84953_Chris Forsythe_20211102

ioFL°ter c�► n ► ; f, I<®RE®GE & FILL ��s Pq N9 84953 ff A C • D
y� 7 c GENERAL PERMIT Ii ii W "i 55' Previous permit ! i
Date previous permit isss
" J ued itl/A
>•, 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:
I5A NCAC c 4 14 ` III ❑Rules attached. general Permit Rules available at the following link:www.deci.nc.gov/CAMArules
gg
Applicant Name L-•i'1 � ``a =`'Y V'V1 e' Authorized Agent , ,
Address 2,2-s ,1":.ol.-a,,-, ,''; '0c)-(, "a l�. Project Location(County): "v' ".:,LA -4 e
City )//)./.t4r5 {1,r e'•- State f'4 ZIP ,,.. i``7 Street Address/State Road/Lot#(s) '
Phone#(ci If-) 2- < ' '15 t,R 7._ 4 I' teaa vs,. S,1,Fli;r2 lam-•., S:9
Email ` ---; Subdivision .�I 1/1'7
�, h
- City 61.13-`'F '..S i'ec°_.c� ZIP_: >i
Affected ❑CW . ®EW ` .PTA n•ES PTS Adj.Wtr.Body *}" i^Z4 )J C 1` (nat/man/unk)
AEC(s): ❑oEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj.Wtr.Body J ?irk`)'l 1 ir"- a 1 U Cc l'
ORIN:yes/ _„ PNA:yes/nD ` i
Type of Project/Activity Y7 ''S ,4 4- /CIO/ ,C /l ' .. ��f®' 's 'J of , ''t ;; i!r-ylf i 1°1"e ,
r f a u'r �� < ' I 'i�_ c 1 d`� c� L•J r + (Scale:f,_ t):a-
Shoreline Length .- .2., t
-Access Length f 4 A '' :,, - ! [...... l i i e Pier(dock)length I '
Fixed Platform(s) t -- It -- sammwillsonsain mt i Ea ispiasamtiall
It
•Floating Platform(s)
Finger pier(s) II " __ �i1
Total Platform area 6 11111111111111.
Groin length/# ----1-6t ,- is win
t}ullkhead/Riprap length r ‘ .1. t
. s.
Avg distance offshore ' -
II 111101111111111 F
Breakwater/Sill /
'. • Max distance/length i9
NMI 11a1r1111111lUllriNP!IPJII NIKO la imausitusperi
Basin,channel IINISINININION1111111g=
Cubic yards ttI ■
Boat ramp N
Boathouse/Boatlift \
Beach Bulldozing \ _j_
Other
NMI Mr. 11.11111 suummummaummiammommumasami
SAV observed: yes n o ■ •s
Moratorium: n/a yes (�� i a
Site Photos: yes n. - . -
Riparian Waiver Attached: yes no .
V A/
A building permit/zoning permit may be required by: 1' _ 1. - 7 t':.l,.* S"-‘„)
) v ' ®.. /NENEUSE/BUFFER(circle one)
t Permit Conditions ../N i` P .5. ff 61 t(.+ 1 L•'C') la Lf A . ?' e-1'-) 1 1-4. sec=
' � a c .ex,.--, - jj
f b"t co ,-L�ki L,.e{e 3 7_ f e�-I .:a..„,--/) ,4.s 1 t k ite`^.See note on back regarding River Basin rules
di
nSee additional notes/conditions on back
fly ,1i
I AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT:,
,(Please Initial) 1 I
L. '-i'l 1"} 1,-i, r C- i 'r♦j I / l `;!l r P.� � !0i'�---.y C,<-S J
- AgentorApplicantPRINTEDName Permit"Officetr',s, N
?kJ NTED, ame re
Si nat re**Please read co plia ce 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

