79752_William Scott_20210622

0 DCAMA/ DREDGE & FILL RK5 No 79752 A 'B� C D
GENERAL PERMIT 'D o ri gg Previous permit#
>Z -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 •
/ / Li Rules attached.
Applicant Name /j/. //' ►'r 1 - - �t Project Location: County
Address j/ C,- �.,k / - ( )
Street Address/State Road/Lot# s ,
City
/ ( / A l/ � State z--' ZIP - / , i� , . f ,
Phone# 2 c"`i Subdivision i. /
(_ ) E-Mail // <,
Authorized Agent l���i/. �r/�k City ZIP —2 /o'/G
❑CW ❑EW EfiTA ❑ES ❑PTS Phone# ( ) River Basin 7-c'/ e
Affected ❑OEA ❑HHF ❑1H ❑UBA ❑N/A
AEC(s): Adj.Wtr. Body i�" . (fiat /man /unkn)
❑ PWS r-1
,./) Closest Maj.Wtr. Body
ORW: yes / no PNA yes / no- '
Type of Project/Activity '
. (Scale: A/j S )
Pier(dock)length -L.. '/ - 6. ,
Fixed Platform(s) /Z "/G 2 _ 'i/�' f
4 G`
Floating Platform(s) - Ar / Il er
Finger pier(s) : I _-_.._..___.______ __ -_ .. __ _.........
Groin length i i I
number :t _—.___ __ ....-..._ --.._..-.._
Bulkhead/Riprap length T—.__..... —__.___-- ;A` .-__
avg distance offshore
max distance offshore I
Basin,channel r : j « I
cubic yards i I ,` L
Boat ramp I + I
Boathouse/Boatlift j l -- — 1
Beach Bulldozing 1 _._..
Other k
l•
Shoreline Length /GU / 2
� NA. -I T� /_ /-, --/' ' I �..`
SAV: not sure yes ( _)7 i ` f il'' ) f
Moratorium: n/a yes —
Photos: yes Cam'" 1", �� -
Waiver Attached: yes� no r /'
A building permit may be required by: / /a r/ (1' . 2—See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions %'E' (..,' /! /,.) 'L? , C ,d; .
314) () '6-t
Agent or Appqcant Pr1nte lame PermitOffi er s Printed Name
: /�'/ of ;Esc"
Signature **Please read compliance statement on back of permit** Signature
4':,2 ov --` 1/02 Sic G-..,a-02 / /G-.2�-,.,2/
Application Fee(s) Check it 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(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/ 1-888-4RCOAST 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

41 ?CAMA / ❑DREDGE & FILL N� 79752 A B C D
GENERAL PERMIT S gr1 �� 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 5A 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 ❑PTA ❑ES 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
Type of Project/Activity
(Scale: /VI )-
Pier(dock)length 1 ,.Y.fn,__.,_
/tl I
Fixed Platform(s) 1 } fit/
Floating Platform(s) I r, I � f j+vI
Finger pier(s) /� +r J _ — -. --- .—-."-'—
Groin length i i i { I -
- I
t
number
I
Bulkhead/Riprap length �_T_..._._.__.__--- f • i— -----.. —_..._..._--
_ --
avg distance offshore
max distance offshore
Basin,channel { { _ el I
lei f
1
cubic yards j i i I •
illi ,
j ,
..,: _.
Boat ramp
Boathouse/Boatlift — ,— 1 ' 1 -- _
Beach Bulldozing —. __—_------_-
I 1,. I , I
Other i J
$ 1
Shoreline Length r % 1 i `
SAV: not sure yes no - f : i
r ;
— ' i I
Moratorium: n/a yes no I -4z/ 4 ' - li P . .... i- + + ( I t — +...
Photos: yes no i :., -' ..__ . . i l
!jj r ~
Waiver Attached: yes no i ; 1 +' -/ /# ! ' ' , f.
7.
A building permit may be required by: . --I See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions
Agent or Applicant Printed Name PermitOfficer's Printed Name
Signature **Please read compliance statement on back of permit** Signature
e: ,i„2 2 / /( .i..r _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 I 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: [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

