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0 E LAMA/ 11 DREDGE & FILL 67922 N9 79039
A BCD
GENERAL PERMIT Previous permit#
>--:--% [7New EModification [1Complete Reissue 111Partial 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 15A NCAC // " l L?C
Tei Rules attached.
Applicant Name ' , i g. Project Location: County
Address /5-?/1,t t?4 /2d' 'I. , d;- Street Address/State Road/Lot#(s)
City xr r a State,L ZIP 7 f..-3,-
Phone# ( ) '/; ` E Mail /, / ; r Subdivision
Authorized Agent _ City ZIP
J CW r,EW IiiPTA DES 11 PTS Phone# ( ) River Basin ' ' r
Affected
0 OEA F.HHF 0 IH 0 UBA 11 N/A
AEC(s): Adj.Wtr. Body ' s ' - ' ' '-- (nat'/man /unkn)
rJ PWS:
J
ORW: yes / no PNA yes / no Closest Maj.Wtr. Body ' •_ '. d ' S'
,
Type of Project!Activity ,/J t (S/ ' ( i -f ,t car"
G�:
, y! 4 )
Pier(dock)length
i I j ' i I l 1 ' j j
Fixed Platform(s) i __ a
( }
— ---- I _ . r
Floating Platform(s) _ i
Finger pier(s) /'�,+ E
Groin length I j j?? ) } i I -.... ,, , . I *.� Ii
i
Bulkhead/Riprap length j 'ti _._ -�
, i
avg distance offshore ( _
max distance offshore 1 PAx� T
,Bn.channel ...... __.. f u ',
,
cubic yards I j, 1
1.
t--..' f j i +
---,- 1 "-
Boat ramp / i ,w--. . .c s r. s ci ! 1 I i
Boathouse/Boadift I r 1t;r, ; r 1- T�.._ i 1
! I
I I I. _
Beach Bulldozing i . . _ ...... .-._.. j _ --I—
Other t { j ! 1 I
_ I -1 r- {-. !
Shoreline Length i i i „ .(.. , ! .. `. 0
SAV: not sure yes no l Ii L? I 1 �_. -- i _.
I
Moratorium: nja yes no !,i�,,a —.. ( _ i f— r }
{ I__ — + .—
Photos: yes no 1 ,> l i I —_ �^ t_,— C, f �'
! J 1`c $
Waiver Attached: yes no i - 1 I " I '
A building permit may be required by: -'"' �'i - ' /"n kV See note on back regarding River Basin rules.
(Note Local Planning jurisdiction)
Notes/Special Conditions /,
jlle• ,
r"
,1. Y ( f ilk) I
Agent or Applicant Printed Name Permit Officer's Printed Name ,,
'
Signature **Please read compliance statement on back of permit's* Signature
s-" -1.
Application Fee(s) J Check# Issuing Date Expiration Date
tr---
0>?CAMA / ❑DREDGE & FILL No. 79039 A ' B; C D
GENERAL PERMIT Previous permit# ,
y—=ENew ❑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 I5A NCAC
E Rules attached.
Applicant Name ( ,, 7u 6.A-- Project Location: County
Address i:/ fFFin,/ /(/ .0 4_ ) Street Address/State Road/Lot#(s) \' i
City `7/ ' ' // .7---e, State,/ - ZIP 2.C5z ' f .t 1li /fir ;-
Phone#vz a ) ( /053 E-mail J L"/4 /y.c r`'f r " (-/,- c( Subdivision
(..c,".-
Authorized Agent A in u -Q� City /-a /-7" //'1., '.)c�'G ZIP 2-3 >--2C)
Affected ❑CW ❑EW 'IOTA ❑ES ❑PTS Phone# CI "7 ) 539 e,r C-3 River Basin U�`-se
AEC(s): OEA ❑HHF 0 IH 0 UBA 0 WA Adj.Wtr. Body 31' / ( r k- na/man /unkn)
❑ PWS:
Closest Maj.Wtr. Body /
ORW: yes / no PNA yes / n)
J't.c '“' I_(t <
/
Type of Project/Activity /ii �'`
/
I ti �� (Scale: / -O )
Pier(dock)length (/� /
Fixed Platforms) / ' . o I ? ck (Irk
�/°
Floating Platform(s) / j I I * v
Finger pier(s) lh r / 2.:0i , �L I —
Groin length " t ��
t-
number 1 I
i
Bulkhead/Riprap length ?
avg distance offshore 1 I I
i
max distance offshore / o i ���c( is
I
Basin,channel / j 7.,4 i I' iI it
cubic yards f I 17 C / 1;44 I ,
Boat ramp / vJJp is - .
I
Boathouse/Boatlift 7 I �� ��� Z j����_ -----..._----_..._ _._ __ t "
f_ �" T
J r 1
i l
Beach Bulldozing i
Other 1
, 1 fi 'V u
,/
Shoreline Length -M �'30 I1 G,4 7-0 _
SAV: not sure 1-C")yes no 1� - _-
.._.. ---
._.... I Moratorium: n/a yes p ert/.t!? i
Photos: yes Fd,n 2 1 _ �._..__... 1 - ea i C v4l-�
o
IQ I
Waiver Attached: yes
i
A building permit may be required by: h1 II 'C--C, C.a. See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions /�d� /"%, I ;/. QJ_)-Y .", t, k I,l -
-70- C I/ 2- 7 / ) ,"-KD
R,•, i..,„ Sp,-, .. -3 J'" ,, r. va,...._ t n.t
{M
Agent or Applicani Printed Name Permit Officer's P inted Name ,
Signature **Please read compliance statement on back of permit** Signature
> /,' ft/j. c ,2D 2l - mow. s , 20 Z
Application Fee(s) Check# Issuing Date Expiration Date
tr—.
