79138_Camp Vandemere_20210330

2CS
�GENERALDPERIMIT zD .4�gia � lv Previous ,v,Q� C D
P
> Newd ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued A'/4
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 7 k/' / 2 (..
Rules attached.
Applicant Name E (t a tE) VC-1"( 'v ./<- Project Location: County ;� ,., (1 c. :;
Address '2-1 N &` `"( / Street Address/State Road/Lot#(s) 'L/ '---- A./o,
City \ii,Y r,r , State '.1C ZIP ."----73 S C 7y'a r of, i
Phone#(2_.52-) (770 ,72_ E-Mail "'----- Subdivision
—V P Authorized Agent -, - 'c#'` (7-:?-; / c y) City Y G re( e ry-,✓ ZIP Z s.' 7
Affected ❑CW SEW C P .TA ❑ES ❑PTS Phone# ( ) River Basin /1/-u
❑OEA ❑HHF ❑IH ❑l1BA ❑N/A ,� c,
� .
AEC(s): Adj.Wtr. Body �/3, , at��p an /unkn)
❑ PWS: /me., ,�< / i �e
ORW: yes no PNA yes / rio Closest Maj.Wtr. Body
•
Type of Project/Activity Pi 0 , a- / -Vo X , '
(Scale: /.' 3 7 )
Pier(dock)length / '
_
1
Fixed Platform(s)'1)(' - o/ ! II 1 ,+
Floating Platform(s) }�_ f/1 i N
Finger pier(s) 1 ' o'�J ;j`.t.4 f l
Groin length ; I ,
number ___..... _........._. _. �......_........._.....
Bulkhead/Riprap length emu_____ _. ! . ''.a''cil ; /E �__...._.T ..__.
avg distance offshore \ I 1 1 1
r Allff y max distance offshore } 1
Basin,channel i i . - 1
i
cubic yards . I-
i
Boat ramp j /
Boathouse/Boatlift + ............ ... __ ..
Beach Bulldozing 1 — %( (I
, 1 t.diL, , 1.>---- i , (; g ; ; ,
Other
�
C t r• s� oil ti -: a� -�
V , ---t - i
i
Shoreline Length -/4-2�' �D /I)
1 F
I`
SAY: fiot sur yes no -IC( — ± a ,
Moratorium: n/a yes no ("� i )
Photos: es no i
Y r 1 i............ l_... r c
Waiver Attached: yes . i I
A building permit may be required by: - 11, i C.-G CO • . )C See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions /,--/ . /, -17 +. 'J-,' . / 7 , ;\ '
-
XI'J
/ rrc ( - -- ,,; -1- VT. e
Agent or Applicant Printed Name / Perm icer's P' e
mliace ment on back of ermit** re �i
( , fi t 7- --
�� L� C?" !� ,�, P�` Z/'T / �. l x; 7��7
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 0-796-7215)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

0 LiCAMA/ DREGE & FLL GENERAL DPERiMIT zp -4toWI Li N Previous p79138ermit# A BCD
��-% ElNew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued r"
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
El Rules attached.
Applicant Name Project Location: County
Address Street Address/State Road/Lot#(s) -Z `T - i- (Ns.
City State ZIP I ' `'
Phone# ( ) -4- =µV 'L. E-Mail Subdivision •
Authorized Agent 7;;; City c.. ZIP
❑CW KEW aCPTA ❑ES ❑PTS Phone# ( ) _ River Basin
Affected ❑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
--,.... (Scale: ;': .2 )
Pier(dock)length "—a
I r i i
Fixed Platform(s) i g
Floating Platform(s) / .,vim "_,) 1
I i
J
Finger pier(s) / jt't t:.e f (:' I `
Groin length ( i i (
t
number \ �. — : ,, ,• ,
— —.-.--- -
Bulkhead/Riprap length \ f�
avg distance offshore I e r� r`"
—
max distance offshore i I f -
Basin,channel
t it
cubic yards
/ i .
Boat ramp j ' I
Boathouse/Boatlift ) ;
—'
i T
Beach Bulldozing I-__.-._I I:-Y. r l
Other ; I I I t /7:( ) i.1241±41....Ct _ LL... --: r� �� ,, "_�
Z � e:_
i I
/Shoreline Length i .i` i I
SAV: not sure yes no 11 i ,
Moratorium: n/a yes no j ; } I I 1
Photos: yes 'no I i 1 Y -I—I.
__ __� /"i [D
Waiver Attached: yes -"no 1 i i I i : I i —
A building permit may be required by: ' -- . See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions f'
j ? r^. 'u
Agent or Applicant Printed Name Permit Officer's Printed Name
s
-i''''''''
i
Signature **Please read compliance statement on back of permit" Signature Z
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(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 910-796-7215
252-264-390I 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

