79049_Stella Sue Smith_20211214

0 CAMA / DREDGE & FILL -- -D �q gD No 79049 A BCD
GENERAL PERMIT � Previous permit#
)C New ❑Modification Complete Reissue Partial Reissue Date previous permit issued y/
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 f/
/, /, OG
/ ( C Rules attached.
—Applicant Name � to 7! , J=e,- .. - /7 Project Location: County ,c.,
Address ;, / _1 •O et-,I. / 4, /
� �i I, Street Address/State Road/Lot#(s) /612 er-f
City _ / -( -.j ,„ State t/C ZIP .1-7'oW 7 << ; i A• t /'"V /
Phone # ( ) y- /-j-'-'''' E-Mail Subdivision w/�
g % //,' ( i l///) City / // ZIP 27 O
Authorized Agent �l�v
❑Cw DEW 1312TA ❑ES ❑PTS Phone # ( C_) c River Basin /-:',//e
Affected ❑OEA ❑HHF ❑IH ❑USA ❑WA
AEC(s): Adj. Wtr. Body / ,, / nat man /unkn)
❑ PWS:
ORW: yes / no PNA yes /fiof Closest Maj.Wtr. Body �= -
i" /.- "
Type of Project/Activity .„ , /4 & ,t_;
•
(Scale: / " )
Pier(dock)length S0 " t/ IIN
I I I 1 I !
Fixed Platform(s) Jt /C� , I ! I I I I
Floating Platform(s) I I I i ` I i
ttt
Finger pier(s) t I _ i'^lee-- 'kr+
Groin length / :\\41 1 i \
numberI
Bulkhead/Riprap length f ____^I ..ram -,
avg distance offshore I { J
max distance offshore
Basin,channel 1 r4 _
i
1
cubic yards j I j •p '
Boat ramp I 1 : '
Boathouse/Boatlift f , i i I I I -..� I
,. f
Beach Bulldozing f I -I--1
Other ', i f i ��YL.i"
, 0 .c... ,, oc.:;„(,. .
../. . rod,
Shoreline Length 1`7. -c� Qc�/ 0 '"`,. C�` L
SAV: not sure yes lam' l'il I' / t '
le ,
Moratorium: n/a yes no i ___1 Lan
} _._._ I ! _..._.._.__I _ _
•
Photos: es: no �> � 1 -
I
2 , _. -ir
Waiver Attached: yes no ,-X' `",--' e' '`1.'rrJ 1(4-"i((t to r-ri ! i
}
A building permit may be required by: / e-,,,, 7;\•- / (7p ✓I See note on back regarding River Basin rules.
( Note Local Planning jurisdiction)
Notes/Special Conditions , / /;/ / Uv - ' • , •/, . . , i //,- /^c Ile '
II / v. s I.
°C) (-P ' 2)ii ( ,,/
Agent or Applicar)t Vrinted Name / Permit Off r's,Printed Name
Signature '*Please read comp iance statement on back of permit * Signatu
",..„,: /C _, r ,_...-7/4%i/2,i r -7"-//7/-. -7"
Application Fee(s) Check# t Issuing Date Expiration Date
1U/._2 %

Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific 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 I)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 or certified mail return receipt has been obtained from the adjacent riparian
landowner(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 Other:
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. Contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the
Wilmington Regional Office(9 I 0-796-7215)for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave 943 Washington Square Mall
Morehead City, NC 28557 Washington, NC 27889
252-808-2808/ I-888-4RCOAST 252-946-648I
Fax: [phone] Fax: [phone]
(Serves: Carteret, Craven, Onslow- (Serves: Beaufort, Bertie, Hertford, Hyde,
North of New River Inlet-and Pamlico Tyrrell and Washington Counties)
Counties)
Elizabeth City District Wilmington District
401 S. Griffin St. 127 Cardinal Drive Ext.
Ste. 300 Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax: [phone]
Fax: [phone] (Serves: Brunswick, New Hanover,
(Serves: Camden,Chowan,Currituck, Onslow-South of New River Inlet-
Dare, Gates,Pasquotank and Perquimans and Pender Counties)
Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/17

