJ/14
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 SA NCAC %'i - I 4... .
Lkules attached.
Applicant Name Poo& \aS C .1 ' r „--y Project Location: County l'?. i,L.(t-o r
Address � G` k 14.
LA ( D( . Street Address/State Road/Lot#(s)
City )C i 4" 'State 1'- ZIP Ito/Z �- L Y)-*ti' u
Phone#( ?1`j) ,(19 -c'3 _Mail Subdivision
Authorized Agent? 5 c n)or%i'( C OriSi• City 17,c)\AxxX-� -) . NI C-- ZIP -3S10
Affected ❑CW W AA ❑ES ❑PTS Phone# ( ) River Basin TO ) P4 n1
AEC(s): ❑O� HHF ❑IH Ill UBA ❑WA Adj.Wtr. Body (nat /man /unkn)
❑ PWS:
ORW: yes /;no PNA yes /r,�io Closest Maj.Wtr. Body IU'v t-C' R--V LIZ
Type of Project/Activity 7,.�, ?i;St' 1;/ 7( 13 bc(), 1
Pier(dock)length
Fixed Platform(s) l -
( 1
Floating Platform(s) �'� i�' I 1 _ I + 11 —
Finger pier(s) _ i j-. - /fir n e fJ _ .
Groin length I ' ,
number r -- _....
Bulkhead/Riprap length _._...._- -- -......_ j _ ---
avg distance offshore _ I {
max distance offshore
I
Basin,channel - I
/ 1 1 ; ,
cubic yards I — I 1 4=
Boat ramp sy L 1 i n , L f
Boathouse/tBoatlift ?7 X J — — — L r` —[ �� . —
' i
Beach Bulldozing F`J� i 411 * f S, .7�
Other # ? c.) 1 r.... r
41,
, �. r . - } �L.
Shoreline Length 14 'S1 Kr> j Ir 1L 4 S r • r
SAV: not sure yes o I �' ,�t O
1[
Moratorium: n/a yes (no 1 J ;',('t u ......_,.._._,..._.--
T
i
Ti
Photos: yes (no - ._' W r� — 1 — 1- { ! ---
Waiver Attached: ,/yes no I . 11 ,,L '
A building permit may b✓e required by: S 'c'O P 1..0 LA I'\'`) See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) .
Notes/Special Conditions / ^,f 1< 0/(11 v Vile-rt.7 IQ Loh .
E. '✓ ! J ,) ©V 4C S. /
Agent or Applicant Printed Name f" Permit Officer's Printed Name
Signature **Please read compliance statement on back of permit** Signature
.. . / 0>C. / . 61,,.0)0
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:
t/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 252-946-6481
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

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Authorized Ag consent
I
i, DOUGI.AS EVAN PORTNOY ,herby authorize Tobin Jay Tettertomor
(Property Owner(s)) p • i
TJ's Marine Construction,LLC to act on my behalf hi obtaining CAMA permits,jIr
the location listed below.
I
PROPERTY ADDRESS: 1
i,
78 CABANA ROAD II
BELHAVEN.NC 27810 'i
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PROPERTY OWNER'S MAILING ADDRESS: p
6908 OAK RIDGE DRIVE
RALEIGH.NC 27612 !!
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Phone No.
919-349-5304 !I
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_. _ _ _,, >
PROPERTY OWNER'S SIGNATU —
AUTHORIZED AGENT SIGNATURE:
OEN TE TO
DATE: 92a
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W authorized Agtnn Consent aplee.
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CENT AAA RIPARIAN PROPERTY OWNElt§TATEMENT
I hereby certify that I own property adjacent to DOUGLAS EVAN PORTNOY
t�1��g 's i
property located at 78 CABANA RD,BELHAVEN,NC 27871E me of Property Owner) ;
l' i
on Pungo River ` (Address,Lot, Block.Road,e e
Belhavn, eau o i
'in , 1i.C.
(Waterbody) (City/Town and/or County)
- The applicant has described to me, as shown below, the developmentI " I
location. P proposed at the atjove
mom, '' I have no objection to this proposal.
Property
Ownerck I have objections to this proposal. 11
Cited 1
iiiDESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT I Y '
(lndlividda(proposing gfevetoprrrelit gnus fri!In deecri torn belowd
A. or attach a site drawing)
Install 8 K Boat Lift 1 Cy
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�t WAIVER SECT4914 j
Pro ertq
Ow I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or grin
ns,' must be set back a minimum distance of 15'from my area of riparian access unless waived s
M'"st me. (If you wish to waive the setback,
ram.} you must initial the appropriate blank below.) 11 Y
One i
f do wish to waive the 15'setback requirement
;I
I do not wish to waive the 15'setback requirement. Ii 4
(Property Owner Information) (Adjacent Property Owner Information);!
___ __, -- ' j....... 8
Signature J Signfatu►'e* t
Doug and Jessica Portnoy Bruce and Sherry Wolfe it k
l'rl Ty�Name Print or Type Name •l
6908 Oak-Ridge Drive 102 Honey Pod Farm Rd !I f •
Ali
srfe f,',, ”612 MeilinsTigg Addreseton1\s C 27889 i
�'am ,
City/State/Zip Clty/State/Zip
919-349-5304,deprealestate(a,,gmail.com __-_
Telephone Number/email address N q `
Telephone Number/email address ij .
