85119B - The Boys LLC/ Hale Stephenson

lax
"..///..`���°��'`B��'"� AgeMA ❑ DREDGE & FILL =DI+ 1-0435 N9 85119 14
1 A ® C D
1\* GENERAL PERMIT Date
previous
Nslk
�`�_ JJ ,,��//GENERAL PERMIT Date previous permit issued !pi I L{
\R/ RNew ❑Modif cation ❑Complete Reissue II 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 014• IZDD ❑Rules attached. ❑ General Permit Rules available at
ttytthhe following fnkswtw.deannc.eov/CAMArules
Applicant Name S� c f l44 F 4TE P'1UN6DA) Authorized Agent TS tS f s r't 4 n.. C6v +'
Address o71)pI/( Ur`/5re�tok e Ori �1 a Prolect Locadon(County): Seaurco ray
City GretYvit e. State N` ZIP aTsts Street Address/State Road/Lot#(5)
Phone 1# 1-lit- —06t1S'7' �ii AM Rio et I?(ate.
h Email 0.IPts4etI,'+evsscr &L'a b� �ai'•cmw) Subdivision AgA
Oty fA egAitih9•{on LP 24RS
Affected ❑CW to PTA ❑ES ❑ns Ad).Wtr.Body Thai i" c River- Da nan/unk)
AEC(s): ❑OEA 01HA ❑UW ❑SPIMA ❑PWS Closest Nal.Wtr.Body 73.17,21 Go ?tiller
ORW:yes, PNA:ves/ o�
Type of Project/Activity% M '// eca X 1-4'5/pi er f 25'ex/(o I'pc.4 Catty ettgel.“\ ";14.1..41-w.
ry seht, pills" / bear j7/(A js arm/ pier d- . 11 vial_ t< IZ' loaPg�� .�(SSce:i'C bo)
Shoreline Length 9l0
Access Length it )vatrerr lilfh$S ,p.vv$ ca. Pilaf.
Pier(dock)length kst x11-5/ `
Fixed Platformis) u/tt I L' 4'1 i Z/o'/Ili:
Ib All r Lou Leta ono. 'ar-rAS 1, 11
Floating Platform(s) J ra 1.A.
s W l4Ys .That,
Finger pier(s) } I leak A VW/tayf I I `
Total Platform area (100.a—I-t boetH lr- . 4
Groin length/II
Bulkhead/Riprap length E4snvlok ewe$e,}Lnact_ ears,^) 1
ABr akwate/Sill distance offshore - �� �11 M
••
%,-,1
Max distance/length
Basin,channel
Cubic yards
r
Boat ramp r . r) N y..sk,Li ter'fl$54
/ tli
Boathouse Iltvre�C. XI;yaalb Ar pi�� LN
Beach Bulldozing / 1 /� /+
Other 1 - ELTS�'frsy �sy`S'/ `"„l�D/
Li /L
�✓ J %. r 4.-a. ei ».r fir ^t•,,... .. r'<•._• n dM/
.1 a1�=era '-il. rs_.-+•'� ,t1'`t/�
SAV observed: yes ® ��IOAk- 4 t E�7 Cs44•,S 'Rt,116..,a A 1
. Moratorium: n/a yes .Ca P Site Photos: yes cm. /y�(')
Riparian Waiver Attached: yes .t�y,Vl- �f� /1 -rite eat" FR0? /
A building permit/zoning ermit mayeb Wi cep. by,_M`eet 4'M r„ [ J.
Permit Conditions/_b IS mAf tl i..e, \o.Wn W/ a Cat.q Jr +'cct, V'TAR/PAM/NEUSE/BUFFER(circle one)
r - I1ea-TM a. ` 1 es a- t ' ate a,k � ' cal 'zee. I�8 See note on back regarding River Basin rules
�/4 e .'cur't . I .r jf. J e. ,r•-• -ack - _.i se 6.c.6._ t w..w w. b MO j ,.0 S i El
See additional notes/conditions on back
..e , �, Toy - 'nal nail)es -treat.
IA l •RE OF TAMES,CR RULES DCOND TERNS THATAPPLY TO THIS PROJECT AN•REVIEWED COMPUANCESTATEMENT. (Please Initial)
/ DbPlice t RINTED ame Permit OWeer's PMNTE ame
epeAd
Sigpat Pkale read colnph''a statue-lent on back of piggy Signature /'-) UST
i7 w '7 U '2Q�t f�'1'et 4 2-W o f/pt tt ` W 42 Z,9.a le il .''� 42
Application Feels) Check"/Money Order Issuing Date Expiration Date '

