84909_Michael Worsley_20210927

�°I` % siCAMA ❑ DREDGE & FILL I a 84909 A ® c D
' lS/ 3�� Previous permit 1V/i4
GENERAL PERMIT Date previouspermitissued
P 0f4
'New ❑Modification ❑Complete Reissue ❑Partial Reissue
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 014+• ►2•0D ❑Rules attached. ❑ General Permit Rules available at the following link:www.deq,nc,gov/CAMAruies
Applicant Narita f k i ch ore I 'V J r6I'e. / Authorized Agent Ail*
Address O((ale3 \ 'ctfy tI (% C-t• Project Location(County): )3 ? -i 4yi
City Grin Ie c AA() State Xi C. ZIP e,Z tS31- Street Address/State Road/Lot#(s) •
Phone#(ZSZ).64 I — *}N1( • 3n V flG .'er5 rg -.... R2
Email wee sky . I'Y)1 chat(&% 'atrf I•C,O✓? Subdivision 4J/A
City ot4hie A 4144 ZIP .2-76p SS
c. .
Affected ❑CW KEW N PTA ❑ES ❑PTS Adj.Wtr.Body FF 41Y?I2 C a . R r t/ie.l— nor an/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj.Wtr.Body �G�ctM1 1 CO 21 vcr
ORW:yese . PNA:yes/s ty ell .reyli.s� 'P.
'hp?! •�a-� 1 // l�.L t.?if* e��i� �.s�fU.
Type of roject/Activity `n -Of Loral L. 6 1Z� /byjj6 r-J/%� — i../
,f /f' /firX kr.
tc�I t b .t. 1- 1 S 'iL c, �; ' 1' CY k - / AD'Ai W t / It (Scale:.)i!. '
��r�'
Shoreline Length T� _
Access Length ��� !, ! f+r 'PI iff_s' i5 `1 .'O'&l i'. `
Pier(dock)length 's ii r i ��' ��Q�� Q�►�t bi1 ;
Fixed Platform(s) /C) X Ito e- ' ce
V' ;� % L,•: a r , , cv' eylt `p• R' , -Al •
��t1-1
tr, _t_ ' ! ' . Flt I sri r
Floating Platform(s) '` ;���� e
. Xa4S++�.l'i _pip''x►2-
Fingerpier(s) , i i w�•f-S!)p €IL)?,t,,TG1
Total Platform area ?
Groin length/it ;�I•Gr N!' Li. ,
Bulkhead/Riprap length , , . 7• , _ ,
Avg distance offshore
Breakwater/Sill , .
1a>n_. /�
Max distance/length r ! '
01"�..� i
Basin,channel
Cubic yards • • I •� �� F • i f, e.ier,?j ' ,
Boat ramp • �� ,
Boathouse/Boatlift - i '
Beach Bulldozing 'j c/ j
SAV observed: (tjj - Q
yes S�
Moratorium: n/a yes '
Site Photos:
P y s Grp ; . , i W24r t. ") . 4e4 !� ,D�
Riparian Waiver Attached: re fiGi _ Q .,IAAr/S)_01pop );.
Abuilding permit/zoning per tmay b required by: 84Qw'�a i+ C.0 . G Pe it Conditions '' I S ,M,1/H fati''YC i hit Lr••to Gl: L^(�
J,d �"/NEUSE/BUFFER(circle one)
: . *re c. poi C lek lAiLL t(" rcire•Ue ' .L ' CI See note on back regarding River Basin rules
�'l I k 02i. h r A 0-44/ / 'x/Z• G.''4�sii • 5
O� 4 yJ/ �F1�1/� r vra(_ �/`s(, �6e W (_ El See additional notes/conditions on back
�, /�j .//DRY 4v fr1 j 7.<<.. > jl;cw3- w,!(U'fl ' t .bi t.
I AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT�"AND RVIE1plEp COMPLIANCE S7�M NT. (Please Initial)
Michael Worsley '/eel a eth
Agent orAppli nt P Warne , Pe t 0 ' es PRINTE P .�ame �Y
W9
Sit e••Pie ead tom I ante atem pt oh back of permit" Si nature
Gtk �. $20D• �`�`�� - p�' - ,i.- A- - -
Application4-Fee(s) Check II/Money Order Issuing Date Expiration Date

A ,4fY f Y
ROY COOPER
Governor
. < MICHAEL S. REGAN
Secretary
Coastal Management
ENVIRONMENTALQUALITy BRAXTON DAVIS
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$25,000 per day per violation.
a.. Crossing is Perpendicular: Pier and docking facility access way must cross the 50 ft. riparian buffer
perpendicularly(which is defined as between 75 and 105 degrees) unless otherwise approved by DCM.The
alignment shall minimize the removal of woody vegetation to the greatest extent practicable.
2. Pervious Materials:All reasonable measures shall be taken to ensure the access way is made of pervious
materials like open-slatted wood or composite, mulch, or grass to meet the intent of the rules to the
maximum extent practicable.
3. Access Width:'The width of the pier or docking facility access way shall be limited to six(6) feet.
4. Project Drawing: The drawing on the CAMA General Permit is considered the project drawing of your
property indicating the relative location of the pier or docking facility and any requested access way.This'
drawing will be used to aid in compliance and monitoring efforts.
Pre-prof site conditions: 61— /$
By your signature below you agree to be held responsible for meeting all of the cond' sons 'sted above ve fy
that-all information provided is complete and accurate.
Michael Worsley
Agent or Applicant Printed Name
Permit 0 er's Signature
Agent or Applicant Si "� Q6 21
gn ure Issue Date
CAMA GENERAL PERMIT#: C/
•
State of North Carolina I Environmental Quality I Coastal Management
Washington Office I 943 Washington Square Mall Washington.NC 27889 1252-946-6481
Wilmington Office 1 127 Cardinal Drive Ext.Wilmington,NC 28405-3845 1910-796-7215
• Morehead City Office 1400 Commerce Avenue Morehead City,NC 28557 1252-808-2808

