85036_David P. Rose_20211214

,0("4 %r1CAMA DREDGE & FILL -1.Z,)C No 85036 A 'B C D
a i GENERAL PERMIT °11 to�k Previous permit :
Date previous permit issued
n New Modification I I Complete Reissue H Partial Reissue
As authorized by the State of N orth Carolina,Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I 5A NCAC D )' 2'( n Rules attached. n General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name (-1 l/+ l.')':t' Authorized Agent . ; •
Address :59 1 r Y ic- cv+c +.•. -)v- Project Location(County): (-<�t t,-, ' c '
City 'I t.:•U kok c Ce-a E'fir:State + 1� r ZIP -2' $1 y Street Address/State Road/Lot#(s)
Phone#(� /C 2 - Y/ tc e4/7 L. i - r i=t�.--,U r-, D r- , ()
Email Subdivision 1 0.ryl 1 I.C. ,- r Lt.-c-C S
City r7.1/ -7T- S ' EC ZIP ) 1'S/`-/
Affected CW ''EW n PTA n ES El PTS Adj.Wtr.Body l V r Ana man/unk)
AEC(s): OEA n IHA n UW n SPIMA ❑PWS Closest Maj.Wtr.Body I/)/4 i () 21 \,1 t r. `
ORW:yes/no PNA:yes/no �''
1 J I I f (�
Type of Project/Activity --- ji4/I (� A 'S�( p?'''r LA," ter,,' >, tG.� �.'`1,,:( I// ''/i r) A �� 'L YX e"
r' X l tD' ? i-J. c 1' ' - !3' ', f`2>' 3 .-', > i, .1. (scale:/''- `lo
Shoreline Length r L. )L).1
Access Length ------ a- y �_ w _. . �2 , �}
Pier(dock)length (� ,X IC)LI n • 1 ��' 1' it�' I J¢r' �l ��
Fixed Platform(s) aC>. k i 4 ( ',p- { ;' 4`� � �' }' �. t .�
Ix Ley 4 E _-.._ 12y L_-.
_ ` , ram^,..
Floating Platform(s) i 1 .+:.(1 1 t• I , l r
Finger pier(s) i s>f F.__. ' ...
SIT
Total Platform area 3 j l ,I0 / !��' > i? J . ..c f ;sn
Groin length/# / I -- 1h t/>
Bulkhead/Riprap length f . .. _.... __��.j J __—
:E-..i s'1 JI I\ tars (� "°/ 1Q1:i.-1,..
Avg distance offshore
�® ( i
Breakwater/Sill
I
1 ,• MIN
Max distance/length i I i ,•
Basin,channel 1 I L�__
i
Cubic yards 1 . L ; i
Boat ramp � r k _. ` i
Boathouse/Boatlift 1_ .i 3 X 13 ' (,L & — t�f=" JS � aQ !}1i
---""
Beach Bulldozing ( 2( A0IrA I
Other 'fr.,..
` — � } > . '!Pi 1
SAVobserved: yes no j �. �— S i G )
Moratorium: n/a yes `". ,+j- �rr(11 1
Site Photos: yes nt
Riparian Waiver Attached: yes ,no 1 i . i
A building permit/zoning permit may be required by: `!CO Ui ( 0 .
/ n TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions ;' (II /:% f7f i'1 -I
5��,'!. r Ii `° v- .f/ ,-�
(j/ 1 !f%_i�e I ► f"I° ( �r lot-kb/44 rot i I() v(tA•'f� - flf ri See note on back regarding River Basin rules
} n Y �d't
411 4�L41 Of Jr 'Jr.(O l\3 vUL— • 'i c ``.�•I I,! i , -.71. ? c, n See additional notes/conditions on back
+ '1r :i1i61du") ( S71/P5':
I AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)E
Agent or Applicant PRINTED Name Permit Officer's PRINTED,•Name
4.._ -
Signatufe"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

