84922_Kat Seigel & Cynthia Pereis_20211026

D & FILL ® 84922 / A ` C D
z = GENERAL PERMIT D# (...0 fI' I �✓ Previous permit r r'i�'� ;a'�-
1�
�' New El Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued ,,.-
As authorized by the State of North Carolina,Department of Environmental Quality and the Coas,trral,Resources Commission in an area of environmental concern pursuant to:
(5A NCAC `�//f /; + ❑Rules attached. L., General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name A iii. :.. . iG,, ,t': ,-ram,= r'=_ Authorized Agent /' ' ,-/-,,,/ 1/ ..-ce,,,
Address /i_ V ,// C c :-,.,_ t d'c Project Location(County): /i C.c: ':0- A
City./{i C ,s"c--.T.''-c, State A/W ,'t/ Y ZIP if /5 Street Address/State Road/Lot#(s) 17l•`:r d'.,, r . ri r'•r/ 4`
Phone#(i Y4 ,-2_J ''%'- 7---
Email ------------ Subdivision : ,', F J -
City =/ r. I4 f•..,,.•,F, ZIP 7,- /9
Affected ❑CW Eli(' L 1 ❑ES ❑PTS Adj.Wtr.Body _ - c f m' f(nat/inan/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj.Wtr.Body /fYG. , /
ORW:yes/no PNA:yes/no
r
Type of Project/Activity l"�, //. '4-. , 'ed �' ?' . f/ // E -``,'er 3- , iz f /;
. / ,// /,1 '
rs„f (Scale: )
Shoreline Length / t:
Access Length (,; --_ IINIII. mummurmaiiii
ammommamommummummimmunihmoimummouniumu
Pier(dock)length - 96 .(
Fixed Platform(s) / " ✓'
Floating Platform(s) . _ -
/f
Finger pier(s) I I-, 1 ./..,1 I i 1 . 1 al ii .
Total Platform area -2 / •
Groin length/# '`
I
Bulkhead/Riprap length �✓i
Avg distance offshore i{
Breakwater/Sill F
Max distance/length I INIMI11111111111111111111111111mfill 1111111111111111111111111111111111r1111
Basin,channel !'
Cubic yards .f` immiiii .m t
Boat ramp _
Boathouses B t ft) /_.� -CV/J
Beach Bulldozing %
Other
f ■
SAV observed: yes (no'
Moratorium: n/a yes 602 ell
Site Photos: yes noIIIIIIIRiparian Waiver Attached: yes rio;
A building permit/zoning permit may be required by: /.I 1".. .-/ /r-, rid
Permit Conditions c't c C; '/7/ 4.26...)r: T /NEUSE/BUFFER(circle one)
Se' e 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) I ) I Y ifs
7•. e .r 1 1.4 e✓F' d t 3 c - - - -- - --- `) }l, /, ,.v . i- ,/,..- /
Agent_or Applicant PRINTED Name Permit Officer's�PRINTED Name
/`/l/ ,t :/____. ;fit/i .,"�. . ^^`, "2..^e._ % %� �._x.,. -..r F.:%
Signature**Please read compliance statement on back of permit** Signature / _ f /
_ ., ,!.fix .- ;`, , .7,aC,•/ 2/ .mot'/-2v/ 7- -
Application Fee(s) Check#/Money Order Issuing Date` ExpiratioriiDate

