84932B - Shillingburg, Randy

,o°'(°&S'"` c` I ICAMA n DREDGE & FILL �eS No 84932 ABCD
1 = GENERAL PERMIT - D —4 03 Co 3
4 Previous permit
Date previous permit issued
New I 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:
ISA NCAC -'// "-' 6"(. I I 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#( )
Email Subdivision
City ZIP
Affected I I CW EW PTA ES n PTS Adj.Wtr.Body (nat/man/unk)
AEC(s): OEA n IHA n UW SPIMA n PWS Closest Maj.Wtr.Body
ORW:yes/no PNA:yes/no
Type of Project/Activity
(Scale:,
Shoreline Length
Access Length ! �/ �L )
✓ I, fr- 1 i .� � fi
Pier(dock)length / 1 '`I�` ,
Fixed Platform(s) 1---- I %f r I
3 i I
I 4 Lto'
Floating Platform(s) I Ai 1
I C-LLe
i ` r^c[a'� LL/5Q\Fingerpier(s) i
Air
Total Platform area I I r -1. I ,
Groin length/# I i _
Bulkhead/Riprap length -._._.. _—I-- - -----+.._. I - t_,..,,:' ......_...._ t
Avg distance offshore i
Breakwater/Sill \
j \I
Max distance/length I I f _1. i
Basin,channel at_._ __._ _{,
Cubic yards
I
Boat ramp i
Boathouse/Boatlift i _ f 1
Beach Bulldozing / �__
Other - _.._..__— - -
i /1, t ( -1,. . 1 i r A.te. - 2c" r
G •lir '
C`k..c 'Y _II - 1 r 1 �y��
Moratorium: n/a yes no , `?`•'t. '.► "t •�; C{i , s -� - 4t _
Site Photos: yes no -r, I -_ u, ,f 1 l*- -r tt - f-- Ti'. ( i 1` l%�
Riparian Waiver Attached: yes no I f i t� , o
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) _
PIt' 11 i 5 !).)rp 16 r
Agent dr Applicant PRINTI'D Name Permit Officer's PRINTED Name
t 1 ;,`
Signature"Pleasetead 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

e``''' ,.,, J!CAMA DREDGE & FILL No 84932 AB CD
g GENERAL PERMIT -- U 3(O ` Previous permit
Date previous permit issued
New 1 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:
I 5A NCAC Rules attached. General Permit Rules available at the following link:www.deo.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 CAN I I EW n PTA n ES PTS Adj.Wtr.Body (nat/man/unk)
AEC(s): I I OEA I I IHA n UW n SPIMA n PWS Closest Maj.Wtr.Body
ORW:yes/no PNA:yes/no
Type of Project/Activity
(Scale: )
Shoreline Length
Access Length
Pier(dock)length ' /
i f ,
Fixed Platform(s) I ' / '
Floating Platform(s) 1 L i �.:
1
\;i1 i -Finger pier(s) Pr'��
- i Total Platform area , I
Groin length/# tt
Bulkhead/Riprap length - I -
Avg distance offshore -
Breakwater/Sill I .
Max distance/length I (
I A�
Basin,channel -
Cubic yards ..__._ --� "—
Boat ramp
Boathouse/Boatlift I I I I
Beach Bulldozing ' I
Other -- - — ._�.__.__..
_ I I _
SAV observed: yes no i r
Moratorium: n/a yes no - - I` I „ " r i
Site Photos: yes no ( i i J ; ° i
Riparian Waiver Attached: yes no I a i ' j' I
A building permit/zoning permit may be required by:
L l TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions
See note on back regarding River Basin rules
LJ 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

,r..�. ROY COOPER
. ji't Governor
MICHAEL S. REGAN
Secretory
Coastal Management BRAXTON DAVIS
ENVIRONMENTAL rauu.m 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 0213.0233 & .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.
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 monitoringr efforts. I
• �O
Pre-project site conditions: /Da-/mod 1'/ r 1_,..-/-Lic G7�/ e01- /�/dU
jr. K.
G M 4,4/4 'rG ,P.,.C..-f e... /�w eC {n l
By your signature below you agree to be held responsible for meeting all of the conditions listed above and verify
cr
t all informati n provided is complete and accurate.
y -
A r plican inted ame Permit Officer's Sign e
•
-5-/-2--2--
Age t pplicant Signature lss Date
CAMA GENERAL PERMIT#: £ Y7_2 9
State of North Carolina 1 Environmental Quality f Coastal Msrogernent
Washington Office 1943 Washington Square Mail Washington.NC 27889 1252-446-6481
Wilmington Office 1 127 Cardinal Drive Ext Wdmington.NC 78405-3845 1 910-796-7215
Morehead City Office 1400 Commerce Avenue Morehead City.NC 28557 1252-808-2808

