77263_Mark Futick_20201002

QKC PO ��pe, /CAMA / flDREDGE & FILL �D Col 0 37 A © C tx°
GENERAL PERMIT Previous it# NI
�� FrNew —Modification ❑Complete Reissue El Partial Reissue Date previous permit issued IN//p
' 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 - ) 1 0'0
fW4Kules attached.
Applicant Name Pi 4 ILK -Fug T ZLk Project Location: County 13(4,3(.4 Po{ 'k
Address 5 C)/ 0 por D'(-,J RNtk L11) Street Address/State Road/Lot#(s) OFF S`R-)1!
City gel moo+, State AIC ZIP a50/2 Lo} I j LAJ04-!(5'1 & y Vy
Phone# (lot 529 - £% Mail Subdivision 6Ay N19g BAR
�/
Authorized Agent Rpbb;c k
j 4ca p ;m S // City 13/pN ( C{e't:<hucoufr r -ZIP 2 4S J
Affected ❑CW 4 [! A III ES OPTS Phone# ( ) River Basinl 4l /Fla"
(s): Adj.Wtr. Body❑OEA ❑HHF ❑IH ❑UBA ❑N/A
AECe urr� f �Ct 6'a`�/man /unkn)
V)
❑ PWS:
ORW: yes /(no PNA yes / n� Closest Maj.Wtr. Body Poi W/)Lv �1;Jew'
Type of Project/Activity ?% <?77,= )34-'t CG-1-ro» rxe "} //(D' ©r j')e to bc')k heal
'•t)i r '' rP df , (Scale: J - 3O' )
Pier(dock)length ,
I
Fixed Platform(s) �✓ 1lJ Q�k s YCekI"P' + 1
Floating Platform(s) 'AID `
Finger piers) ___-,T.__._.,-,.-. .._.___ fC? - -
Groin length � � 1 1 1 1 (i(
number _._._.:.. --- . . ----_ ;.. ... -f .....,_... -___.._ .._..._......_--- '- ; -r__--- --------
r---- \ _._-..-.. ____ ,
1 Bulkheald/Riprap length ± /Jb - � + � 1 I
avg distance offshore 0 1 I
ettSt�1b j
max distance offshore (� I 1 i ,
Basin,channel ` f I {
I j �I
cubic yards
{
Boat ramp I J 1 { I
f {I I
Boathouse/Boatlift -- i _..-._-_h
—
Beach Bulldozing l' 1--
- -- t1 -•
Shoreline Length } //C) Gp S Pig af={ N 8t �`� L. Jo rote
{
SAV: not sure yes -+-�-- i 9 girl``-_ , �._ _` 1 -1- vorkt,- . �I� I 1 - ^� �P
Moratorium: n/a yes __. "P�v\ rt 1 I - I. __.
Photos: yes �.... - i f t
Waiver Attached: yes no /' ' j 1i 1 1 1
A building permit may be required by: L'JPGU4( C bLiJ.4' '' See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) \1
Notes/Special Conditions C.D4 i S ??70;0 "�^t) U!/� ,at/1 w' T/ee f•
16 i e 1--1 f, tyt\
Agen r cant Print a PermtOfficer's Printed Name
_ ,4-4/7-
,,,,_,,, ,,
Si ature 'Please read compliance statement on back of permit** kci..,,_.,, ,.,,,,,,E,
Signatur
46
-�(-;A ! �k 3 ) " O r u f3 cx '?...0—1,_0 "2_ f tY1Z U An`-1 1.-6 1
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(9 I 0-796-72 15)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 910-796-72I5
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

