85103B - Bailey, Charles

It")
/671" IJCAMA 0 DREDGE & FILL N9 85103 A C D
; 1GENERA Q9ERIVIIT �I �� Previous permit pJ/fl.
GENERAL rG ENE ® Date previous permit issued hl/4
[[]<lew ID Modification 0 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:
15A NCAC CD 14\ • I ❑Rules attached. General Permit Rules available at the following link:www.dec nnc.gov/CAMAruleF
Applicant Name CAST-hav-ti�C. 1�Ctl ley Authorized Agent s' s TA.ClYl4e CAenS'(:
11JJ �\ r //ff 11
Address
p ``?1 1 }4CW i r)y S ' e lnf Z N Project Location(County): 13.0 ctt„AS•-k'
City t'aak L State M C_ ZIP ?-*Sp R Street Address/State Road\//Lor#(s)
Phone#(1L5) 2Ll1" "(D/an `I31 llat, y t s 70l +,+ LN
Email f G1 t l eV S ./o� 62.1.>, .cicada , y,,e -&- Subdivision /L/f#4
City g 0a4_,, , is%C-- ZIPr.Y !-n�R
Affected 0 CW ElEW RCA 0 es ❑pmAdj.Wm Body got.c�-kz e'rce k feman/unk)
AEC(s): ❑DEA DIHA ❑UW DSPIMA ❑PWS ClosestMaj.Wtr.Body ?/1Ti)el) River
ORW:yesO PNA:3E 'n/ /o NIW. .6
Type ofProtect/Activity ins1a!/ l 2- I& A It" b s}-1) s — inn .e (.ht1�
€X1 grit-. 1jA�}�%t�4� a-' I t.4N c ceurcA ,eSr_J� ems+, l (Scale:Ill"bD')
Shoreline Length /ti to Z' pet -to cross. /s' $ ff,
Access Length glkL C-g
Pier(dock)length .....------*
Fixed Platform(s) ,,``
ar-
Floating Platform(s) n 1P AI
Finger pier(s) k`
Total Platform area ^ . Se41l tSIX I�/
Groin length/tt �,r)5 11 • l fit },on&1 TA
Bulkhead/RipmplengthIS &� OnEOU
Avg distance offshore .P//�� 4s)' ^C4 II
Breakwater/Sill XIS7yS9 B�)
Max distance/length �`l�Jtt,
r.
Basin,channel /
Cubic yards --e Srl lift 67Pfer
Boat ramp
Boathouse iign. 1 4')c(.fir L.Z-)
Beach Bulldozing -Th ix. r •Ixs wt.
Other htii!/l� W
f,v„fir+. &xisf;+.5 & j fee .31
SAV observed: yes (�+� l y aA fey
Moratorium: n/a yes
J ' • t /
Site Photos: � (((��� .-yro (�
Riparian Waiver Attached: 4Jb no /h to
/ / ll''
A building permit/zoning perm may be required by: /hWN Or 17/ok ,—,/
Permit Conditions it4- IS YYtais..611,./2 to h to rC(i (k eospk/ �AyPAM/NEUSEIBUFFER(circle one)
f ize5. R1pr�ph cant cog I , , hack 2 of tha)- a l/Qweeb a ` 7 See note on back regarding River Basin rules
_blipS• 1 f+�As%fy� Of •TN z/er, .. eor ,J/)Vbse//e a Hoek J• See additional notes/conditions on back
}�If14I been ii+l Ca+iwtf eae✓e.acL v,Iil� /s, sr'T ck 72P_ja) ❑
0 P rya 7-L-
AWN�++EOFSTAT,UTE-S\CRC RULE?AND CO ITIONS THATAPPLY TOMS PROJECT AND REVIEWED COMPL ANCE STATEMENT: (Please Initial)
ythcs W00 /Gi`rrt / �1I2/ •r.
ett q Appll PRINTED Na /) /I pf r
fl U(�1/�LLJf[f �� v.me
iaAi4c.(Pleasetcmd corn.nce statemett on back of permit•• Al
sta.,atur•
LLIIYY''tL55//� '1{1{//(/1 /XbI^)nl / 913 a 9- F oR01-2, - AS- Sim- " 2°22.
