79822_Kevin Bush_20210629

'P.K5
0 _LAMA / DREDGE & FILL ^-f-4(0�9 2�j No 79822 A B C D
GENERAL PERMIT 1-- v / Previous permit# 7
>( ❑New ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued /..zv
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
ffe ❑Rules attached.
//e'
Applicant Name , f Z Project Location: County
Address L 7C /4 ,/ i, j-,'', Street Address/State Road/Lot#(s) / // - ��
City I, l State ZIP /7/�"/-�., f.,-- (/"
Phone# ( ) /2 Ge./✓( E-Mail Subdivision
Authorized Agent /. City ZIP 2 7711
Affected ElCW ElEW El 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 < "" ✓ / / 7
(Scale: /' U' )
Pier(dock)length
Fixed Platform(s) i I
Floating Platform(s) i_ ii.
Finger pier(s) ,. _.— _.._.
Groin length . ' (j ; I
number t.....- '4 . /n/
Bulkhead/Riprap length I .--., 0
avg distance offshore 1 1 ' !
max distance offshore ! i 1 Basin,channel j iI I t k r 1 �i�r
l j J!< /(-.
cubic yards l i
Boat ramp ' ' i f ,
II
t
Boathousg--.__. .-Boatlift / t -
l
is ;
Beach Bulldozing '
Other ,
'
� � r f i
Shoreline Length loC/ � r'/ ` i 1• C
SAV: not sure yes � � I /'�- R bz. ._ '"��. —...__ ,._
Moratorium: n/a yes Uro� --� -----_/t.:!...._.._...__._�_._...._._..........._..._._.....------�--- -I---a--�»
i
j
Photos: yes i (i(l —
il-Waiver Attached: yes no i i / I i I P/ : .//y
A building permit may be required by: �l,,r•l c- I/ . LJ See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions // /:?C,G
Co 1ro,-�-' L)o ( ri.-.1 _) 44, ,, e r /--"/...:Agent or plicant Printed Name PermitOfficeps p rotted Name= -- ' . __
Signature **Tease read compliance statement on back of permit** Signature
, _ : .-: /._-f /,,Z2e-A t /Ci/.2 A(
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

elCAMA / DREDGE & FILL -t4I 0C 3% No 7982? A BCD
GENERAL PERMIT 1P-- Previous permit#
New Modification Complete Reissue CPartial 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 IIIES ❑PTS Phone # ( ) River Basin
AEC(s): ❑OEA HHF ❑IH ElUBA ❑N/A Adj. Wtr. Body (nat /man /unkn)
❑ PWS:
ORW: yes / no PNA yes / no Closest Maj.Wtr. Body -
Type of Project/Activity
(Scale: i )
Pier(dock)length
Fixed Platform(s) ( ' ' i I
Floating Platform(s) I ! ' j4,,
______4____+;., , , , , t .
Finger pier(s) / = .._.__
Groin length i
number + - — • -._
� _
Bulkhead/Riprap length -I I _ —._ i I rt —_--" - AA
avg distance offshore I i I i 1 t
max distance offshore I
I I
r r r J
Basin,channel I f lil
j I i , //-:l (
cubic yards _ _
Boat ramp I — 1 I
i-.4 .._ . .. ..... ._1_.._. .y. ._._1— 1 } ��-_4-..._.
Boathouse/Boatlift — _ —_.-_ 1
.} i._...4. -•_-.� - _—.-._. _ .... _ --•
__._--"--" 1) -' ?.-}--- -...._..-
Beach Bulldozing _ rt.. -_. , I
I ,�-' I
Other I f / i
I i : 1 -
' i
1 1 I
Shoreline Length ' 4 I I,
SAV: not sure yes no — .-- - 1. I• I
'Moratorium: n/a yes no I _72 i
Photos: yes no I 1 i---' _T. — r".. '�'""'`
Waiver Attached: yes no I I 1 1 , I,. r 1
A building permit may be required by: i' • ../ r�See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions . /•C"
Agent or Applicant Printed Name PermitOfficer'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(910-796-72 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: [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 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) 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:
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.
re/IAgeEs;rref----b--)0.
o Applicant Printed Name Permit Officer's Signatu
Agent ‘/2<-
or Applicant Signature Issue Date
CAMA GENERAL PERMIT#: '7 O a 9--
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