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

��ECOAfTgTil' iz y. No 84922_ - - A trg'. . D 1
1-1CAMA Ill' DREDGE & FILL '�\71 1 Z,,.f
y 1 GENERAL PERMIT. D u) 1 - Previous permit
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 •- /'-"&' n Rules attached. n'General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name / '• f
./ Authorized Agent { ' -< •
Address ;`t' x �' Project Location(County): . / - • , ,4
City A' State <"Y.2?„% -1,--";' ZIP '"' ' Street Address/State Road/Lot#(s) %'F`` ' ` - f -
Phone# . 'y r,' •
Subdivision ,,- , f
City ` ' r'I - ZIP •,t / • !l`,%
Adj.Wtr.Body ' nat/man/unit
Affected n CW D EW n-PTA �ES 0 PTS (- � )
AEC(s): n IDEA 0 IHA n UW n SPIMA n PWS Closest Maj.Wtr.Body / 1 f. -
ORW:yes/no PNA:yes/no
Type of Project/Activity • ' `,/ - '`:- l r ( /
/ 7' (Scale: )
Shoreline Length f<`f> ! ,
Access Length F 1 - •
r
Pier(dock)length '1.' 1.
Fixed Platform(s) 1 F'
i
Floating Platform(s) / ;;y;
Finger pier(s) ' I 1' ' i -
e
Total Platform area - .
i •
Groin length/# •-- i .
Bulkhead/Riprap length I --''-- —_ —,1 C' .^_ _ ,_ _,_.
S
Avg distance offshore i -
Breakwater/Sill 1 ,
Max distance/length { '
Basin,channel / .
Cubic yards fI - ` •
Boat ramp ,
I ,
Boathouse/Boatlift- .i -- ,' /.. I f
Beach Bulldozing V' j I
Other \ �__, ._------- ----------- -------- -----
SAV observed: yes c_no i -
Moratorium: n/a yes ;trio':
Site Photos: yes no -- I , I
Riparian Waiver Attached: yes .,'no ' { .
' A building permit/zoning permit may be required by: +,' . ,f- r"
Permit Conditions <:. W"TAIi/PAM/NEUSE/BUFFER(circle one)
C_
n'5ee note on back regarding River Basin rules
nSee additional notes/conditions on back
I AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIE/WED COMPLIANCE STATEMENT. (Please Initial) ' j"•,/
Agent or Applicant PRINTED Name _ Permit Officer's PRINTED Name
Signature**Please read compliance statement on back of permit** _ Signature
.t r - f /- . /' •, r/ i'/r .f
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.
4i,:or, Governor
MICHAEL S. REGAN
. .. - r
Coastal Management BRAXTON DAVIS
ENVIRONMENTAL OUAUTY 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.
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.
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-project site conditions: A7� H�' T4,','Ne d 14-tvp
-de/Ye /A
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.
•
Agent or Applicant Printed Name Permit Officer's Signa
tr We,' e h 5'� JG7.76/�
Agent or Applicant Signature Issue Date
CAMA GENERAL PERMIT#: Sjg9,2.2 /-I
State of North Carolina I EnvInanmeual Quality f Coastal Management
WashtngtonOffice 19431M1fashington Square Mall Washington.NC 278891252-946-6481
• Wilmington Office 1 127 Cardinal Drive Ext.Wilmington,NC 28405-3845 1 910-796.7215
Morehead City Office 1400 Commerce Avenue Morehead City.NC 28557 1 252-808-2808

o•
Ladder—�C ,r I
€ o
1
Hose Bm—...0 a v3O C
Slip 1
Piri gs for Lift
1=
O C
Kai Szlgeti
Cynthia Pereira
884 N SummitDr
homMee::5um76798-1 781758
ceL 646-238-6458
15 BFW20210064
Project Location:
419 Pufgo Shores Dr
c Belhaven NC 27810
o
Warren purgo'`River Prepared by BF 8 Sons Inc
NOT TO SCALE
For pemiitIng purposes only
@ 4
Date: i'v1///
Owner Approval:
MO,"
€-5
Date: (0121121
/ovir/ ...���404ti���.� o••�. Existing
•
400,
i 1 it' HOA Property
:WarJefferson property �4

B. F. Warren & Sons, Inc.
180 Taylor Farm Road,Belhaven NC 27810
iOffice(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 uridersigned property owner,do hereby authorize B.F.Warren&Sons INC.to-act on my behalf in
obtaining the necessary permits 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:
BFW20210064 dock and lift
Project location/address:
419 Pungo Shores Dr
{ Belhaven,NC 27810
Body of Water:
Pungo River
Property Owner Mailing Address:
Kal Szigeti&Cynthia Pereira
884 N Summit Dr
N Massapequa,NY 11758
[phone]
Si )6(..)
Date: t(3121
Property Owner's Signature:
Authorized Agent Signature: Date: I U/ f�/

