79719_Stacy Betts_20210520

is
41 ❑CAMA/ ❑DREDGE & FILL �D o C N° 79719 A BCD
GENERAL PERMIT J Previous permit#
)� % ❑New EModification ❑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
L Rules attached.
Applicant Name --) -i!,: lam; 7/5 Project Location: County , ,
Address / O C U i i c r "�, ,;
/( j Street Address/State Road/Lot#(s) '79 " .,,
City �,. ! State to ZIP // C/
Phone# (9/9) 6.D.Z -d y/G E-Mail - Subdivision l C.,e_.
Authorized Agent /7r/ei / 6 //e,-• City / e /f :-,,, ZIP 7,/d
❑CW ❑EW Er6A ❑ES ❑PTS Phone# ( ) River Basin / / l,Y,
Affected ❑OEA ❑HHF ❑IH ❑UBA ❑N/A / natJ man /unkn
AEC(s): ❑ Pws: Adj.Wtr. Body , ,:;,/ )
ORW: yes /,no PNA yes / no Closest Maj.Wtr. Body ` i ��''
Type of Project/Activity -" •/
(Scale: / )
Pier(dock)length
Fixed Platforms i
Floating Platform(s) _
I — I
Finger pier(s) --- _-....._:
I `
Groin length Ii
i
number �_..._..._ _._
Bulkhead/PJprap length f --1 r
avg distance offshore i f / i(�<- 6C
max distance offshore 1 I 1I ,
Basin,channel i r i ( .�
I1I/ ' . .
. /.1, ,
cubic yards 1 /A-/ f
, i/ �
Boat ramp I I / " ..,
Boathous*Boatlift ) /-1 J'-/J 71
—..........._.(..._....._.._.....1.._.......-....._.--_..__.....__ _,_ -.. _ 1 — _..._.._....._.._..
1 —
s
Beach Bulldozing l I
•
Other _ ! +
I
h i
Shoreline Length I +
SAV: not sure yes o -- I
t I
Moratorium: n/a yes 6/,j .mil✓ ! I ri(
_—
Photos: yes no i ! —74; _ / 1 —_. _.._...
Waiver Attached: yes no , I i • ,,
A building permit may be required by: jfr,.-/C / . R See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions
i " i ' L\-i(i ( 0'A .,/ r.,
Agent or Applicant Printed Name Permit Officer's Printed Name
.fir �:%'.
Signature * lease read compliance statement on back of permit** Signature / /
Lc A:.-: . -407?/ .5/ 2// 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 (252-946-648 I) or the
Wilmington Regional Office(9 I 0-796-72 1 5)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

17 i. -
OFCAMA / DREDGE & FILL No 79719 A B 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 5A NCAC .
'Rules attached.
Applicant Name - Project Location: County -
Address - /i I;" Street Address/State Road/ Lot#(s)
City i ic' . / State ZIP
Phone # ( ) _ E-Mail Subdivision
Authorized Agent City ZIP / v
CW ❑EW EPTA ❑ES ❑PTS Phone # ( __ ) River Basin
Affected OEA LI 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: / )
Pier(dock)length- 1111 -
l I i I i j I
Fixed Platform(s) ! i II
Floating Platform(s) l
Finger pier(s) I I —._.. —
Groin length I I I '
number -- I
Bulkhead/Riprap length -- __ —w .._._. .-_ ----._-.-. I .........4
_' —.__..-_— .
avg distance offshore 1111 I '
max distance offshore k
I A I
Basin,channel i il I-1 - • - -
t ,, ,
f I
cubic yards I I
Boat ramp / (( -
I : I I I"
i ,Boathouse/Boatlift /. � ' __ . . -t __._.....----..-
:
I
Beach Bulldozing + - -- - i
i
Other
Shoreline Length_- - I I l
SAV: not sure yes no I — I —.— -----I —
Moratorium: n/a yes no _ r� I I f1 I _ -
Photos: yes no 1r —_,.
Waiver Attached: yes no '- --
A building permit may be required by: Li See note on back regarding River Basin rules.
( Note Local Planning Jurisdiction)
Notes/Special Conditions
Agent or Applicant Printed Name PermitOfficer'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 (252-946-6481) 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