ROY COOPER
Governor
MICHAEL S. REGAN
Coastal Management •
Seaetury
DAVISEN VIRONMENTAL QUAL/1Y BRAXTON S
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 rev ewed your project proposal and has determined that the project as proposed complies
with the aforementioned regulations.
Those activities covered ty 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 :leering 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 oper-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.
o Pre-project site conditions: Zel- i i
S Thai—,42ree-,.eS lqu-44 t,,,/ 4 cnc, iQ
4- s
By our 'gnature below yo J agree to be held responsible for meeting all of the conditions listed abo e and verify
II/nfor ation pr.vid.: is omplete and accurate.
Alr
/ i✓/ Al. /
pplicant . 'rite•j?.me
#D#f
Permit 0 'cet s Signature
• p
=ntorApplican Signa,re
Q ( Issu Date
r
CAMA GENERAL PERMIT#: (/J 11 9 a
State of North Carolina I Environmental Quality I Coastal Management
Washington Office 1943 Washington Square Mall Washington NC 278 89 1 252-9 4y-5481
Wilmington Office i 127 Cardinal Drive Exc Washngton,NC28405-3845:910-798.7215
Morehead City Office 1400 Commerce Avenue Morehead City.NC 28557 t 252-808-2808

I
DREDGE & FILL N9 85119 A ® C D
GENERAL PERMIT Previous permit t3)IA-
Date previous permit issued 1J,A
vVNew ❑Modification U 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 0 1 i1 ' 1 ❑Rules attached. n General Permit Rules available at the following link:�www.deq.nc.gov/CAMArules
Applicant Name... /1 E `BCh's L C. j ALE 5` VE P' NSD 1J Authorized Agent 1 5 1S Mori p'i y�� Cdyt S 1
Address V 3 '^I, G4 c. GA c p Project Location(County): 5ea�4O r*
City IOretlnv;I1 e- State
N`� ZIP a E.$O Street Address/State Road/Lot#(s)
Phone#( 1-11F —0 (.6} AQ 2 RI v e✓ PI ate,_
Email {I gilt ei-S4'efe-Rvi Seirl e 6 YYICIA )•(O YYy Subdivision )0/04
City LL)C kJh g 41701ZIP 2_4 8 A C
VW �P Affected n cw TA ❑ES n PTS Adj.Wtr.Body MALI`//Co Rine,'" lj nan/unk)
AEC(s): IDEA n IHA ❑UW n SPIMA 7 PWS Closest Maj.Wtr.Body ? PJ4//co R-f✓e
ORW:yes,&c PNA:yes//� / p
Type of Project/Activity�l?S 1� (D X 116/ tre/- 25 X Ur,'/ ,cp,f' e_gal � c l'(' (a.4-%-Y.-•I lit /
Y►n c c[H�j i /I 1t 4 ht.(rp� 'pi-it.
h f� CAI oil pi e� �1- rII L.iik A. t�/ 1�,� (Scale:1 501
Shoreline Length 9
Access Length • C. bt„y'W" 'PJ(j htS P.^'A'crs -'...-
Pier(dock)length 10t X 11-5 // \, \
Fixed Platform(s) �/X I(e/ '/ r Sns}�1, 2-4/X Vs/ '-\
)b A 1` c - tre, arec. �l ak ►�",, ,.,j i k�
Floating Platform(s) 1 r I/ I Lp�f�gu d"��
io
Finger pier(s) I l t,I JC X IS'!earl
Total Platform area ydo Z 1 c:..1 -i i 4 ,L // e
Groin length/# ( ,n.,45 "Cre."j")
Bulkhead/Riprap length ` 5 L446.•c Ir.. 1 MQ•r ~` 7
Avg distance offshore yf,� Q
Breakwater/Sill �• r� 1`�`• )
Max distance/length
Basin,channel
Cubic yards ti nS Vi$1.}5
Boat ramp =', k"�t` co ,T•S�
Boathouse/'= .` iIk+(IS t X i3.'/av15 �� 17 r
,ipDr
Beach Bulldozing 6S1nh7 4-, ec.p/, n
y(t
Other . . `i/ ''I(u/A` q
SAV observed: Yes al 0�) ('1�,,�-{ EA f S44 hs 'Gy-,tk1- ---. • A
Moratorium: n/a yes ,r[y W��" vv o P
Site Photos: yes 41is //
Riparian Waiver Attached: yes CD ���I T'HE 114'Y S 13)Rb?
La-R
A building permit/zoning permit may be required by: Sec.c+'Fo rk C�•
LOT-
L l l/ TAR/PAM/NEUSE/BUFFER(circle one)
Permit ConditionsL!OT- 1$ 1�A1`�'Gp.--`.e. `a+-w'-. 14 G <<x f 'I mac, 1tr-
