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°``°M'"` cl ICAMA --I DREDGE & FILL '2x5 No. 85112 A B C D
oPGENERAL PERMIT t014 -305�
AJ
I 1New I I Modification ri Complete Reissue I Partial Reissue Previous permit
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:
I5A NCAC I Rules attached. it General Permit Rules available at the following link:www.deq.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 CW I I EW I7 PTA ES I I PTS Adj.Wtr.Body (flat/man/unit)
^
AEC(s): OEA IHA UW SPIMA PWS Closest Maj.Wtr.Body
ORW:yes/no PNA:yes/no
Type of Project/Activity
(Scale: l'?cip)
Shoreline Length -
i I +
Access Length
Pier(dock)length I i
• t L—�
Fixed Platform(s) I 71. 1 --)f .-, rt—
Floating Platform(s) I I r I
Fingerpier(s) T___..__. —_ I
Total Platform area r I :4
Groin length/# I i
Bulkhead Riprap length 1 � ✓ '
Avg distance offshore - I , c u���,. /1 ,, yn • . p'
Breakwater/Sill _ ,, Var. '-may '---i~.,,.,` i
Max distance/length I
j 111
Basin,channel - z j i j 1
Cubic yards ,,}- 1,--' l'
1
Boat ramp (�I r -,.i I ; t �.
y Boathouse/Boatlift ! ♦ c-/ '• ,,<1 r I--It eel.,
f
Beach Bulldozing r �h
Other
1 1
SAV observed: yes no I I i ! "
Moratorium: n/a yes no 1 ?
Site Photos: yes no I -- _L
Riparian Waiver Attached: yes no / . I I
A building permit/zoning permit may be required by:
Permit Conditions TAR/PAM/NEUSE/BUFFER(circle one)
See note on back regarding River Basin rules
II 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 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

�o�°`t°""4 c CAMA DREDGE & FILL ) � 85112 A B c D
GENERAL PERMIT T a 5� Previous permit
Date previous permit issued
New Modification I IComplete Reissue I IPartial 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 I I Rules attached. [ I General Permit Rules available at the following link:www.deq.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 EW PTA ES _PTS Adj.Wtr.Body (nat/man/unk)
AEC(s): I I OEA I I IHA UW SPIMA I I PWS Closest Maj.Wtr.Body
ORW:yes/no PNA:yes/no
Type of Project/Activity
(Scale: )
Shoreline Length
Access Length K
Pier(dock)length
Fixed Platform(s)
_ —r
Floating Platform(s) I
. _
Finger pier(s) _
I
Total Platform area I•
Groin length/tt
I I •
I / I.
Bulkhead/Riprap length I f _ _— -_..___, 1
Avg distance offshore I
Breakwater/Sill L;
Max distance/length • 1is 1'
Basin,channel ' 1 •
_ II ) • I }�
Cubic yards ti - I I
i
Boat ramp ' ,f'.
Boathouse/Boatlift i 1 *3• /[,,, i
Beach Bulldozing I -- _ '1
Other
. . . .
•
SAV observed: yes no 1 l
Moratorium: n/a yes no
Site Photos: yes no I I +
Riparian Waiver Attached: yes no ' : ,
A building permit/zoning permit may be required by:
Permit Conditions I I TAR/PAM/NEUSE/BUFFER(circle one)
See note on back regarding River Basin rules
II 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 St/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
C
Governor
.N.
MICHAEL S. REGAN
seaerary
Coastal Management BRAXTON DAVIS
ENVIRONMENTAL WAIT! Director
• BUFFER AUTHORIZATION CERTIFICATE FOR SHORELINE 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.
1. 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.
3. 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 t
providing a temporary ground cover. Newly seeded areas should be protected with mulbh and/or erosion matting.
This ground cover is a temporary measure used to address erosion until site restoration can be accomplished.
s. 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 ata stem density of 260 stems per acre.
Non wooded sites may be re-vegetated with woody vegetation. Restoration must be completed by the first
subsequent planting season(November 1 through March 30)after completionp of the bulkhead.
• Pre-project site conditions: LOT ;5 �,t;� ^r o t , tAy 1 'kte
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 above listed condi ' ns and verify that all
information is complete and accurate.
.)aired gem •
entorgppllcant Printed Name Per t ficer'sSignature
(A�'J le at Z7i
gent or Applicant Signature C ls ue ate
N: fj CAMA GENERAL PERMIT f/Z—
State of North Carolina I Environmental Quality l CoastalManagement
Washington Office 1943 Washingtonsquare Mall Washington,NC27889I 252-946-6481
Wilmington Office 1 127 Cardinal Drive E¢t.Wdmiugten.NC 28405-384S 1910-796-7215
Morehead City Office 1400 Commerce Avenue yorehead City.NC 28557 1252-808-2808

•
•
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Les a Apsue_
(Name of Property Owner)
property located at ad ecktad lint
(Address, Lot, Block, Road, etc.)
on
clew con Creek , in of:e44.1 tic.. , 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
(Individual proposing development must fill in description below or attach a site drawing)
0'5 ofr Run?
8.0
\per
wctt
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.
(Property Owner Information) (Adjacent Property Owner Information)
Signature Signature*
%1e/ten r L.ea r y
Print or Type Name Print or Type Name
S(3 Col toared Ln •
Mailing Address Mailing Address
Orr P_ntq / AJC 2 557 /
City/State/Zip City/State/Zip

7 _- i

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Li$c Ass.. 's
(Name of Property Owner)
property located at '60 eswd (cat
(Address, Lot, Block, Road, etc.)
on Oc..io.0 Oak , in o,:t+'fj rvc , 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
(Individual proposing development must fill in description below or attach a site drawing)
n'•f3.;4
"p
rye,/ trcl%
WAIVER SECTION ,
I understand that a pier, dock, mooring pilings, boatt: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 initiafthe a{ipropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property
) pOwner Information)
2i( rel A. lj A L
R
fit
Signature Signature*
.Pi tckascJ EA' A P
Print or Type Name Piipt or Tyg,Name g
Y 4� .' 'i ,If ✓mil,
Mailing Address C / "#0.79 /v L z a Ps 2/
City/State/Zip Cittyy/State/Zip