Application Feels) Check It/Money Order Issuing Date Expiration Date

k-STi
Av ROY COOPER
q;-t't'( 'sas_ e Governor
MICHAEL S. REGAN
Secretory
Coastal Management
ENVIRONMENTAL QUALITY BRAXTON DAVIS
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 Soft. 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.
1. 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. /
a Pre-project site conditions: / tr i ,i i ,—j c_t0 /a eta? 4/'
ID�G_f/?e f a
By your signature below you agree to be held responsible for meeting all of the conditions listed above d ve fy
th. II information pr.vide is co fete and accurate.
t
cer Applicant Pr ate. Name Permit Icer's Signature
Age ror Applicant (]Signature'�• �y Issue Date
CAMA GENERAL PERMIT tt: '�/33 Ej
Smte of North Garonne I Emtrcnmental Quay I Coastal Management
Washington Office t 443 Washington Square Map Washington.NCII8891252-946-6461
warningten Office l 127 Cardinal Drive Eel Wtlndngtor NC284o5-lsas!91O-796-013
Morehead city Office 1400 Commerce Avenue Morehead ory.NC 28557 1252-808-2808

e
�`°"t�4 I V(CAMA DREDGE & FILL N° 85103 A C D
a 3 Previous permit /'�l�-
a I GENERAL PERMIT
N
2Date previous permit issued // 1
ew I I Modification ill Complete Reissue El 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:
I5A NCAC CD • I - O ❑Rules attached. I l General Permit Rules available at the following link:www.deo.nc.gov/CAMArules
Applicant Name Char-k S 1 If y Authorized Agent Tim t S V lQ r l`•„ Co✓1 S 1
Address ! 3 t hick l(,y 'S 'Pe);+-4- L. N Project Location(County): 13 eQ‘...,c rc
City pOL'['" State N C- ZIP --fc Street Address/State Road/Lot#(s)
Phone#( ) oZ(.4} -ix?i.P-S L3 I 140.0. y1 S %-jZ•L.+ L&)
Email V1tC C]C.�ley s� beU.S . V'\e-TL Subdivision U/
``/,, lq --/
City g A'1'fn / i 7 C— ZIP pt '3 968
Affected ❑CW ❑EW [A ❑ES PTS Adj.Wtr.Body ge.c
— C_re:e_E 02)nan/unk)
AEC(s): ElDEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj.Wtr.Body ?;10 rh pet,ea R f /er-
ORW:ye no PNA/n)o �y,1Gk,..; `
Type �Prpject/Activitec�+y nS L 3/� 13/ l �jQa )'r'f
/I� S — DPI { LAP/u�
- �1
eX)s .--+g Je C - �-�N
i
co
coUcr. be it)G 141 (Scale:It(. ')
Shoreline Length (O Z pert -to cr 7 .r /S' S 0 cire. r-i.
Access Length '8/ItCAC •¢�=C`-
Pier(dock)length �_�
Fixed Platform(s) /'
Floating Platform(s)
Finger pier(s) liti1/4". Ai
6
Total Platform area xYl 6(.41k 13X(?=.