•
0°``°1' . CAMA 7DREDGE & FILL - .N9 84953 • . A .B. C D
a 1 GENERAL PERMIT Ii D 1 55 4 Previous permit t f`f
Date previous permit issued r�J .
,F New , n 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:
15A NCAC ( -3 14 • 1' C. n Rules attached. n,General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name i"""t I' 1 �., 'l..:_.:'•( ;r':7, - Authorized Agent ��
Address -! L.:- .1)e"•_L4 `�,s\•-\l r ' 1.2.X Project Location(County): r^+h-}.t,.-_ P_ .E
City fr'?I r.4e.i , '! .( 'State �‘. L ZIP :::)44.22,,)Li Street Address/State Road/Lot#(s)
� „" i t c; rR "? L: '- -
Phone#('f t "J .. t ., '> c�, �. -- tr'
Email - Subdivision r / il,,;.1.
City 't-,(.: V- rL Ce', k.;c ZIP t I c-1
Affected n cw - n EW n.PTA El Es Ill PTS Adj.Wtr.Body '1',I 1?,' _a ' '._ -i=' • (nat/man/unk)
F .
AEC(s): n OEA ❑IHA ❑UW ri SPIMA n PWS Closest Maj.Wtr.Body %}''%Y `1 , t )< „e
ORW:yes/KO) " PNA:yes/�
Type of Project/Activity ---1--- )-1 E c%1 t — ici c; - l�'Vim .^j,/,<rif--^,.:7C� ::'( , --)c.: x I;n•,e_,J.v- .,
o .R tx.),. :i-', -'J. t_',' -t'-II 5 7"1 e-r ?4-- /(-;" 1--3 -c;3 LJ J r ! Li.,...`+ (Scale:9`` --;7,)1".
Shoreline Length .1" `= C�:' .
Access Length 7 �, r r» T
Pier(dock)length I MOWN -_ _ 11.10M11111111111131111111111111111511MIMONE111101011111111111
11111111111111
Fixed Platform(s) I I I N�■■■■E IMINI Eti if■ ■ w Eli MI MARINI
::::,:m
1 '•.ti K�S
1 ' 111MIII-1-—I Likill -"'-• MA I •
Total Platform area ) '! .1,111,01. Wan,,,...., ,
Groin length/# I .lii NIMO ONSOMMilin ` i11111111111111111111
Bulk-head/Riprap length t ,1 e1 IIIU Hi ■I
irms. irolii
Avg distance offshore !'
Breakwater/Sill t
Max distance/length
Basin,channel i
Cubic yards t II ■ Nome s� ■■ ■ m�
Boat ramp__ _ __ t
Boathouse/Boatlift_ ___
Beach Bulldozing
Other \ x
III
SAV observed: yes (o-�-j
$/ ill
Moratorium: n/a yes pm mmum •uuu• m• UU•UUUU•uUm�Site Photos: yes -no ,Riparian Waiver Attached: yes -.
5 t' ? ', v I
A building permit/zoning permit may be required by: ' '"`: ='.-.je.... E<.-1 �. . f..},--' '1_1 J
Permit Conditions f.' IS' Y61 r,tI,/,i�c'L !t f/`jiUj ' 'i'-!4:.w r.il,.t I �1,--)eCJ ��TAR/PA. I/NEUSE/BUFFER(circle one)
1;)� 7 3 ; ?V( .,,9 t) 7 ' �G7 _,e Gov S:_, `) ,::%1, -e....,f, S 1 •`�-J i.2".{f!:i ' 'SDI See note on back regarding River Basin rules'
❑See additional notes/conditions on back
I.,
I AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENTS (Please Initial) '
Agent or Applicant PRINTED Name Permit Officer's RINTED Narf e' i/ .
•
Signature**Please,read complia cce statement on back of permit** ) {� signature / -
Lh '�� n ..Slit°, C._.... :-/\L' 1 f ? r`JC>L�'" .'S 1�,�i-, ,} ) rlt;,f`r — `j erg .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:
IX 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
-
Gotretnor
MICHAEL S, REGAN
Secretary
Coastal Management BRAXTON DAVIS
ENVIRONMENTAL QUALITY
Director
• BUFFER AUTHORIZATION CERTIFICATE FOR SHOREUNE 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 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. 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(NHWL)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.
a. 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 rnustbe completed by the first
subsequent planting season(Nove bet through March 30)after completion of the bulkhead.
• Pre-project site conditions: c, / s / r I�.1.21t ,.,.� ����� ,
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 at e liste conditions n rify all
' 'rmation • complete and accurate.
'15rh '
t �tl�- t Printed Name 7lt9ffucer' ignature
Agent pplicantSignature ueDate
CAMA GENERAL PERMIT It: a 3
•
State of North Carolina I Environmental Quality I Coastal Management
Washington Office 1943 Washington Square Mall Washington.NC 278891252-946-6481
Wilmington Office 1127 Cardinal Drtve 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 iul/er /A 's
(Name of Property Owner)j�,•..N-velhfa'4/2-
e property located at as 31 10. 5/S,,' ' R0.1 196.4 4'y I3 k1e1
(Address, Lot, Block, Road, etc.)
on ro `' , in 64-4u ter T Lam . N.C.
(Waterbody) (City/Town and/or County)
The applicant 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
Individ F11 a ro 4 0 sin deve o e m-nt air02 0gyp descri o tion below CP atkiala
ikt/C 1�9
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, 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.
(Prope /pi9r71(Zniation).._ (Adjacent Property Owner Information)
S 1ICn/ IL/'�N✓..1/4!/N IG� �A._4 i
Sl tu S u�
3 ,erv77/�
Print or Tye Name Print or Type Name
Mailing Address Mailing Address
✓3t-& -).11 C/let.7[ ,Uc. y 4'ot.l7/V.c 43 SaalA
City/State/Zip City/State/Zip :.
ZLx /u 6 jr :.. / Nr a 78JY
Telephone Number/email address Telephone Number/email address
• 152- 1o; 7573 9-5) •254) 6 Y
Date Date* L 4•1>: e.,,Y,,;.
(Revised Aug. 2014)
• *Valid for one calendar year after signature*

ADJACENT RIPARIAN PROPERTY OWNER'STATEMENT
I hereby certify that I own property adjacent to G h,,'s t r7A<_ 's
(Name of Property Owner)
property located at , - S Dtuh3
(Address, Lot, Block, Road; etc.
on r C .) 2tvi� , in f,C—`AUF - etc„)
- , N.C.
(Waterbody) :. (City/Town and/or County)
•
The applicant has described to me, as shown below, the development proposed at the above;
locacn.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
Individual o,os{n velo:me 0E02 d> c.i do. below CO E 0 02 d :Witt•
b'/k J .& roW,70.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set backca 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.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Prope c wne.'iifo ion) (Adjacent Property Owner Information)
. - Cam,' � .
Signature Signature
th$,u 'nu � %;w- T J /71A41 e
Print or Tylje Name/� Print or Type lame rf Q •
Mailing Address Mail n Addre s
l2t Urv%3 'I 1( AZAD)g Y IJ�d,A4a c_.✓t k N(.
City/State/Zip City/State/Zip
.� 6 224 eev- <<ti olco .?, /0 3
Telephone Number!en9ail?address, Telephone Number/email address
r2.
53 /D Plat 2/
Date Date*
`:: " (Revised Aug. 2014)
*Valid for one calendar year after signature*
s

•
•
•
tAr
s• l�+ t -
a� y