85197B - Thomas Haigwood

it ow, I—I DREDGE FILL N� 85197 A 'e- C D
1 GENERAL PERMIT T D' ()SR�` Previous permit .U/ tl
Date previous permit issued N rr
ri New I I Modification ❑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:
I 5A NCAC d_4 I' - I Z. (_ ❑ Rules attached. ❑ General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name ;." rv^ (A, S '-1 Al [_4w r_.. , Authorized Agent /2,. I .• 1'IJa.Yl//)r , v. ct -:3
Address `� >.2)P ( t:+cs r'i Project Location(County): -��.K t-�it,
City K,-,r.:• -r State NC ZIP. n `'7 7 Street Address/State Road/Lot#(s)
Phone#( ) S :4.74 JJ r.�( -'r)ar? r)-,„, l c,,r- Subdivision s/
City •rT ZIP ) .4-SS Q
Affected ❑CW ❑tw ❑'PTA ❑ES PIS Adj.Wtr.Body �iia;/man/unk)
AEC(s): ❑OEA ❑IHA UW ❑SPIMA I I PWS Closest Maj.Wtr.Body a Vi iuF r
ORW:yes/no • PNA:yes/no
i r
Type of Project/Activity JYI 5'�cc\\ ' x 1)Q' �; r 1 lc. . (c; x 2�1 r 1,-_x f(-c,,•y�--, / x 1( '
4y{••cl?Do�.-, T,L't 2k..-� - I sl x i ,' be 4 t ;.t* R, rob 0,- k*-, s'F `•� (Scale:0A 1 )
Shoreline Length Sha.�'-�� "'C5., J
I , j IN
Access Length __ _.._.._.
, , .,,,,.....,,)
Pier(dock)length /-X a 11C.` # j ,A i II, I
Fixed Platform(s) i4., X Zc+ �r C r . �, t
II
Floating Platform(s) • _ 1 ,___ , j-j- j k / l,__
P' I 11111111_ r......r_
n11Finger pier(s) — I
�� t_ ��
Total Platform area • • i
Groin length/#
Bulkhead/Riprap length • — r ..
Avg distance offshore __...... _._.. __�... . .__._ � _.... __I_........
Breakwater/Sill i
Max distance/length i i
Basin,channel
Cubic yards L.. _..__._., 1_.._. liii l.....-. ��
Boat ramp
J }_ � IIIIIllIII ��
Boathousedozinglift + x I IIHHhIHHHhIIIIIIIHIIIIIIIIHH
Beach Bulldozing
Other _ :amu14 :: IL•1I::::n.•i:::r.L•.•am::L':
SAV observed: yes ipo
Moratorium: n/a yes IIflhIIIIIIII,no\
Site Photos: yes fio
Riparian Waiver Attached: yes no 3 1 .. I 1
1
A building permit/zoning permit may be required by: 1 G?!.-, . 4. �..0 • /
) l ETTAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions ///U/"'I =•(IV"�u lt-ldr.14 Ckv' 7f �+ )
;.;,l�f)1 C 7• f F < • y"i f/1 1 a LA $l t- 5 ci y cg r`�Z c)4' "'+`t{ i! See note on back regarding River Basin rules
Ct hi-A,I I3 r7�1 4" / s 4 5�( - /,c4/ Tu'.- P✓+f, "�i-",Ir,-•, T(/`c'4" V ❑
z� , l El Seeadditional 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

a°'COASrg1* CAMA '7- DREDGE & FILL N� 85197 A B c D
GENERAL PERMIT DatePrevi r permit
z Date previous permit issued
New 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:
ISA NCAC _- I I Rules attached. I 1 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 ) 15 r
Affected I I CW EW PTA ES I 1 PTS Adj.Wtr.Body (nat/man/unk)
AEC(s): IDEA I I IHA I I UW n SPIMA I 1 PWS Closest Maj.Wtr.Body
ORW:yes/no PNA:yes/no
Type of Project/Activity
(Scale: )
Shoreline Length ri.c f ! ,
Access Length ! (
Pier(dock)length �..� '-- I i i ) * *7----',tA
Fixed Platform(s) I
Floating Platform(s) ) 7,:›r t) a 1 f . i
Finger pier(s) I I
.
Total Platform area
Groin length/# I ,
Bulkhead/Riprap length 11 i
Avg distance offshore -------- 1
Breakwater/Sill
l I
Max distance/length I
1 i - j
Basin,channel i
_._. _ .
Cubic yards —._ _..
Boat ramp I -- -{ ? -r
--
Boathouse/Boatlift
Beach Bulldozing II
1
I . .
Other
SAV observed: yes no . ' 1 I I '
Moratorium: n/a yes no i I I I
Site Photos: yes no — '
Riparian Waiver Attached: yes no 1 I I
A building permit/zoning permit may be required by:
Permit Conditions I I TAR/PAM/NEUSE/BUFFER(circle one)
nSee 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

