84927_Jake Chambers_20211103

,`"%❑CAMA ❑DREDGE & FILL gX> N9 84927 . A gd c D
GENERAL PERMIT �� Previous permit .. , ty
Date previous permit issued A474
f
ONew ❑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 D 7 it 12 00 ❑Rules attached. ®General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name ,d r /T e //il-c,,, 1 c;'�£erJ Authorized Agent • ,e C ' 44/tc at
Address /.:;R/ - -L.(,7✓,:.I (_..-/ cer r/ Xeri Project Location(County): ..6<,., _i'i`i
City . r:1=.c A9 4+r. State fit e- ZIP ./Ci`'f Street Address/State Road/Lot#(s) / 7 L.t.,re c•re 4,.4+-7 e-
Phone#( ''2) f Cf- 1//;J,r�' /
Email �-d-� Subdivision tt// '
. >)C f-<erg ,,City .,r, ZIP ...2 rr,',.P 'f.-5-
Affected ❑CW �EW ❑L,PTA DES 0 PTS Adj.Wtr.Body ..r.,, „ ..�) ,r e r - ,(n/man/unk)
d
AEC(s): ❑OEA Ill IHA ❑UW III SPIMA ElPWS Closest Maj.Wtr.Body .? a +','fir r' --
J
ORW:yes/no PNA:yes/no
c^"Type of Project/Activity ..-<„ r e,a",, `/ ` ,2lr°r s.,'. /4 J.3 (.)'. ....201 ,1 J{ ./ /f--/' ' �'., •A
•
4/ .,.,,,,,,,,, 0./, c jet ere‹,/.,, , ` / . ` x, 2O` am-/- ,;:2f (Scale:____.--- )
Shoreline Length / ?`� J -�
Access Length ' II� �� I� N�N- - ��
Pier(dock)length ! .r S ■■ ■■�■■■■■� � ■.. ..
Fixed Platform(s) f_I' �" 2 MI6, ; .■ II ■■■■■■■■I ■■ ■■■ .■■
Floating Platform(s) IIIIII 1� � Z ®1111IN� II��
111111111111111011111
Finger pier(s) I I ► � ■
f MI$SSt � ti $k IlIUNUI*IUII
Total Platform area' G Cif - is 'z RRR NRR IIIR N URRRRRNIMRRRU
Groin length/# / � �� �
Bulkhead/Riprap length MINOMMIIIIIIIIIIM um e��•fflififtwadm� m. am� �m
inimum
Avg distance offshore 11I � IIN�11���� ��11 � 11����� ��
Breakwater/Sill 4 U RUR ■■■.RR■ *■:RR•R:RRR.■■■U■..
Max distance/length
Basin,channel ■ ■. 111111111011111111111111111111110
Boat ds ) Era
�� 1 �
ramp 1111111101 �.��� RR�� ��RIUU
Boathouse/Boatlift i ® RR■■ R■■ UURI$RRRRUR■■�i ■URRRU
aa,ceti'ulidc'zing,vrt ■■11 �1 ■11 �11��s 4 t�' /.��xr J 1
mummiumm
SAV observed: yes .■ . ■■ ■. ■ RRR■R . . .uminammiammommummimmusammuR nd ■ R . ■■ RR
Moratorium: n/a Site Photos: yyeess 8 111 .NRU1.■■. 1 'R R■■ �■UIM
■■
Riparian Waiver Attached: yes 1R � URR �� R �RR 01
/ /
A building permit/zoning permit may be required by: •, -/f r C.0 /".
i
Permit Conditions f'�.' • - f�i'I. /�00 _ ® AR/PAM EUSE/BUFFER(circle one)
ii 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)
— rr,o-=,-- .),0 r r _:—;) (,e.a, r r—. :. fir,: ?/1e_-
Agent or Applicant PRIG Named,,,_ Permit Officer's PRINTED Name �,, r
Signature**Ple a read compliance statement on back of permit** . Signature , / • .
Application Fee(s) Check#/Money Order Issuing bate ' ' 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