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.
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 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:
By your signature below you agree to be held responsible for meeting all of the conditions lis d above and verify
that all -iin--formation provided is complete and accurate.
rc7(re S I ( rek 1
Agent or Applicant Printed Name emit lc s S atu
Agent or Applicant Signature Issue Dat
MA GENERAL PE 7/ 7/CA PERMIT#:
State of North Carolina I Environmental Quality I Coastal Management
Washington Office I 943 Washington Square Mall Washington.NC 27889 1252-946-648I
Wilmington Office 1127 Cardinal Drive Ext.Wilmington,NC 28405-3845 1 910-796-7215
Morehead City Office 400 Commerce Avenue Morehead City.NC 28557 1252-808-2808

B. F. Warren & Sons, Inc.
180 Taylor Farm Road, Bclhavcn NC 27810
Office(252)964-4628 Fax [phone]
Forrest cell [phone] Freddy cell [phone]
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.
1,the undersigned property owner,do hereb authorize A.F.Warrcn cn&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:
4-post lift
Project location/address:
479 Pungo Shores Drive
Bclhavcn,NC 27810
Body of Water:
Pungo River
Property Owner Mailing Address:
Stacy Betts
1 100 Colworth Way
Raleigh,NC 27614
[phone]
Property Owner's Signature: __ Date: 5//0,
Authorized Agent Signature: _ Date: 3 / / //7
e/c/l irr f' << >k 7k,, ,f� /t /(' `fa 44

Adjacent Riparian Property Owner Statement
Prepared by
B. F. Wan-en & Sons, Inc.
180 Taylor Farm Road, Belhaven NC 27810
Office [phone] Fax [phone]
Freddy Mobile [phone] Forrest Mobile [phone]
NC General Contractor License# 72600
www.ncpiers.com
April 6. 2021
1, the undersigned property owner,do hereby certify that 1 own property adjacent to Stacy Betts's
property located at 479 Pungo Shores Dr. Belhaven NC on Pungo River(body of water), in
Beaufort County NC.
The applicant has described to me, as shown below,the development proposed at the above
location. I understand that any
construction,excludingbulkheads,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 project proposed.
Property owner signature /G
Printed name /ti(Gn//y6-c._ 1. t
Address goo Pc.; -0 c!-6"; 7 L �J'e l AG v01` J k—
Telephone number( S L ) Cl(0 7 - (c}
Date 0 / / 0(6l _20 2- 1
Description and/or Drawing of Proposed Development
Installation of a 4 post lift upstream of existing dock
/. 7

Ad acent Riparian Property Cheer Statement
1)rjwrd M
B. E Warren X Sons,Inc.
ISO Taylor Farm Rod,Belhaven'NC 27910
()flit.*(252)9&4-462R Fax[phone]
Fr ddv Mobile[phone] Forrest Mobile[phone]
N( General Contractor License»72fi0t)
waw.ncpierr.com
.t pril(i. :u21
I.the undersigned property oixner.do hereby tend),that I os n property adjacent to Stacy Betts's
l,opet ty located at.179 Pungo Shores Dr.Belhaven NC on Putigo River(holy of water),in
Beaufort
the applicant has described to mt.as shown below,the desclupntent proposed a!the shove
kcnnxl_t understand that any a on.tn1clion.excluding bulkheads,must be set back a minimum
divancc of fitleen feet t 15'1 from my area of riparian accec'urilr s waned h)me.
f'i uu_intial the appnynxu btatl►t. tkl da►e cktu..
1 have no objection to the pmJect as profaned but do am x i.h tit wane the fifteen foot
(15'i sci hack.
/; I base no objection to the pruicct as proposed hut do wish to waive the fifteen foot(15)
setback.
l object to the project pro vied
:par)ors tier,ogrtaratrr�
Printed nu ne J e t\)cf l e.' Q5 o di
Address 4411`7 c
1 cicphone number( 02 S ) :tQ 'j
f)ate_4 i /`i-' ozo`�/_--_
Description(tnd.'or Drawing of Proposed Development
installation of a 4 post lift upsttrarn of existing dock