Ivey, Patricia 80049C

-CAMA/LDREDGE&FILL
trss" Emh.,'.=*,Ifl[*," E partia, Reissue
As authorized by the State of North carolina, Department of Environmental euality
and the Coastal Resources Commission in an area of environmental concern pursuant to l5A
Applicant
Address
N980049 A B c D
Previous permit #_
Date previous permit issued
NCAC , ., .
NlRules attached.
Prolect Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
ztP
Phone # (-)-- River Basin
Adl. Wtr (nat
Closest Maj. Wtr. Body
ztP
Phone # (_
Affected
AEC(s):
E-Mail
! PTA
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Authorized Agent _
!cw
trOEA
tr PWS:
ORW: yes / no PNA yes / no
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tr HHF
trES
tr UBA
N PTS
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Type of ProjecV Activity tt.
Pier (dock) length--(Scale: )
Fixed Platform(s)
Floating Platform(s)
Finger
Groin length
number
Bulkhead/ Riprap length
avg distance offshore-=-
max distance offshore_
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift - .
Beach Bulldozing
Other
Shoreline Length
SAV: not sure yes no
Moratorium: I
Photos:
Waiver Atached:
n/a yes no
yes no
yes no
A building permit may be required by:
( Note Local Planning Jurisdiction)
E S"" note on back regarding River Basin rules.
Notes/ Special Conditions
Agent or Printed Name
Signature # Please read compliance statement on back of permit **
Permit Offi cer's Printed Name
Signature
Application Fee(s)Check #lssuing Date Expiration Date
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Statement of Compliance and Consistency
This permit is subiect to compliance with this application, site drawing and attached general and specific conditions. Any
violaiion of these terms may subiect the permittee to a fine or criminal or civil action; and may cause the Permit to become
nullandvoid.
This permit must be on the proiect site and accessibleto the permit ofiicer when the proiect is inspected forcompliance. The
applicant cenifies by signing this permit that l) prior to undertaking any activities authorized by this Permit, the applicant will
confer with appropriaie local authorities to .onfi., that this proiect is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certilied mail return receipt has been obtained from the adiacent riParian
landowner(s) .
The State of Nonh Carolina and the Division of Coastal Management, in issuing this Permit under the best available
information and belief, certifythatthis proiect is consistentwith the North CarolinaCoastal Management Program.
River Basin RulesAPPlicable To Your Proiect:
- Tar - Pamlico River Basin Buffer Rules
Ll Neuse River Basin Buffer Rules
lf indicated on front of Permit, your Project is subiect 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 Ollice (252-946-6481) or the
Wilmin$on RegionalOffice (910-795-7215) for more information on how to complywith these buffer rules'
Division of Coastal Managem€nt Ofiices
Morehead City Headquarters
400 Commerce Ave
Morehead Ciq/, NC 28557
252-808-2808/ I -888-4RCOAST
Fax: [phone]
(Serves: Caneret, Craven, Onslow -
North of New River lnlet- and Pamlico
Counties)
Elizabeth ciw D
401 S. Griffin St.
Ste. 300
Elizabeth City, NC 27909
252-264-3901
Fax:[phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Coumies)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-648l,
Fax:[phone]
(Serves: Beaufort, Benie, Hertford, Hyde,
Tyrrell and WashinSton Counti6)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, Nc 28405-3845
9l0-796-7215
Fax: 9 l0-395-3964
(Serves: Brunswick, New Hanover,
Onslow - South of New River lnlet-
and Pender Counties)
http://portal.ncdenr.orglweb/cm/dcm-home
Revised 7/06/ I 7
E other:
f] CAMA / tr DREDGE & FILL N980049 A B c D
Previous permit #_ENER/AL PERMIT
ENew EModification EComplete Reissue IPartial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality
andtheCoastalResourcesCommissioninanareaofenvironmenta|concernPursuanttol5ANCAC
Applicant
Address
Name Proiect Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
State ztP
Phone # (-)- e-rvait
Authorized Agent Crtv ztP
Affected
AEC(s):
ftcw
!OEA
tr PWS:
nEw
! HHF
! PTA
trtH
nEs
tr UBA
tr PTS
trN/A
River Basin
Adj. Wtr (nat /man /unkn)
Closest Maj. Wtr. BodyORW: yes / no PNA yes / no
Type of ProiecU Activity 1
(Scale: )
Pier (dock) lengh
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
ma:< distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift -.