h I tek,�,�-( e� P i Cr �a/- 'p Ltd-0,-,4►•-� YID'- Cul �O/• ry 0 [ee note on back regarding River Basin rules
St"1 qWt epIAL-t Gr►/t,r 5 a .k 1
1 l set Of W 4� FT Seeadditional notes/conditions on back
kbw / t Stet c{U, f/•L� cr- "..7166 c-1 L -/r eJi4t LS qt.c D
14f—jp11•c -.1,- t ' I hQ're of t '. 411cwc Z Jjfprr roo,�'I ih,c,
I AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
46 I.4� 6,rarA y
Agent or Applicant PRINTED Name Permit Officer's PRINTS ame
I ,
Si t e"Pie a read co pliance statement on back of per it" Sinature ( LJ��
4'zpo , 1�05q-� A9 - Gird, - Z62.2 Z9 — L `-2V
Application Fee(s) Check ft/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,0`°"r"\fl CAMA DREDGE & FILL Na 85119 ABCD
�
4 4 GENERAL PERMIT Date previous permit issued
(l New El Modification fl Complete Reissue U Partial Reissue Previousermit
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 0 H ' 12-co ❑Rules attached. General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name-rm. 3C)YS /.-LC. /1Y LC: '- I 4_4,.. i. 7.)D I.', Authorized Agent S • c i •"f f�✓1
y 2, r -` , -Ql... tOT-r
Address 1 i C:C+ �" Project Location(County): •
City C'^` 1 l t- State c L.. ZIP >i�t C'`5-'. Street Address/State Road/Lot#(s)
Phone#(t--) S - 4-?,(am. 11� L r'.
Email ,-) ��(.0�-�-4c`A�'•.Ql-)Sc,;r� t• '' In1(Y1a I ) cc.,bey-1 Subdivision qA ,
1 City •t-�G1 })i1r+1 ZIP 2.3 S5c�
Affected ❑CW n W IPTA El ES ❑PTS Adj.Wtr.Body )OA(� n( man/unk)
'
AEC(s): IllOEA 1-7IHA ElUW ❑SPIMA n PWS Closest Maj.Wtr.Body •,Pk)I/( /(- [✓` r �_
1
ORW:yes/no PNA:yes/ho
1 / j /
Type of Project/Activity �JS/�a r (_' x ., . I/ , 'Is.\ •., c,:'-- y.—y,,,.
• i/iia 1 lr,,3- ,haul r ,< 1?,' I[ .e
1 Scale:,[f- 30)
Shoreline Length _ ++ I
Access Length �-)--�9 A� (7.w ---- �
Pier(dock)length ID! x 11-S � 3 l ) 1
Fixed Platform(s) c,1� 4tv
I
I
lv ,x,11v� P lJ t!r U Gl Y N G. i—_ _ } , �...... .T_, ,� ..._ I._..... _...
Floating Platform(s) ' _- -- _ r [ ,! ` �1/4 e '
-
Finger pier(s) III „ A �!/ i , --
IT,/
i -
Total Platform area (-11-11-410c4 11 I I
Groin length/# '4 ;. ; l• .jj ..<.:., ,l ) -
Bulkhead/Riprap length f' �._ ' _........ ._.......--i......... .._.. _._, _ j.._.j,.� .
Avg distance offshore C i r �"�a\
Breakwater/Sill � � �` � j ��
Max distance/length f
l f
Basin,channel -;----,.. .._.._ ,_ -.__
4 4 �. �-__._— + ---'_,1
Cubic yards a � ty
a
L
Boat ramp �5� 1 I .T•t�`�s 1 )
`� !w•Iyf• X I< i c j
Boathouse/'Boatlift'- i 1'•
Beach Bulldozing ��} .� t�
Cif.)f
Other I _
SAV observed: yes no, _..... -N c Oa C . ( _..__ c _ - A
/ yes9 � '
Moratorium: n a nq� / i I 1
Site Photos: yes no --- - --�--4- -_...._.._ �i ; �-s
Riparian Waiver Attached: yes no_ _ l' �) 1 1 'f'Reet , _ .
A building permit/zoning permit may be required by: ` .
Permit Conditionsu
5 .•I l,`+ !;,. h ..+.. v Cr TAR/PAM/NEUSE/BUFFER(circle one)
)-a I A. r1- , , 00', N L fl See note on back regarding River Basin rules
I ��e
.j{"/c-. [{-LAe c +�l -e \ v,, - I L, ••i'k,,,. ' - `-:• --c�, F..L C. cr,,.......4( See additional notes/conditions on back
Gr a �'
./. / / 1 . 1 n b k
k.0 s;,-Y/r 5t 4 . C, - ,,. ° Nn, elf' \ (. i T. - /r t/,, . q,:rtr): :
. II ).", t
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
Si atu-e"PI a e read cpmpliance statement on back of permit", . Signature
Lk
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