9i7!2020
Date `� .2 i,a-)--rC$ 11 i
Dares • 1
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(Revised Aug_201•¢j
'Valid for one calendar year after signature*
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Mart N P
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I hereby certify that I own property adjacent to DOUGLAS EVAN PORTNOY
propertyiNa located 78 CABANA RD,BELHA VEN,NC 2787 iT�g of Pr 'ner)
on Pungo River r (Address,Lot, Block Road etc.) i I_
in Beldam,Bclamort I>.C. 1
(Waterbody) (City/Town and/or County)
- - The applicantme.has described to s, as shown below, the develo
pment proposed at the ati ve
location.
wear* v I have no objection to this proposal.Proporty
Owner I have objections to this
C proposal.Check
1
DESCRIFT'IQN ANDtQR DRAIAIih'G OF PROPOSED DEVELOPMENT t
(lndtividual proposing development must 711 fit tdescrfption below or attach a site(frowns) I
Install 8 K Boat Lift
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WAIVER SkcTIOJ ! F
Pro,ert I understand that a pier, dock, moorin g pilings, boat ramp, breakwater, boathouse, Ilft, or grin
Owner must be set back a minimum distance of i5 from my area of riparian access unless waived itty E
`wrist me. (If you wish to waive the setback, appropriate
trial=� you must initial the a Pp prate blank below.) I
One ,� I
�`/� I do wish to watve the 15'setback requirement, 1
I do not wish to waive the 15'setback requirement. ;I
(Property Owner Information) e
( cent Prop er information) ? is
--Erigrtatare Si cure* '
DOUGLAS EVAN RTNOY Kristopher and Angela Tew }
Pr r Type Name �j�SS;vt ' `�y !1
60813 Oak'Ridge Drive Print or Type Name
203 Plyersmill Rd i
1.
atre�h,ill T612 Mailinaryg Ad2dress it f
C ,NC ,5 19 ;I
GtYtnZp Clt�[/Ste Ip
919-349-5304,deprealestate gmail.com "1t� (rf. ``iq.z1JKtL S/ppTelephone Number/email address Telephone N / meddress �, JJ 8/25/2020
Date 1b12U jt
Dates •'
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(Revised Aug.2014,
Valid for one calendar year after signature*
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Beaufort County, NC
-
GPW:7612-27-482, PROP__DESC:1 LOT//5 SHORELINE MBL:7612007
GPINLONG 7612-27 4g21 ES CAT
NAMEI:PUR7NOY F_S�AILEVINE PIN_I.DOUGLAS E LAND V 5/24 2019
Dlsclamer-- NAME2:PORTNOY JESSICA V AL:46906 DATE:S/IA/I019
Bandon Crony manic mep: is provided as a public wrier,as is,nBLDG_VAL:94652 wadable and trishaw romantics.es resod or hnp0ed.Cnalen1 pub/irked ADDR I:6908 OAK RIDGE U DB PG:I f90/00343
Nis reham is f iNom,nienal P.M...only and a ea inknded in caNtihnc a DRIVE TOT VAL:1415533 -
legalr ord ant dmaodnhe.U000I ed fur ndme advice,r TAXABLE VA:141558 STAMPS;382.00
prorculorods.The Cmmry of Beeman and dw lA ..rider.octaewry CITY:RALEICH SALE PRICE
rnaP.w.n,ury.od hyal ha,dyy far n,c.cunt ebs,teRmWtrdiwWm all DEFR VAL:0 - 191000.00
1°cr ems''h+,acaa i c„oe,y.,,e iv nwr published,.
>,ely n rn+ca tram a STATE:NC _ REID I:33545
1.. ou,.,,adweear•re Co.., .m ADDR2:6908OAJCRIIIGF.DRIVE PREV_ASSE5:1290g4
��� �_� .� .hp r.e arrha use ACRES:0.56
A [U m PROP ADDR: CABANA RD
ro Aug/20/2020 ZIP:27612 TOWNSHIP:07
ip Scale 1:542

NC Division of roastai gt Habitat Impact Computer She&
Applicant: L2 q /S S !� (/K n / /r!o
Date: S.t /S
General Permit it:
7722
Describe below the HABITAT disturbances for the application. All values should match tie are,and units of measurement
found in your Habitat code sheet
TOTAL Sq. Ft FINAL Sq, Ft. TOTAL Feet FINAL Feet
(Applied for. (Anticipatednaal (Applied for. (Anticipated final
DISTURB TYPE
Disturbance total disturbance. Disturbance disturbance.
Habitat dame Choose One includes any Excludes in! total includes Excludes any
anticipated I restoration any anticipated restoration and/or
restoration or and/or!ern; restoration or temp impact
temp impacts) i impact am curt) :empimpacts) amount)
1 4 - . Dredge❑ Fill❑ Both ❑ Other IvJ i�j q 1
• Dredge❑ Fill❑ Both ❑ Other ❑
tt
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑ I
Dredge❑ Fill❑ Both ❑ Other ❑ •
Dredge❑ Fill❑ Both ❑ Other ❑
" i I
Dredge❑ Fill❑ Both ❑ Other ❑
I I
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑ i
Dredge❑ Fill❑ Both ❑ Other ❑
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