Groin length/# O },p �1���
�51411 • ir' to,C0 VIZ"
Bulkhead/Riprap length hz
Avg distance offshore QX� � LIPO '
Breakwater/Sill s�,g,5 a
Max distance/length �` ims„
Basin,channel H
Cubic yards ...-` 5f-i i *;e/,
Boat ramp /
Boathouse :oa . TV IZ LZJ
Beach Bulldozing �•,I,,/�� ivt
Other lv��f% '+ �&JtISt<ihs p _ w
r /� �d
SAV observed: yes V ! ct le12
Moratorium: n/a yes I y
- rJAt
Site Photos: � 484 ` ror (r
Riparian Waiver Attached: 4.5 no n -
A building permit/zoning permit may be required by: •-IALm1H 0 I` 17�
Permit Conditions I/o T I s ft I�,t/11.E) I0 f,�/h (�(, C. COcipi ^ TAR/PAM/NEUSE/BUFFER(circle one)
fi to• /'i I cak►� will hive 2- D� +AQ) a l/oWe J . See note on back regarding River Basin rules
61 i pS• 'I bi.x•► o f T �-L, Z pry,,-. 6 o l/gwie, 4 d)•
�t1/43 n See additional notes/conditions on back
O F q T11F
I AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
4-
lite_
dy
Agent or Applicant PRINTED Nanle P:L it'4 -Cs PRINTE me
Si ur "Pleas d compliance statement on back of permit" Signature ''
r� t�� w aoo. >-b��3 a g- r aozz a5- 5iine, - z°az
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 hive 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

/0"4,+t,,111CAMA DREDGE & FILL Na 85103 A :8 C D
a GENERAL PERMIT Previous permit +
Date previous permit issued l -'i
nNew n Modification In 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:
ISA NCAC .444 • I -O C) ❑ Rules attached. n General Permit Rules available at the following link:www.deq.nc.gov/CAMAArules
Applicant Name , CAN.GY-\.e <j 1.- c-;:t ' le y Authorized Agent , , <«,c t [ , S t rT
Address Li I Ho y,(�y/ S �n 1 t Ni Project Location(County): - • CO
City :/).,*"1"' State N C_ ZIP . cO'7. Street Address/State Road/Lot#(s)
Phone#Cl19)a'Zl1 f- (c ?SS i L I- -, L�
Email v'1 C\-Dc 1,C'y,---/;-;-' �C' (f '_t`,i...�:-t-t%, . Yl? T Subdivision CC
City ,- C. ZIP - 1 X6 D
Affected CW ❑EW n PTA n ES ❑PTS Adj.Wtr.Body .>.' (---}`< ,-- e- E' S aaman/unk)
AEC(s): I 10EA I_I IHA I I uw I-1 SPIMA n PW5 Closest Maj.Wtr.Body Fi rh l)C D R f1/e r-
ORW:yes/no': PNA:yes/no ;_,...IL„p- ``
Type of Project/Activity '. n t:91-) I "-' r 2,/:, ) ./ r .e S — 0'94V- L-41-1:.`c.--
-e/I S 1-7--e' . >uc� A ex l ' t )a i.i-vr, (Scale:l'1' 2D')
Shoreline Length / t
Access Length i j ! ( PVC' - C S ( ..0
Pier(dock)length j
Fixed Platform(s) ' )
Floating Platforms) 1
Finger pier(s)
I V
i _._._._.� -- /,
Total Platform area r. 1 S al 1, 19 X Is
Groin length/# { { "-'/'"a+S rN".. dilill
e e r 5'. boti� C 1
41 /r/ Y1��U
Bulkhead/Riprap length --14 ... r-._._-qt- ; I t ._..---.---U
Avg distance offshore ' X c 'Hilt t Y 1 I
- /- *
Breakwater/Sill sl r'73I r
Max distance/length i U�
Basin,channel +__ i _ . .,._„_._ _
Cubic yards — �
Boat ramp j , � .. G ) ,_
Boathouse/Boatil ,.Ir e T I i Z) . r. '!
Beach Bulldozing ( t : 90 c� t
Other t"
I
SAV observed: yes fto T __ _ — - „
Moratorium: n/a yes ! { 'i?y i.._ ,. 7
Site Photos: yes ,r1P.- I -.....,_._.... ; }._...... —1—i 1 T.._,-_...
