85245_Michael Worsley_20220520

�``°"rk\LILAMA 7DREDGE & FILL 2JL5 Na 85245 A AB C D
'a Previous ermit
1 GENERAL PERMIT I O7 (off Date previous permit issued • - -'
❑New fI 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 SA NCAC C -4 i i " i `'`GC) ❑Rules attached. General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name I('i ) ( V i 0,c( LE-;c.`1'(--- 1V `/ Authorized Agent
Address i,- 2) (' / 14 1 L- Project Location(County): .
City . 7YY S 1(a 0 I' State �) C ZIP ' -1 Street Address/State Road/Lot#(s)
Phone#( 1.3 ) jLi+ - - (-(`1 i'; !Gri;-o R. )
Email LUC(s!f y , ) }' (.I';a(' 'Cam' (email• (r r1^ Subdivision .l�it�i
1 City `"--%1 I:.-,J/VP^ ZIP -t c75 S 7
Affected n CW is EW [PTA ❑ES PTS Adj.Wtr.Body ,, +i)//)(( N Q i U-' 0e0iOntan/umk)
AEC(s): OEA Ell IHA UW n SPIMA ❑PWS Closest Maj.Wtr.Body �A O) 1 7 i k. 1 i_, -P r
\1
ORW:yes/no PNA:yes/ro
Type of Project/Activity 7-7 ICE't x I? L ! ,IA;r 4sl)P - / I.i, G \F4 I/ /(T Y' x l k ' �,<�c\14-i,;i;,
1'7r��,r'� ''x , <F1,..�C IC .tiit> +. i ,. r +o evec-K ,�,X16 L- i-Ie'e 'l jak vw� )
J �, � (scare: N �
Shoreline Length ' 7 ,cJ f f . &. C _ 1, ,
/ IAccess Length_ I f I ... _...-._- ! -.-._._.
f i I 1 i 1
Pier(dock)length > __
Fixed Platform(s)
"( I
Floating Platforms) {
i
__-
Finger pier(s) j ' _
r
Total Platform area -7/)1. i '2 CCL '1 `
Groin length/U
Bulkhead/Riprap length j
--- ---- ' Q" ;4=4,, c4,-p-±- -._"'_ - .
Avg distance offshore ,__ -T -..._ ..-__ I_- -_
-f
Breakwater/Sill - �E
Max distance/length \ 11`,.ti�,-C, • - - (_ ,_\�`v + n
Basin,channel i
�
. _... . -
Cubic yards - _ _..._- - --} C) y-�I�1�„•,� _..._.. .A. _._ � Urn T �
—— t
Boat ramp t ,
Boathouse/Boatlift , I I i
Beach Bulldozing r' 4
r
Other jit x l w L. _
I
SAV observed: yes (� i ! - i l '
Moratorium: n/a yes '.! I '
Site Photos: yes r o•` - --- i
Riparian Waiver Attached: yegi
r
A building permit/zoning permit may be required by: .2 - ' ' `-
Permit Conditions ' G.A...../ n TAR/PAM/NEUSE/BUFFER(circle one)
r i r r j • /1 4-4/ [ r i i .I' , - .� / - a See note on back regarding River Basin rules
-i ( /0
(A 'C+i�J- S)4) .1 , ,� f / hf,
n See additional notes/conditions on back
j' -441r k' /o t - ,,v, // r../ ')v%
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 it/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��`"s'k L_I CAMA I DREDGE & FILL ' . - N 85245 ABCD
T \� I(/�z ��j Previous permit
z ? GENERAL PERMITf 7 / Date previous permit issued
New r 'Modification 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 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 I Si- i`j`
Affected CW I I EW PTA n ES ri PTS Adj.Wtr.Body (nat/man/unk)
AECis): n OEA n IHA [ I UW SPIMA I I PWS Closest Maj.Wtr.Body
ORW:yes/no PNA:yes/no
Type of Project/Activity
(Scale: )
Shoreline Length ( r_ r-r). .'-. ?- c..3 L - 1 - >+
•
Access Length (___ -__.._
Pier(dock)length I
Fixed Platform(s) T - _ _ i
1
Floating Platform(s) I j
Finger pier(s) 1.f i
l
t Total Platform area i � I1 N F•la " y)") ‘ ( J V' 3
Groin length/# , f
Bulkhead/Riprap length - 7 �j
Avg distance offshore --- —
Breakwater/Sill — _ i
Max distance/length j�--i ti r , t,_..< o • 'Y _k_. I. •4 'i
Basin,channel
Cubic yards 1 r v'-� , 1� - ,
Boat ramp ) . ,
jJ
Boathouse/Boatlift
Beach Bulldozing I 1
Other i •
i
SAV observed: yes no- i i
Moratorium: n/a yes no I i
Site Photos: yes no ,
Riparian Waiver Attached: yes no j - _
P7
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
II 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:
L. 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