• N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY-OWNER NOTIFICATION/WAIVERFORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion td,be completed by owner or their agent),
Szigeti: & Cynthia Pereira
Name of PropettY Owner:
• Address of Property: 419 Pungo Shore:Dr,:Belhaven; NC 28710
Mailing.Address of Owner: 884 N Summit Dr, N.MasaapeqUa, NY 11758
owners email; kal.izigeti n @ProtonMailcor --
wiler's Phone#: [phone]
Agent's Name: B F Warren &Son Inc Agent Phone#: 52•79041-4628
Agent's Email: [e-mail]
. _
ADJACENT RIPARIAN PROPERTY OWNER'p,CERTIFICATION
(Bottom portion to be completed by the Adleeent Property Owner)
I hereby certify thet:i own property adjaCenttotbe aboVe referenced property.The individual applying for this
permit has described to me, as shown on the attached dieviiing;the`developtnet they are'proposihg. A
description or drawinct with dimentione,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 mint:notify,the N:C: pivisipti of Coastal
Management'(Dpm)In writing withIn 10daYs of receipt of this notice. Correspondence thoidd be
trial/eat-1'943 WashiniitOn'Square'Mail, Washington,NC 27889 DCh1iiireientatives can also be
contacted at(252)94676481.No response is considered the same as no objection if you have been
notified by Certified Mail
WAIVER SECTION
' -
I
understand that any proposed Oier_,dock; mooring pilings,boat ramp, bciathduse,lift,or
groin must be set back a minimum distance of 1511poin my area oftipailn access unless waived by me
(this does not apply to bulkheads or riprap reVetments).(If you wish to waive'theeet4Ck;yoU reirst'skin
the appropriate blank below.)
I DO wish to WeiVeioilielall of the it'setback
• , 1 _
S'Sign,Otiirld'Of Adjacent Riparian Property Owner "
-OR-
I do not wistEto waive the'15'setbaCk teqUireMent(initial the blank), • • ,
1121.1Te
Signature of Adjacent Riparian Property Owner. - 4
Typed/Printed name af ARPO: C)INQ
Mailing Address of ARPO: Vk5 6horas Z). )3Atiten N '281Z)
ARPO's email: p NI2CAP.C1titeffYibINAARPO's Phone#: LN 4 5/I
1:D) R.54091*waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

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)
Naine of Property OWner. Kal Szigeti •Cyntbia pereira _
Address of Property:, 419Piing0;$hore Dr,-Bpitiaven,'Nc'28710
Mailing‘AddresS of Owner 884 N Sunitpit br, N„Ma.p.sappq4a,
Owner's email: kal.szigetigprotonniaii.COITbvvneri Phonei: 646-230-645P
Agent's Name: B F Warren &Son Inc Agent Phone#:?&2-96474628
Agent's.Email: bfwaryennson@rappLorg_ ,
. . ,... • ., - • - .. • .• • , • - •
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adiieenf Property Owner)
I hereby certify that I own property adjacent to the above referenced property:The individual applying for this
permit has described t6 Me as,shown on.the attached*airing;the development they are prOPositig.A
description or drawirio,'WittidimenSions:must be provided with this letter':
I DO NOT have objections to this proposal. I DO have objections to this proposal.
if:Yon'have objections:'to'what's beingpropoSed,'.,YOuiniitt..notify:the ti.0 Division Of,COastal
Management(DON in,Writingwithitil0 days of receipt of this notiCe:,•Correspondence should be
Malletto 943 Washington Square Mall, WAShington,-NC 27855:1301 representatives can also be
contacted at(252)5464481.No response is considered the same as no objection if you have been
n901,0,byCertified
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 Of1§'from my area of riparian access unless waived by me
(this does not apply to bulkheads or riprap revettnerits):-(ifyOU Wish toweiver.the'SetbaCk;YOU tiriiiet,skin
the appropriate blank-below,)
I DO wish'to waive SOrneialtaf the-151:setback • • - • •
Signature of Adjacent Riparian Property Owner
-OR-
I do not wish to waive the 15''Setback requirement(initial the blank)
Signature-of Adjacent Riparian Property Own /Liie I I R.)1V)%01e5d0A
Typed/Printed name of ARP0051Y:4
Mailing Address of ARPO:.3115 C11.41.5;!) a)CRt2.S . ZOAVI2b0-41 keig7 ISM
7 es061) 4 54-Iralt3
ARPO's.email:
(lrdi ./11, ARPO's Phone#: 4 ., _
Date! 1:1-1,547132-1 *waiver is valid for up to on year from ARPO's Signature*
Revised July 2021