79780_Kenneth Shaffer_20210603

'P-- -5
OF [ CAMA / ❑DREDGE & FILL ? # U (71 g' N° 79780 A B i 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 15A NCAC -7/>/ /2 0 ---. .
// _i- f 1�3 Rules attached.
Applicant Name i-1,- -a D��J Y Project Location: County ' (±
Address / -3-S C) e/4'S74-1 11 -j" q '. Street Address/State Road/Lot#(s) 7& /) ',/�-5
City *-51-e �-�C e, State VA /ZIP 23'g 1_, . is '.;,t- I-: 7\1 )
X.' 2.% /, ! i0ti-r.
Phone#(ly)717C✓?2 E-Mail /'<c..,— f4 7; /1'"Subdivision -___
Authorized Agent - _ City ZIP ZS S7/
Affected ❑CW *UV.' ' PTA ❑ES ❑PTS Phone# ( ) River Basin ,(J -4 1 e
❑OEA ❑HHF ❑IH ❑UBA ❑N/A - /
AEC(s): Adj.Wtr. Body r" /- ._ tnat/man /unkn)
❑ PWS: , / ,J
ORW: yes / no PNA � no
Closest Maj.Wtr. Body /i/L r K4c� 3Vie I,-
Type of Project/Activity I? 1 k 1 (0' k--c..-,,c /
v, (Scale: /,' 3 cv )
Pier(dock)length "" ' ' DC
I ; ! i
Fixed Platform(s)/�X/(.� - -'- " i ! �l
Floating Platform(s) 1 I � `
i
Finger pier(s)
j � r u�s�O
Groin length , I /Z: r. t
number ...._..__._ 4-'-y ......__... __._.._..............._._._.._._ 44 ,,.L -.._.._._.-.._............._..
Bulkhead/Riprap length 4 7, ) E O
avg distance offshore d
max distance offshore { ,
Basin,channel I j t o - j
i` �i- �1�
cubic yards I I I I P'11 1
Boat ramp r 7f `9,(CI j I
/y X 2"i �J'_ f
Boathouse/Boatlift - - - -
..- -
�►�; �..._..^........a_ _Co x� rc c l'—ham_ .�-^.� I-------- -------.._.
I i
Beach Bulldozing ._ I —
Other ( . ( �i/
- 1 1 I �r r`
,- i , \. -
I /�{i__-- 1j U
!Y
Shoreline Length --/SC)/ j I VI
SAV: t s yes no j '! I �����
Moratorium:
I -I--
�J n/a yes �� .i It 17 t ---
Waiver Attached: y� no I
A building permit may be required by: -}•e•NA \i CZ CO . .See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) 4
Notes/Special Conditions N° S 1,-,y!< 5 ), i- .1%-1 r f C.- OZ — 7-7 4 k' C g 7 f
--/'ti-�c•-.•-, ar---e!--t.. ( ,'w() Pi �`1,-)c s.,, /' ,s ( /
1,Q1/, %
11.-.--7't•-•••)e.,-)-)-N -5.41&11 7 /)--/ . 47 1....---
Agent or Appli t Printed Name Per4; .)
er's Pfiritead Name /,
Signatu Please read compliance statement on back of permit e'* Sia tur
,-e( (4/ �-49-e ct 9 yt )�Zi — 3 Zoz-/
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.
permit This must be on the project site and accessible to thepermit officer when the project is inspected for compliance. The
P P
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 252-946-6481
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 7:1 CAMA / LT DREDGE & FILL # O 0� No 79780 A BCD
GENERAL PERMIT Previous permit#
>< C' New ❑Modification El Complete Reissue El 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 Street Address/State Road/Lot#(s)
City State ZIP
Phone#( ) E-Mail Subdivision _
Authorized Agent City ZIP
Affected ❑Cw ElEW ❑PTA ❑ES ❑PTS Phone# ( ) River Basin
AEC(s): ❑oEA ❑HHF LiIH ❑UBA ❑N/A Adj.Wtr. Body / (nat /man /unkn)
❑ PWS:
ORW: yes / no PNA yes / no Closest Maj.Wtr. Body
Type of Project/Activity 1,6'. > '
(Scale: I )
Pier(dock)length •
!111 ; ; ! �`! v
Fixed Platform(s) a- t I .-_ T.�d ek ,
Floating Platform(s) { I t� ! I
Finger pier(s) ! I 1 ' I I ___
Groin length 1 —__ ,- �.- / --
number ! —
Bulkhead/Riprap length , —_-- — +-----._..__. __.__._.._..__ — T_.__.....
H alb:
avg distance offshore I I \ 1 !
I
max distance offshore 1
(/ ! I 1
Basin,channel / I
I 1 { ( - b ' 1 ;
cubic yards r).r
Boat ramp x, 1
j
1./C'II C ., r ! b 1
Boathouse/Boatlift -" -� �.- ""-"""""
Tom""" 1 -?"4,.I_Lf ' i /` .__- _ _. .- t 1 I-- .. ,
Beach Bulldozing 1 — -{i
Other 1 1 b I 1
/ i _— { 1 r%� <
i ,
j 1
Shoreline Length /5 C./' I r%� , i
SAV: not sure yes no ( _ _..__. _ _ i { -_ � - t t-- _� ._._ I- /
y-•`' -;-- ram'}--� -_.�. ..- i-! `W's-J ..!-_.Li_
Moratorium: n/a yes ti'fo.,= �i, I ' ��......
Photos: yes i1 t `i< r�yr•
— 1. _ i 7 p-- _ _ _
Waiver Attached: yes no / /
A building permit may be required by: -t . /�" See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions N r, .---) /- , . ,, , , f(,, q'-.t7 // z
1
Agent orAppl��icaant Printed Name Permit Officer's Printed Name
A,* "'I' " 41..//' '
Signature **Please read compliance statement on back of permit** Signature L'
&-e , ,5 _ `., ,, ? 7/ — 2 -i > 2°2- f
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 0-796-7215)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 026.0233 & .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: ��.,%4(✓ile 5I h-,
By your signature below you agree to be held responsible for meeting all of the conditions liste above and verify
that all information provided is complete and accurate.
Ir-01")I✓ hA\ S IS
i;Iz
Agent or Applicant Printed Name P it Office ignature
5 2�1z
A nt br Ap cant Signature I e Date
CAMA GENERAL PERMIT#: ��� �� 3
State of North Carolina I Environmental Quality I Coastal Management
Washington Office 1943 Washington Square Mall Washington,NC 27889 1252-946-6481
Wilmington Office 1127 Cardinal Drive Ext.Wilmington,NC 28405-3845 1910-796-7215
Morehead City Office 1400 Commerce Avenue Morehead City.NC 28557 1252-808-2808

