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CAMA / El]DREDGE & FILL I 7 `G�'�
0 N9 79771 A B.: C D
GENERAL PERMIT Previous permit#
�� IlE 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 /I VO .
J / O Rules attached.
Applicant Name l,- ! /"/ • ...,_ ,. ` ' Project Location: County
Address --''- Z i//� / -. !'r Street Address/State Road/Lot#(s) /• / -' 7
City �� 1,v 6- State ( C ZIP .2 ' ,jr,. /2j
,/
Phone#( ) -? E-Mail Subdivision 4- ,- - / '"/
Authorized Agent i. _. / i r /4; City /-; e
l ZIP '16
❑CW ❑EW GI-PTA FES OPTS Phone# ( ''2) e' River Basin ?.6- c r,
Affected ❑OEA ❑HHF ❑IH ❑USA ❑N/A
AEC(s): Adj.Wtr. Body ; :Oat /man /unkn)
❑ PWS:
Closest Maj.Wtr. Body
ORW: yes / no PNA yes /1fio
Type of Project/Activity z i,'F:
(Scale: I, )
Pier(dock)length .__..
Fixed Platform(s)
Floating Platform(s) --- ' HI j J f
Finger pier(s)
Groin length ---- i I : ,
number i _ ' —
{
Bulkhead/Riprap length //Ci± — �..._ i
avg distance offshore —,
max distance offshore /U'
Basin,channel I I - + i
t
cubic yards --- I I I I I I I - I
Boat ramp -- iC��
,
.
illi
Boathouse/Boatlift ................._.._,......._...,._.... _................
-__. _—�._ .._._............_.......... �..._._
p \ 4 1
Beach Bulldozing ---- - /L1 I
I
Other ----- — i✓L ,;-( qGc G r r ti
' #1.il;.,%4 ,. ,,c/H
Shoreline Length e Ux.) h.1 kj v
SAV: not sure yes (o) --- —L__^_..__
i. -
Moratorium: n/a yes no l i rr r1 t i
Photos: yes o) I.. .. _ i -` - _-
L
I I I >
Waiver Attached: yes Leto � -
�' / ll
T: t:,/// ( / ----",
A building permit may be required by: /ijli,..7— ° C a I -'See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) _
Notes/Special Conditions rt. 0 _'./7 //c 1 C . i' ; • 6,/, t. a /i c- z. /, '- r . /0
TT 1
—-Z/ '-.., t,
t or Applicant Printed Name PermitOfficer' Printed Name
- -e---(2 ,4.--/IA C*) / -/--"---(."--•- '. _ •
Signature **Please read compliance statement on back of permit** Signatu .
L!,ie(7CV V37, C . /7 I / ./..- -/.� i
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(910-796-72 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 252-946-6481
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
Rk g7 qs
0❑CAMA/ ❑'DREDGE & FILL D�T W O
l�l - 79771 A BCD
GENERAL PERMIT Previous permit#
��—= ❑ Reissue ❑Partial Reissue Dateprevious permit issued
❑New El Complete
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
❑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 D CW ❑EW ❑PTA ❑ES IDPTS Phone# ( ) _ River Basin
AEC(s): ❑OFr4 ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body (nat /man /unkn)
D PWS:
ORW: yes / no PNA yes / no Closest Maj.Wtr. Body
Type of Project/Activity
(Scale: I )
Pier(dock)length
1 I 1 j i i
Fixed Platform(s)
Floating Platform(s) 1 ' ; I 1
Finger pier(s) 1 A �_......._.._ j _._.._..........._......._._ _
Groin length I
number ._._I _.� — — ............_._. —.__
Bulkhead/Riprap length j/ i -/ j i — } I —T
avg distance offshore
max distance offshore I
Basin,channel I A
{ i
cubic yards 1
i j
1 I j _
Boat ramp ( ,
Boathouse/Boatlift _._.__.—_._....._.....................
i
Beach Bulldozing , ' 4_
i/
r',
I
Other i I., � i-:L..c" �Z. �« , . 1
.
I I I r �/ .-
Shoreline Length i 1 j b i r{j
SAV: not sure yes no . - ` - I i -
r 1
�. `ter
Moratorium: n/a yes no , •, I r•.