41-2 CAMA / ❑DREDGE & FILL ID# CO'7O 37 N° 77263 A C D
GENERAL PERMIT Previous permit# iJ/ta
C)
>�—= ❑New ❑Modification ❑Complete Reissue Partial Reissue Date previous permit issued q/J
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
'/ Q1Fules attached.
Applicant Name In A lL rU R T 104. Project Location: County - "k
Address 6'0/ O D o(D t•b'7 R v,i k Lk) Street Address/State Road/Lot#(s) a i r S i-)1 t
City g e 10.1 G'v)-I- / State Ai 6 ZIP ?5«1 Z L,..,-f 1 I ;ji. s r`t 5 L N), "p.�-
2
e.:c
Phone#(1 h Z� - 6�'�_Mail Subdivision �jf Y /.'A,g 73:`u) ,!
Authorized Agent ��J�:t /11c,f�k",N S / City g/l>tii4/< <r<<� -ZIP 2 44 a-
Affected ❑CW 4 I�PTA ❑ES l�'PTS Phone# ( ) River Basin-IAA /?In"
AEC(s): ❑0� ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body 7:2)j*(- 7 f efC. oat./man /unkn)
❑ PWS:
Closest Maj.Wtr. Body ..r/ia/' 4•�' I�►Je✓
ORW: yes / io PNA yes /Type of Project/Activity ..—2 5 f L C v1.S4-/t4Cl-T o)-74- h l/b/ ►)t✓to bce 1 i." A
/' j' (, -i ;i'1 . (Scale: I�F - 6O )
Pier(dock)length
Fixed Platform(s) 4lat• -,. b� (1 S GG t #
© i
L. 1
Floating Platform(s) I _ { i}�
Finger pier(s) —1 L'T f j �I�4?
Groin length I/Iki , ,, Air
number - ...... . --. - -.7.._ • 'i ._
- i1 - --
ed/Riprap length lie?, - - 7 _ _____
Bulkh
avg distance offshore +� I N / .i .'„
max distance offshore t> iILG~L,�
Basin,channel \. l I {,/
t.
cubic yards - - i i
Boat ramp ;
t__ _ 'I -- - _- I ! 1.___.._
Boathouse/Boatlift I t t —_- Ti-
'r - - -- 1 ....... ...-- --t- -I._.._.._
/ 12 : i
Beach Bulldozing / J I-- t •���1
Other J �/� '
\ i J .? 0.EP + Vt ,Is..
�� % �K r ' F.) tau 3�a >^,..3 Fit.; i
Shoreline Length 1 I ^ oY i
i i i
SAV: not sure yes -I LL C _ l „1 ��I ice__........ - - ._...... -i"s.�~--Moratorium: n/a yes i i
Photos: yes n - _ 1. - --- — —i _... _ —
Waiver Attached: 6;1 no �'
A building permit may be required by: EitQ0 0'4(f" ( tLAlA4 7 . See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) 1 11
Notes/Special Conditions L n4 ), J'f"'C.�1v' tr+f!► (,✓' 1'4 ra 1�w t/ee t•
4 / !6filt r , 'A' s r, `y F r,
Agent or Applicant Pri t e Permit Officer's Printed Name
//fJJ
Signature **Please read compliance statement on back of permit** Signature
-- .,_'l rA �3 -...O 1- :7'_.__ 1 .- -, 1..C) r._
Application Fee(s) Check# Issuing Date Expiration Date

Statement of Compliance and Consistency
This permit is to compliance with this application, site drawingand attachedgeneral and specific conditions. Any
subjectP PP � P
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 riparian
P adjacentP
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 0-796-72 15)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 910-796-72I5
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

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
Coastal Management BRAXTON DAVIS
ENVIRONMENTAL QUALITY Director
BUFFER AUTHORIZATION CERTIFICATE
FOR PIER AND DOCKING FACILITIES ACCESS WAY
A riparian buffer authorization is required for pier and docking facilities access ways through the Tar-Pamlico &
Neuse River Riparian buffer per Division of Water Resources (DWR) regulations 15A NCAC 02B.0233 & .0259. The
Division of Coastal Management (DCM), through a Memorandum of Understanding with the Division of Water
Resources (DWR) has reviewed your project proposal and has determined that the project as proposed complies
with the aforementioned regulations.
Those activities covered by your Coastal Area Management Act (CAMA) permit have received Buffer Authorization
provided the project is constructed in a manner that continues to meet all of the conditions listed below. Failure to
comply with this Buffer Authorization may subject the property owner and the party (contractor) performing the
construction and/or land clearing to a civil penalty by DWR of up to $25,000 per day per violation.
>. Crossing is Perpendicular: Pier and docking facility access way must cross the 50 ft. riparian buffer
perpendicularly (which is defined as between 75 and 105 degrees) unless otherwise approved by DCM.The
alignment shall minimize the removal of woody vegetation to the greatest extent practicable.
2. Pervious Materials: All reasonable measures shall be taken to ensure the access way is made of pervious
materials like open-slatted wood or composite, mulch, or grass to meet the intent of the rules to the
maximum extent practicable.
3. Access Width:The width of the pier or docking facility access way shall be limited to six (6) feet.
4. Project Drawing: The drawing on the CAMA General Permit is considered the project drawing of your
property indicating the relative location of the pier or docking facility and any requested access way. This
drawing will be used to aid in compliance
and monitoring efforts.
• Pre-project site conditions: 1-4-1- I $ r11a)\-)Tt)h4' fit)f l a fL�i
4) -ee1
By your signature below you agree to be held responsible for meeting all of the conditions listed above and verify
tha�,all -nforma ion provided is complete and accurate.
ie
Age t A t Printed Name ern'
Agent or A licant Signature Issue Date
CAMA GENERAL PERMIT#: b
State of North Carolina I Environmental Quality I Coastal Management
Washington Office 1943 Washington Square Mall Washington.NC 27889 1252-946-6481
Wilmington Office 1127 Cardinal Drive Ext.Wilmington,NC 28405-3845 1910-796-7215
Morehead City Office 1400 Commerce Avenue Morehead City.NC 28557 1252-808-2808

