Payne, Timothy 80050C

Applicant
Address
Name
trcAMA/trDREDGEaFTLL
GENER/AL PERMIT[!New nModification nComplete Reissue Iparrial Reissue
fu authorized by the state of North carolina, Department of Environmental euality
and the Coastal Resources Commission in an area of environmental concern pu rsuant to l5A NCAC
N9 80050 ABCD
Previous perm it#
Date previous permit issued
E Rules attached.
Project Location: Counqr_
Street Address/ State Road/ Lot #(s)
Subdivision
ztP
Phone # (-)- River Basin
Adi. Wtr. Body- (nat /man /unkn)
Closest Maj. Wtr. Body
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State _ ZIP
Phone # (-)_ e-yait
Authorized Agent _
Affected
AEC(s):
trcw
trOEA
!EW
! HHF
! PTA
!rH
trES
I. I UBA
NPTS
trN/A
ORW: yes / no PNA yes / no
>C
(Scale:)
Type of Proiecfl Activity
Pier (dock) length
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 --71@-
SAV:not sure yes no
Moratorium: r
Photos:
Waiver Attached:
A building permit may be required by:
( Note Local Planning Jurisdiction)
nla yes no
yes no
yes no
E S"" note on back regarding River Basin rulcs.
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Notes/ Special Conditions
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit **
PermitOflicer'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
violation of these terms may subject the permittee to a line or criminal or civil action; and may cause the permit to become
null and void.
This permit must be on the project site and accessibleto the permit officerwhen the Proiect is inspected for comPliance. The
applicant cenifies 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 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 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, certifythatthis project is consistentwith the North Carolina Coastal Management Program.
River Basin Rules ApplicableTo Your Proiect:
! Tar - PamlicoRiver Basin Buffer Rules
f] Neuse River Basin Buffer Rules
f l other:
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 Olfice (252-946-6481) or the
Wilmington Regional Office (910-796-7215) for more information on howto complywith these buffer rules.
Division of Coastal Management Ofiices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ | -888-4RCOAST
Fax: [phone]
(Sewes: Carteret, Craven, Onslow -
North of New River lnlet- and Pamlico
Counties)
Elizab€th City District
401 S. Griffin St.
Ste.300
Elizabeth City, NC 27909
2s2-264-3901
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252.-946-6481
Fax: [phone]
(Serves: Beaufon, Beftie, Hertford. Hyde,
Tyrrell and Washington Counties)
Wilmington District
I 27 Cardinal Drive Ext.
Wilmington, NC 28405-3845
9to-796-7215
Fax: 9 l0-395-3964
(Serves: Brunswick, New Hanover,
Onslow - South of New River lnlet-
and Pender Counties)
Revised 7/06/ l7
http://portal.ncdenr.org/web/cm/dcm-home
NCAMA/TDREDGE&FILL
GENER/AL PERMIT
ENew EModification EComplete Reissue EPartial Reissue
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental concern pu rsuant to l5A NCAC
Applicant Name
Address
Project Location
N980050 A B c D
Previous permit #_
Date previous permit issued_
ztP
E Rules attached
Subdivision
zlP
Phone # (_)River Basin
Adl. Wtr (nat /man /unkn)
Closest Mal. Wtr. Body
Phone # (_)
Authorized Agent
E-Mail
Affected ! cw
AEC(s): DoEA
tr PWS:
nEw
tr HHF
! PTA
tr!H
nES
! UBA
! PTS
trN/A
ORW: yes / no PNA yes / no
)C
Type of ProiecU Activity
(Scale:)
Pier (dock) lengh
Fixed Platform(s)
r
Floating Platform(s)
Finger pier(s)
Groin length
number tl_r.,--1
ii'+-+Bulkhead/ Riprap lengh E]:
avg diiance offshore i : '
maxdistanceoffshore .-f ,
Basin, channel
cubic yards_ j
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing I
Other
Shoreline Length AI
SAV: notsure yes no
Moftfiorium: r
Photos:
Waiver Attached:
nla 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 rulcs.
Notes/ Special Conditions
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Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit **
PermitOfficer's Printed Name
Signature
Application Fee(s)Check #lssuing Date Expiration Date
State
Street Address/ State Road/ Lot #(s)
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Statement of Compliance and Consistency
This permit is subiect to compliance with this application, site drarving 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
nullandvoid.
This permit must beon the proiect site and accessibletothe permit officer rvhen the proiect is inspected forcompliance. The
applicant cenifies by signingthis permitthat l) priorto undertaking any activities authorized bythis permit, the applicantwill
confer with appropriate local authorities to conlirm 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 adjacent riparian
landowner(s) .