:00 � 16'6"
Ladder
N
? Thomas Haigwood
103 Maple Ct
Pilings left at 9 ft abov Pine Knoll Shores
for sail shade [phone]
Project Location
121 River Place
O 0 Washington,NC 27689
4 post
for lift
0 0
Hose Bibs
Prepared by B F Warren&Son Inc.
For permitting purposes only
Pamlico River NOT TO SCALE
BFW2021008$
0"1.1 -j
Dated 7/2022
0. 0
o Owner Approval:
Date
0
0
15'0' 15'0'
NWL Exist ng Rip Rap Existing Rip Rap NWL
Hawkins P a' *N 5 i^ " --Iv McKay Property
roperty H. - Bib Shoreline73.5ft
P/L P!L
�aigo5 Tt ro;'

ROY COOPER
INC Governor
MICHAEL S. REGAN
Secretory
Coastal Management BRAXTON DAVIS
ENVIRONMENTAL QUALITY
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.
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.
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.
s Pre-project site conditions: 20).- /.S /., j.-)e() /ai G/r74
a_ Corr ptG -trees
By your signature below you agree to be held responsible for meeting all of the conditions listed above verify
that all information provided is complete and accurate.
---_CO_f re.,?--�-)3 / r eii,
Agent or Applic Printed Name ermit ice gnatu
�� 19 - Pip( - Zoz
Agent r Applicant Signature Issue Dat
CAMA GENERAL PERMIT#: ?55) / 1' 13
State of North Carolina Environmental Quality 1 Coastal Management
Washington Office'943 Washington Square Mall Washington.NC 27889 1252-946-6481
Wilmington Office !27 Cardinal Drive Ext.Wilmington.NC 28405-3845 910-746-7215
Morehead City Office 400 Commerce Avenue Morehead City,NC 28557 i 252-808-2808

15-Jan-2022 11:12 User Tuo 2527262636 p.2
•
B. F. Warren 8' Son, Inc.
ISil Taylor Farm Road Belhaven NC 27810
OIBce{252}9644625 Fax(252}9644016I
Forrest cell(252)945.2492 FrSdy cell(252}9454240
NC General Contractor LicenseW/2600
In xc fl a tom email:brwaffemtson(iTroet arg
Authorized Agent Consent Agreement
To:Sato ofNOdtt Carolina Detaetnmut a Local Gm'anrmol Dclnnro.nt
Acorn whomeetis potmit istukwappaedfor.
4dk kedavignal ptop.siyowns,do hreehy omttonx R.F.Yemat&Sate INC.in act no otyhelmifin
ohmirtrg the suxemaiy pcnnitrifor tM bylaw listed pnyce&f LAW tadt alauitheie tereiers topesfutm
the wtpumated This Jtuneo1 6.timitt4onty to the spccifrc=drityof otc itdAg paroles foram
below spc:Weed prajecis.
Projects:
dock endpihites Coe Wad;ft
Ptnica looitiow odes.
t?I Rita Place •
Waadngl*R NC 27Sa9
Body of Wear.
Pamlico Rivet
Pt opeuy Owner Stalking Msk nt:
Thoaiss Halgwo d
1*3 Maple CI
ruse Knoll noses,NC VS l2
tl21916-3537
I4npary Owace's Sigaotwc j ueffitt 7.. Art.- ellifiRn

