85003B - Barnes, Tom & Andrea

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°``°"'�` fCAMA I- I DREDGE & FILL 5 N° 85003 ABC D
3111
GENERAL PERMIT ° # 1 0 5 Previous permit
Date previous permit issued
I_J 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:
I5A NCAC T-/;( ' 1 n J n Rules attached. I I General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name ThP" •-:f' is r�_IL)A 4 At- f5 A K-r\)E- , Authorized Agent
Address 4. 4-( l-A lei K-i=D f''y-) "TZ.0 VD Project Location(County):
City 4 A te)oo O State P D ZIP - D 1 ' Street Address/State Road/Lot#(s)
Phone#(2_ 343 1-3? -
Email '- 'T'tt 4,J 412.T --A L)11 V Z.1rf OP--T Subdivision
Andr.aa ' ‘afr,W s b w•l>,1. r�t)0M City ZIP
Affected n CW n EW I PTA I]ES n PTS Adj.Wtr.Body (nat/man/unk)
AEC(s): n()EA n IHA n UW n SPIMA n PWS Closest Maj.Wtr.Body
ORW:yes/no PNA:yes/no
Type of Project/Activity )'-1 S
i, • (Scale:, ,• )
Shoreline Length 1 4-
Access Length '.) I f --: _,_- .- I ( , I
Pier(dock)length
Fixed Platform(s) I f 1 I I
—.— — �—
-1-) - "s•.. ,
Floating Platform(s) — III
i
Finger pier(s) at..„
Total Platform area _
1I
i 1
Groin length/# I ^ I II 1 I I I ! I ( `
Bulkhead/Riprap length - 1 -.-... 1
Avg distance offshore — 1 1_
Breakwater/Sill ( I • - + � r- ` •
Max distance/length I ' _ _ _ ! .t—Li_ I- — :;. .•• ,f 1 a ! , i-,-y
1
Basin,channel
1
F
.-..._....- i'' F .....-..-... ..._..._....—. '— --.__._..__.._-•—
Cubic yards
Boat ramp ,,..., ,
Boathouse/Boatlift _ .-v Q �.2,
Beach Bulldozing + `----
Other _. 1, y -r; l ,o-1 r, I t.r ,,. 6.r... 4- P aN-p£�?_
1 t- f
:':•. � � 4ti-}� r � , 1.
' l
SAV observed: yes no
�'J ----- '''. •1. 1. =r
Sit
Riparian Attached: y no i I 1. 0 3 b -` �— • , '' 1
f
es no -
P yesI i
A building permit/zoning permit may be required by: -- -
Permit Conditions n TAR/PAM/NEUSE/BUFFER(circle one)
nSee 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 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

°`;`nr%, qmI ICAMA I I DREDGE & FILL I No 85003 ABC D
. = GENERAL PERMIT T Previous permit
Date previous permit issued
_New Modification I I 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 Rules attached. I 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 I I EW PTA ES PTS Adj.Wtr.Body (nat/man/unk)
AEC(s): I I OEA IHA UW I 1 SPIMA PWS Closest Maj.Wtr.Body
ORW:yes/no PNA:yes/no
Type of Project/Activity
(Scale:
Shoreline Length
•
•
Access Length
{
r
Pier(dock)length P —' — '
Fixed Platform(s) ( a
.-w-._ — — .
Floating Platform(s) + } •
Finger piers) _....._ ._._� _, ... .._..... I .. _. ,.......
j
Total Platform area t i ,
Groin length/# — — 1
Bulkhead/Riprap length f L._�- — ___
Avg distance offshore — ; + ' _
Breakwater/Sill
Max distance/length I `` ° a ' 4 y '
• } 1
Basin,channel .
..__—._ _.._ _ _ _ __..�.
Cubic yardsup
Boat ramp ) a i' -•� ,*--. fi +0-". • Nil bs
� 1"',�--" \ { M :%,,l'y 3, "-• •
Boathouse/Boatlift
Beach Bulldozing I f + _ `
Other .,: N X'- c ,,,. 1 d' ,' w/'�.. :n,,p j ''tF'r'.'S�
SAV observed: yes no ; I �. �._ 4___�__.
„
+
Moratorium: n/a yes no 1 I -b lE'S' } , •# ''�
Site Photos: yes no I- 1 _- --..._..-�—
Riparian Waiver Attached: yes no I I I
A building permit/zoning permit may be required by:
TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions
See 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)
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