Riparian Waiver Attached: yes no _ t�(' / , L 1
A building permit/zoning permit may be required by: !h9.i ' 0 f 6 T 4
// TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions tat ' S /I 1L)-01I0-(;) /0W�.' LA.)11 (. ^j?I( Et
r' /
/t.t 5 . )1 C(lot �tp'T I } ,,(/( 2- /),( +I 1/4 i, .:+I/3 . - a/ n See note on back regarding River Basin rules
Li 3 1 i)S. T!„1v: C l• ) 1-I-° 2(`L-1 X- C'b✓Y+''f'- - e, e.:7 jl .(p),
.i �� 7._ t (� ri See additional notes/conditions on back
b l) .•.1 Non , , L. /' / s
I AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
I
14'`S it le// (2'fhl 1)/
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name /
Signature**Please read compliance statement on back of permit** Signature
t-.:;-1, q(,7.;2._ - JS- `1,itie ' 2°22-
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

pOcw'sr",/, CAMA DREDGE & FILL No 85103 ABC D
GENERAL PERMIT Previous permit
y Date previous permit issued
)% New I I Modification Complete Reissue I I 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 Rules attached. 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#(_) r•l ~'
Email Subdivision
City ZIP
Affected CW EW PTA ES PTS Adj.Wtr.Body (nat/man/unk)
AEC(s): n OEA I I IHA UW SPIMA PWS Closest Maj.Wtr.Body
ORW:yes/no PNA:yes/no
Type of Project/Activity 'i•4±'// f i ,-`1 (..f.
i-7 ,-e r,- I 1 1( ;;l ,)/7 4 (Irryy; (Scale: )
Shoreline Length • k
-,r.-J` 'I. ,_s: 5 f.. •
Access LengthI ?e'SH, . k— Q f-L— _
Pier(dock)length i I I
Fixed Platform(s) {..--.-.—_ ._.. .___ __ i.____- j I
—
,,
Floating Platform(s) 1
r.
Finger pier(s) ' . `'
d
Total Platform area , , ` y t 1 A, f Z• t
Groin length/# j
� . r
Bulkhead/Riprap length j .r i+ ; II L�' C(il1 _._...__._.._
Avg distance offshore , c'r�y)6-;.
Breakwater/Sill f )I
♦ 1
Max distance/length 74",,,e i `"
Basin,channel ._.._ -T-"
— } t
Cubic yards
Boat ramp ! j .,rI.- ' .* ` . f .
_
Boathouse/Boatlift Z 1
-.__. i f 4.`c
Beach Bulldozing !_.___..,._. f_.__._..____
Other �.._ 4¢-�ti --1 — U k
v ti• ! f -�-t> P.c
SAV observed: yes no i I ' j is t7 T 1
Moratorium: n/a yes no I EX. ie, -"
Site Photos: yes no : _. __.__..w.._ t _.._......._.._l I ..__...__._..__ -_._. ,
Riparian Waiver Attached: yes no i , I j f ' .�
A building permit/zoning permit may be required by: r'L- ' l
TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions I
c.... -' n See note on back regarding River Basin rules
r� '-•;•L.4 :..
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

ICROY COOPER
Governor
MICHAEL S. REGAN
Secretary
Coastal Management •
ENVIRONMENTAL QUALITY BRAXTON DAV
IS
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 026.0233 & .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.
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.
a. 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.
m Pre project site conditions: /At— / /' f..) /a4/h A a
1.a.9,9l tree'
By your signature below you agree to be held responsible for meeting all of the conditions listed above d v fy
that all information provided is complete and accurate.
Agent or Applicant Printed Name Permit icer's Signatur
.,2g — F — A62z
Agent or Applicant Signature Issue Date
CAMA GENERAL PERMIT#: S/J3 13
State of North Carolina I Environmental Quality I Coastal Management
Washington Office 943 Washington Square Mall Washington.NC 27889 1252-946-6481
Wilmington Office! 127 Cardinal Drive Ext,Wilmington,NC 28405-3845 1910-796-7215
Morehead City Office 1 400 Commerce Avenue Morehead City.NC 28557 1252-808-2808

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onstruction, LC to act on my behalf in obtaining CAAIA permits for
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ADDRESS:PROPERTY �, 4
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Phone No.
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PROP .T1 OWNER'S&GNAT ;..,...,Z. 1/ Liza
ATJTIIORIZED AGE SIGNATURE:
TO:IN TETTERTIF
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TOWN OF BATH /— ;? 7' _ 2
BATH, NORTH CAROLINA DATE �S
BOOK NO. PERMIT FEE PERMIT No.
