79852_David Jones_20210723

ecAMA/ pREDGE
& FILL I T b 4 Vivo& N° 79852 A CIP C D
GENERAL PERMIT r ‘ Previous permit# (4/14
)� %.NNew ❑Modification ❑Complete Reissue ❑Partial Reissue \ Date previous permit issued .!J 1•,,
,
As authorized by the State of North Carolina,Department of Environmental Quality �t l �� ,
and the Coastal Resources Commission in an area of environmental concern pursuant to I5A NCAC 6
yRules attached.
Applicant Name Pc'' `1;) 5 - --z.+Project Location: County C� t -4-
Address (`") C.�"e '>e k i• Street Address/State Road/Lot#(s)
City f c),(•G€Cii V 1 I le, State t' ZIP ,.. 5s . 5 L:..) rk S r
Phone#(2f2-) /A~913 E-Mail Subdivvi�si�or '-, ..5 I
.r r1 aie tyC-hUG r 1 '4-11/ ZIP,. 'S i7
Authorized Agent r'Y'Gt� Ci .� Jt
❑CW $I EW I21,PTA ❑ES OPTS Phone# ( )cd? )7 River Basin ( /?A M
Affected 0 OEA 0 HHF 0 IH 0 UBA ❑N/A • 1j
AEC(s): Adj.Wtr. Body l"aY,4 i l G7> Zt L'e-e- (nat /man /unkn)
❑PWS:
Closest Maj.Wtr. Body GZ14-4 I/[.ea 7; v.•e r'
ORW: yes / no PNA yes / no / ••
l
Type of Project/Activity Ffs. SP i�r5 �/l 0. 1 l)(i 6- ` --i11-J/1,i4,«max 44 �. /, c
�, 1 / / d)
I ) 'tom o i r r (Scale:/ _3©' )
Pier(dock)length t.
i i I
Fixed Platform(s) ; I i I ' ;i 1 - j
Floating Platform(s) tION I _ ,,+►4 —
Milli
Finger pier(s) MIN I Kr , - a — ' fr 7.I ' --
Groin length I I
number _ � ! I .L.... � � _ I --t— � ;
Bulkhead/Riprap length j- -1— C I I r €
avg distance offshor ■ ;J.:1 uu s
max distance offsho� 11111 e € IIUII!H
11111111111
1rt t�l tf
Basin,channel llhIIU7 !'
cubic yards . I !
Boat ramp I i
Boathouse/Boatlift !UIUI 1 —�1PP ,
E
_ - I .._ _..__I _ - - _
I
Beach Bulldozing !—i 1 / .
Other �. ,C., I4: I I I ; I i
r
Shoreline Length - 6(,, , I I, el ..- �r j
SAV: not sure i noill A l 11 LI AC1- III
j I
Moratorium: n/a yes o. I ' .F I i7i{ - __ 11 :-- _..
-Photos: yes no, _I-- '... ;. d_-.- ........ --.1 1... -
Waiver Attached: es no - ' �j? f '
A buildingermit.ma brre required b : - ) l ® regarding p y q y r U - IJ See note on back re ardin River Basin rules.
(Note Local Planning Jurisdiction)/ l �`
Notes/Special Conditions ` O f f 5. / /2"/e l /j 1 �.�c.Y' te J )6( recede. efaj:
fi7//C 1 t4i//f 11421.1e Z eD,P e)C a/(aGtc ) 2- .1 tj' .,i-.
• 4,r-c-P()V
41,E .. 4.f-- , Mh//
Agent'or Applicant Printed Name/ Per itOf i• r s Printed'Name+r
Signature **Please[...gad compyance statement on back of permit Signature 0
C- \r\- % B 1 ,� IDe1 - - , 1 0 — ?- AiOu - o�
Application Fee(s) i 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:
n Tar-Pamlico River Basin Buffer Rules I 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 (252-946-648 I) 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 252-946-648 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
40I S. Griffin St. 127 Cardinal Drive Ext.
Ste. 300 Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-390I 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.ncden r.org/web/cm/dcm-home
Revised 7/06/17