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best arrailable
information and belief, ceftirythatthis project is consistent with the North CarolinaCoastal Management Program.
River Basin RulesApplicable ToYour Proiect:
Tar- Pamlico River Basin Buffer Rules
Neuse River Basin BufferRules
lf indicated on front of permit, your proiect is sublect 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 (252-946-5481) or the
Wilmington Regional Office (9 I 0-796-7215) lor more information on how to comply with these buffer rules.
Division of Coastal Management Oflices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
2s2-808-2808/ r -888-4RCOAST
Fax:[phone]
(Serves: Caneret, Craven, Onslow -
North of New River lnlet- and Pamlico
Counties)
Elizabeth CitY District
401 S. Grif{in St.
Ste. 300
Elizabeth City, NC 27909
252-264-390t
Fax:[phone]
(Serves: Camden, Chowan, Curtituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
E othe.
Washington District
943 Washingon Square Mall
Washington, NC 27889
252-946-6481
Fax:[phone]
(Serves: Beaufon, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
I 27 Cardinal Drive Ext.
WilminSton, NC 28405-3845
910-796-721s
Fax: 9 I 0-395-3964
(Serves: Brunswick, New Hanover,
Onslow - South of New River lnlet-
and Pender Counties)
hft p://ponal.ncdenr.org/web/cm/dcm-home
Revased 7/06/ I 7
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Psrrnil. Timothy W Payne
lvlailing Address:103 Bogue Pine Circle
Pine Knoll Shores NC 28512
Phone Number:919-7444099
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 a paver patio, rip rap at CAIVA line,
fill dirt, landscape and lay sod.
at my property located at 103 Bogue Pine Circle
in Carteret County
I fufthermore certify that I am authorized to grant, and do in fact grant permission to
Division of Coastal lrilanagement staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner lnformation:
S,16 FF-_
Signature
Timothy W Payne
Print or Type Name
Owner
06 20
Title
2021
Date
This certification is valid through lZ t--9!-t- ]1-
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Bogue Sound
RIP RAP AT CA/A
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12 feet from CAMA Line
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Pavers are non pemeable
Nonpemeable area used
including house, driveway,
and patio addition '12,592.20
Total lot size 16,1 17.2
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102 Bogue Pines Circle
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Scale:LandscapPlan: 588 Landsmp Design by: Ardrary
Date: 4/19/2021 1/16" = 1'Payne
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Revision#: 2
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adj acent tO Timothy W Payne
(Name of Property Owner)
property lOCated at 103 Bogue Pine Circle
(Address, Lot, Block, Road, etc.)
On Bogue Sound tn Pine Knoll Shores
S
, N.C
(Waterbody)(City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.Pai I have no objection to this proposal.
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)
See Attached
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.)
Pai I do wish to waive the 15'setback requirement
I do not wish to waive the 15'setback requirement
(Property Owner lnformation)
\16 R"-
Signature
Timothy W Payne
Print or Type Name
2339 Hales Road
Mailing Address
Raleigh NC 27608
City/State/zip
91 9-744-4099/[e-mail]
nt Prope er lnformation)
Sicnalure*
Patricia A lvey
Print or Type Name Unc
lvlailing Address
City/State/Zip Pine Knoll Shores, NC 28512
TeleDhone Number / email address
252-269-9o2s
Dale
*Valid for one calendar year after signature*
(Revised Aug. 2014)
TeleDhone Number / email address
6t10t21
pol"UOl lUlZ I
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adj acent tO Timothy W Payne
(Name of Property Owner)
property lOCated at 103 Bogue Pine Circle
(Address, Lot, Block, Road, etc.)
On Bogue Sound , tn Pine Knoll Shores
S
N.C.
(Waterbody)(City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.TP I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(lndividual proposing development mustfill in description below or attach a site drawing)
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.
(Property Owner lnformation)
s,l6R--
Signalure
Timothy W Payne
Print or Type Name
2339 Hales Road
Mailing Address
Pine Knoll Shores NC 28512
City/State/Zip
919-744-4099 / [e-mail]
Telephone Number / email address
611912021
(Adjacent Property owner lnformation)
sxR"^-
Sisnttture*
Bogue Pines Shores HOA President
Print or TvDe Name
103 Bbgue Pines Cir
Mailino Address
PKs, NC 28512
Citv/State/ZiD
919-632:6725
Telephone Number / email address
6t19t2021
Dale
*Valid for one calendar year after signature*
Dale*
(Revised Aug. 2014)
I do not wish to waive the 15'setback requirement.