APPLICATION FOR: BUILDING PERMIT( ) ZONING COMPLIANCE CERTIFICATE (
Name & License No. Address: /� / Phone No.:
Al I/ `/�/i7.��;s,'72,r/r4de- /'�C1
OWNER C1,L/a$ ./k, c L; 4: cfi7rBr 19-dfl-eidet
CONTRACTOR `LS/I7gri 9e &fur)i' 4 A ik 0 :9:5a?'�`J��
DESIGNER
SURVEYOR
ELECTRICAL
PLUMBING
TYPE OF IMPROVEMENT
NEW ( ) ADDITION ( ) ALTERATION: INSIDE ( ) REPAIR: INSIDE ( ) MOVE ( )
OUTSIDE( ) OUTSIDE ( ) LOCATE ( )
Lot No, Block No. Building located at ,S � /?
between and /^OAt cccccc����Strreets. Building to be sed as
. Type Construction // 36 4
Number of off street parking spaces . Contains rooms and bath(s).
Total square feet of building . Electric Service . Type of heat
. No. of plumbing fixtures . Foundation block caps
4"( ) 8"( ). Corner bracing: Plywood ( ) other .Insulation: Floor
Walls Ceiling . Windows: Storm ( )Thermal ( ). How many exterior doors
. Water Heater: Gas ( ) Electric( ) Other
Roof Ventilation: Gable ( ) Eaves( ) Louvers ( ) Other . Ventilation
crawl space, number of feet apart . Height of crawlspace under house: 18"( ) 24"( )
Other . Zone . Water and Sewer Tap: Paid ( ) N/A( ) Size water tap
Size sewer tap: .Total Estimated Cost Flood elevation

BUILDING INSPECTION DEPARTMENT COMMENTS:
I Fair- L1Gf 1M �L+STI44-6 3047Mt(J
1 Al AO /5oar L/cc- AN ..Stun £i6Eoc AEA. - AU- fot rleas
OF 115 n6O Ltt" M,u5T7zeii.man fCpiste ,4g7bnot.u6
/tic, Lim
arr-rai cc 2 U
075 #4r720- T7.,taTerr Getz. c.emni
este0 UAt- T (mot xs� ,clam! . Essi NGDwok
GENERAL COMMENTS: 'it I _8 - , 1 x�
Crf u 5`. �n5`tet I I 110 Oc>` I.
AA Pin+- Form Ki!jilt S1.I
CITY LICENSE NUMBER: Z.i ��l
Contractor/A Electrician Plumber/Heating
Application approved by:
— nat.) a Zo ZZ
The owner of this building and the undersigned agree to conform to all applicable laws of the Town of
Bath Caro na AA
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Signature of Applicant
Effective 8/10/04, there is a $50.00 filing fee for all permits, including zoning compliance application.
Any construction that requires installation of water or wastewater services may:
A) Be installed by owners, contactors or
B) Be installed by Town of Bath Utilities Department
All components must be compatible with existing water/wastewater materials, including Myers pumps.
Bath Utilities Department must inspect all construction prior to services becoming operational. Inspection
fee is $100.00.

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I.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. (.... 1)- 6(M<.. r-S ; 41,
Address of Property: `13 I Iita,.,dt ),s 4 ;id G./1 . 1-)ii-/h iM (2.j k '
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Mailing Address of Owner. Lai / 44,-,icy S ?dJ'e+) Lys j2 /d/C �73d$ .
Owners email:/1/ :/te ..4 ,il/Sr ii.wdOwner's Phone#: t j-,,;?1--)7 /,/ S
Agent's Name i/,s 4/4i/1,. O,vfri5r L:4-e Agent Phone#:4J, - 71J--66
Agent's Email: '1h r 1)A(`Sil eti. i f,•`t
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION -
(Bottom portion to be completed by the Adjacent Property Owner)
I 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.
II DO NOT have objections to this proposal. I DO have objections to this proposal.
