84919_Myra Denise Smith_20210921

°F`°As'4%F1`CAMA 1-1 DREDGEFILL �� No. 84919 A c D
y ' '-'= GENERAL PERMIT Previous permit44 tog Li 3 9 it <
Date previous permit issued ' v/A
>C /New Modification n Complete Reissue n 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 0/1/r"('`"-0CI n Rules attached. V'General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name /'tv , 12':,:i -' 7'i ( Authorized Agent ,,,`J e% , a` / -.7f'..•.:'
Address ///t(: <1. Est;',-,_�,,,:.!_.:.d' /,."_,,G Project Location(County): s .-;r �> '7 t A
City S IP f rf p- State rJ/ i ZIP - :• r . '><fJ Street Address/State Road/Lot#(s) .. ( -C.., // i/', l,,r
Phone#,( LLB) c/e?° 7, (
Email """"'— Subdivision t.4<i-"''fi
�
`
City F?./X, t.,e. ZIP e-?l' ''{'G%
`'r Adj.Wtr.Body 'y,�rr nman/unk
Affected CW ZEW PTA 1 1 ES PTS )
AEC(s): OEA n IHA n UW n SPIMA n PWS Closest Maj.Wtr.Body t 'a.,, +- i t,
ORW:yes/no PNA:yes/no '
Type of Project/Activity �,/ ,'r ; G!— 4' ( ' w' �j ? o.
YP g `f�.�`� r i . oL
'/-7 f k/. ' bor'./471` (Scale:i'11:-...7 ')
Shoreline Length /-
Access Length IMMINIMIA,= l'''' INNIMINIIIIIIIIIII nommin aviammpa
, r
Pier(dock)length f{11
.... i ,,,„,,,„„
Fixed Platform(s) /// ' f`e'` ' ,,,„,„.1iiiip,.. iumaiiiir - ...,
........Floating Platform(s) "'--------•-
fill i
i-
Finger pier(s) t__
i
III
Total Platform area ✓7 E
Groin length/# -' -
I _ 1 1111 Imps
Bulkhead/Riprap length __. t.._ .... id g i-- - t
Avg distance offshore " ' '"
Breakwater/Sill I
Ill HI 11111111111111011111111111111111111 11111111111
Max distance/length
I 1.11111111111111 alaj
Basin,channel ^ "
as
Cubic yard �a _ , 111 ....
1
1- - MEI ME INIIIIIIIIImailliri IIIIIII
Boat ramp """
h 1mimi
Boathouse/,�'^opatlifk� l I
4. t III ani_ isii IMMIIIIIIIIII MI 2-°-
Beach Bulldozing -----`
Other ...........- € i
SAV observed: yes no dc 1 i r ,
Moratorium: n/a yews <. , NI
Site Photos: <y_es,- no ---a- — --j '—
Riparian Waiver Attached: yes o. - I .
r
A building permit/zoning permit may be required by: ./.>e''r,tr.r'.r/ C__.
Permit Conditions (-- e- el. ,%fr' /- a n TAR/PAM/NEUSE/BUFFER(circle one)
nSee note on back regarding River Basin rules
nSee additional notes/conditions on back
Li
I AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial) 6• Fr,
Agen>or Applicant PRINT)Name Permit Ocer's PRINTED Name% , /
_ /
_ 'ro . u se
Signature**Please read compliance statement on`back of permit** �y Signature -"'� / �r,
Application Fee(s) Check#/Money.Order Issuing Date 'Expiration Date

Statement of Compliance and Consistency
This permit is subject to compliance with this application and permit 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: 1) 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 from the adjacent riparian property owner(s)
has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(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 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. If you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
Notes/Additional Permit Conditions:
Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland location.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave Morehead City,NC 28557 943 Washington Square Mall Washington,NC 27889
252-808-2808/1-888-4RCOAST Fax:[phone] 252-946-6481
(Serves:Carteret,Craven—south of the Neuse River,Onslow Fax:[phone]
Counties) (Serves: Beaufort,Craven—north of the Neuse River,Hyde,Pamlico,
Tyrrell and Washington Counties)
Elizabeth City District Wilmington District
401 S.Griffin St.Ste.300 127 Cardinal Drive Ext.Wilmington, NC 28405-3845
Elizabeth City,NC 27909 910-796-7215
252-264-3901 Fax:[phone]
(Serves:Bertie,Camden,Chowan,Currituck, Dare,Gates, Hertford, (Serves: Brunswick, New Hanover and Pender Counties)
Pasquotank and Perquimans Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

