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❑CAMA/ ❑DREDGE & FILL - .Q #i' (03(0I N9 79124 A g )
C
D
GENERAL PERMIT Previous permit#
��-% !New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
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 .
/ // /, ❑Rules attached.
Applicant Name L 4., r y/r i (c ,,.,#i� Project Location: County �.
Address /"L,0 0 ,k d1 Street Address/State Road/Lot#(s) 3-- ./, 'i G.e7,-
City ,,,,t/ ,., State ./t/i ZIP . -'-
Phone# ( ) '/ Yi/- /t" E-Mail "-- Subdivision i- / ,(-, L/ , /
ar i' p
Authorized Agent . City '( �< ZIP ;27,70
❑ [!J CW ❑EW PTA ❑ES ❑PTS Phone# ( )— " River Basin �� ��
Affected
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
AEC(s): Adj.Wtr. Body ;Tnat'man /unkn)
❑ PWS:
ORW: yes / no PNA yes / no Closest Maj.Wtr. Body
i
Type of Project/Activity "
/
(Scale: A `./3 )
Pier(dock)length /.1tJ ;
i
Fixed Platforms) ,/ / t }
Floating Platform(s) ✓ I { —
I_
Finger pier(s) I
Groin length '
number I. �......... .- +- _.._..._.... { ! ..... _
�_—. .__._. — __J._._._.__
Bulkhead/Riprap length T
avg distance offshore
max distance offshore iL 1 1
Basin,channel I 1 } j
cubic yards I t 5-re e 1 ti' e C.i✓'C r, • f f
Boat ramp
i
��
Boathouse/goad* �� '`/� .r-v. 2._t..C.%_ ..-.-. - -
, t
fi
Beach Bulldozing 1 -s— 1 L._ i i !
{{
Other { } I
I
i
1 1I
Shoreline Length
i
SAV: not sure yes _np) ---- - .. _._.._........_ �—
Moratorium: n/a yes (up)
i .
Photos: yes 1. 1
i
Waiver Attached: yes 4 ff /,' 1/
A building permit may be required by: / " c,-r 6 ( -o1- -tee note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions "-- < Q// /.,2 W , ' , ,.1 ,a- -1
., f 1
Agent or Applicant Printed Name Permit Officer's Printed Name
Signature **-Please read compliance statement on back of permit** Signature
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 (252-946-648 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 252-946-6481
Fax: 252-247-3330 Fax: 252-948-0478
(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: 910-395-3964
Fax: 252-264-3723 (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❑CAR/IA/ ❑DREDGE & FILL iD 1t to g I OI No 79124 A BCD
GENERAL PERMIT Previous permit#
> ❑New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
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
Rules attached.
Applicant Name . 4 Project Location: County
Address / .:v1-c41 Street Address/State Road/Lot#(s) ,
City State (/: ZIP
Phone#( ) E-Mail Subdivision
Authorized Agent City ZIP
Affected ❑CW ❑EW ❑PTA ❑ES ❑PTS Phone# ( ) River Basin
AEC(s): E OEA E HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body (nat /man /unkn)
II PWS:
ORW: yes / no PNA yes / no Closest Maj.Wtr. Body
Type of Project/Activity
(Scale: �, /y )
Pier(dock)length v
Fixed Platform(s) /(II , I 1 1
Floating Platform(s) ' 1 1
Finger pier(s) , i
Groin length
number —�_....._........_._..-- — .__._.._................_..-i........... __..._._. 1.. }— _._........
1
I
Bulkhead/Riprap length ,._.._i.-_
avg distance offshore t { 1 1 1
max distance offshore i 1 I
} ' i
Basin,channel i 1 j ; I I
1 i I 1
f j
cubic yards r'i . I t} 4/.' `- c. f r'r s '
r
I
Boat ramp 1 1 .1 I '
Boathouse/Boatlift / ',/, I ---_ r V .;,2 r .._r _ _..__ ___ __
1 Pi C - `-4_-.....-._ i
}
Beach Bulldozing j
} ; ,
Other
it I 1
11 t
Shoreline Length — 1 i } 1
SAV: not sure yes no 1 --- i j ,
Moratorium: n/a yes no i
Photos: yes no,_ , __ _._..i._.__...1.............1............_.......__ — __._._.—_� ,
Waiver Attached: yes no - 1 ' i •
f
A building permit may be required by: / ,/C: ✓1"See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions
Agent or Applicant Printed Name Permit Officer's Printed Name
4 Ar.
V_
Signature **Please read compliance statement on back of permit** Signature
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: 252-247-3330 Fax: 252-948-0478
(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: 910-395-3964
Fax: 252-264-3723 (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
4 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: A.,�-,ke I ia- t--•�4 .L//( I
By your signature below you agree to be held responsible for meeting all of the conditions listed above and verify
that all information providedis complete and accurate.