0 LAMA / DREDGE & FILL --rD (09 gau N° 79049 ABCD
GENERAL PERMIT Previous permit#
)% New Modification Complete Reissue CPartial Reissue Date previous permit issued
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
Rules attached.
Applicant Name - Project Location: County
Address Street Address/State Road/Lot#(s) .
City _ State ZIP .
Phone # ( ) E-Mail _ Subdivision
Authorized Agent - - City ZIP
•
Affected ❑CW DEW ❑PTA ❑ES ❑PTS Phone # ( ) River Basin / /'
AEC(s): ❑OEA ❑HHF ❑IH ❑MIA ❑N/A Adj. Wtr. Body
❑ PWS. (nat/man funkn)
•
ORW: yes / no PNA yes / no Closest Maj.Wtr. Body -
Type of Project/Activity
(Scale: / )
Pier(dock)length - I
i • 1 1 ---1 l i i
Fixed Platform(s) if. ^ oi�
i l
Floating Platform(s) i } t iL I ) ;? 1 1
Finger pier(s) + _ I I ,f , ••c i 1
Groin length (
NI S ! .i
I ' 4 1
__\
number I ; } } ���✓ �� i
Bulkhead/Riprap length \ I ^�— I I
avg distance offshore { ,
i I I, l 1
max distance offshore 1 ( I
}
Basin,channel-
i i
,.
•
cubic yards i "
Boat ramp I }
I
Boathouse/Boatlift —i--.._.._.._.._..._._._ ' __._....__..� _._..._.
- ? N, ,-.1J r r I 'N. ' 1
i i
Beach Bulldozing - • ---
I I
Other I t I - � '''\
i .el .. _
i t• r i'yi .0 ( 4-, ,: + 1' `_. ,-. ci, -H
Shoreline Length— — 11 IJ . t}-+f rr ` l' /
SAV: not sure yes (no 1 ice. L — �•...'' I I
I I
Moratorium: n/a yes no l(�(� ( J 4 t. ; i 1 I
yes } .1-
Photos: no _ __ _
/-- ` / ,
Waiver Attached: yes no - `
A building permit may be required by: /F /c. / ( C H See note on back regarding River Basin rules.
( Note Local Planning Jurisdiction)
Notes/Special Conditions // •-.(.
o
Agent or Applicant Printed Name Permit Officer's Printed Name • '"
A. / -\ i
Signature **Please read compliance statement on back of permit** Signature .
Application Fee(s) Check# Issuing Date Expiration Date

Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific 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 I)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 or certified mail return receipt has been obtained from the adjacent riparian
landowner(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 Other:
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. Contact the Division of Water Resources at the Washington Regional Office (252-946-648 I) or the
Wilmington Regional Office(9I 0-796-72I 5)for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave 943 Washington Square Mall
Morehead City, NC 28557 Washington, NC 27889
252-808-2808/ I-888-4RCOAST 252-946-6481
Fax: [phone] Fax: [phone]
(Serves:Carteret,Craven,Onslow- (Serves: Beaufort, Bertie, Hertford, Hyde,
North of New River Inlet-and Pamlico Tyrrell and Washington Counties)
Counties)
Elizabeth City District Wilmington District
401 S. Griffin St. 127 Cardinal Drive Ext.
Ste. 300 Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax: [phone]
Fax: [phone] (Serves: Brunswick, New Hanover,
(Serves:Camden,Chowan.Currituck, Onslow- South of New River Inlet-
Dare,Gates, Pasquotank and Perquimans and Pender Counties)
Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/17

•
ROY COOPER
.ia Governor
MICHAEL S. REGAN
- Secretary
Coastal Management BRAXTON DAVIS
ENVIRONMENTAL QUALITY
Meat"
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: Ala.kh\\.e.J /C'Jr". 542e,4o hsJ/ Jo_"eat_
AOLZR
By your signature below you agree to be held responsible for meeting all of the conditions listed above and verify
that all rovide is complete and accurate.
Ai
Agent or pH ' t d Name Permit O er's 5'gp ure
•
Agent or Applicant Signature Issue Date
p /-2-/'y/.24
CAMA GENERAL PERMIT#: 7 9a V / /7
State of North Carolina I Environmental Quality l Coastal Management
Washington Office 1943 Washington Square Mall Washington.NC 278891 252-946-6481
• Millington Office 1127 Cardinal Drive Ext Wilmington,NC 28405-1845 1910-796-7215
Morehead City Office 1400 Commerce Avenue Morehead Crty.NC 28557 1252-808-2808

Stella Sue Smith
6750 Clarks Neck Rd.
Washington NC 27889
252-531-1284
To Whom it May concern, �f
I give my permission for rJ"" on my behalf to
apply and pick up permit to construct a pier. My property address is
1068 Ross Rd., Bath NC
If any questions please contact me at 252-531-1284.
Thanks
Sue Smith