i4°'°161"44,,9 CAMA 1 DREDGE & FILL 1, L j- n No. 85036 ABC D
GENERAL PERMIT T vqi "`�/�� Previous permit
Date previous permit issued
1 New [ I Modification Complete Reissue 7 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 I I Rules attached. n General Permit Rules available at the following link:www.deo.nc.gov/CAMArules
Applicant Name Authorized Agent
Address Project Location(County):
City State ZIP Street Address/State Road/Lot#(s)
Phone#( ) -
Email Subdivision
City ZIP
Affected I I Cw I I EW PTA ES PTS Adj.Wtr.Body (nat/man/unk)
AEC(s): OEA i IRA UW SPIMA PWS Closest Maj.Wtr.Body
ORW:yes/no PNA:yes/no
Type of Project/Activity --/k:71,'1/ (. •
. i,) /,j. ( /' k .1 .t. 13' v (Scale:
Shoreline Length T_ -
TT
Access Length r I ---r i \ 'Y
Pier(dock)length r ,1\ --- �,,I I ' e z
Fixed Platform(s) 1 31; 1;# Hp] 41, 11- J
tea,,,
ram"
Floating Platform(s) f I Ii
Finger piers) �s t ._ �f _
Total Platform area
1,-, Yfie!
I ti I 6Grain length/#
Bulkhead/Riprap length j— — I ���}��1V J 1' 9� 7 riy, . I.,_
Avg distance offshore
i
Breakwater/Sill '
Max distance/length 1 ----IBasin,channel } )'
eF
i
Cubic yards /i , I j '
Boat ramp , tJ
Boathouse/Boatlift I BF L �i { c,r‘pk c i-1 --.'-'—"
Beach Bulldozing ; /I( � rf I L— t l\ --�
Other / 0 i I 111 - ,
��L � I
i
j —VI
:P I ( aQr.J.i
SAV observed: yes no j I {
+ --- �. ;i c 1 w S
Moratorium: n/a yes no I 1 — 4- 41
Site Photos: yes no 4 _.�__—___ __ (
Riparian Waiver Attached: yes no i ' — I I I 1
A building permit/zoning permit may be required by: t.,
TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions
i,�/)O See note on back regarding River Basin rules
— I 1 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 it/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 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.
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.
e Pre-project site conditions: /49-
`! bJ if 6.4eve �. F 14,. IZ
&2� b
By your signature below you agree to be held responsible for meeting all of the con -tions listed abo d vet-.
that all information provided is complete and accurate.
Agent or Applicant Printed Name Permi 0 cer' ign e
c 0
Agent or Applicant Signature De �
Issue Date
CAMA GENERAL PERMIT#: b c, ,3
State of North Carolina i Environmental Quality Coastal Management
Washington Office!943 Washington Square Mall Washington.NC 27889 252-94o-6481
Wilmington Officel 127 Cardinal Drive Ext.Wilmington,NC 28405-38451 910-796-7215
Morehead City Office 1 400 Commerce Avenue Morehead City.NC 28557 252-808-2808

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)
Name of Property Owner: O9o. y
Address of Property: j `� 7 iL t'i,th
Mailing Address of Owner: S ,:41.4.
Owner's email: Owner's Phone#: 2.- x. 1-1.0.2- zy it 7 (C3
Agents Name: Agent Phoned:
Agent's Email:
y
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
1 hereby certify that I own property adjacent to the above referenced property.The individual applying for this
permit has described to me,as shown on the attached drawing,the development they are proposing.A
description or drawing,with dimensions,must be provided with this letter.
X I DO NOT have objections to this proposal. I DO have objections to this proposal.
if you have objectionsto what is being proposed,you must notify the N.C.Division of Coastal Management(DOA]
In writing within 10 days of receipt of this notice.Correspondence should be mailed to 943 Washington Square
M2.3,Washington, NC Z7889. DCM representatives can also be contacted at [phone]. No response is
coas'dered the same as no objection if you have been notified by Certified Mal.
WAIVER SECTION
I understand that any proposed pier,dock,mooring pilings,boat ramp,breakwater,boathouse,lift,or groin must
b^_setback,a nut:mum distance of 15'from my area of riparian access unless waived by me(tilts does not apply to
taxi hez_s or r asap revetments).(11 you wish to waive the setback,you must Mtn the appropriate blank below.)
I DO wit i to wave some/all of the 15'setback
Signature of Adjacent Riparian Property Owner
-OR-
I do not w:.h to calve the 75'setback require-newt(initial the elanbl t.+P
signature of MJiircat P.parson rfop•evy Owner // V-
Taped/Printed name of Anpo.--,Ca_,7!) _ • _-__ --+ ----
Malt%Aoorr_s at ARPO: 2vo / J, L.„+IrJi,� -I --- - -- - _ - -
-- - rf ,.I rr, -- - /VC -, 7s37
ACPD semau• -` _ARPO's Phones 7 + '!t Ja
Dcto, �2 - +a " I •welver I.valid for up to one year from
y MVO's Signature
t Revised lvMIan
•

