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S. cAMA
/%DREDGE & FILL . A' . N° 79867 A C D
GENERAL PERMIT W# L og Previous permit# 11/41/P1
��p'New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued ieiIl1
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 PSI' .td i . c 14,J3,0l . t7'-14./600
' p.Rules attached.
Applicant Name 5- >f C €_L Project Location: County .vt �EA--
Address ld � I/l. e 6 et®1Q•y'• C,re... Street Address/State Road/Lot#(s)
�i�J City .31°?1)/41 u
1 State+ ZIP P‘.4 47 ie , IA es Zi✓9--s" /ICC't'S Phone#(zgt)gy3~ ''I'ici E-Mail Subdivision
Authorized Agent {j[ e>i / 4k. s`�o*r'04 City (Ai, lvt41Vf! ' ZIP .a�'' '59
•/
❑CW 1 EW 171:PTA -I ES TlPTS Phone# ( ) River Basin-Til'J?fl
Affected ❑OEA ❑HI-IF ❑IH ❑UBA ❑N/A
AEC(s): Adj.Wtr. Body tY1 A-r`t — N11NCx= CANE)C (nat i man /unkn)
❑PWS:
ORW: yes / no PNA yes / no Closest Maj.Wtr. Body P4rn6l CZ) tv'-r"
Type of Project/Activity-LA 6-611 2Z ' O. K) 6.a,i etl 19 a [!UL - 1,l,,K. )t
/x t' X'4 . ' cam, ey i, Y _rirt 0 1gr.( 70/ (Scale: 1t /_ (to )
Pier(dock)length At ; + V I ;
Fixed Platform(s) 1 j 1 G
Floating Platform(s) j '
i i
Finger pier(s) � For"
� _. . _...-.._�- ( _. _...._. ..__....... � � ' _
Groin length i '
number lUll!!i -: C A. i
,......
di < .25.,/Riprap length t2 2-5 ■■ _ --` is - --._ "IA —
avg distance o: e :/iIiiiIIHiFIIIillOI11
hore max distance Basin,channel S` A 15.,C6
! P +
cubic yards II j
Boat ramp if f x 2®/ i IIII
Boathouse/Boatlift ," — :I I
7. ,,.. p -_ ommil . -I
Igo M =■ I i 0/ �1 __ >{..� ►
Beach Bulldozing I e' - �, � o* f �!
Other } ` Ffi` 1 ^`S c- V 1�t t L
r /d i f� I �y
Shoreline Length fi6J$•7� { I I a I I ' I
not sure es nomilimmil IAIME t.1 ' 4 J , +
..rid --- -� --
Moratorium: n/a yes no "�1' 1_ .—..._. -_ r,_ 'i ��t i 1=i -.. -_ - __--- ----
Photos: yes r,�tir � �! ' !
i.Waiver Attached: es no I 1 I �' ,)tup-,y?eGu'
L. ' 1 1 's.
A building permit may be required by: (,l S i� .0 See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) t .
Notes/Special��[( Conditions i F.") i''...),, al---/ ► +'i re,V,% '.r atta, _. md 1 to e-X cC�
Tr)/ hnii '', tiat . a
•
t-`44,1',-1 ck---Lelc.--- I6}1/c6 h 41C91 LOr rin)V .
Ag Applicant' rinted•Name /Permit ffl,f'er s Printed Nafii, •
Sig azure lease read compliancessttatementon back of permitT* • • tignature/
5
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:
I 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: 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
40I S. Griffin St. I27 Cardinal Drive Ext.
Ste. 300 Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-390 I Fax: 9 I 0-395-3964
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/I7
• cAMA,/ DREDGE & FILL ,f. N. 79867A - B c D
GENEAL PERMIT P- O O Previous ermit#y � (Q� 8 p �
New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued iJtA
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 n�ji,.0 . 0 to I D , £:�•4-J;,1500 .
C1].Rules attached.