A CO N9 85119 ABC D
o� A3T4� i 1CAMA 1 DREDGE & FILL 1
GENERAL PERMIT Previous permit
i " Date previous permit issued
>-•:". I I New I 'Modification Complete Reissue fl 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 Rules attached. General Permit Rules available at the following link:www.deq_nc.gov/CAMArules
Applicant Name Authorized Agent ,
Address Project Location(County): j
City State ZIP - Street Address/State Road/Lot#(s)
Phone#( )
Email . .1 < -,�-.," :CA :-• Subdivision
S City ZIP
Affected 0CW EW PTA ES PTS Adj.Wtr.Body ,! (nat/man/unk)
AEC(s): n OEA IHA UW SPIMA PWS Closest Maj.Wtr.Body ! r r RI I ./ /
ORW:yes/no PNA:yes/no
Type of Project/Activity.,-fl 1
1
T), i j t ! f.. f c_>r,c, (Scale:. •)
Shoreline Length /:a. J be-c�f f't (-
Access Length =` L�yr,p e 714'^�'S t� -+-5 j 1.. i. •
Pier(dock)length x )1 S _ i i -Ai -- '
l _
Fixed Platform(s) I!,- 1 -r Z X IL: s.:
Floating Platform(s) F !fat .
z d G t
- i • 1�. )4
I j
Finger pier(s) ... -. :..s I -----1
-�" _ .
tr
Total Platform area . . ,c/>o►i-lii 4: 1 Y AI I - j
l I 1
Groinlength/# , z1;,,hA�.,'� i
•
Bulkhead/Riprap length j V.._......__...__ ._.Ara --t -_.__..__.._..__,_ __.._..._
Avg distance offshore f - d t , ‘<.* '
1
Breakwater/Sill i j l •, i t
Max distance/length { 0 f I
I I i _
Basin,channel t i`" `
a _ _
Cubic yards I — #S r — ..
y
Boat ramp .I-i,...�.. rt C .-' 'T'47)
•
Boathouse/Boatlift jn, j
Beach Bulldozing _ # '!' i `"� 1 !__._..__ —,(
Other I i,
111 J f i tI 4i�.,,. "i 1 f
SAVobserved: yes no , r, ,,(( IA p 1 `D i `.3 f—_
Moratorium: n/a yes no • ` ` !! j
Site Photos: yes no ; -- �� . _ _....._._._
Riparian Waiver Attached: yes no ' ('-. T .-. :f5c.y < i'tx c�
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
See additional notes/conditions on back
tT-r 7.
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:
ar—.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: Berrie, 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

IC
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
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 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.
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.
® Pre-project site conditions: LET" j s Ma;—,fa (—uJ )c c, E-.-pt.e_
-}-c c s
By your signature below you agree to be held responsible for meeting all of the conditions listed abo e and verify
that all information provided is complete and accurate.
Agent or Applicant Printed Name Permit 0 cer's Signature
33g4b2N
Agent or Applicant Signature Issu Date
CAMA GENERAL PERMIT#: $5 f( q 3
State of North Carolina I Environmental Quality'Coastal Management
Washington Office!943 Washington Square Mall Washington.NC 27889 1252-946-6481
Wilmington Office 1127 Cardinal Drive Ext.Wilmington,NC 28405-3845 1910-796-7215
Morehead City Office 1400 Commerce Avenue Morehead City.NC 28557 1252-808-2808

fr AuthorizedAge ConsentAgreement
e, �herby authorize Tobin JeY Te
(Property ,» ttertba of
to act on
TJ's Marine Consdvetion,LW ,
my behalf in obtaining CANA permits for '
the location listed below.
PROPERTY AADDRESS!
PROPERTY OWNERS MAILING ADDRESS:
7/ Z7,p&O
PROPERTY OWNERS SIGNATURE:
AUTHORIZED AGENT SIGNATURE: O j e•
S
BIN TETTERTON
DATE•3 °J 20 z z
W/Amho;zalAssnconsms •