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: 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 IICAMA/ !DREDGE & FILL No 79039 A B C D
GENERAL PERMIT Previous permit#
)C ❑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 15A NCAC
❑Rules attached.
Applicant Name Project Location: County
/Address / /?///, r` - I /'../ Street Address/State Road/Lot#(s)
City /' `;/ - `' State L
l ZIP 7 '_-
Phone# ( ') E-Mail Subdivision
Authorized Agent City ZIP
Affected ❑CW ❑EW 'p PTA ❑ES ❑PTS Phone# ( ) River Basin
AEC(s): ElOEA Cl HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body (nat /man /unkn)
❑ PWS:
ORW: yes / no PNA yes / no Closest Maj.Wtr. Body
Type of Project/Activity
(Scale: / )
Pier(dock)length
' I 1
Fixed Platforms ( ' Tx, :
I �' 1( —��
Floating Platforms) ��� !
Finger pier(s) .I— —
} Ill__ _
Groin length I I
number !
1 ■ 1 i —_J
Bulkhead/Riprap length In1 II II
avg distance offshore
max distance offshore " ! I
Basin,channel \ ! -, H
I I,/ / 1
cubic yards ��������� I� MUM III NMI _a_.__;_. I. 1 -
Boat ramp , r , j
Boathouse/Boatlift � —�_....._............
fy _._
1
I I. _
I
; HIBeach Bulldozing �•■ it
■■ ■ i 11
i
Other iI
I
.t- '-- _--{__ J .I
I i
Shoreline Length ,( ,. I F
:
Ill
SAV: not sure yes no -- ---- .. y .... i 1 7
Moratorium: n/a yes no e : f in
_ r4, j
: r
Photos: yes no T,r
Waiver Attached: yes no 1 —
f
A building permit may be required by: ' - it `' C-- 1 r . n See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions ��
R -, 4.1 1 :pp i v k 5 .,--- 4-/-/ (14-t ' 4.-
Agent or Applicant Printed Name Permit Officer's Printed Name
Signature **Please read compliance statement on back of permit** Signature f
1t <
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(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: 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
}
'Y ROY COOPER
Goer
iipet
MICHAEL S. REGAN
sectary
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 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.
1. 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.
z. 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 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: 16 - /nw► �- �s - wObh
By your signature below you agree to be held responsible for meeting all of the conditions listed above and verify
that all information provided is complete and accurate.
Agent or Applicant Printed Name unit Officer's Si ature
Agent o Ap Signature Issue Date
CAMA GENERAL PERMIT#: I43GT
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
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: 7vy)
Mailing Address: 'j/ 3 'J i'7 Q t/ l I ' C
// S 1-,GIU
Phone Number: 6/ " Co a 3-3
Email Address: /`vC/ / 1/1c C c}/ MC-q ( o
I certify that I have authorized ,gt C- w
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: lei /Ay��
at my property located at
in County.
I furthermore certify that I am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
Signature
5/11) �l /
Print or Typ Name
1A/ (lze
Title
D e
This certification is valid through I I
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT /�
I hereby certify that I own property adjacent to jg 't-i,� $ 1��..fh(e f'✓t I' u ei IL's
('h _Name of Property Owner)
property located at b , . 13I f1l1- t� I ILL l - / ) O 1/
(Address, Lot Block, Road, etc.)
on /1( r!45 L. re tI� in 3ra nfs hart; , 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)
pciirti roof cver shla.I ( he f&
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.
X I do not wish to waive the 15' setback requirement.
(Pr ner I • ) (A •( nt roperty Owner Info ation)
Si r S gnat re
J S L' IL stso > ,• , M sNdtiJtn,
P or Type Name Print or Type Name
'131 f n1u-G112e c1 (-Rd -F'. Pt,-,i 21 a
M .ing Addres Mailing Address
tvi--rrf-5 Ion) n C a$ 5 c)9 �oY�o�, '2 asp s
0,443 q Le 653
i /State/Zip City/State/Zip
Telephone Number/email address Telephone Number/email address
/Yl �uGt (.G�YI.[L 11it/1 i td/. Cu/YL /zv.•/2.i
Dat
e �� Date,/ J
a[,nuQ-� 62/ .. a I.
(Revised Aug. 2014)
*Valid for one calendar year after signature*
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I herebycertifythat I own property to �_'
P P Y adjacent �d-Y)'1-e-S 1 4,-1-11 I i ,e/'1 r141-:1 I es
(Name of Property Owner)
property located at `63 I ¬++ f C) . 7 oa-a
/1 (Address, Lot, lock, Roa , etc.)
on 13a I r 4 3C r a° I i , in j'Y,,..m- 0 K--0 , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
✓ 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)
9 & 1` roof SSE( he ii✓
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.
V I do not wish to waive the 15' setback requirement.
(Prop wner Inf ation) (Adjacen r p t Owner Information)
j /
Si nature Sign ture
-_ii2rr s � /Cl IL C o�i1� Al Zee
Print or Tye Name Print or Typ Name
11 l �z rl rv-t-- fl& k Rd f!0. e� 7 7,5
ling Address �, Maillj'gg A ress
h� n-t5 ►.7Ui�G C g5 a , / t#.1 eac a , /VC Ze57•5'
Ci /State/Zip City/Slate/Zip
C� 11 3�i c�o7 75-7-6/7- 3o y2
Telephone Numb r/email address Telephone kumper/email address
)i PA- /! /L,puchto ilex../. C(rvl. `V /e6, 20zI
D Date*
dLr1�rh r„, ?l G1;11
(Revised Aug. 2014)
*Valid for one calendar year after signature*
i