79182_Eddi & Melanie White_20210427

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GENERAL PERMIT ".1— �
New .Modification Complete Reissue 'Partial Reissue Previous permit# �/�iRDate previous permit issued NI 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 SA NCAC C)--I+• 1."-00
"Mules attached.
Applicant Name__ESc�te. Mc-`gy:K. 1,�‘n'1 ,,,_____._.. Project Location: County _
Address lack) Ark v►c3}vv' Nia Street Address/State Road/Lot#(s),
City Ce•fee"vi qe state KY, ZIP ..$ I. ' Fe 'k' - 5 ha rt_s---R4.._
Phone#(26 } 114 -3 D E-Mail Subdivision ~"-`------- __4
Authorized Agent__AJ/ ____ City 64o vs.)i.I i 4"r .__ ZIP_- q 6 l
Affected LICW MEW ;+{PTA -TES 1PTS Phone # 9i1/-3clio River Basin 771R,! r
❑OEA i HHF _J IH UBA Li WA
AEC(s): Adj.Wtr. Body J1?14►a.-171&Pf C*14 L. (a/man /
❑PWS: n
ORW: yes /i PNA yes / no Closest Maj.Wtr. Body.P*!Ilw eiticr.
Type of Project/Activity /1 S+ .'\ 13 x 13' b?c►iA1 - + Z ..P• w• L• 1,rckS +k A St-"i h,
OIk=Y 61.A\ leal (Scale: /J Zd
Pier(dock)length ,
Fixed Platform(s)
i t 1 r .
Floating Platform(s)
Finger pier(s)..._ -- ( ji
G�Groin length '.
number
Bulkhead/Riprap length
avg distance offshore
max distance offshore i
Basin,channel -.r M' E L :WA I ..�,.
cubic .
Boat ramp j ; t
Boathouse/ _ /;.! $ A A _.' i .
r
(Z)5g ii7 'Floc s'�,{ L , j
Beach Bulldozing . .
t ;yto ;!r :nZb►TIM 4 \' f ` , .
Other __ -� 1Ga.
ft . � tr
I
-# ', -. 1
Shoreline Length - ;�„,
`ram?
SAv: CO yes no 4 EXl gkr h9 ,.,.{,1rc
, ,
Moratorium: n/a yes Q
Photos yes no
Waiver Attached: yes no 4 �.t . ,I f \o'`t t .__ -��_.. . i
A building permit may be required by: 1 CI-1-7 of W 5 yj- . , See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction
Notes/Special Conditions -1] 1`ten Wh Lv j 7k a nl�jo '1Yai. j�{ap)j4..- w s`\
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(.Gill 1s �
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1 or Applicant Printed Name P tO 's Printed Name
i ature ""Please r ad compliance statement on back of permit ee Signature
I )tril- 207 ! -- cll.-Ohl r 262
Application Fee(s) Check# Issuing Date ExpiFaton Date

ROY COOPER
aXt Governor
MICHAEL S. REGAN
Secretary
Coastal Management BRAXTON DAVIS
!NVIROIMINTAI QUALM'
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 1SA NCAC 02B.0233& .0259. The
Division of Coastal Management (DCM), through a Memorandum of Understanding with the Division of Water
Resources(DWR) has reviewer! 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.
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.
• Pr -project site conditions: lot' L% mq/� �rit 41,4401 u•-41 Gt
Pr
.
By your signature below you agree to be held responsible for meeting all of the conditions listed abov nd 'ify
that all information provided is complete and accurate.
Agt3 t or pplicant Printed am a Permit Kcer's ignat
JPr c9 20 L
€1 g nt or Applicant Signature Issue Date
CAMA GENERAL PERMIT It:j9 i g2-
State of North Carolina Environmental Quality!Coastal Management
Washington Office 943 Washington Square Malt Washington,NC 278891 252-946-6481
Wilmington Office: 127 Cardinal Drive Ext.Wilmington.NC 28405-3845. 910-796-7215
Morehead City Office-400 Commerce Avenue Morehead City.NC 28557 252-808-2808

1
c CITY OF WASHINGTON
O RTH CAROLINAZONING COMPLIANCEWa1nfton
CERTIFICATE
DATE: 4/26/2021 PERMIT NUMBER: 04332A2021
ISSUED TO: Melanie White
ADDRESS: 305 Forte Shores Drive, Chocowinity
ZONING DISTRICT: Residential
SCOPE OF WORK: Install retaining wall around home and a boat and jetski lift
APPROVED BY: Glen MooreX-----

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Eddie and Melanie White ,s
(Name of Property Owner)
property located at 305 Forte Shores Rd - Chocowinity NC 27817
(Address, Lot, Block, Road, etc.)
on Pamlico River , in Chocowinity NC - 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
Igpation.
�'c 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)
Request to install 4 pilings for a 13 x 13 boat lift and 2 separate pilings
for vessel tie off on the east canal side of the property. All work to be completed within the
CAMA guidelines.
In addition it is requested to add a 5 ' wall around the perimeter of the home 9 foot off
the footprint to be backfilled for raised beds and landscaping. This will also level the
round to where the house was raised.
SEE ATTACHMENT
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 myarea of riparian
an access unless
p u ess 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 (Adjace Propert wner Infor i n)
1
Signal u e Si lure
1Q A- eih-ore- GEc i cE v Lu rA rlo c, r-1 i zz_
Print or Type Name Print or Type Name
1290 Ax4w67Dti 0 Po Pox Ro )6
Mailing Address Maiting Address
/P- �ti` L --- ,Ve- 7-7efi' Ley Moo Air A/c 2720y
City/State/Zip City/State/Zip
ZSL— 9/7—3o 70
Telephone Number/email address Telephone Number/email address
Dale Dale*
(Revised Aug. 2014)
Valid for one calendar year after signature*

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