85140_Douglas & Samantha Baker_20220315

ittoms74‘I I LAMA IJ DREDGE & FILL ��5 N� 85140 ABC D
a GENERAL PERMIT - CDIt 9-O3(04 Previous permit n!.
Date previous permit issued
n New n Modification I I Complete Reissue 7 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 n Rules attached. 7 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 n cw n EW n PTA ID ES n PTS Adj.Wtr.Body (nat/man/unk)
AEC(s): n OEA n IHA n UW n SPIMA 7 PWS Closest Maj.Wtr.Body
ORW:yes/no PNA:yes/no
Type of Project/Activity, ,
(Scale: )
Shoreline Length ,_ - -
Access Length I---___ -- _ - . -- —,-
Pier(dock)length ! j___ T /
i i
i
Fixed Platform(s) - .. i '' 1 t---- —`
- - N I
Floating Platform(s) A)
Finger pier(s) f { + -.__ +
Total Platform area _ ,/_ '
I
Groin length/#
Bulkhead/Riprap length
Avgdistance offshore r 7ir-i t - i
Breakwater/Sill _ r !
Max distance/length !
Basin,channel ~— -._..__
Cubic yards j �'� T
Boat ramp `` f I { i I
i
Boathouse/Boatlift 1 E I
Beach Bulldozing ,' i- < __ _ , _ f i 4 l
�- i j-.
I
Other 1
SAV observed: yes no I i_. ; j — _____I_ -.._ — -j._..__.5, G- z/• i./,�r
1
Moratorium: n/a yes no . i i I , I i 1
Site Photos: yes no — - i �r +� F
Riparian Waiver Attached: yes no 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)
( ..)£_ %l ,
Agent or Applicant PRINTED Name(� Permit Officer's PRINTED Name
Signature"Please read compliance statement on back of permit** Signature y f
/. i 3-/5--� / -/S ".Z
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

°```'"` CAMA DREDGE & FILL No 85140 ABCD
J = GENERAL PERMIT DatePrevi uspousp
Date previous permit issued
> . I I New ( 'Modification Complete Reissue 1 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 I 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 I I CW n EW PTA ES PTS Adj.Wtr.Body (nat/man/unk)
AEC(s): I I OEA n IHA I UW In SPIMA I PWS Closest Maj.Wtr.Body
ORW:yes/no PNA:yes/no
Type of Project/Activity
(Scale: )
Shoreline Length
Access Length I I I I
I
Pier(dock)length
Fixed Platform(s) — I T
�� I
Floating Platform(s) isI lJ A,F
_ /
Finger pier(s)
I
I ,M
Total Platform area I I
Groin length/# - I
Bulkhead/Riprap length - - - -
i
Avg distance offshore • ' - - W ,
Breakwater/Sill ,
Max distance/length
Basin,channel
--•I __. —- I e
`
Cubic yards ''
Boat ramp - 1
Boathouse/Boatlift
Beach Bulldozing ,e4 41 +
Other ?'r .^-�—. I i
SAV observed: yes no 1
.. —
Moratorium: n/a yes no i
Site Photos: yes no - I 1 • ' I i ! ' r
Riparian Waiver Attached: yes no
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
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

.24
ROY COOPER
E Governor
MICHAEL S. REGAN .
. Seaerory
Coastal Management BRAXTON DAVIS
etWIRONNEN[AL ouurry 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:
i. 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 monitoring efforts.
• Pre-project site conditions: r��/49 tx'/Yef - r Ate eti•nrcc./
,jBy your signature below you agree to be held responsible for meeting all of the conditions listed above and verify
II inf mation ovide is corn lete and accurate.
p t
i ,
. .
,:,72 ,
gen or Applicant P inted Na a ermit O icer's ignature
•
� s .z
ent or Applicant Signature r /� Issu Date
f_ /7 CAMAGENERALPERMIT#: & ///�
State of North Carolina I Envhonmental Quality 1 Coastal Management
• Washington Office 1943 Washington Square Mall Washington NC 278891252-946-6481
• Wilmington Office 1127 Cardinal Drive Ext.Wilnington NC 28405-3845 I 910-796-7215
Morehead City Office 1400 Commerce Avenue Morehead City.NC 28557 1252-808-2808

Sed Agent Consent, � nt
Gtinq/, L/ree—
aotvo Bll herby authorize Tobin Jay Telterboa of
TJ s Marine Construction,Llie to act on my baud in obtaining
the location listed below. te�n:ng CAMA permits for
PROPERTY ADDRESS:
PQ�I-esr) 1 j ,�aQ
nr
PROPERTY ClAi vFu's SING ADDRESS:
on /'0 G Ere,
Phone No. /(5�.rJL j /�
AROpRTY OWNER'S SIGNATURE:
AUTHORIZED AGENT SIGNATURE: B
BIN TETTERTON
DATE:J—9
wuumm asca,Cameotame.

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: ,.S a '>4 /1
Address of Property: coc2 I I ' enf,5 e" i S a l�6 c86T/!
Mailing Address f 0wner,%:ia Aye.©4, �G &-�414 4? �� s�
Owner's email: r ,,hcI CiC U� Owner's Phone#:9,_s1--? /-- ? /Z
Agent's Name: /ems �,(, e[,„,,,z e- Agent Phone#:tea? — 7-fj—6j 67'7
Agent's Email: •` 1a r'0 a f 'fief, L,('C
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 d-: ribed to me, as shown on the attached drawing, the development they are proposing. A
descriptio• .r drawing, with dimensions, must be provided with this letter.
I 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 F
mailed to 943 Washington Square Mall, Washington, NC 27889. DCM representatives can also he
contacted at(252) 946-6481. No response is considered the same as no objection if 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 siqn
the appropriate blank below.)
I DO wish to waive some/all of the 15'setback-- . (
7 ,
signature of Adjacent Riparian Property Owner
-OR-
1 do not wish to waive the 15'setback requirement(initial the blank)
Signature of Adjacent Riparian Property,Owner. �j de /a�44—"--e
LIkA (--
/ o 's, z Te77`e �o //J m e� L£e-----
Typed/Printed name of ARPO: '" 0 i2 ql e/
�
IUlailing Address of ARPO: PO y- /�. �flr`fea 0 zli L
ARPO's emaiI?7 )) /t(' '). dt 2/'ARPO's Phonett. '/ 1J 7/
Date: 3'YiC.. *waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

aus Oa ke"
_
/R, e i //aI4rUt'
To willow
tree SI :�111 '
83 L __1 - Approximate lengths and widths
- Piling locations/distances are approximate
_ 1
Elflfll
L -]
w ' i - ll
ULWLStt
ZS' Original Dock
; N H--1C
• a
1 •
'E 1 -15'
To end of �-
marshland 41 r� � '
'"ti 25' -__�
I _