•
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Michael and Denise Worsley's
property located at 830 McCotters Marina Road Washington, NC 27889 on Broad Creek,
in Washington, N.C.
The applicant has described to me, as shown below, the development proposed at the
above/ I cation.
f�r7- I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
10Pl fX 161
Platform Development is for an
• • • • addition to existing pier.
• Boat Lift
• • • k Piling ,
• • . lO1 lz'Slip Addition consists of a 10 W x
16'L platform and 4 piling slip
--- • — .. - - — F:asr•,fK - ' • - ---- --on south side of existing-pier..- --
Pier
Setback waiver will be
required by property owners
• to the south
(Ross')since the additions
will be approximately 5'from
Rock riparian access.
Rvsang
Bulkhead 11W1.
\ / 15' =:>-
Michael&Denise Worslcy Ross Property
Ii. YVeeks YVors/ey i Properly
Property -
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
melIf-you-wishi 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 Owner Information) (Adj.a_cen_t"Property Owner for t oa rm n)_
0.e&
Signature Signature*
Michael Worsley r(jI4 gGrn KoS c
2663 Berry Hill Ct Print or Type Name
Grimesland, NC 27837 ll. 'nviovi flrtcAt,
[phone] MaihnglAddress �, l �"'
[e-mail] City/State/Zip a �� [ �"
,q51 - ass-al
Date Telephone Number/email address
k6 in ross got 303 moA .0OIM.
Date*
*Valid for one calendar year after sinnature* f A Q, 1 iPowienri n,,., 9114AI

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Michael and Denise Worsley's
property located at 830 McCotters Marina Road Washington, NC 27889 on Broad Creek,
in Washington, N.C.
The applic t has described to me, as shown below, the development proposed at the
above ation.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
10 Platform m Development is for an
rl
Elisring ' ' addition to existing pier.
Boat Lift--------- • /
fa G Pili� g
YX 1
�o•xrzsrp Addition consists of a 10'W x
16'L platform and 4 piling slip
•
kaisti on south side of existing pier.
Pier
Setback waiver will be
- required by property owners
' to the south
• (Ross') since the additions
will be approximately 5'from
Rock riparian access.
E:,il:d
Bulkhead Irrr z
15' �i /
Michael&Denise Worsley Ross Property
IL Weeks Worsler I Property
Properly
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.settback, 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 Owner Information) (Adjacent Property Owner Information)
•
Signature Sig ] fl Pe' '
Michael Worsley - ��' � �J�j'
2663 Berry Hill Ct PrintAr Type Name
Grimesland, NC 27837
(252) Ma Ad ess
341-7744 �l v/2.0/ 4/(-- 2-2 is /
[e-mail] City/State/Zip .
Dale Telephone umb /email address
4--2.4 AA, 2.-/
Dr7le* I
*Valid for one calendar year after sinnatulre* �G�crloor! /1i,rr 9111di

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Michael and Denise Worsley's
property located at 830 McCotters Marina Road Washington, NC 27889 on Broad Creek,
in Washington, N.C.
The applic t has described to me, as shown below, the development proposed at the
above ation.
I have no objection to this proposal.
•
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
loafrmrr�•i_Platform
Development is for an
rtdo
Ethane addition to existing pier.
Boar Lift
• • (
• •
+ra�o•1it'g�zSlip Addition consists of a 10'W x
�
16'L platform and 4 piling slip
•
Eksting •
' on south side of existing pier. -
1'ier-
Setback waiver will be
required by property owners
• to the south
• (Ross')since the additions
will be approximately 5'from
•
Rock riparian access.
E,itir,
Bulkhead /IIWL
\ / 15
I i
Michael&Denise Worse} Ross Property
H. Weeks Worsley I Property
Property
I '
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,youu_mu t nitial the.appropriate blank below.) •
I do wish to waiVe the 15' setback requirement. •
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjace t Property Owner Information)
Signature Si 7ii/reZ,,/Michael WorsleyY
2663 Berry Hill Ct • Print r0Ty e Name
Grimesland, NC 27837 �� dc � i X � •
[phone] . M Aj 1 os / 4/L-22'
[e-mail] City/State/Zip
• '7 L- e/3 ?8-id'
Dale Telephone umb /email address
_/-/ zoo
Date*
*Valid for one calendar year after sinnature* I17cwdccrt a„r, 9n/Ai