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certifyth
at I own
property ad
jacent y to C,qyt.? � �� _ _
� rt1
� 's
property located at S /�{ i fit 2� ��, (Name of Property Owner)
><1 ND EALE/1�= G
(Address, Lot, Block, Road, etc.)
on .8AL ,1./ E 2
in d AT — e4 D
lyl i2
N.C.(Waterbody) (City/Town and/or County)
The applicant
pp icant has described to me, as shown below, the development proposed at the above
location.
I have no objection to this proposal.
I hav
e objectio
ns to this ro p posal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing developme t must fill in description below or attach a site drawing)
'
f 1
Con/Go SOuAkES 1.Lc.
\ _
dackAlp VAN/iSiLA'FkE.
_Z---7 'C'''(ti \
? C,-N —
N. 1
RE3uILb OF EXISM16, .lock \
Olar9 �
2,0
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.
Owner Information)
� If ) (Adja operty Owner Information)
7,22
� 1
/
Signature
t/ure t a
c�rx✓<;� f 1��� 6 Aie /t o 6L'e(/
Print or Type Name r yp Na e
l 5 A./ rfTi� V- c 40 �l 5/
A��(aj ling Address Mailing Address
�C%ity/State/Zip City/State/zip
52 - 70 J 59 7 . S t 7'z<S -s!/S
Te%phone Number/email address Telephone Number/email address
Date
Date*
(Revised Aug. 2014)
*Valid for one calendar year after signature*

I
,
_

Au%
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue,Governor James H. Gregson, Director Dee Freeman,Secretary
Date a c=
Name of Property Owner Applying for Permit:
(� imp va.ncueMt.
Mailing Address:
'2, tS AJ Tel►e �� .
Vandemere, Ali ,A gS37
I certify that I have authorized (agent) % 2,21 /�2E5-CL): lI to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct(activity) et9 dock_
at (my property located at) 02 t S /1J 7747 UEH1 ei`�.
This certification is valid thru (date) •
C144/0 3CQ1g)(1FAl
Property Owner Signature Date
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] I FAX: [phone] Internet: www.nccoastalmanagement.net
An Equal opportunity I Affirmative Action Employer—50%Recycled 110%Post Consumer Paper

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 accessways through the Tar-Pamlico &
Neuse River Riparian buffer per Division of Water Resources (DWR) regulations 15A NCAC 026.0233 & .0259. The
Division of Coastal Management (DCM), through a Memorandum of Understa nding 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 ofthe 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.
i. 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 ensurethe 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 shal l be limited to six (6) feet.
a. 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 facilityand any requested access way.This
drawing will be used to aid in compliance and monitoring efforts.
• Pre-project site conditions: e4 S l��'` ` `�` �'` 5
L
By your signature below you agree to be held responsible for meeting all of the conditions listed above and verify
that all infor ation provide is mplete and accurate.
c-e ‘A_4-
gen or Applicant Printed m Permit Officer's Signature
Agent or Applican l ature Issue Date
q 9
CAMA GENERAL PERMIT#: / 3
State of North Carolina I Environmental Quality I Coastal Management
Washington Office 1943 Washington Square Mall Washington,NC 27889 252-946-6481
Wilmington Office 1127 Cardinal Drive Ext.Wilmington,NC 28405-3845,910-796-7215
Morehead City Office 1400 Commerce Avenue Morehead City.NC 28557 1252-808-2808

SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
IIIComplete items 1,2,and 3. A. Signature
• Print your name and address on the reverse X rY�I ❑Agent
so that we can return the card to you. ` / -4=1 Addressee
• Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. Dat f D every
or on the front if space permits. / A/9 c `{" C f} o2 L,
1. Article Addressed to: D. Is delivery address different from item 1 ❑ es
I —T— If YES,enter delivery address below: ID
I!1 irO /t)c' 0�r� Ed_
fawh4f-A)A1/, k a3i3q
I I I I' III II I II I III IIIIII I( ' III I I 3. Service Type❑Adult Signature ID Priority Mail Express®
CI Registered Mail'"'
0 Adult Signature Restricted Delivery ❑Registered Mail Restricted
G),G`ertified Mail® Delivery
9590 9402 5430 9189 6710 87 ❑Certified Mail Restricted Delivery p,14eturn Receipt for
❑Collect on Delivery Merchandise
2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery 0 Signature Confirmation'"'
9sured Mail 0 Signature Confirmation
7017 1450 0 1 7 5 61 15 3 isured Mail Restricted Delivery Restricted Delivery
,,ver$500)
ro rorm 3011,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt 1

USPS TRACKING#
First-Class Mail
Postage&Fees Paid
USPS
Permit No.G-10
9590 9402 5430 9189 6710 87
United States •Sender: Please print your name,address,and ZIP+4°in this box*
Postal Service
TR PRESCOTT MARINE CONSTRUCTION,LLC
545 ALLIGATOR LOOP RD.
MERRITT.NC 28556
L