79757_Jeffrey Trueblood_20210627

❑CAMA / DREDGE & FILL . j p f ( ! f NO 79757 g CBS C D
GENERAL PERMIT Previous permit# '- ///
>Z L❑'New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued 4./
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 %//: /.2U(---'
r` ®Rules attached.
Applicant NameJ /{r ` / / �� Project Location: County 7- -. 1 C-e,
Address ) / L/ / , L.1i u,/. i s e F / Street Address/State Road/Lot#(s) //17 lei i 1
City /�c fit < -',".- State !/( ZIP •;d /U /../:_ C_ rp, E ii,'1
Phone#()_' -) i`/-7 0. D E-Maiill Subdivision L (r e e,
Authorized Agent i r ri J t L.`I'rr : City lii< I. ZIP a%(116
❑CW ❑EW 13pfA l3)ES ❑PTS Phone# ( _'4`P River Basin / (", , ,--,
Affected ❑OEA ❑HHF ❑IH ❑UBA ❑N/A I *�
AEC(s): Adj.Wtr. Body , i v nat an /unkn)
,
❑ PWS: 9 2
ORW: yes / no PNA yes / no) Closest Maj.Wtr. Body '
Type of Project/Activity / r>F, 1
(Scale: l )
Pier(dock)length _._-,
Fixed Platform(s) I '
I 1 1
Floating Platform(s) I [ I , ✓ F I
Finger pier(s) ; u J _ i
i
Groin length ` �, .c�{ I
number ---f `--.._L._.. — _—..._...... 4 --_.._._`_......_...__._. -.___._._
i
Bulkhead/Riprap length -" ` v,'y .-......__ I -- .—
avg distance offshore — \1 I ,S 1 j
max distance offshore — M j
1 !:
Basin,channel j
cubic yards — 1
t
Boat ramp ; , - I I
}
Boathous�Boatlift�� � — _.—._.._...-- --.._— I � .._.._._ —
t t
_ f
Beach Bulldozing
I i
Other • I I
I1 1 ,� I,; I .
I I I\,.,'.' \4
1 ' 01\`. I I
Shoreline Length j 1 1
SAV: not sure yes now' I N i ^'
I i /t I A.
Moratorium: n/a yes �, e/ , / 1 - I1 // �_._
Photos: yes no �,1;!i _._ __I f.. `- i -- i I i I c'e_ r.,-
Waiver Attached: yes no �^ ' 7r.�a r f�,a el' € i ' I 1
A building permit may be required by: /j F',, 4,- 'I t . RSee note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions <pie O)7/7 /7O
r �� fi�l/+ �,
Agent or Applicant Prii d --�intee ._ PermitOfficer's Printed Name
Signature **Please read compliance statement on back of permit** Signature j
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 0-796-7215)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

r 0 �7 tt��
.i CAMA/ ❑DREDGE & FILL �j 0 ! 1 '4 ( No 79757 ABCD
GENERAL PERMIT Previous permit#
> ❑New El Modification El 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 .
❑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 ❑CVN ❑EW ❑PTA ❑ES ❑PTS Phone# ( ) River Basin
AEC(s): ❑oEA ElHHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body (nat /man /unkn)
❑ PWS:
ORW: yes / no PNA yes / no Closest Maj.Wtr. Body
Type of Project/Activity i
(Scale: / )•
Pier(dock)length
' 11Fixed Platform(s) TT 1
Floating Platform(s) 1111
✓t --! __I__ _— f
Finger pier(s)
Groin length I .. - s""--- i 1'
iiii
number _ r �— -- — 1 — —
I ;
Bulkhead/Riprap length ---_..—._-- -•.._.-._._ —.,__ _---
avg distance offshore �``1:-
— I
max distance offshore r
I
Basin,channel
I ' II , 11
I I I I I I I
cubic yards I 1
I ?� I j 1 -
Boat ramp FI 1
Boathouse/Boatlift Y _..__— --___—'. f _ f — . _..
i
Beach Bulldozing I i — I-----j —
1
Other 1 I
1111 j
j I I I 1 I I I
Shoreline Length I
1
SAV: not sure yes no _. .____._ _ - _ , .-.
Moratorium: n/a yes no I
—i . 1 1—-- I —r I i I<_—. -
Photos: yes no Lyt'_ _— _4. — i
Waiver Attached: yes no I T , . 4 . ' i
A building permit may be required by: l t . i"1 See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions r: / 7/:
Agent or Applicant Printed Name Permit Officer's Printed Name
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 (252-946-6481) 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 252-946-648 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
,:a Governor
MICHAEL S. REGAN
Secretary
Coastal Management BRAXTON DAVIS
ENVIRONMENTAL QUALITY Dir¢au/
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:
s 7-74,4-4,Ne I 4,,,.,..,
By your signature below you agree to be held responsible for meeting all of the conditions listed above and verify
that all information provided is complete and accurate.
Pc;f-reit ,.. "/- .1T,,
Agent or Applicant Printed Name Permit Officer's Signa ure
V-2 7/..2—/
Age or Applicant Signature Issue Date
CAMA GENERAL PERMIT#: 7,757 757 /I
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