„""'t ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
Coastal Management BRAXTON DAVIS
ENVIRONMENTAL QUALITY Director
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 02B.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) perrnit 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: ell a:A%&.'.•e C lc—
By our signature below you agree to be held responsible for meeting all of the conditions listed above and verify
t , 'al 'nform. 'on +rovided is complete and accurate.
AN/I 6 / °.., ?,t1
tiff t or • • • c)”Pri` • Name Permit Officer's Signa ure
A'ent F.r Applica vt Signature Issue Date
CAMA GENERAL PERMIT#: 79 75 2
State of North Carolina I Environmental Quality I Coastal Management
Washington Office 1943 Washington Square Mat Washington.NC 27889 1252-946-6481
Wilmington Office 1127 Cardinal Drive Ext.Wilmington.NC 28405-3845 1910-796-TL15
Morehead City Office 400 Commerce Avenue Morehead City.NC 28557 1252-808-2808

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: e-// SC0#
Mailing Address: /10 l r �X Gi;967,/ 2 7Q4-3
Phone Number: 2-5 2 - gO G�
Email Address:
I certify that I have authorized � t e
Agent Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: P.
at my property located at
in 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:
d_._4Yiegf
Signature
f64 5C.S1714
Print or Type Name
to
1_L—I a.-
Date
This certification is valid through

14.
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Q f Sc 's
(N a of Prop Ay Owner)
property located at /o35 Ofd Paert 1 "20 'fj ,1.
i�'� � � (Address, Lot Bloc Kc, Road, etc.)
P
on &rviA;(,o �.vr r , in 11 rI. Yl1 , 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)
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.
I do not wish to waive the 15' setback requirement.
(Property wner I for tion) (cent Property Owner (Information)
1\ azAt-i)Y
Si n tzyt ,f- Signalt�gc;*i �y,
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a G✓✓rl` TTfDU3 l
P r t e N e Print or Typ Name
/3GOtf..Pp
ff9ddress Ma . t Addres , r a Qb�7
Ci /State/Zi Cit / "'2�' '� N� 7 / `
Y p 3 YState p44 - 77di
� Sa
Telephone Number/ mail address Telephone Number/email address
)? Ma I L 2424
Date Y Date*
Y t
(Revised Aug. 2014)
*Valid for one calendar year after signature*

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I 11
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to ,g% 4-1,.///cirn .5C 2 t 's
(Name of Property Owner)
Property located at /935 ,/d/66Wir c, `cA jeal
(Address,Lo Block,Road,etc.)
on /awl rCa /z<<✓-e ,In /3-e(Act U-ef✓ ,N.C.
(Waterbody) (CltylTown andfor 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 ANDIOR DRAWING OF PROPOSED DEVELOPMENT
(lndividuaJproposing:devefopment must hit in descriptlon;below orattach.a.slte drawing)
•
WAIVER SECTION
I understand that a+pier, dock,me.ring pilings, boat ramp, breakwater,boathouse, lift, or groin
must be set back a minimum disc Trice of 15'from my area of riparian acr.ess unless waived by
me.(If you wish to waive the setback,you must Initial the appropriate blank below.)
tom` I do wish to waive the 15'setback requirement.
I do not wish to waive the 15'setback requirement.
(Property Owner Information) (Adjacen rope),.'•wn,Info on
tS _s� � ' �J/
Sr ralure
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Print or Type Name Pn or Type Na
fling Address Ail— � � ( çflAddIe7J0rnQD*3
City/Stat p tat- 9Ys--ys9y _ 06b
Telephone Number/email address Tel p e Number/email fddress
Date Dale*
(Revised Aug.2014)
'Valid for one calendar year after signature*

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