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
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 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.
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-ppiect site condii ons: Ld 1 s /)')� �v l t—r� ��t.�•
a - (w 'trees•
By your signature below you agree to be held responsible for meeting all of the c dit'o listed ab an verify
that all information provided is complete and accurate.
Agent or Applicah Printed Name Permit icer's Signat e
� 5 0/ ,
Agent or Appli nt Signature Issu Date
CAMA GENERAL PERMIT#: 55,931- 3
State of North Carolina I Environmental Quality I Coastal Management
Washington Office 1943 Washington Square Mall Washington.NC 27889 252-946-6481
Wilmington Office I 127 Cardinal Drive Ext.Wilmington,NC 28405-3845 1910-796-7215
Morehead City Office 1400 Commerce Avenue Morehead City.NC 28557 1252-808-2808

ADJACENT RIPARIAN PROPERTY OYALP 5 TA TEWE,r.'
,,ervb}. certify tnat i own property acllacent to Michael and Denise Worsarys
property located at $30 McCotters Marina Road Washington. NC 2711110 ,r erase Croft
,n wa.hengton. N.0
The:=Ront has described to me. as show• Wier*, e drvwIopna re a enproposed
I have no obtsction to this proposal
I have objecbons to this proposal
DESCRIPTION AND/OR DRAVNNG OF PROPOSED DEVELOPMENT
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WAIVER SECS
understand that a per, dock, moonng pilings, boat ramp, breakrtrter, boathouse, tilt. or groin
must be set back a minimum distance of 15' from my area at riparian access unless waived by
me (if you wish to waive the setback, you must initial the appropriate blank below.)
t"'"‘--- _I do wish to waive the 15' setback requirement
I do not wish to waive the 15' setback requirement
(Property Owner Information) ‘Adjacent Prope Owne o rmation)
Michael Worsley /11i / 4''t
2663 Berry Hill Ct frc
Grimesland, NC 27837 f�a
[phone] �`, ' ^ ` t. Ai , 2 7 1
/At fl w
[e-mail] CRyrStare
atim Tele-atone /fwn___ _._.._d:___r_is <...1 c)e-1.-A.—
Du"` (Revised Aug 201 4)
`Valid for one calendar year after signature`
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„, ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Michael and Denise Worsley's
property located at 830 McCotters Marina Road Washington, NC 27889 on Broad Creek,
in Washington, N.C.
The applic t has described to me, as shown below, the development proposed at the
above ation.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
/10Pla X 1t'1.PlatformDevelopment is for an
• F,,sw,s • • addition to existing pier.
Boat u°
•• • • 'Nl"'K
• . of s 12'slier Addition consists of a 10'W x
• 16'L platform and 4 piling slip
. 'Evicting on south side of existing pier.
Pier
Setback waiver will be
• required by property owners
to the south
(Ross') since the additions
will be approximately 5'from
Rock riparian access.
&i d,,; - .
RuRhead /Hilt
\ is
•
'IL Weeks HVondey : bfchae!tk Denise Wonky Ross Properly
Properly
Property I
I -
WAIVER SECTION
I understand that a 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. (If you wish to waive the setback, you must 'initial the.appropriate blank below.)
I do wish to waive the 15' setback requirement.
_ I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property Owner
rrrIInformation)
Signature Si ti re* /,e,-
Michael /.��/�J
Worsley tI/ YXo L✓�
2663 Berry Hill et Prinr,grType Name /
Grimesland, NC 27837 7 7'o E50. -/CI' XD4z#
Ma' Ad ess
[phone] / o/a/ NL 22 U'
[e-mail] City/Star/Zip
Dale TelephoneZ� 1 it address/ 3 e
r r/ n 'tom � '�7
Date*( /
`Valid for one calendar year after sionatllre• fPAt.ronr+ As in 911141

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