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 51te 1 I c{ S k a S r. ,A\. 's
(Name of Property Owner)
property located at I D Lo$ 9\OSS , qmpckk L.
(Lot,Block,Road,( etc.)
on cop rr\\r 6 , in � )0.u-\( ,N. C.
(Waterbody) (Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location. I understand that any construction, must be set back a minimum distance of fifteen feet
(15') from my area of riparian access unless waived by me. The (15') setback does not apply to
the following: bulkheads/riprap, boat ramps, upland boat basins, utility lines and attendant •
structures,temporary structures,riprap for wetland protection, or upland development.
I have no objection to the project as proposed, but do not wish to waive the(15')
-- _ setback requirement.
•
I have no objection to the project as proposed and do wish to waive the (15')
setback requirement.
I object to the project as proposed.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by property owner proposing development)
11419 'SO..ovalY , Walk-wet,
(k..ocYS r. e . r. r
cikaA
QlcAcocreN.
(Information for Property Owner Applying (Riparian Property Ow er formation)
for Permit)
(7SO CVerWWS K)&Jail
Mailing Address Signature
\ �lSl� hi a,.k) LList)
City/State/Zip Print or Type Name
c2isa- 531- Od- 33 - 957
Teellep_honnenNumber Telephone Number •
)--\ e4S.L-LA SII4ALL
.
Signature Date Date
7/23/2008

•
•
ADJAOERT I'ARIAN PROPERTY OWNER NOT FICATmiO#d(byANER FORM '
CERTWElE All, RETURN RECr pTREOUESTSD'ur4AODp JJVERY
•
• 7 Stp portwtr to be as tSpieta 9 by owner ar t3*el ageni�
Na-N of Probate t) '. •s -t711.0 '' '+' 4 ._Y`t ..
dt tPpoC _ tc 't ' 7rt
S.:ta5bg Add*ass of Milan 2 f lJ���1a �su t It
•
t}vr+rersen+o7.,,;;� _ '-.- k`1 ' r'sPrec ' f..R- + .?v*- 03.+ •
" :M.3erta-s Nam ,...- A=lent Pnoniat- 4 . .
hx
ei..
. iswas Emir .4 . ...
s
;+�E95tAGENTRtPARIAR PROPERTY OWNER'S CERT4Fi'AT)4tl
LSnitcpt-prnhfen to be comptr~.tc-J U,.the Adjacent Ptoreiity Ownert
•. {hemtry cettlyUWh tewn ptoateny an;:uont kitbe?trtwe se+ererrcesl proonn, 'Ck}rtrirN:dual appyin9 +n€ns, ' TM,, ..
pam3€E nas descooed tne,as shwa;on tha atLa tac 4tawin9,the ,e•ts uttent they ate tropas;anc.A
. gevcr(oyoo ortna�tt)c+ -tarot siOns,tia '.t rq{..,-r..d_nitnthes;,enes.. �,
,` r
'Do:,vtOrna'votOottons to the proposal . I DO10,0o abJsat3Ons w€ S propos* l
ii you terra a fectcras to what is being propdsed, you must notify' ,C, Drristen of Coas• tal t
,M riagement(Dcet1 to wvrttin2 within td days ofraceipt of this notitt,; Correspondence should ,t t ,
-, malted to.9d3 W'ssftiingtr n Sonata Mall. Washington, NC 27Q99.DChitagresentaf7ves cars afso-tte
contacted at,t254 9d6.9tat.No response is cposldered the same as.t#p.oe)ecttoft If you have beets , k'a '.q rbtifedby corafred Mail tsi 1i'
{Y �" WAtaititstonoti i
yra .i onddrs:and that any,nrdpnw.tttl pled,dock.motto pilings,boot rang bse+' u ter,k'mathousesuft," t;. 't
. o- a1 ptont must be set brick e tl?4a'enswo diaanoo of 1 V'tt!rc my wren of(aims Annetta unless watt :pynad -_t,.
•� ` tftusdoesnotopplyranot'.khoodsornproprevintItftw€97,ttiyou+Fish[o"wac?sflt=~Ae'Jasck.youmeisf9fitRt ,: ..:g
egi the apCioprote e{ard +dery)
Na
" ,'; . t.00..isti to wa;ve,satr~talI g t c. I S'sectaaek . . R;�t �,
y�c �i'r ` Sd,+t tuiG+.ti t?,r/jaccrx Rrporr..rer rett�eufiy Qvamr i'
`U s a# i i s--tv9R- d
:''.44.A.WITM;ft do not wish to.vazra[tzp lb`-cetbackreQ-rc?n tr-inntivi the bank). •
,,lw
xki: 1 ~r= ",; tc,)rtaduro t#Aatate{�i, •
aci'en Property Cw o _
it
* , t 'i dhPrhmdnamc ufAapo: ? ti,
:.. �r�
z4;iiis Iinp Addles:tfl}9rARittti 7091 }3iRl + ate 2 G1 "llit e• ,v ' ;.Z? i.Y
' x .," ttPFO's emt ail: hlCt r tgowdoibo�•arnt ARPO's Phoned: zS`a.. • 1fg4'd/TH)
•
. ttt#,.j ,j.y�p[ ,+j,,t 'waiver is valid.far tap to coo yoariratn.ARf'O'a S)gnatnre* . •
t i OT
Revised May 2 f
u