•
Authorized Agent Consent Agreement
4 Pdowny Shlo N�. �r ,herby authorizeTobin Jay Totte fan of
ellTJ's ConahuCtion,L C to act on my behalf in obtaining a=AMA permits for
the location listed below.
PROPERTYAD :
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)c
PROPERTY OWNER'S MAILING ADDRESS: •
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Bvrk'h a+ to./ a c w/
PhoneNo. 3 LW- J8Cf- eo 3
'PROPERTY OWNER'S SIGNATURE: i
AUTHORIZED AGENT tIGNATURE:
TOBIN TEPN
DATE: ,X.1 yQ z/
tvAotttmiadAge=Cma ,1

• •
ADJACENT RIPARIAN Pftqptjq CM/KRSTATEMENT•
hereby certify than own property atecent to ' •
, int
feu-,1 e of
propertyrnted at
on Mill be") In I FriWitt-ti---,N.C.
• (igaterbodY) (Cftyfrown an or County)
- The a lkient has described to me, as shown below,the development proposed at the above
I. 1411PA
&WM I have no objection to tits proposal.
owner I have objections to this proposal.
_ DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
_____MOLIMMIEDIXMOrICIAIWolunent -
e00/15--MOC-kb Cir IG5-%_57-A;961Ae—er
A4-orrn)
WAIVER SECTION •
I understand that a pier, dock, mooring pilings. boat ramp.breakwater, boathouse,lift, or groin
PMW4
.Thsoer must be set back a minimum distance of 1S from my area of riparian access unless waived by
mug me.(If you wish to waive the setbacic,you must Mid the appropriate blank below.)
•• el I do wish to waive the 15'setback requirement
I do not wish tiwalve the 15'setback requirement. •- -
(Proper@ Omer Infonuallon) ( •jacest • • Omer Infoirmatio'
14=4 C /LIft , A&A
idzi:n4 S- h art) Sk4'
FantAnhIpi,n-frkillw x I
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AftlatiNan4dAJ Wi 262.0/
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newtons Penmen°me actoele. Telephone A7roberprearrs
304 -St 7-cia or 7
nne
(RevisedAvg.2014
Vafid forme calendar year Sr signature*

ADJACENT RIPARIAN PRO OUIINER STATEMENT-
t hereby certify that I own property adjacent to /la� SA//in tirg
/�,� T` • ( of Pro
. property sated at i'/ f rev . f
/1 (Addre in Rio a `
(Waterbody) (Citylio�/l or County)ty) ,N.C.
• -- - The applicant has described to me, es shown below,the development proposed at the above
location.
Seat ‘001.""ag I have no objection to this proposal.
Ptapeity
'Mawr I have objections to thls proposal.rbeckone
DESCRIPTION ANDIOR DRAINING OF PROPOSED DEVELOPi NT
__r__ 4�(individual__________,„.- , . _ _ __ _. . _ _ _ _ _
proposing deveropmentm/aastff In descrip n below or attach a site drawing)
CPI N
/076- 6;-/L) 4. — r
efieire IC& . (---r ..5-A 9 e--
PrVarri
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
ala.r must be set back a minimum distance of 15'from my area of riparian access unless waived by
c me.(If you wish to waive the setback,you must Initial the appropriate blank below.)
One
I do wish to waive the 15'setback requirement
__.. ._. __ L�•1 do not wish to waive the 15 setback requiiemetd.
(Propel Owner information) (Adjacent Property Oerner Information)
TY�P7e ! ar Type Name
0I Pantie 'ID[rl y/�J7�9 ,�/.N:' ca + I � L,QA
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MUing4datess"&.r�znt vlZc[ >/ :�,, �c Q7pU�
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Telephone Number/email address Telephone Number/email address I
3%4 -3(2-ea W cc--- 90k)
Bare rty0-/ .Date*
Valle for one calendar year after signatures (Revised Aug_2014)

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Esd Community Maps Contributors, State of North CerolW
Annotation CpenStreet&tap,Microsoft,Esri,HERE,Garnets,SafeGrsph.Goat
• Inc.,h£TUNASA,USGS,EPA,MPS.US Census Bureau.USDA
DISCLAMER:Conent is not Intended to wmttMo a legal record/Me County and Webeits Host dbdabn all liabiityfor Mformallon on this map.User agrees that the County and ita Assigns shall be held harmless from all actions arising out of the use of