N C. ENVISION Of COASIAL MANAGENIENT
ADJACENT RIPARIAN PROPERTY OWNER$OTIFIK,AT{ONWANER Foam
iTap r ortinn b be,turr,ple ed;y txwns..' e'It *`nits►.gtartt
'4arttrnfP,-m rtr awn;" _1h'Ae 1.,4 Hi)iJ 'l - -__....-
Addte%cif n:o rt• ';1 Rive' � rt, 278A9
Place, -_...� _,
1,4eil AAcr.„otfMnt f ':IA Marit C;:, Pint:Krtait Shorts, NC- 28512 _._.
Ce rwes"r101 'dhaig4embarrerad,corn ; ►*ors ohr rthr 2 _918 353!
H,-enis rrzmF S F- L"IArren 8. Son Inc ,%e•ltt✓htmea'252-`E4-4•6.28._
,,,.;„:• i -,t,v4 t?rt'1'3on @rsr:et OM_ _ �.
AD.IACEN' RIPARIAN PROPERTY"OWNER'S CERTIFICATION
tRettnm port:anta be completes;bi the Ad_' pant Property Ownert
I nereu,cerlev•`a: :Nw*,D rooe'ty at lacer':to the ab ov ifttFrnrc.Pri property.The ErttifiedJei tipOrrtgb i in-
aegn.I his lescnbed to rne as shown on trte attac1ed craortn,;, the derrolopatunt thee HSU rIMIPOW11.3
c ux+ x slrawir•a,rr t, ;iL te- i2i .`T ust ivs M4Joett wit r _sit r
_._ L ,CO Mal' have chic do^s to th Is prppasa.. . I DO ram]b{acrrtr,*t�•lfiri ert,c;fsat
ff yrut nave nnferrrnr_r rc what is being propased you must notify the M.C. Dormson of Coastu
Malaagc+!taenr foc it in writing within 10 days of receipt of tins ranee Correspondence anou&rt b
'trailed to 943 Washington Square Matt. W&Mington, NC 271389. DCAi repi se:statleet ,Fri also to
contacted hi(257,)948-6.48f.IIUo resperrsD is considered Vie wince as no nbjectfory if you heir*bae.
aot ed by Certifier!Mail.
NA1VER SECTION
iirr,erst3ne rat 2nf Dom- ^a roc tit-w.,, now'ng pi,Ings, ae t ramp.J"aHkweter.xr4t:-dust, :it- :.
Uicui riust not set Oar*a m'nimurii :71itra':i:ii Jr'5 `"ar'r my area o'npxian accss'.aesY"jaired by r-
(this dc:s rro'::poly to buBch t3•:i wrap'o+arrer fit',rut,with tc wait:tne setbstit t'ras mum
the apTroonate b'.a11:be.Ic ..,
I Chontie-,towaivesotneAtic:t,^e i;i'sot ir�c
OR- :.
Signature 0I u Ar gs e, Rtpgfter'.I itf:;wrier
Li do got*WI to'+►naive dte 15'setback raquiri irere cnit a tnK 1a41t to
tIf`kllacert R:riAl'an>:rcAeri own-,..l .- _
Typileviavinted bast!at ARPO; -.-.:it-', t ‘_,r,,, —
liofrApiiina
tI nit ARF'O'ss Phunetr ,
€ , ....„'vlehier its trend m,fur up to orre year from ARFO's Sigrratarc`
' v „`.. > '..` -H'S'L t Rf>�•ri. tip,. ..
�.r•}4
2
�

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: Thomas Haigwood
Address of Property: 121 River Place, Washington, NC 27889
Mailing Address of Owner: 103 Maple Ct, Pine Knoll Shores, NC 28512
Owner's email: [e-mail] Owner's Phone#: [phone]
Agent's Name: B F Warren & Son Inc Agent Phone#:[phone]
Agent's Email: [e-mail]
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.
/,/ 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
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 been
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 of Adjacent Riparian Property Owner
-OR-
I do not wish to waive the 15'setback requirement(initial the blank)
Signature of Adjacent Riparian Property Owner: IVCl
Typed/Printed name of ARPO:
('IL l ,p �(k& \
Mailing Address of ARPO: Kag C kc ik& 141c tee h pc „Doi
f JJ
ARPO's email: MdM c Mc( rajio9. Q"71►RPO's Phone#:
Date: LILA 122 *waiver is valid for up to one year from ARPO's Signature*
Revised July 2021