my t\r\c,. r-1\li
\ICV43,\6O
11
1' S1\' L9
gcxt
Y)Cr6 \\-\ .
:1:
0 ,)
l (-)
ii 3!J ‘,i
Q
‘A'''' 13';1
o\.---- 0
"A(5:'n ?(°k° 1€)4°0

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Kt1+;01-7 \ ����1�'`� `y \E N 's
(Name of Property Owner)
property located at 1 \'‘\\`S 1<6
A (Address, Lot, Block, Rpald, etc.)
on k� �� k , in C'K6EL , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
locatop.
(` 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)
•
\\ x IS
h.4; Lic al rt\LLA ek1(
ox,,k 14k' - IS x %
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.)
Vtai X` I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Nk.1 .,it(Property Owner Information) (tzetecent Property Owner Information)
Sq nature Signuryrf-t*
Print or Type/game Print or Type Name
Mailing Add Mailin Add'e s u
City/State/Zip ,, , a . City/State/Zip .,t 6 �G-
Telephone Number/email address Telephone Nu be /email address
Iiui' Dote*
(Revised Aug 2014)
'Valid for one calendar year after signature*

i
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (
I hereby certify that I own property adjacent to �
.► Mid.1de A�7" (t:I-, 's
t,_ ►1 , (Name of Property Owner)
property located at i ,, 1, I s &d
j (Address, Lot, Block, load, etc.)
on 1�v •
. Ct •4�, in �IL,c-,-*` . N.0
(Waterbody) (City/Town and/or County)
The applicant has described to me. as shown below, the development proposed at the above
locatign.
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)
, , - €(3 It 0C1.
l 2 Y IS ?b\cuNTI/\
)
c)c \' t.._-, -f '3 4atv
- ' ciark rerisliki--)
-- Zwc aw.it. R4;- L cf - 15)136
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 )
(1 V
C )(, I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property Owner Information)
,l% 7 CAUL Si u(urc �� t• ,r Sig/hi/wit * 1
ali
Print or Type Name Print or Type Name
i 0 011 I1, ?r/ .35: 3 --1oKNAf fIr c.,i-
Mailing Ad ss Mailing Address
,K1c�,� NC cam)I SE\) C*v *. NA. z� 5
City/Stat Ql t y O- ,)E 1 -- City/State/Zip-L _ > 6 " 2 Ly y
Telephone Number/email address Telephone Number/email address
5- 1�• Z-I 5-Ib- Li
I hit,' Date*
(Revised Aug 2014)
'Valid for one calendar year after signature'