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0 —CAMA / —DREDGE & FILL ^ LoCC7U8 No. 79766 A B L D
'j'
GENERAL PERMIT .- Previous permit#
��—= New Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued .//,/i
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 ��' �2 �� .
// / [aftules attached.
Applicant Name c p {c; / /{ c,�,iy,: / Project Location: County 4 e ri
Address I2 - /"ems <-11.£ c A-2i7 Street Address/State Road/Lot#(s) 2c
City tik .J ..,-) State/tit L ZIP 2 . 6 Z i-%r : -:-,/e-c , e-/, ( e. ' f' c / > 31
Phone#( (30 1 E-Mail Subdivision .44 kc v, es.) G---)iv-f
Authorized Agent City '? ' t ZIP
❑CW ❑EW ®PTA ❑ES ❑PTS Phone# V ) Z% '1/4C River Basin A' ,, -- C
Affected ( �) �' _
AEC(s): ❑OEA ❑HHF C IH ❑UBA ❑N/A Adj.Wtr. Body ( Vi 1 e --S ' /�-c (nat/n 7unkn)
❑ PWS: -7� / �{CJ 44".r
ORW: yes / no PNA yes / no Closest Maj.Wtr. Body r"21'
Type of Project/Activity I(--: n 2. / /t..)/ '(-) X /2 1/4
(Scale: ) .'20 )
Pier(dock)length
Fixed Platform(s) `�x/ , :: ■
FloatingPlatform(s) / All
Finger pier(s) I _ 11= ■
•
Groin length
I
i ,, , ' '
111 number 1 - -- !. -- I._ I .._.-...... ■� III ��■■
Bulkhead/Riprap length ; — ■ MCM -. iil ■ ■ _....
avg distance offshore ■ ■
max distance offshore ■■
Basin,channelill •1111.• - e
/I 1!i'! !I,'1 :44t,
■■ ; ■� 15MMOM■ NMI
cubic yards ! 1" ■�.. l �,—■ ■
II
C
•
Boat ramp llr ®■■ ' I �_■lR■ I _—■
,
Boathouse/Boatlift -" _ - ,t��lrr �i' ■
— r r
Beach Bulldozing 0 .
Other ■■■�■ ■■I■■131111li�
y' i ■��■_—■■ ■
• ( ' - �'■■--���■
�n
r1 1 ■ : r ■■�■■ ■
Shoreline Length � Ci ■
SAV: ' not sure yes no - —.- ;..__.---. -_-. .' zj IMP --_
III MI
Moratorium: n/a yes t _ J
0 7 1
Photos: yes , I ■ ■
Waiver Attached: yes, no
A building permit may be required by:' /,''I°-, ' ` . 1 See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions� c-C"/ -"',/ ' „4- / r 14 1 - ? Al l� �� )1J) 11 X ,, �17� ?J v im 1 /
j'�✓t - . _ 7,,..., v(:-G
1\'.1 V , '
??
Agent or Applicant Printed Name P@rmitOffice s Prin$dd Na e
Signature' **Please read compliance statement on back of permit" Signatur
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 (252-946-648I) 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)
1 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
erIII CAMA/ ]DREDGE & FILL V4icr70S N° 79766 A B c` D
GENERAL PERMIT P' 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 Project Location: County
Address Street Address/State Road/Lot#(s)
City State ZIP
Phone# ( ) E-Mail Subdivision
Authorized Agent City ZIP
Affected ❑CW ❑EW Ell PTA ElES ElPTS Phone# ( ) River Basin
AEC(s): ❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body (nat /man /unkn)
❑ PWS: ;
ORW: yes / no PNA yes / no Closest Maj.Wtr. Body r+ C✓1 A- ` �k
Type of Project/Activity A /Z.
I
(Scale: l .' 'v )
Pier(dock)length
1 1 I •
Fixed Platform(s) / 1 I I I
Floating Platform(s) N j
Finger pier(s) ` ' i '
Groin length i �r
1
number {.... i - --. i - --.-
Bulkhead/Riprap length 1 -- �N ' -- .--- --
avg distance offshore
max distance offshore ; I }
Basin,channel I i I ( < / i /�
1 1 .. f
cubic yards -y,i-'-it , k./.i t f i
Boat ram I
1
p I/
i I it
Boathouse/Boatlift r — ram,l- -!_ { .....
--- sI
Beach Bulldozing l 1 ---
Other " i iI j 1 1 c, _,. •
.1 I
1:' i 1 /
,.' , 1--11r j.'( 't 1 i / ..1 )
Shoreline Length I I J
.