Applicant Name 5 y, .-
pp l '�=�- G -N Project Location: County x�.A. •:,i
Address J r ' 1& e 64 iZ..i QC•P P‘L,r"e,S Street Address/State Road/Lot#(s) ,
3Ji
City O i,1 ,4 1 •Ac State)yyJe, ZIP o 1.`5 /t W l 5! T I u'9-r- 4c ce s
Phone#(zg1-)gV 3- 'I R fq E-Mail / Subdivision
Authorized Agent B �, '/c h'i / j ; j" IL City RAY?il?s4A+90 ZIP -a 75.9.
j r r /
❑CW ICI
El OEA
p'PTA flES p PTS Phone# ( ) River Basin-Till 1'z
Affected OEA ❑HHF ❑IH ❑UBA ❑N/A AEC(s): Adj.Wtr. BodyfY1 ACA. r q.is.. .-.r, •+v.�r
nK-40' • (nat t/man /unkn)
❑ PWS: 7t , -i (.7 f sic.*"
Closest Maj.Wtr. Body
ORW: yes / n PNA yes I )
t
Type of Project/Activity 644 it 22. a oC nem.) 61.4.1 1r8 6, NtilL " 1144.(lit ) { i.
f X.l<x-4 .�)1 A- '!go at-VIM t) i 'A 74:f (Scale: )' '_ yoi.)
Pier(dock)length I
i ' I ' ' it
Fixed Platform(s) ( I I
i
Floating Platform(s) 1 ,
�
Finger pier(s) 1111111p1, ' ■■ _-_...._
Groin length Ell' _ Imo 1
number u r �� A .► * _.---
IIIi
i ulkhead Riprap length '„.'-5 ■■�C ■ ■ "T' i-_P- 1 Ilia ' I I 1
avg distance offshore I I I
max distance offshore 1 11 ( ! I i
' 111 I11111 ; ! I
Basin,channel �C ),44 X.& : 1 ! i
cubic yards INIMMIIIMMIMINIUMMIIIIIIIIIMEMINIMI
1� xZ� 1 1 i 1 , I •
Boat ramp i 1 1
I
Boathouse/Boatlift ,.E' #, I __poN— WIIIIIIIIMIMMIMMII
« — j—j_. —j _ aw— --- ,
� ..C..�r�rii.�lrlrl �'� ` �� ,.
Beach Bulldozing (. ■■ 10��� ■ � �U■ ■■■ N'■I• ■■■ -
Other } I , , i ,I , Y
111111111
Shoreline Length 6 I 1111111! i
s
SAV: not sure es no --
MEM inn'
Moratorium: n/a yes ffkot,,,) d t" r. 1: - -■ .,. �f `.e_ ai _. I-a
i
Photos: yes no) Jr " . ! - - __ _-_ A 1 WW -->-W ___ _
aiver Attached: es no • 1 1 ( I 16'"v ' 1 I T ` ''""`'f.•
L. (b y Pbregarding l jiff,,
A building permit may be required by: t i�11 S b . See note on back re ardin River Basin rules.
(Note Local Planning Jurisdiction) - I .
Notes/Special Conditions ) t(r (yhm I(R)/)PQ A`) ',,,U , , c,a't-rarti•-r.> ,, f_ tt eX G.pec-�
ZrJ 1,471•'' ttiar.
o9
.
'TKAVL,..., A \c,A.,,,-‘0.-..-• ii 6)1 ic(7) Ie.?)
Agent or-Applicant'Printed-Name 7t®ffls Printesiii d !
Signature lease read compliance statement on back of permit** •.` ignature 7 C`
(,t\' t t) '41cab. 1 i 3 -7‘.'" AI A a ' 3 . ` _ De( ' L
M.1r
Application Fee(s) Check# ,.Issuirig Date 'r ''.", ' , - • 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:
n 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 252-946-648 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 910-796-7215
252-264-3901 Fax: 9 I 0-395-3964
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
N.C. DIVISION OF COASTAL MANAGEMENT 1
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND.DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: Lee //ff
Address of Property: let; k) g�✓�/ Nit s
Mailing Address of Owner: I 1,.1 Q-.vtr d eS
Owner's email:416 Ve&/t 2 444.11400 a mer's Phone#: Z5 2 Q - ji`(
Agent's Name: 10 rRCG- Agent Phone#: 4kk - 143 c
Agent's Email: 90 v e toe.5 ins Le`ton . C c7✓�
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
I hereby certify that I own property adjacent to the above referenced property.The individual applying for this
permit has described to me, as shown on the attached drawing, the development they are proposing. A
description or drawing, with dimensions, must be provided with this letter.