/J
Agent or Applicant Printed Name Permit Officer's Signatur
Jf�`V./
Ag or App :cant Signature Issue Date
CAMA GENERAL PERMIT#: 79,/ •
State of North Carolina I Environmental Quality I Coastal Management
Washington Office 1943 Washington Square Mall Washington.NC 27889I 252-94h-648i
Wilmington Office 1 127 Cardinal Drive Ext.Wilmington,NC 28405-3845 1910-796-7215
Morehead City Office 1400 Commerce Avenue Morehead City.MC 28557 1252-808-2808
B. F. Warren & Sons, Inc.
180 Taylor Farm Road,Belhaven NC 27810
Office(252)964-4628 Fax(252)964-6861
Forrest cell(252)945-2492 Freddy cell(252)945-4240
NC General Contractor License#72600
www.ncpiers.com
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 permits 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:
Dock and 4-post boatlift and PWC lift
Project location/address:
Lot#3 Pungo Shores West
53 Jacklyn Lane
Belhaven,NC 27810
Body of Water:
Pungo River
Property Owner Mailing Address:
Curtis and Frances Crickmore
160 Cliff Road
Southern Pines,NC 28387
(910)494-1644
Property Owner's Signa [.G'�t_ Date: "3 7.2- t/z_
Authorized Agent Signature: �/ Date: 5151/9/
Adjacent Riparian Property Owner Statement
Prcepar?d by
B. E Warren &Sons, Inc.
180TalrFarmBelhaven 1 Taylor Road, B e ven NC 278 0 \/\ D
Office (252)964-4628 Fax (252)964-6861
Freddy Mobile (252)945-4240 Forrest Mobile(252)945-2492
NC General Contractor License#72600
www.ncpiers.com
March 19, 2021
I,the undersigned property owner,do hereby certify that I own property adjacent to Curtis and
Frances Crickmore's property located at 53 Jacklyn Drive,Belhaven NC on Pungo River(body
of water),in Beaufor County NC.
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.
I have no objection to the project as proposed but do wish to waive the fifteen foot(15')
setback.
I object to the proj t propose .
Property owner signature
Printed name O nv4 e.c.re n s o Y%-/'
S�
Address 3 �S ,u-�J °�'`J p
Telephone number( Y� i ) Y} - 16 C 3
Date y / / f'
1
Description and/or Drawing of Proposed Development
Demo and disposal of existing dock and boathouse
Installation of concrete dock 5x100 with a 16x17 L Platform and 4-post lift
To Whom it may Concern:
I, Donald R Jefferson, being a member of the Pungo Shores West Community HOA, am currently
authorized to sign on behalf of the HOA for items concerning the community access areas. I may be
contacted at(478)454-8043.
Date: 19 Marcch 2021
Donald R Jefferson
345 Pungo Shores Drive
Belhaven, NC 27810
Mar 2221,03:49p BF Warren&Son Inc 2529646861 p.2
Adjacent Riparian Property Owner Statement
Picparrd by
B. F Warren &Sons, Inc.
180 Taylor Farm Road, Belhaven NC 27810
Office(252)964-4628 Fax (252)964-6861
Freddy Mobile (252)945-42A0 Forrest Mobile(252)945-2492
NC General Contractor License#72600
www.ncpiers.com
March 19, 2021
1,the undersigned property owner,do hereby certify that I own property adjacent to Curtis and
Frances Crickmore's property located at 53 Jacklyn Drive, Belhaven NC on Pungo River(body
of water),in Beaufor County NC.
The applicant has described to me, as shown below,the development proposed at the above
location.l 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.
l have no objection to the project as proposed but do wish to waive the fifteen foot(15')
setback.
I object to the project opo e
Property owner signature
Printed name
Address 36 ! J /< C/ -7w/ 6/4)-z iV( 2..7
Telephone number( 9/9 ) lJ - 274 7i�,j
Date 3 I •
2y1 2i
Description and/or Drawing of Proposed Development
Demo and disposal of existing dock and boathouse
Installation of concrete dock 5x100 with a 16x17 L Platform and 4-post lift and PWC lift
•d e6L:Zl'LZ£ZJeW
170" — .-
g A A 3
Curtis And Frances Crickmore
160 Cliff Road
Southern Pines,NC 28387
(910)494-1644
rn
0
Project Location:
Lot#3 Pungo Shores West
53 Jacklyn Lane
Belhaven NC 27810 3
."1 Ladder
a- r
Tide Tamer
7K4 post lift
-0 Tide Tamer
C J 1.5K PWC lift
.Pungo River
\I
0
-.5'0"
BFW20210028
Prepared by BF Warren&Sons Inc
Not To Scale
For permitin purposes only
Date: i
83'0"
Existing Rip Rap
Riparian Access
3 1 15'0"
Barkley prop Shoreline Existing Bulkhead
82' P/L
HOA prop