Staples, Shane
From: Kevin Bush <[e-mail]>
Sent: Monday, June 28, 2021 3:55 PM
To: Staples, Shane
Subject: [External] Re: Permit for 177 Barnes Foster Loop Rd
CAUTION: External email. Do not click links or open attachments unless you verify.Send all suspicious email as an attachment to
Report Spam.
Shane,
Per our conversation you are authorized to provide the permit for my boatlift directly to Forrest at BF Warren & Sons
Marine.
If you need anything else from me please let me know!
Kevin
On Monday, June 28, 2021, 01:11:11 PM EDT, Kevin Bush <[e-mail]>wrote:
Shane,
let me know if you need anything else to extend the permit. I am having Forest do the work if you want to send it to him
and maybe email me a copy that would work.
Thanks!
Kevin
919-612-0001
On Friday, June 25, 2021, 02:26:25 PM EDT, Kevin Bush <[e-mail]> wrote:
Here is the permit that TJ Marine had on file for my boat lift.

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
hereby certify that I own property adjacent to LX ui,k} �--y .s
r� ,Name of Property Owner)
)roperty located at /7) 124/..ut(5 ici c.e Cq - Al?_,
�e�� (� Address. Lot,Block, Road,etc.)
_r
in 4)ZA4 4,/Pr:r,1 , N.C.
Waterbody} (City/Town and/or County)
The applicant has described to mc, as shown below, the development proposed at the above
.3Cationy
:w ,' 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)
N ) ,
1
VAIVER 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,wet ini is the
appropriate
p gate bla
nk below.)
.542 .,_oo wish aive the 15'setback reouirement.
do not wish to waive the 15'setback requirement.
rPrope/ Owner Information) (Adjacent Property Owner Information)
Signature �•K re*
Li J ,) 414 .14,0 N t' "' t
Print or Type Name nCl 1' r
�1 ) AY' :Z5/gr Type NameAla Aril �
� See IA to co,Ql 0;
Mailin Ad Mailing Address
� 1 �� Z7(ya� TtLorc, A/C pZ78g
2ityista
lz-c 1 City/S€ate/Zi
46-
TeteD On AJurnber/email address 2�� ��~js
Telephone Number/email address
Date Date*
*Valid for one calendar year after signature' (Revised Aug. 2014)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Kf'„r t1 yv,s6} 's
(Name of Property Owner)
property located at f 7 7 ,ip,Crti Sur-jam.
(Address, Lot, Block, Road, etc.)
ono e e , in ter L ,1 _, N.C.
(Waterbody) (City/Town andlor County)
The applicant has described to me, as shown below, the development proposed at the above
location.
Adlocert
I have no objection to this proposal.
Property
Owner i have objections to this proposal.
Cheat one
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
WAIVER SECTION
;14137 ; 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.)
do wish to waive the 15'setback requirement.
do not wish to waive the 15'setback requirement.
(Pro rty Owner Information) � Adja r, erty er information)
4-*
5igna re atufe* )
Print or T /Vame J.0 t r T Name
4do
M 'in Add ss in Add
7 {
L'i"ty/Sta i City! 3 ip
97 f!d5-0
Tele ` Number!email address Telephone u l
`C174, J rn er I�mar ad, rbs
Date Date* C.j
.,- tea t
(Revised Aug. 2014)
*Valid for one calendar year after signature*

-41
A RiPARf PROP RTY
�� � T
hereby certify that I own R STATEMENT roe —property rty adjacent to �vi.3 ���� ,
s
3roperty located at j 7"7 %t3lame of Property 0wner}
Address, Lot,Bloc,Road,etc.)
:n�.t�c„� Ccct�..
aterbody} , in De `r` j ,N.C.
(CityfTown and/or County)
The applicant has described to me, as shown below, the development proposed at the above
vocation.
'i l have no objection to this proposal.
I have objections to this proposal.
3ESCRfPT10N AMO/0R DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill In description below or attach a site drawing)
:. i understand that a ier, do AfYER SECTION
P ck, 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.)
C V\ . do wish to waive the 15'setback reouirement.
do not wish to waive the 15'setback requirement.
ciit(P Owner Information) (Adjacent Property ,.
`�� t P rtY Owner Information)} i
si attrre � ��l��Av'd �,• fo ! � •,-1
`� �` �` 0 e* fog► , v,.., ititt
Print or T Name_ Print r Type Name
rirPrint
vP 6,7ne } 1 1�r,"
htar UL 27Glo ,ar/in. Ads N cr
Teieothon`e,Number/ema it address Telephnp�ne Number/email address
l tr/I3/›a30
Date
Dare*
(Revised Aug'2014)
'Valid for one calendar year after signatures
I
4