0-0CAMA/..L DREDGE & FILL _ Q it (990QV ' " N9 79852 A C C D
GENERAL PERMIT ‘ ‘, Previous permit# IS /q-•
--� C'�lNew ❑Modification ❑Complete Reissue ❑Partial Reissue ' � Date previous permit issued .6t-'A' •
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'I5A NCAC ( 9)"1 . fl z'06" .
•J Rules attached. • - •
Applicant Name PP i F* 7S-c),("'e S Project Location: County --?G u'-rt...,-)- • '
I
Address
�i(`'�c< C• le apeak e I, ."'Street Address/State Road/Lot#(s). -
City:n-t'ee.41V I 1 ( State A(.. ZIP , .4R.5S .: 37 S --Pc A Sias -1.-ve'
Phone#(252)41 j;-`'91.3 E-Mail - - Subdivision> - s t'',C
Authorized Agent 7r'ut4 Yni5Ve City t'►UG L - , —I-q •ZIP 17
❑CW ) EW Z PTA ❑'ES ❑PTS Phone# ( )cii7-9)77 River Basin 774'= iTA-1.4
Affected 0 OEA 0 HHF 0 IH 0 UBA ❑N/A '/J/)
AEC(s): Adj.Wtr. Body l G7,14 ) 1 (7, E1 - - (nat)man /unkn)
❑ PWS: I I FG1-1., u> F I V-P P
Closest Maj.Wtr. Body
ORW: yes / no PNA oyes / no' J / r :PLO
Type of Project/Activity F,/ OS,.v� ;�5 fe'i'l f.)-( 57 / X /7 ' 7I.0 RvGi«-�, :PLO C. t 7'
( f >/ O t f
t V t' (Scale:/1,I .30, )j,
Pier(dock)length
Fixed Platform(s) ■• =:: � a■�
Floating Platform(s) I ■1111411111111111111111111111111.111111.111EMAVI
Finger pier(s) ^� . f' ! _ 1—
Groin length 1 F 11111. 111111101 !
number NM �y����� -1 L. .E.1111p1— -- IMI —1 • !
Bulkhead/Riprap length, ; ,� 1 ■ t �- '�_ - T. i
avg distance offshore I • I .t: • ,n■• • ■■ —■■r 2' ' _
max distance offshore , ■ ■■��I ■■I ■■� �I1 , !,- , to 1
Basin,channel 1 1 . ■■ ' ■ ■ �U ' " - aI
cubic yardsM=111.11111MillI
I ■I ! ■ I1
Boat ramp I EllirliMill11111111 ..-- .-' ; 1
Boathouse/Boatlift i ■■ ■ ■ ---i—~
Beach Bulldozing --
( ■ I 1 1 • ����aua. ■ ! 1
Other F. ,6• i 4-4 1 �® '" ■■ ��■■�■ r ' . ,
■■ .�.00.1=MIIIIII ■■■III■■■ ; i
■ i ■ " i.rlMi■ ■■■1110
Shoreline Length - t6 ■ ,�...�,..f.o...��.�..�., i
r. fitslC�lf�7iln!!1lli�'lilr.a'■■IIIII ; 1 .
SAV: not sure ) ,_ no {, ---- -- 1- f (1----- II II ■r '• ~MI---._..... .#~�4..1<1" :'_.
IllQ
Moratorium: n/a yes no i I — 1 P 1"j— ---_- { . � 7Y
t I
Photos: yes no I — — — �■ : — y� i
i
Waiver Attached: es no �!, �' ,.f ,-�,r '
A building permit may be required by:� 'r'.R.i 4 1 l () - ICJ See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction), / l / '
Notes/Special Conditions Gf-.:i T ( $ /),)/.f' ) (l " f..%7�r, G" ' it reaaG,72/ 7L !f f
f`lam?, e- ( /f n fj/p /[ 1
/ � C-.. �' l e �le �� � fJ� "�G'! P �/r �.�I it 4.— (f 2. .c.,/I 7.)l.
/ / f .
•
f9.inef �'4_ --.., e4e . ' 1.11 '7/r. // / -).�'GV')(/
Agent or'Appcant Printed Name/ - PermitOffieer's Printed'IJame1 '1
�� ff 3
-#,A .0 ,,. ,� 'ref �l Gl / �- -7Y /'
Signature Please read compliance statement on back of permit** Signature "( CJ '
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:
n 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 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 9I0-796-7215
252-264-390 I 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
Governor
MICHAEL S. REGAN
Secretary
Coastal Managernent 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 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 $25,000 per day per violation.
i. Crossing is Perpendicular: Pier and docking facility access way must cross the 50 ft. riparian buffer
perpendicularly(which is defined as between 75 and 105 degrees) unless otherwise approved by DCM. The
alignment shall minimize the removal of woody vegetation to the greatest extent practicable.
2. Pervious Materials:All reasonable measures shall be taken to ensure the access way is made of pervious
materials like open-slatted wood or composite, mulch, or grass to meet the intent of the rules to the
maximum extent practicable.
3. Access Width:The width of the pier or docking facility access way shall be limited to six(6) feet.
4. Project Drawing:The drawing on the CAMA General Permit is considered the project drawing of your
property indicating the relative location.of the pier or docking facility and any requested access way. This
drawing will be used to aid in compliance and monitoring efforts.
v Pre-project site c nditions: rs imp4' j1 /at , 4i jil
L� e,uu ( e/Ye s•
By your signature below you agree to be held responsible for meeting all of the conditions listed above an verify
that all information provided is complete and accurate.
Agent ES;1974' n$�P t' ted Name
Per it O er's ignature
at
Age t or pplicant Si ature s e Da
CAMA GENERAL PERMIT#: •
I��a
State of North Carolina I Environmental Quality F Coastal Management
• Washington Office 1943 Washington Square Mall Washington,NC 27889 1252-946-6481
• Wilmington Office 1127 Cardinal Drive Ext.Wilmington,NC 28405-38451 910-796-7215
Morehead City Office 1400 Commerce Avenue Morehead City,NC 28557 1252-808-2808