If you have objections to what is being proposed, you must notify the N.C. Division of Coastal
Management(DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 943 Washington Square Mall, Washington, NC 27889. DCM representatives can also be
contacted at(252)946-6481.No response is considered the same as no objection if you have bean
notified by Certified Mail.
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 of 15'from my area of riparian access unless waived by me
(this does not apply to bulkheads or riprap revetments).(If you wish to waive the setback,you must sign
the appropriate blank below.)
I DO wish to waive some/all of the 15'setback / '�
Signature ot acent Riparian Propy Owner
-OR-
] do not wish to waive the 15'setback requirement(initial the blank)
Signature of Adjacent Riparian Property Owner. -#e--)
Typed/Printed name of ARPO: )i r7 P. , 11 1!) ) '
Mailing Address of ARPO: �lc2 3 / i i� ai)'< ✓ /J> /11 1 Y'� /a It-2 7&7
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ARPO's email: ARPO's Phone#:,,C S 2--'c}D 2- cellI34
Date: 0 7 Z *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 portionor to be completed by owner or their agent)
Name of Property Owner. E ,i, µ r�j'i b ; /r.).
Address of Property: �I3 ! ii74 s i' ) �5 ) . -4 /_✓> . Th,ry7ti III/1 '- �t2-
Mailing Address of Owner. t-I J 1 "i A.-,�v ,5 .)1?:.,�,� as/3 l J:)(9. .
Owner's email_t./ .(y�;jiy, •� j/<,,-71.,•,. Owner's Phone#: :,,.(.--.,_ �1 '"�;%0
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Agents Name_ . Vii?" 64,5Y Z&-L Agent Phoneti:C :Y,,- / f,.37-4‘7f
Agent's Email: r{I A(&161; 0 r ?
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ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION -
(Bottorn nortion to be oonloteted by tlpe Adlacent Prouty Owner)
I hereby certify that I own property adjecentto the above referenced property.The individual applying forthis
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.
XI DO NOT have objections to this proposal I DO have objections to this proposal.
1f you have objections to what is being proposed, you must notify the N.C. Division of Coastal
Management friC.IM in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 943 Washington Square Mall;Washington,NC 27880.DCW representatives can also be
contacted at(262)946-6481.No response fs considered the same as no objection If you have been
notified by Certified Mai!.
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 of 15'from my area of riparian access unless waived by me
(this does not apply to bulkheads or riprap revetments).(If you wish to waive the setback,you m ' n
the appropriate blank below_)
DO wish to waive some/ail of the 15'setback
. / i...,
Signatu "Adjacent Pipette Property Owner
-OR-
i do not wish to waive the 15'setback requirement(initial the blank)
Signature of Adjacent Riparian Property Owner. ��^
Typed/Printed name of ARPO//: �iV/7 / 4-V/1- h0J V
Mailing Address ofARPO:fin c/ 1. Aeon! `Rac-- C,(,%,),L /✓C..— 2.7606
ARPO's I:i47111+- "tY ill Saxes) ARPO's Phone* fig-b rl i( -Q 24 3
Date: M'a ii- 'waiver is valid for up to one year from ARPO's Signature'
Revised July 2021

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Beaufort County, NC GPIN:6653-13-9098 LAND_VAL:167808 PIN_1 :06007959
GPINLONG:6653-13-9098 BLDG_VAL:92998 DATE:1/6/2011
NAMEI : TOT_VAL:260806 DB PG:1741/00679
Disclamer: cI. t (eM Ch.a..10 TAXABLE VA:260806 STAMPS:
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available and without warranties,expressed or implied.Content published on ADDR I P.4.1114X-203 PREV ASSES:275644 REID 1:35323
this website is for informational purposes only and is not intended to constitute a
legal record nor should it be substituted for the advice or services of industry CITY: 101) ACRES:0.22
professionals.The County of Houton and the Website Provider disclaim all
responsibility and legal liability for the content published on this website.The STATE--fVCs'.... PROP_ADDR:431 HANDYS POINT
user agrees that Beaufort County and its Assigns shall be held harmless from all0
ADDR2: LN
actions,claims,damages or judgments arising out of the use of County data.
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