I
Beach Bulldozing
Other
Shoreline Lensth
SAV: not sure
Moratorium: nla
Photos:
Waiver Attached:
yes no
yes no
yes no
yes no
A building permit may be required by,
( Note Local Planning Jurisdiction)
E S"" note on back regarding River Basin rules.
Notes/ Special Conditions
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Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit **
PermitOffi cer's Printed Name
Signature t./ I
Application Fee(s)Check#lssuing Date Expiration Date
Phone# (-)-
I
+I
Statement of Compliance and Consistency
This permit is subiect to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may subiect the permittee to a line or criminal or ciMl action; and may cause the permit to become
nulland void.
This permit must be on the project site and accessibletothe permit officer when the prolectis inspected forcompliance. The
applicant certifies bysigningthis permit that l) priorto undenaking any activitie.s authorized bythis permit, the applicant will
confer with appropriate local authorities to confirm that this proiect 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 adiacent riparian
landowner(s) .
The State of North Carolina and the Division of Coasal Management, in issuing this permit under the best available
information and beliel ceftirythatthis proiect is consistent with the Nonh Carolina CoastalManagement Program.
River Basin RulesApplicable To Your Project:
E other:Tar- Pamlico River Basin BufferRules
Neuse River Basin BufferRules
lf indicated on front of permit, your proiect is subiect 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 (252-946-548 l) or the
Wilmington Regional Office (9 I 0-796-72 I 5) for more information on how to complywith these buffer rules.
Division of Coastal Management Ofiices
Elizabeth Citv District
401 S. Griflin St.
Ste. 300
Elizabeth City, NC 27909
252-2U-390t
Fu:252-264-3723
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Courties)
\ryashington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax:[phone]'78
(Serves: Beaufon, Bertie. Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmin6on District
127 Cerdinel Drive Ext.
Wilmington, NC 28405-3845
9t0-796-7715
Fax: 9 I 0-395-3964
(Serves: Brunswick, New Hanover,
Onslow - South of New River lnlet-
and Pender Counties)
hnp:.//poral.ncden r.org/web/cm/dcm-home
Revised 706/ I 7
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ | -888-4RCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -
Nonh of New River lnlet- and Pamlico
Counties)
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Psrrn;1. Patricia lvey
104 Bogue Pines Circle
Pine Knoll Shores NC 28512
Phone Number:252-269-9025
Email Address:[e-mail]
I certify that I have authorized The Yard Barber lnc
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development lnstall riprap and zoysia sod
at my property located at 104 Bogue Pines Circle
in Careret County.
I furthermore ceftify 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.
Signature
Patricia lvey
Print or Type Name
Owner
Title
10 2021
Date
o6l
This certification is valid through 12-)--31) 21
Mailing Address:
Property Owner lnformation:
4^*,.*C
\
RIP RA? AT CAIMA LINE
FILL DIRT AND ZovgtA %)D
Bogue Sound
110',k,
I
)
)
Bogue Pines Circle
100'
Revision #: 1
Date: 61912021
Scale:
1:250 Patricia lvey 104 BOGUE PINEI
Landscape Plan: 983 Landscape Design by: Andrew
ilDHeffi Barber, lnc
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I hereby certify that I own property adjacent {6 Patricla lvey
(Name of Prope(y Owner)
property lOCated 2l 104 Bogue Plnes Clrde
(Address, Lot, Block,
's
Bogue Sound ln
, Road,
Pine l(rrcl|
etc.)
Shores N.C
_ (Waterbo{y) (Gity/Town and/or County)(Adjacent Prbperty Ovtner)
The applicant has described to me, as shown below, the development proposed at the above
location.V I have no obJection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(lndivtduat proposing developmenf mrist titl tn descriptlon below or attach a site drawing)
(Adjacent Property Owner)
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. (lf you wish to waive the setback, you must initial the appropriate blank below,)
TI I do wish to waive the 15' setback requirement
I do not wish to waive the 15'setback requirement.