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT.RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL• RETURN RECEIPT REQUESTED or HAND DELIVERY
IT
`'op portion 10 be completed by owner or their agent) 1 !
Tie' C2C `7S I,CIC _Name of PropertyOwner.
�t�
'Address of Property: . 2fi3 GZ I t1(�(2- FC 4CC
Mailing Address of Owner.: 00 .QL.bC-1,,'f'G4 f le ' 6err -uJ a(C..
Owners email:k�(+t.IES4Qheas4 a4' 10 ers Phone#: ✓S 2 ` Ff%-- � 'I^I✓��t`- --ws t
.Agent's Name:./.r�7:-420/n',i?R.,.eignSrZhe AgentPhone#:C9CYCQ-913—ark
Agent's Email: r 'ilb:n L t sn 1, (JQQ.. _ ' . j
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION I
- (Bottom portion to be completed by the Adiacent Property Owner)
I hereby certify that I own property adjacent to the above referenced property.The individual applying for thEs
permit has described to me, as shown on the attached drawing,the development they are proposing.1A
description or drawing,with dimensions,must be provided with this letter. i
XI DO NOT have objections to this.proposal. I DO hale objections to this proposal. if
If you have objections to what Is being proposed, you must notify the N.C.-Division of Coastal i
Management(DCM)in writing,within 10 days of receipt of this notice. Correspondence should tie { ,
mailed to 943 Washington Square Mall, Washington,NC27889.DCM representatives can also be
contacted at(252)946-648f.No response Is considered the same as no objection if you have bedn
notified by Certified Mail.
, I
WAIVER SECTION
('understand that any proposed pier,dock,mooring pilings,boat ramp,breakwater,boathouse,lift,or 1
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 skin !
the appropriate blank below.)
I DO wish to waive some/all of the 15'setback
Signature of Adjacent Riparian Property ; er
-OR-
t do not wish to waive the 15'setback requirement(initial the blank e&
Signature of Adjacent Riparian Property Owner.
Typed/Printedname of ARPO: "T))Qp•Jogiv i k rL'114� , ''1
Mailing Address off•ARPO:_ 31/ I)2f,�niftr o ( t c Oa
zis Alt i9, " ,
ARPO's email J4Oh8Pt.3� . *41t.Cm m ARPO's Phono : Z Z`.//t236
Date: 7./ZOOZ 2, *waiver Is valid for up to one year from ARPO's Signature'
Revised July 2021
! 1 ,
.

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. _ C- // t' 7'S e
Address ofPraperiv: .flC 1LLL114 -Pc .4 e
Mailipgg Address of Owner. 2g3 �`f'G�,�res�' /' `f�-- t&c)ct "" C,
dwne�sC ma,`i e_rtec-Z`a'I?r �n.3Q
� •cvez. j/ ✓ 9
Owners Phoned:
Agent's Name: len, £Zi, sy-the Agent Phone#:at/a-Ft3—air
Agents email:toh;nThrSli etc
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 escnbed to me, as shown on the attached drawing, the development they are proposing.A
descrintio or drawing.with dimensions.must be provided with this letter.
1 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 SD days of receipt of this notice. Correspondence should be
mailed to 943.Washfngton Square'Mall, Washington,NC 27889:OCM representatives can also be •
contacted at(252)946-6481.No response is considered the same as no objection you have been
notified by Certified Mall.
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 skin •
the appropriate blank below.) •
I DO wish to waive some/all of the 15'setback ,
OR . •
Signature of AdjacentRipadan Property Owner
I do riot wish to waive the 15'setback requirement(initial the blank)
•
` -:Signature of Riparian 9 Adjacent Property Oran �>�t!�C!/�J�/C'lildL�/Z ,
TypedtPrrnted name ofARPO: //V I Ca? 2_4•DI/ec
Mailing Address of ARPO: 26/1 lgillf le Octg. ) - I, >t/.0 , 2%D5
-'A I Qy�
ARPO's erect nIC I. ONAARPO's Phonolf: iR' -053 0
Date: ! 1 1DZ2'walver Is valid for up to one year ffum.ARPO's signature'
Revised July2021

a 0
Open pier "T' 16x25
Bumper pilings on end
For tying boat
Gazebo
16x16
8000# lift Q 0
With remote
4 O C� Mooring Piling appr. 45"from corner
V' of pier
Distance of lift to lot line
15'
Center of pier to lot line approximately
29'' `d ace
BOAT
"Bumper Pilings" along side of pier •
to Keep boat off pier and assist with
loading boat during east wind. !'
1'
0 Piling 35" from
pier
Pier 6x175
0 With "T" 200' total
length
26 feet pier to lot line '33 feet pier to piling
15 buffer�Tus 11 lift
6 feet
P
pier 35 feet piling to lot line