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Mark and Terri Furtick 's
(Name of Property Owner)
property located at Lot 71, Waters Edge Drive
(Address, Lot, Block, Road, etc.)
on Blounts Creek , in Beaufort 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.
4./ I have no objection to this proposal.
I have objections to this proposal.
DtSCRIP I ION ANU/UR UKAWING OF PRUPO5ED DtVELUPMtN f
(Individual proposing development must fill in description below or attach a site drawing)
The proposal is to build a bulkhead along the waterline of the Lot 71 property stretching
between lots 70 and 72.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, 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 Owner Intormation)
•
Signature Jignature•
Mark D.Furtick
P lnt orType Name Pntid v Type Namee� J L'te �J c-iU ✓
5010 Dorothy Ruth Ln. ass 2�e,r s e
qq
Maumg Address Mailing ctailing A OSs
Belmont,N.C.28012 ,2'7 '/7
City/State/Zip C ate/Zip
704-829-6652 5 - 4/0 'YR t 3
telephone Number I email address telephone umber/email address
9/29/2020 3c
Date Date'
(Revised Aug. 2014)
*Valid for one calendar year after signature*

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Mark and Tern Furtick s
(Name of Property Owner)
property located at Lot 71, Waters Edge Dove
(Address, Lot, Block, Road, etc.)
on Blounts Creek , in Beaufort 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)
The proposal is to build a bulkhead along the waterline of the Lot 71 property stretching
between lots 70 and 72.
WAIVES SECTIQN
I understand that a pier, dock, mooring pilings, boat ramp, 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.)
AV" X I do wish to waive the 15' setback requirement
I do not wish to waive the 15' setback requirement
(Pro O,wner Info la (Aclac nt Prope oymer nformation)
Signature S ire
Mark D Furtick J 'Trey Coghill
Print or Type Name Print or Type Name
5010 Dorothy Ruth Ln. 4115 River Chase Dr.
Mailing Address Mailing Address
Belmont,N.C.28012 Greenville,NC 27858
City/State/Zip City/State/Zip
704-829.6652 252-702-8644
Telephone Number/email address Telephone Number/email address
9/29/2020 9/30/2020
Date Dares
(Revised Aug 2014)
*Valid for one calendar year after signature'

Pic Division
of Caa[stai (Mgt. Habitat Impact Computer Sheet
Applicant: 111 f1'`K t U1(l ► 1 CK
Date: /b - Z - ZD
General Permit 7.7Z10 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 1.
(Applied for. (Anticipated final ' Applied for. ,Anticipated Final
DISTURB TYPE Disturbance total disturbance Disturbance disturbance.
Habitat Name Choose One ncludes any Excludes :r'y 1 total includes I Excludes any
anticipated :estoratier any anticipated estoration and/or
restoration or and/or*ma restoration or temp impact
emo impacts) impact ant cunt) temp impacts) j amount)
iJ I I
Dredge❑ Fill Both Other ] )25 525
Dredge❑ Fill] Both i] Other u I f°
�-� Dredge❑ `R❑ Both ❑ Other I� I(b.0 .c..11"! ((p
Dredge 0 RODBoth D Other V
1
Dredge FIE] Both ❑ Other ❑
Dredge 7 Fill 7 Both 0 Other ❑ ;
Dredge:J RI'[ Beth n Other ❑
e Dredg =It Both ❑ Other ❑
J '
Dredge Fill D Bath ❑ Other
I j
I ' I
Dredge i] Fill] Both . Other 0
Dredge Ei Fill❑ Both f_; Other 0
Dredge'-' tilt= Both 0 Other ❑ •
Dredge❑ Fill 7 Both ❑ Other ❑
Dredge] `:II 7 Both ❑ Other
I ,