,o�°``°m�` I—I CAMA I—I DREDGE & FILL ' * N° 84927 A k-- C D
GENERAL PERMIT Previous permit . : �_'
�CJ� J Date previous permit issued =!/ .
.„,
n'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:
I 5A NCAC " /' I — C.L n Rules attached. n"General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
)
Applicant Name 1 / , fm_ I, - . •/- =', Authorized Agent .' ,,- - `.'l t•r't'
.-
Address ' . L.. - Project Location(County): I. - �
I.
City State • .C ZIP ,/` i`;... Street Address/State Road/Lot#(s) / 4/ • -- , • , .
Phone#( ) if, 'f `I`
Email ---—-- "—- — Subdivision -i.'/ '
J' City -•-' ' ' ZIP
i
Affected n cw niw n PTA n ES n PTs Adj.Wtr.Body (nal/man/unk)
AEC(s): 0 OEA n IHA n UW El SPIMA ❑PWS Closest Maj.Wtr.Body / ' s
ORW:yes/no PNA:yes/no '
Type of Project/Activity '`' f/ ' , f tL, --'..S (", ,'j f • y", r� 1 ,
r rra � ! _ �'�:� r' �.�'L,� , x:f4'. � ". / ,)4 (Scale:
Shoreline Length / i r- `
I !
Access Length ' ',
Pier(dock)length / .' [
Fixed Platform(s) / . - .
a
/Floating Platform(s) 1 ' i r1 ` , ;,a
*1 I
Finger pier(s) i/ . — I S ' ) /__!_ : - 7 7 i-i _
Total Platform area "_ e Z_.,`,/( - i i j ,, d' ' / • 1
i vI , • e
Groin length/# f
Bulkhead/Riprap length / — — l — —
Avg distance offshore I " "
t i
Breakwater/Sill \ I < "
Max distance/length \ I `
Basin,channel \
Cubic yards r) ' ,
Boat ramp / , 1
Boathouse/Boatlift / , ' ! f
F
Beach Bulldozing ( — — '-- —---.—_
Other ! '
1 i ,
SAV observed: yes ono,; ' ' '
Moratorium: n/a yes ,., i ' I I ! 1'
Site Photos: yes (_noe (
Riparian Waiver Attached: yes /,I,rn^o,i1 l
A building permit/zoning permit may be required by: 1'/ " %t (,,° . c.
Permit Conditions n TAR/PAM/NEUSE/BUFFER(circle one)
'/ /_-.'C C _ 7--._._ -
DSee note on back regarding River Basin rules
. El 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)
Agent 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 bate ` Ezpiration'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
SeQettry
Coastal Management BRAXTON DAVIS
ENVIRONMENTAL QUALM/ 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 028.0233&.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.
1. 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.
• Pre-projectje� site conditions: 'Pi ao5 i' .cyz. / /ate ry
/�/ -7
/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.
racr•, 1 L) C�rc
Agent or Applicant Printed Name" Permit Officer's Signe e
•
/ 7/. /
Ag r Applicant Signature Issue ate
CAMA GENERAL PERMIT#: 99. 2 gr
State of North Carolina I Environmental Quality I Coastal Management
Washingtoi%o ftce 1943 Washington Square Mall Washington NC 27889 1252-946-6481
• Wdmington Office 1127 Cardinal Drive Ext.Wllmington,NC 28405-3845 1910-796-7215
Morehead City Office 1400 Commerce Avenue Morehead City.NC 28557 1252.808--2808
1

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j - Jake Chambers
1 1215 Union Church Rd
Salisbury,NC 28146
■ 13'0" [phone]
1 o g 2 2..-- 12'0" ---►o
,BFW202100S6B
Job Location:
175 Lawrence Lane
• Scranton,NC 27875
)
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Slip 1 b Slip 2
N
Prepared by BF Warren&Sons Inc
Not To Scale
io.. 12'0° —4. o For permiting purposes only
1 Hose bib
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Pungo River C ) .c Date: � �
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.cp
Owner Approval:
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-+a;��:s.:i• i• ;:s'7s' si.��6+ �� ice" s;i:" 4" e; a`. :e=4'•'..••
i a._ aW:M•ass. o ?s :":Ca�.Ze :$7;bei ••11, r• •5
- �t . � N �� � - - � ® i � Q � • wry.. � alI � � i m � �: 4. a1. �—� oi��—/ o-1� i
i et Hilaire property Hose bib
ShOrEline 200+it i.awerenoo Propertyt __,.-
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9©hi
B. F. Warren & Sons, Inc.
180 Taylor Farm Road,Belhaven NC 27810
Office(252)964-4628 Fax[phone]
Forrest cell(252)945-2492 Freddy cell(252)945-4240
NC General Contractor License#72600
www.ncpiers.com
Authorized Agent Consent Agreement
To:State of North Carolina Department or Local Government Department
from whom this permit is being applied for.
I,the undersigned property owner,do hereby authorize B.F.Warren&Sons INC.to act on my behalf in
obtaining the necessary permit's for the below listed projects.I have contracted there services to perform
the work permitted.This agreement is limited only to the specific activity of obtaining permits for the
below specified projects.
Projects:
dock with 2 slips
Project location/address:
175 Lawrence Lane
Scranton,NC 27875
Body of Water:
Pungo River
Property Owner Mailing Address:
Jake Chambers
1215 Union Church Rd
Salisbury,NC 28146
[phone]
Property Owner's Signature: gWit( aQir'� Date:10/28/2021
/ /`Authorized Agent Signature: "-' Date: `//