I DO NOT have objections to this proposal. I DO have objections to this proposal.
If you have objections to what is being proposed, you must notify the N.C. Division of Coastal
Management(DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 943 Washington Square Mall, Washington, NC 27889. DCM representatives can also be
contacted at(252) 946-6481. No response is considered the same as no objection if you have been
notified by Certified Mail.
WAIVER SECTION
I understand that any proposed 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
(this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback,you must sign
the appropriate blank below.)
I DO wish to waive some/all of the 15'setback
Signature of AdjL�Riparian Property Owner
-OR-
I do not wish to waive the 15'setback requirement(initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO:
Mailing Address of ARPO:
ARPO's email: ARPO's Phone#:
Date: *waiver is valid for up to one year from•ARPO's Signature* •
Revised May 2021
��S r IR,
j Pro)1 320 LF. oP 3p31_11,eJ r p.S)A
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: �' Z'd�dl G-e'e
Address of Property: L Z? ZdCS $ AUe•C A oe -c Ic-I
Mailing Address of Owner:
Owner's email:'S °4 lc` 4e4./0.0a 44'Owner's Phone#: 9f f' rn
Agent's Name: Z it/ 4Nhe' Agent Phone#: 'l ' /i4isr
Agent's Email: 8.0a7 tDl36--SfrieF/C74v'• �o
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adiacent Property Owner)
I hereby certify that I own property adjacent to the above referenced property.The individual applying for this
permit has described to me, as shown on the attached drawing, the development they are proposing. A
description or drawing,with dimensions, must be provided with this letter.
DO NOT have objections to this proposal. I DO have objections to this proposal.
If you have objections to what is being proposed, you must notify the N.C. Division of Coastal
Management(DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 943 Washington Square Mall, Washington, NC 27889. DCM representatives can also be
contacted at(252) 946-6481. No response is considered the same as no objection if you have been
notified by Certified Mail.
WAIVER SECTION
I understand that any proposed 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
(this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback,you must sign
the appropriate blank below.)
I DO wish to waive some/all of the 15'setback
G�%L���
.� .�. .�-
Signa re of Adjacent Riparian !fir-
roperty Owner
-OR-
,
I do not wish to waive the 15'setback requirement(initial the blank)
PcSignature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO:
Mailing Address of ARPO:
ARPO's email: ARPO's Phone#:
Date: *waiver is valid for up to one year from ARPO's Signature*
Revised May 2021
rDe-SCcri.pvci,n
ltP 3-o r.,P eA o2 "
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: S a-vc- Lee-
Mailing Address: 123 IA) Q.l✓e, 4c.ms
IA-15v( nn r} !"C, ileSc?
Phone Number: 2C2 9tW- Lig 14
Email Address:
I certify that I have authorized S.n5Ie. nS
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: _Aoro. 1 �-Ines
c Q.A4-0 -I- 2as:A
at my property located at
in Recivi- 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:
Signature
<L
Print or Type Name
Title
ICI z
Date
This certification is valid through I I
ROY COOPER -.
- a • Governor
MICHAEL S. REGAN
Secretary
Coastal Management BRAXTON Davis
ENVIRONMENTAL DUALITY 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_pr_oposed_complies_with_the_afor-ementioned
regulations.
•
Those activities covered by your Coastal Area Management Act(CAMA)permit have received Buffer Authorization
- --provided-the-project is constructed-in a manner th-et 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.
1. 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(NHW L)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 at a 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: L0 'lb (,)Vv�-aj ir) (A)1 4'1I r7''( 5•
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 abo a listed conditions and veri that all
inf ation is com ete and accurate.
ent or ppli4an anted Name Permit Offic is S ure
i r - V Ol
Agent or Applicant Signature l- Issue Date
CAMA GENERAL PERMIT#: 74"R6(Q3 ,
State of North Carolina I Environmental Quality I Coastal Management
Washington Office 1943 Washington Square Mall Washington.NC 278891252-946-6481
Wilmington Office I i27 Cardinal Drive Ext.Wilmington,NC 23405-38451 910-796-7215
Morehead City Office 1400 Commerce Avenue Morehead City,NC 28557 1252-808-2808