,AGENtAUTHORRATION FOR CAIN&PERMfLAPPLlCATIO ft
Name_ptli opgjtavnerRequestiniFemiiA -A To p i di®;ffiames
_ y r
Mailing Address;, :- i =or OQid - -- --
r
otr we ta rail
Phone Number:,?, (240)393_7337.
Ertia11 A"ddiesst m.a!t6amesc�msn cninu ___�__-_ - _.
t cerbty 1haC :liave'authotized Ste iWM:}avennport>._ _ .,
Ayeii►f cirtOttor'
to act on my;tshg f;for:tt►e purpose.ofapplying•for otitaining_ali CAMA•paint*
nesessa_ry for;the;tattowttig_proposed!deveiaprtient: IrttnaltRtp__Rap butliheadEacross lhe__
a«pss.ChesTiOre;lncluding;htl saria''aril;grading
at my,propedy lodged at TBD NC e,32.NORTH,ROPER,NC Z7t370
.WA$HINGTOI Gouolyi
L f fuithermore ce'rfr7y that l am aulho rzed &;grant, arrd-do fp fact grant peimtsslan,to
"Drvlsion of Coastal Manager�rent staff, the local Pemtit.OIffcere 0heir agents to enter.
an the'ahrrernenboneditends, with ovalda7rng fnfoimatlort related torHiis:
perrrril,eppllrsaffoi%" _
Propotty Ownar loormagir;:
Srgnatrua
• rrSeS ' seavn
ate;
'Ttiia oertificaRon:Is vafia thraugn,__ . _ --
_

N C:.OMSION OF COASTAL MANAGEMENT.-
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATI115NWANERIFORM2
.CERTIFIED MAIL•'RETURN•RECEIPT-REgtJESiEU'a►HAND.6EUVEit
(Top'portion,to'be'comptefed by owner ortheiragent)
Nsmeoeetoperty owner_'Tom Barnes&And(ea Barnes_ _. — --_— -- - .
_ TBD Hwy NC Hwy.32 North, p&Ro NG27970 _ress of-Fupesly:
MaAineAtldir�nofowner 441 Roa&Karinlogd,:Md-20776
:Owne- rean..AndreaKBames@msricom; aivnersPtronetk_'(240).393- 337: _.__
-Agenfa Name Stewart AgS Pfioireil [phone]-- -
_: a smdinci *r
Agents Emaiti . - -- � --';ain --_ - -
V - -� - • - __
AD*CENT-RIP,ARIAN.PROPERTY, INNER'S, OMFICIITION
(9ottom poition-tb he completed hr dio Aillaeorit Proriortv"Owriar)
• I heretiy certify that I t Tin propeity.ad1Patto the she'll iefetaric04;fapeny Ttse irtifividuet1.101ytp9for QUs
penn'it Figs desrnbedJo me-'as shown onth'e-altached`drawing, the,development they ore proposing:,a
dresaintion.ordnrwin4 unlh d'miensMns'must be.provided wIth this Fetter
XL
I DO NOT have otr,'acti ns to this.proposal IDO Nava;Pbje tld s to this proposal.
((,you have•abfectronsto..what•is being-proposed, you'must'noflty tho:M.0 Ohdsfon,'o!Caastal,•
Management(VCM)In;wiling within,10-days of r®eotpt of thfi notes.,Coriespandeneo shouldhe
rtialled to 401 S._trifler St.;Ste 300, Bhatiatb�tfty,;NC 27909 ,DCi11 rapresetrmtIvaq:ean etso
eontact@dat(252)_264-3tl01.No response lseanslt(atod the same as no cbf ction if you have hoenn?
rottRedtiy,Carh'fi�d f1faU� - - -
WAIVER SECTION
1 understand thataniiir05osedlot.p .inooring Pilings,boat ramp;breakwater,-boat Ouse,li t'or
groki eiuetbs setback a minimum distance of 1 S ftaro my area of nparran access unless waived pi me
(this does not applyto bullthCadsar riptap revetmehL).(If you wrsh to'weive tire setback.-you must slat
thaapj*Wili blank,below)1"
I pD wish to waive,satnofallnf the-15:sethack.
;Sisnature orAdra_ent Ripsrfart pfoperty_owrier
Ido,not with.to wah a t#?e 15 sethack,roguirement Qn(tielthe blank) _
,Signature of Ad;ecent Riparian Prapeerty Owner '( -
SypedlPitntsd nerri®:of ARPO; I re ' r q +1 fF
101.
Soy '- -
.16tafn9 Addroas of ARPO:, (-5•b ci c N C i-t kiv Z --� �o . N C-21:9 TIP
ARPoaamain'�trlj SKyfl� Crsi . AfiPO'sPhonti# ' 9(q yU- ifIfT!_
Dalai rywaivorIsvalidfor uptoone.yrrartrornARPO's3ignatuft,
Revisedi1u t202f