(Adlacent Property Owner lnformation)
sl6L
Signature*Signature
Palrida lvey
Print orType Name
'10.1 Bogue Pirrcs Cirde
Malling Address
Pine Knoll Shores NC 28512
City/State/Zlp
2s2-26s-so2s [e-mail]
Teleohone Number / emal address' 0611012021
Prtnt or Tvoe Name
103 Bog'ue Pines Assoc
Mallino Address
Pind Knoll Shores NC 28512
Citu/State/Zlp
9{ 9-7 44-4099 [e-mail]
Telephone Number/ emall address
0611712021
Bogue Pin6 As3
Dale
"Valid for one calendar year after signature*
Dale*
(Revised Aug. 2014)
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
on
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adj acent to Palricia lvey
(Name of Property Owner)
property located at 104 Bogue Pines Circle
(Address, Lot, Block, Road, etc.)
on Bogue Sound in Pine Knoll Shores , N.C.
I have objections to this proposal
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(lndividual proposing development must fill in description below or attach a site drawing)
(Adjacent Property Owner)
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. (lf you wish to waive the setback, you must initial the appropriate blank below.)
TP I do wish to waive the 15'setback requirement
I do not wish to waive the 15' setback requirement.
(Prop erl n)(Adjacent Property Owner lnformation)
s,l6 B=
Signature
Patricia lvey
Signature*
Print or Type Name
104 Bogue Pines Circle
Print or Type Name
103 Bogue Pine Circle
Mailing Address lvlailing Address
Plne KnollShores NC 28512Pine Knoll Shores NC 28s12
City/State2.ip City/State2.ip
919-744-4099 [e-mail]252-269-9025 [e-mail]
S
(Waterbody) (City/Town and/or County)
(Adjacent Prbperty O'virner)
The applicant has described to me, as shown below, the development proposed at the above
location.TP I have no objection to this proposal.
TeleDhone Number / email address' 06/10t2021
TeleDhone Number / email address
o6t17t2021
Date
*Valid for one calendar year after signature*
Date*
(Revised Aug. 2014)
AruAcExT RFARIAi{ RRqpEry (Iilt+ER .STATEIEHT
I hercSy coniry thd I own ploperty rqffirt to PEE
(N$tle of orrnafl
p.operty locdud ri 1(x Phc. Cird.
(Addre*+ Lpt,
Bogua So.rnd m
Bloclq Ro.dr.&.)
Pbtl(ndshffiron N,c.(WffiodYl
(Adjaent Ptoperty Giner)
The applcant har dc€crtad to me,
hcathn.
Ae- I hruc nootriccthn to
(Ghyffoum erdtacanrfi)
s sttfryn below, fiE dsrralopnnnt popotcd d the above
tHr popoed.
I hew oQirctonr to tlia propo$et.
DESCNFNo}{ A}II}'ON I}RAIITilG OF PROFOsED IEYELOFrcXT(latMdual rrrc{oodlng drlvt/gryn .tfrmustflfi In Aerr;fifptt belolrr or athctta ritr *arhq,
(Adiaent Property orrner)
TYAN|ER SECNON
I mentetd,0B s $ar, dodq moorhg fllrEu, bolt rsnn brcd,rul#r, bodrc.E, r& or groln
mrd bc e!( baok a mffinrm distence of 13 ftonr rny arca of ripaian aoolss unlce udveO Uy
tre. (lf you with to tuehr thc sattock, you mut lnmt rrc pprqriate Hank bdor.)
.-)flS I do wi.h to waiyc thr l5'satbadr rcquirerner*.
I do Dotu#h towive lhe 1g setbedt req*remer*.
kner
IFgraafrru
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Pk!.lGd $sGllsArtlz
felqptulo t&stWldt rladfassodrom21
{AdJ.caflt Property Omrr hformrfion}
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