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I herebycertifythat I own property adjacent to ,� L.' 4,07,, cis 'P P Y J ,ll/r� s
$- , (Name of Property Owner)
property located at__A � d, fc7e /?.
• r`� � y� (Address, Lot, Block, Road, etc.
on i` w-,) ,era 11l-ae� , in , oce��: 2, , N.C.
(Waterbody) (City/Town d or County)
L
The applicant has described to me, as shown below, the development proposed at the above
location./)
V 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)
5 ! )e
ems, ,„.--
WAIVER SECTION
I understand that a pier, dock, mooring pilings, 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.)
%./ai I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Prope vner Information) (Adjacent Property Owner Information)
f-
ri(
V' 'C'4,5e4)
Si a Si � / f
uj e-; 2 To wes Z-l' f e bAi
Print or Type Name Print or Type me
5P8 Garpsi prfl-(� -� -347 psi•f c' UT
Mailin =dress Mailing?_Address
City/State/Zip City/State/Zip
�255 7 25- 7 )4 - 63--lz_
Telephone Number Telephone Number
95a-^ /3 -17.77 '7^- -2(
Date ?—y2 -Z L Date
(Revised 6/18/2012)

Authorized Agent Consent Agreement
1 /004/kr ,hereby authorize l/Ank--7/ ' to act on
(Property Owner) (Authorized Agent)
my behalf in obtaining CAMA permits for the location listed below. This agency
authorization is limited to-the specific activities described abo'=«�
Property Addr s:
, 3,c PI‘7cL, 96Z-
Ckitscipz,,#., ii,),Ge- 2 ) 2 / 7
Property-Owner.'s_Mailing Address and Phone Number: :.... .
"bB CA - p" ' - ( -•
(2-ee,L&/� -C. 7 ? gC
2 3-2 -4/.3- 9('7 7
0• Property Owner's Siena- -�° / Y
Authorized Agent Signature: .>/_
Date:
Form:Authorized Agent Agreement as developed by NCDCM revised 7/29/09

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to jh ‘a . ‘ i _ •S
rame of P•O.erty O ner)
property located at ..3� II)(4-5i a irk
• (Address, LotAlock, Road, etc.)
?airAlt:C_OonR ` kie.-4 , in ()CAL k 1 , N.C.
(Waterbody) (City/Town and/qr Ctounty)
L
The applica 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 develo•merit must fill in description below or attach a site drawing)
a -jck Sic` ( —Q-\--
..9,---
Ai.—
_
,-------_
_A.,
WAIVER SECTION
I understand that a pier, dock, mooring pilings, 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.)
V I do wish to waive the 15' setback requirement.
I do not wisht• waive the 15' setback requirement.
(P,.,e „ • J' on)
ner Info (Adjace Property Owner Information)
a Ir /_I 114 tir " W Si ture.--_
"for Ty e Name Print or Type Name
exike
Maiiin• 4 ddte%s v•` `f - Mai1iv Aticl� te_ Ar, A lie
City/Stat� ip City/ tate/Zip
Teie•hone Number Telepho e umber/I (�/�
1�s ' ( G�- ` (9 7 — [e .25 -5,/' 3 ‘
Date Date aM/el
(Revised 6/18/2012)