;�°``°"�'� c®LAMA I-I DREDGE FILL �.3 (�,� N9 84919 f A , 8;� C . D
GENERAL PERMIT �� ' Previous permit -1% fr.
Date previous permit issued
nNew ❑Modification n Complete Reissue n 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 6 ' /'a C-' n Rules attached. 2 General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name ' r ., • • - ,,^< r( Authorized Agent /l ' r`
,. . /
Address if
•/t. , _ - < e- Project Location(County): .. i - •
City , / State ;U ZIP - /'-.-' Street Address/State Road/Lot#(s) - / - //',
Phone#(i ) • '- ,/ " " --is
Email `"-""""•- Subdivision c• '
City / t ZIP F'•
Affected n CW n EW n PTA 0 ES n PTS Adj.Wtr.Body .' , . , (nat/man/unk)
AEC(s): ❑OEA n IHA ' n UW n SPIMA n PWS Closest Maj.Wtr.Body /
ORW:yes/no PNA:yes/no
Type of Project/Activity .!-,1, -.�. - ' �, - ,, it
-
/ • ' / 'f (Scale:�j'' , )
Shoreline Length / . ,..
Access Length '1 11r
Pier(dock)length '/ --"re.
) d
Fixed Platform(s) /.' r t - --
Floating Platform(s) ------•---
Finger pier(s) ! ----- -- - - - - --
Total Platform area 1 y ,
Groin length/# --
Bulkhead/Riprap length - " - -- — - • ' --,
Avg distance offshore
Breakwater/Sill '� ! - •
Max distance/length I 4
Basin,channel ——
Cubic yards — - , -
Boat ramp ......_•'
Boathouse/Boatlift i a • . - I -
e
Beach Bulldozing
Other _ ' ,•'- _ !I1
I
;, r
4
SAV observed: yes , no: j i` ' j - r
Moratorium: n/a yes c no
/ -
n Site Photos: ,yes o —) -- 1 I --- ---.--- •
Riparian Waiver Attached: yes cno. I I i .
A building permit/zoning permit may be required by: /. ,•/ i .(„ ,,
' ' n TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions
❑See note on back regarding River Basin rules
❑See additional notes/conditions on back
I AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial) L .• /1-- •
/; -- ? i i'..,' , '. / //
Agept or Applicant PRINTED Name Permit Officer's PRINTED Name _
-
Signature**Please read compliance statement on back of permit** Signature ,
Application Fee(s) Check#/Money Order'. Issuing Date 'Expiration Date

Statement of Compliance and Consistency
This permit is subject to compliance with this application and permit 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: 1) 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 from the adjacent riparian property owner(s)
has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(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 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. If you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
Notes/Additional Permit Conditions:
Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland location.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave Morehead City, NC 28557 943 Washington Square Mall Washington, NC 27889
252-808-2808/1-888-4RCOAST Fax: [phone] 252-946-6481
(Serves:Carteret,Craven—south of the Neuse River,Onslow Fax:[phone]
Counties) (Serves: Beaufort,Craven—north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Elizabeth City District Wilmington District
401 S.Griffin St.Ste.300 127 Cardinal Drive Ext.Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax:[phone]
(Serves: Bertie, Camden,Chowan,Currituck, Dare,Gates, Hertford, (Serves: Brunswick, New Hanover and Pender Counties)
Pasquotank and Perquimans Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

•
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 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.
z. 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.
e 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.
Weft /904J.5
Agent or AppPicant •rinted Name 'Permit Officer's Signa re
•
' �172-(
Agent or p:• icant Signature Iss a Date
CAMA GENERAL PERMIT#: IV 9 'f
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 28405-3845I 910-796-7215
Morehead City Office 1400 Commerce Avenue Morehead City,NC 28557 1252-808-2808

•
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: \)tcX Dnls 251" -)1
Mailing Address: I LL e ven 1n00,0 c) Lane-
'EDe have,r, roc_ &?SICK
Phone Number: oS� �_011-1\-1 -7�07
Email Address: r1\U I,I 'P2710 @y6--co, Cori--
I certify that I have authorized H?jpk'insI;f
Agent/Contractor
to act on my behalf, for the purpose of applying forand,Obtaining all CAMA permits
necessary for the following proposed development: w tan 0,_?;tr
at my property located at g2 c S nn' Thom . `3P�{1 i ven AK,
inea• + 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:
OV)Ck an\g,SYMX
• ' Signature
Print or Type Name
Title
10 02,-
Date
This certification is valid through. I I
anolo S mar; ne p.1-Yzi), OpeK)

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Subject Pier Construction
From Jesse Knox<[e-mail]>
To: [e-mail]
<[e-mail]>
Date Sep 13 at 3:12 PM
This is to confirm our agreement to the construction of the
pier for Blake & Denise Smith.
Jesse& Henrietta Knox
871 Smith Shore Rd
Belhaven, NC

Subject Pier at Blake Smith property
From Jeanette Ellis
<[e-mail]>
To: <[e-mail]>
Date Sep 16 at 3:09 PM
I David Ellis, @ 867 Smith Shore Rd. Have no objection
to Blake Smith installing a pier at his property. I can be
reached @2529458944
Sent from my iPad