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. . 4-17.4DivitioNor.dosTALsivoctmENT;
ioi4doitiftwAitiAtOtitipki,t0:01NNER NoywipAttponewAlygg:Foam:
feutriFito:Mik..RETUari kgckst7FititititStEtitiii.HAkbotuVEAt,
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ci!hitne#7701Rperty own- gr.Witir'Beri6,513i,e,u:icl ea:a:P60'1S-,
Adifress 4F4upay;, .triTbittlyot K210i:ali„Fipperi 66066'_ _
g•migkiiiisai-a-c-nerui-E.—.4 l'ariViind_Roiid:tie. -iiiiiliiii;.md:iciti6 _
:owners initil:-AnctEti filaginsItecill Vignees•eiwniti;:.(.?4c91.?93:1Pr
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Acirts Name:,§*.E!,t'14 PEPt913P9S A9ent - -- 1252),3944015•
Agnnisait8r011.c.161.11n.c9:rn; _„ . _ __ _ _.
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ADJACENT RIpi,kRIAT.4pi3OPERTY...,01PiPipt!..cEKIIFIPATIO4
(13bit:cyniwitiitiiiTto iiiirthirialetild likitini Ad I/tient.Properly Oirinbr)
,._, „., . ., .. _.. ,, :-.. • . -- ---...._,... ,..., ...,,,.
I hereby cenifithitrt own property adiecerctio ma above nitiniiinr4 iin4i.0141,tie.inclw wInnte,Iyaing fcifttlii
'permit haildericribpd:4 rn .,iiin-.-ahf0/6"orr.thilaitilairicf.cinnvirij-,t,,thri;dayaiiipniint,i1Wpfe;prppOin-p.@
des-a-intyrii" din*Winii:-with Eihniii-tikini,irniiit benitiikinic tiiiin niiiiiitint`
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wigikkirottmcall.:InTsfiiittiig Wiefilp10:0aysloffeciitlgofOkiiiitico.,litin*iiitdeniq shoulda;
diatred,tri 401 5.-aditilet.;-:S.t.e.404,Eitietietes',CiticNg;:27002:(0;fif kiktiatkitiiikie*OijiCiitab be;
clarretait at(252)260901.Piii*itiOlele iiiiOcrol.01,the.0#0M;:ao objection it koultivabeitn:
ilisifii0.0.cot:ROO:Mill,
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-
. .Siipiattire'of'Adjacent Riparian Propaity,Owner:
,— __ _ -,V1) -- '-. --- -''' -
riCU-P7rtritiittliiinikidARC9ii--reeroger - I. : . ._ --_- --___ , __el
IlliiitlittWsigiiiiiiiilAtirgi- .3-761_1#EV74 r .do:Ce,t.
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winFts-011mpg,,lir, • , 416.7frf ARPO's Phonat--- er-r- . ': ' . '
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