_ i . __._._._.._._ �. -._ -_ .__' _.._.__.. . t—r
Photos: yes o , 1 _.. — — —-
Waiver Attached: yes trto - '{' )
/ I I, ',,./. I I,, I —._•!rp
A building permit may be required by: /�,. See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions C // %/ C'i - it , ;, / . ',
_ / . ,. 7, //,,
Agent or Applicant Printed Name Permit Officer's Printed Name
".mac
Signature **Please read compliance statement on back of permit** Signature
9 '.3-k) ; /.... / ,7/7 1 ,Ai /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 (252-946-6481) 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: 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 9I0-796-7215
252-264-390 I 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
Secretary
Coastal Management BRAXTON DAVIS
aNVIRONMENTAL QUALITY Director
BUFFER AUTHORIZATION CERTIFICATE FOR SHORELINE STABILIZATION
A riparian buffer authorization is required for shoreline stabilization activities within the Neuse and Tar-Pamlico River
basins per Division of Water Resources(DWR)regulations 15A NCAC 02B.0233 and 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. Impacts: Impacts to woody vegetation from clearing and filling in Zone 1(begins at the most landward of either
normal water line(NWL)or normal high water line(NHWL)and extends 30 feet landward)shall be minimized to
what must be impacted for the sound installation of the shoreline stabilization project. Unnecessary clearing and
filling in the buffer is a violation of the riparian buffer rules.
2. Clearing& Grading:Clearing and grading of Zone 2 (begins at the landward edge of Zone 1 and extends 20 feet
landward) is allowed provided that it is re-vegetated immediately and Zone 1 is not compromised,which includes
maintaining diffused (non-channelized)flow of storm water runoff through the buffer.
3. Construction Corridors:Construction corridors are allowed for shoreline stabilization projects,but they must be
satisfactorily restored as described in condition 5 below,
4. Potential Overwash:For vertical shoreline stabilization projects(bulkheads)only;sites where wave overwash is
expected to be severe,the first ten (10)feet landward(unless specifically authorized otherwise by DCM)from the
structure may be maintained as a stable lawn in order to provide for structural stability.
s. Temporary Stabilization: Immediately post-construction, bare soils must be stabilized as quickly as possible by
providing a temporary ground cover. Newly seeded areas should be protected with mulch and/or erosion matting.
This ground cover is a temporary measure used to address erosion until site restoration can be accomplished.
6. Site Restoration:At minimum,pre-project site conditions must be re-established.A site that was wooded prior to
this shoreline stabilization project must be restored with woody vegetation ata stem density of 260 stems per acre.
Non wooded sites may be re-vegetated with woody vegetation. Restoration must be completed by the first
subsequent planting season (November 1 through March 30) after completion of the bulkhead.
• Pre-project site conditions: <• Le ie, e �L/ 41--er
7. Project Drawing:The drawing on the CAMA General Permit is considered the project drawing of your property
indicating the location of the shoreline stabilization structure and any associated clearing, grading,and construction
corridors.This drawing will be used to aid in compliance and monitoring efforts.
By your signature below you agree to be held responsible for meeting all of the above tiste co ditions and verify t t all
information is complete and accurate.
• / l' ti
t or A.pH• nt • int ame rivet Officer's S'gn t e
nt or r •licant 'fn./re /� lssu Date
CAMA GENERAL PERMIT if: 77 7/ Z
State of North Carolina I Environmental Quality I Coastal Management
Washington Office 1943 Washington Square Mall Washington,NC 278891 252-946-6481
Wilmington Office 1127 Cardinal Drive Ext.WSn,i„gron,NC 28405-3845 1910-796-7215
Morehead City Office 1 400 Commerce Avenue Morehead City,NC 28557 1252-808-2808
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: 44 T744.)- -
Mailing Address: 7oa Z 4 /(
:o/IS 4a to /V c 7 7$5
Phone Number: q1 c, - 0902.2 - 3026 4
Email Address: ////
I certify that I have authorized ` J erd I c-�Gp
Agent/CGractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: �)aee 4 ,f�
[ V
�oI II-c—
at my property located at /at a 3 49 14%- I/
in eGzd1 / County.
I furthermore certify that I am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
(,__112ej
Signatu e
Print or Type Name
Title
Date
This certification is valid through I I
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Nair Ain c$C t'l 's
- I (Na of Property Owner)
I.-property located at -of 0,13 W
AA,,,
(Address, Lot, BI ck, oad, etc.)
on �() a ecJtY , in /JC Gt.JCv1 , N.C.
(Waterbody) (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
(Individual proposing development must fill in description below or attach a site drawing)
/R6° t� roC O!l ,Seat" `
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.)
I do wish to waive the 15'setback requirement. C
I do not wish to waive the 15' setback requirement. SOS d-P1 �'�el
(Property wner Infor ation) (Adjacent Property Owner Information)gitte.eclizzzo_u.
•
S' ur gna .re*
K . )jah5eh 52/0l,)-6. Ave C c r
U Flity or Typo platrA; Print or Type Name
Maili A dress Maili Address
City State City tate/Zip
� aa -3��G asp gys� ��bz
Telephone Number/email address Telephone Number/email address
3 -�+
Date Date*
(Revised Aug. 2014)
*Valid for one calendar year after signature*