N.C.DIVISION OF COASTAL MANAGEMENT
• ADJACENT RIPARIAN PROPERTY OWNER NO77R.CATIONANANBt FORM
CERTIFIED MAIL• RETURN RECEIPT REQUESTED or HMiD DELIVERY
(Top pow to be completedby owner.ortheir agent)
Name of Property Owner. NRV,a I ha$Q
palms c1property: 3T F (Aar) .b11 '1 kioe4; Caret uk a781`'
Malmo AddmssofOwner. TArnE
Owners ermi Owes : 2Sd•-90) -1117d
AgentisNama: Agent Phone,:
'Pigeons r
ADJACENT RIPARIAN PROPERTY OWNER'S CERTWICATION
IBattofnportion To be completed by the Aare,t Prootrty Orr) ..
I thereby catty Mat loin property adpoenttothe abovere[aeneed property.The Mfdvidual applying fates
' • pant has descrbed to me,as shown or the attached Waving,M development they are proposing.A
destriolion or drawing,win dimensions.must be provided w b this Isttstr.
X t ITO NOT have objections to this proposal I DO have objedions b this loo . .
if you Bem objectIons to tan is Mint'proposed-you mast may the MC laht bsr of Comes!
Atarragentant(DCN)in waling Weis 10 days of maw of tits notice. Contspondsses strmskf be
maned to MS! S Min Spa Na, S sbMgto.NC 27.39. ripmssatsamsere S be
contacted at(2S2)Me-64H.No response is oonaldrred the sane as no otsl him WY011 Mrs b.ri
naffed by CaSi I:at WAIVER SECTION
I understand that any proposed pre,dock,mowing pangs,boat ramp,b a.kostr,Boathouse lit,or
gmio must be set back a ndnimurn distance of 19 from my was of riparian emoa Won waived by me
(the does rot apply to dridteads or dpap revernmrt$).Of you wish to waive the zalhoc k.you was
the alraroDriatn bleak below.)
I DO with to waive some/all of the 15'satbods
Sigmas°of Mann RipaMinRope*Oscar
I do notarial to waive the 15 setback requirement(INtal the blank) 7.
mgoatare&Mara I:1pa en Property Owner; 'nt1,6<Y 9
Typ.dlPanted name ofARPO: 1•01,400d G U yc(
limning Address ofARPO: P ci Bry C6 Y J/Arr1r/AN ,N c .7,4gd
ARPO's snub: llra(iq/d S9e mime phones: 2SJ-799- rs Yr
t Da: a'g- *1 's.trews valid for y tb one year horn ARPONetitq ae
•/ RettscolJ ly2021
0

David's Automotive and Exhaust 502 Washington Street
0o Williamston, North Carolina 27892
[phone]
[e-mail]
December 10 2021
To Whom It May Concern:
I. David P. Rose have contracted B. R. Sprouse, Jr. Marine Construction / Ricky
Sprouse, 2057 Possum Track, Chocowinity, NC 27817 to construct, build, and install
a pier at my personal property located at 397 Friedman Drive, Blounts Creek, NC
27814.
Permits and Approvals - Contractor, B. R. Sprouse, Jr. Marine Construction I
Ricky Sprouse, shall obtain all permits, including environmental and any other permits
required by local and state governmental authorities prior to construction and installation
as required by said agency authorities. Contractor, B. R. Sprouse, Jr. Marine
Construction / Ricky Sprouse, shall also be responsible for maintaining these
applicable permits and compliance with these permits during the term of the project.
David P. Rose
Owner - David's Automotive & Exhaust