SAY: not sure yes no — - _ . j I
i
j 1 I 1
Moratorium: n/a yes no 1 I 1 i ; 1 _
Photos: yes rfo. — i II_....._. _
Waiver Attached: yes no - i I
A building permit may be required by: . LI See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions I. i . 4 7-, ,, .i
,-: J Uc2.
Agent or Applicant Printed Name Permit Officer's Prin N •
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(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
ROY COOPER
Governor
MICHAEL S. REGAN
Coastal Management
ENVIRONMENTALOUAUTY BRAXTON DAMS
Direetor
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 ofthe 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 facifityand any requested access way.This
drawing will be used to aid in compliance and monitoring efforts.
• Pre-project site conditions: / 4,))-1 i/ ,ke
}
By your signature below you agree to be held responsible for meeting all of the conditions liste a e and verify
that all information provided is complete and accurate.
J i
Age r Ap licant Printed Name
ernnit Offic ignature
•
Z�/z/Z /
Agnt or Applicant Signature Issue Dat
CAMA GENERAL PERMIT 4: 7l 76 C
State of North Carolina I Environmental Quality I Coastal Management
Washington Office 1943 Washington Square Mall Washington,NC 2788912152-946-6481
• Wilmington Office 1127 Cardinal Drive Ext.Wilmington,NC 28405-3845 19 D-796-.7215
Morehead City Office 1400 Commerce Avenue Morehead City.NC 28557 1252-808-2808
ADJACENT RIPARIAN PROPERTY OWNER STATEM T
I hereby certify that I own property adjace t tc92A-11.- ii\IN " ` 's
//(Name erty Owner)
property located at 38 20 (��Sz ,�L d Z j
Address, Lo , ock, Road,
,rt on�c� a S S i- ( , in W �l i , N.C.
( ! (Waterbod� Ci /Town and/or Cou
nty)
ty o unty)
The applicant has described to me, as shown below, the development proposed at the above
locatiory,
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(rn~ (S ikiO e*-i»tt:ttatjiti(-e#Wo-i)'be&o rafWck*sit.erdrawu 9)
t
Liorf-/it. i_s '11..i 'Ok
WEB i : , '
I
l to
12 ' T(.05 ;s .4loc(L,
100 C K stc4 vN, p `1
WAIVER SECTION i
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.
t
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property Owner Information) f
> " .•
�► ; . re •
( ature GcJ Fe/Z!2 A/11 ,1t 41- J
0 ti/ , r',4 Nf b+ T
Print or Type Name Print r Type N Yp yp am
..? R a&/ / a iwA a-e 12-UA 1-2 l r
Mailing Address Mai ng Addre
"km /3-o12�, Ai ct / EAH1 /U< a 8.4 z
City/State/Zip / (Ci /Stat i
,Zf- 61Z 9/.33
Telephone Number/email address e e ne N mber/email address
.5`b/a02./ 62/
Date D *
(Revised Aug. 2014) .
*Valid for one calendar year after signatures
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own proper
ty adjacent to I2,o7e.4 r}' S'LI3404/4— 4.4 "411-
property located at 3 c5 20 0-C �� (Name of Property Owner)
on C�Pr t s L� (Address, Lot, Block, Road, etc.)
c.
(Waterbod (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_
cai+o�r bsfo�r af i; s 'r9►1
r
2�f
S f(or�l;�z 'T\
lo`
lz " Ties it .4,402,
170GK C i L4i(7Nt 11'41 1
SC. -F/0,4--HNi ,
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. (I )1 wish to waive the setback, you must initial the appropriate blank below.)
do wish to waive the 15'setback requirement.
I do not wish to waive the 15' setback requirement.
(Prop2,rty Ow er Info ati n)
(Adjacent Property Owner Information)
44: a#41 Xvi---_____.
•
S gnat e
f 1 r ign ture
a fn U l � p �..- :N �v .4 .v?�
yp Name n
ii,v_a si� - /o Print or Type ame `•
t 3cs Lo Sa'�S oi<
Mailing Adss
ib ,,, Ise-.^,, / ,AC ,7S6- i' dr�s
Cjty/St te/Z1lp / City/}4�ate/Ziipp
LdJ�or14 l01 .9 .0t 4 /. Co i1 /U L s6 Z
Telephone Number/em�l address
T hone Number/email address
Date �� �� l �l } G 3 �Y/ 0
Awe* -
'Valid for one calendar year after signature' ;Revised Aug. 2014)