B. F. Warren & Sons, Inc.
180 Taylor Farm Road, Belhaven NC 27810
Office(252)964-4628 Fax [phone]
Forrest cell [phone] Freddy cell [phone]
NC General Contractor License 472600
www nr pitxrcom
Authorized Agent Consent Agreement
To:State of North Carolina Department or Local Government Department
from whom this permit is being applied for.
I,the undersigned property owner,do hereby authorize B.F. Warren&Sons INC.to act on my behalf in
obtaining the necessary permit/s for the below listed projects.i have contracted there services to perform
the work permitted.This agreement is limited only to the specific activity of obtaining permits for the
below specified projects.
Projects:
PWC lift
Project location/address:
114 E Dowry Creek
Belhaven NC 27810
Body of Water:
Pungo River
Property Owner Mailing Address:
Jeffery M Trueblood
114 E Dowry Creek
Belhaven NC 27810
[phone]
Property Owner's Signature: Date: O` er'`'`
Authorized Agent Signature: Date: - '

Adja cent Riparian Properly Owner Statement
Prepared by
B. F. Warren&Sons, Inc.
180 Taylor Farm Road, Belhaven NC 27810
Office(252)964-4628 Fax[phone]
Fr:�'dv M'bilc(252)9.45-4210 Forrest [phone]
NC General Contractor License#72600
www.ncniers.com
June 21, 2021
I,the undersigned properly owner.do lr.cby certify that I own property adjacent to Jeffery M
Trueblood's pi : located at 114 'T'•np,73 Creek.Belhav nn NC 27810 on Pungo River(body
of water),in Beaufort County NC
The applicant has described to me,as shown below,the development proposed at the above
location.I understand that any construction,excluding bulkheads,must be set back a minimum
distance of fifteen feet(15')born my ales of tiparit1 acce.s:finless waived by me.
Please initial the appropriate blank,sign and date below.
4have ,b;ection to tilt,r of ct is proposed but de not wish to waive the fifteen foot
(15')set back.
I have no objection to the project as proposed but do wish to waive the fifteen foot(15')
setbacK.
I object to the project proposed.
Property owner,.'mature
Printed name
Address Iv M_1.d. _ _G rt sLc�ta1 7 )L, 2;n37
Telephone number(_ ) _ - 221.9
Date CO u /
Description and/o. Drawing of Proposed Development
Move PWC lift ;,,t!i:stream side of dock

an p y pwnens went
:w
AdikentRlp
Prepared by
B. F. Warn &Sons, Inc.
180 Taylor Farm Road, Belhaven NC 27810
Office(252)964-4628 Fax[phone]
Freddy Mobile[phone] Forrest Mobile[phone]
NC General Contractor Licensee 72600
www.ncpiers.com
June 21, 2021
I,the undersigned property owner,do hereby certify that I own property adjacent to Jeffery M
Trueblood's property located at 114 E Dowry Creek,Belhaven NC 27810 on Pungo River(body
of water),in Beaufort County NC.
The applicant has described to me,as shown below,the development proposed at the above
location. I understand that any construction,excluding bulkheads,must be set back a minimum
distance of fifteen feet(15')from my area of riparian access unless waived by me.
Plgase initial the appropriate blank sign and date below.
I have no objection to the project as proposed but do not,wish to waive the fifteen foot
(15')set back.
I have no objection to the project as proposed but dg wish to waive the fifteen foot(15")
setback.
I object to the project p� s-e-d
Property owner signature
iL
Printed name 1/0 1 1-nn
Address
11 DO v.."1 C rc c AD G Z 7 1 4-,
Telephone number( 2 ) V - / l/
Date �/� / 2 /
Description and/or Drawing of Proposed Development
Move PWC lift to upstream side of dock