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 .Jake Chambers,'
• „
Address of Property: 176 Lawrence Lane;Scranton, NC-27875:
Mailing Address of Owner 1215 U(tigil Church Rd Salisbury, NC,28146
.„ . ., „. _ •
-0586,
Owner's email jakedhambeis696yahpo.pnrer 7047245
;s Phone#:
•
Agent's Name: B F Warren &Sons Inc .P.9eqPhone#:227964-4028
Agent's;Email: bfWafF,PrIrls9P@M)et,Org,
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION '
'(EIOttOM poitiOn to be completed by Adiacent Property Owner):
I hereby certify that I own property adjacent to the abova'referenCedpitOpertY.,:theindividual,apblYing for this
permit has'described to me,-it shown on the attached drawing, the development they are Oroposing.A
description or drawinti,with dimensions must be broVidedlivith.this lettet.-
I DO NOT have objections to this proposal. I DO have objections to this propotal
hOe ObJèötieds to what is.being 'proposed, yeaMust notify the'IALC.DivIsion of:Coasts I
'Menagernent(pal,fri Writing within'10.days-ofleCelPtOf this notice':Correspondence should be
mailed teie4.) Washington Square Mall, Washington,NC 27889 DCM representative
Contacted at(252)946-6481.No response is considered the same as no objection'it you have_beep
notified by Certified Mail.
c-INAIVER SECTION 1 7' •
I understand that any proposed pier dock mooring pilings boat ramp, breekwatei-i'bOaftioUse,lift,or
-groin must be back a'minimum distance of iV.frOfh my area eree of riparian accesimnleteNvaiVed by Me
(this does not apply to bulkheads or riprap tevetrnents)::(if'Yo0 wish trilivaive the ootbatk;-0.iiiIiitt sign
the appropriate blank below)
I DO wish tq Waive':sOhletall Of•thel 'eefbabk,; " '." • • '*-VI I
" ' •• •-•' -SighaturkOtAdjaCent Riparian ProperlY0Wriart
-OR-
I do not wish to Weivelhe-15'-eetbaCk requirement(initial the •
,!,-- j: • : , • • ;qr;
, - • - .„ ,
Signature of Adjacent Riparian Property Owner Ask,f_A/L—/
Typed/Printed name of ARPO: LA) . E. . .. e.4Lora-(te •
Mailing Address of ARPO: F . ) 7 SO
ARPO's email: ARPO's Phoneft: I 7
bate:/174'-1- *waiver is valid for up to one year from ARPO's Signature*
• Revised July 2021

ADJACENT RIPARIAN PROPERTY..OWNER STATEMENT
•
I hereby certify that.I own property.adjacent to �j ; P..nti. ak.rri. �. ocikInc.S 's
(Name of Propberty Owner) '
property located at k'+'-- La_kA)s t.—, :. L r ,,>
•(Address, Lot, Block, Road,etc.) • .. •
1
on \ .". c : �.
\ - r- , in Y-.0 :,r- <Z.,r, -}::1.,,. ;.,.N.C.
(V laterbody) (City/Town and/or County)
•
.
The applicant has described to me, as shown below, the development proposed at the•above
location.. -
iCe . .
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)
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i 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.) !
I do wish to waive the 15'setback requirement. •

I do not to iAraivelhe15!.tetb-aok requirement.
(Property-9% 1er Information) (Adjacent Property Owner Inforrriation)
Signature - Sipuitur yer:
.,..L.JVYA.gthP)-€4;.1 • -
Print or'Type Na,m0 Prizjtfor Type Npin
• 17 CI t c - c__=-1 v 2. a ir—
MailingAddress - Maikrjo Address . . • -
y,cx is1‘..io r'') ?..t) 144
CityStatelZip City/Sid* ip
\ —2CY4•1 —•
Telephone Ndmber Telepho e Nu " di/
Dale Dim?
(Revised 6/18/2012)
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