122-17 Henries, Jody

IA
Permit Class
NEW
Permit Number
122-17
STATE OF NORTH CAROLINA
Department of Environmental Quality
and
Coastal Resources.Commission
Vermit
for
X Major Development in an Area of Environmental Concern
pursuant to NCGS 113A-118
Excavation and/or filling pursuant to NCGS 113-229
Issued to Jody W. Henries, 1590 Alligator Loop Rd. Merritt. NC 28556
Authorizing development in Pamlico County at adi. to Lewis Creek in Mason Bay, at 199
Timber Point Dr., near Merritt as requested in the permittee's application dated 8/24/17, including attached
workplan drawings (3), all dated 8/9/17.
This permit, issued on November 1, 2017 is subject to compliance with the application (where
consistent with the permit), all applicable regulations, special conditions and notes set forth below. Any violation
u inese terms may oe suoieci to noes, imprisonment or civil action; or may cause the permit to be null and void.
Docking Facility
1) This permit authorizes only the docks, piers, and other structures and uses located in or over the
water that are expressly and specifically set forth in the permit application. No other structure,
whether floating or stationary, shall become a permanent part of this docking facility without permit
modification. No non -water dependent uses of structures shall be conducted on, in or over Public
Trust waters without permit modification.
2) The authorized docking facility shall not exceed the quarter width of the water body as measured
from the edge of Coastal Wetlands across Lewis Creek.
(See attached sheets for Additional Conditions)
This permit action may be appealed by the permittee or other
qualified persons within twenty (20) days of the issuing date.
This permit must be accessible on -site to Department
personnel when the project is inspected for compliance.
Any maintenance work or project modification not covered
hereunder requires farther Division approval.
All work must cease when the permit expires on
December 31, 2020
In issuing this permit, the State of North Carolina agrees that
your project is consistent with the North Carolina Coastal
Management Program.
Signed by the authority of the Secretary of DEQ and the
Chairman of the Coastal Resources Commission.
Braxtoh C. Davis, Director
Division of Coastal Management
This permit and its conditions are hereby accepted.
Signature of Permittee

Henries
ADDITIONAL CONDITIONS
Permit No.122-17
Page 2 of 3
,:;''?Any portion of the permitted access pier and docking facilities built over Coastal Wetlands shall not
. _exceed six feet in width and shall be elevated a minimum of three feet over the wetland substrate as
•measured from the bottom of the decking.
permittee shall install and maintain at his expense any signal lights or signals prescribed by the U.S.
st Guard, through regulation or otherwise, on the authorized facilities. At minimum, permanent
actors shall be attached to the structure in order to make it more visible during hours of darkness or
;ment weather.
its permit authorizes a maximum of 1 formalized boat slip.
ie boathouse shall not be completely enclosed or have side coverage more than one half the height of
e side, from the roof waterward.
ie authorized boathouse shall be single story, and shall not be designed to allow for second story use.
attempt shall be made by the permittee to prevent the full and free use by the public of all navigable
rters at or adjacent to the authorized work.
General
..This permit shall not be assigned, transferred, sold, or otherwise disposed of to a third party without the
=written approval of the Division of Coastal Management.
11-1
permittee shall maintain the authorized work in good condition and in conformance with the terms
conditions of this permit. The permittee is not relieved of this requirement if he abandons the
nitted activity without having it transferred to a third party.
The permittee and/or his or her contractor shall meet with a representative of the Division prior to
project initiation.
This permit does not eliminate the need to obtain any additional state, federal or local permits,
approvals or authorizations that may be required.
The U.S. Army Corps of Engineers authorized the project by way of Programmatic General
Permit 198000291 (Action ID SAW-2017-01984).
The N.C. Division of Water Resources authorized the proposed project by way of General Water
Quality Certification 4097 and assigned the project DWR Project No. 2017-0227 V2.

I
Jody W. Henries Permit No.122-17
Page 3 of 3
ADDITIONAL CONDITIONS
NOTE: Future development of the pernrittee's property may require a modification of this permit.
Contact a representative of the Division at [phone] prior to the commencement of any
such activity for this determination.
NOTE: The permittee is advised that many land disturbing activities are not authorized within 50 feet of
the normal level unless specifically exempted by Environmental Management Commission's
(EMC) Neuse River buffer regulations in place at the time of such development.
NOTE: An application processing fee of $250 was received by DCM for this project.

Attachment: Project Narrative
8/24/2017
199 timber pt. dock project
The project that I have proposed at 199 Timber pt. in Merritt, NC on Mason bay,will be building a
personal use dock with a covered boat lift to store my skiff. The dock will be used to leave the boat
between family boat ride, fishing trips and to just set and relax.
The project I hope is to be started by mid -September to beat the wet season so the impact on the
ground will be less .A local marine contractor company will be vibrating the piling down with a small
excavator. The first of October we will be placing the concrete dock panels and finishing up small
details. The last step will be installing the boat lift by November.
Jody Henries
[e-mail]
[phone]
RE(-EIVED
AUG 2 4 2017
DCM-• MHD CITY

APPLICATION for
Major Development Permit
(lest revised 12/27106)
North Carolina DIVISION OF COASTAL MANAGEMENT
1. Primary Applicant/ Landowner Information
Business Name
Project Name (if applicable)
Applicant 1: First Name
Jody
MI
W
Last Name
Henries
Applicant 2: First Name
MI
Last Name
If additional applicants, please attach an additional page(s) with names listed.
Mailing Address
1590 Alligator loop Rd
PO Box
City
Merritt
Stale
N.C.
ZIP
28556
Country
1 Pamlico
Phone No.
252 - 670 - 4330 ext.
FAX No.
- -
Street Address (if different from above)
City
State
ZIP
Email
[e-mail]
2. Agent/Contractor Information
Business Name
Agent/ Contractor 1: First Name
MI
Last Name
Agent/ Contractor 2: First Name
MI
Last Name
Mailing Address
PC Box
City
State
ZIP
Phone No. 1
-
- ext.
Phone No. 2
- - ext.
FAX No.
Contractor #
Street Address (if different from above)
city
State
REC
ZI
Email
AUG 2 4 2 I
<Form continues on back> DCM— MHG a, , I
252.808.2808 :: 1-888.4RCOAST www.necoastaimanagement.net

Form DCM MP-1 (Page 2 of 4)
APPLICATION for
Major Development Permit
3. Project Location
County (can be multiple)
Street Address
Stale Rd. If
Pamlico
199 Timber Pt Dr
Subdivision Name
City
State
Zip
Timber Point
Merritt
N.C.
28556
Phone No.
Lot No.(s) (if many, attach additional page with list)
252 " 670 - 4330 ext.
' lot #6
a. In which NC river basin is the project located?
b. Name of body of water nearest to proposed project
Bay River
Mason Bay
c. Is the water body identified in (b) above, natural or manmade?
d. Name the closest major water body to the proposed project site.
®Natural []Manmade ❑Unknown
Bay River
e. Is proposed work within city limits or planning jurisdiction?
f. If applicable, list the planning jurisdiction or city limit the proposed
❑Yes JDNo
work falls within.
Pamlico County
4. Site Description
a. Total length of shoreline on the tract (ft.)
b. Size of entire tract (sci t.)
417' ft
144,619.2'sq ft
c. Size of Individual lolls)
d. Approximate elevation of tract above NHW (normal high water) or
NWL (normal water level)
(If many lot sizes, please attach additional page with a list) 3.3 aC
3ft ONHW or ❑NW L
e. Vegetation on tract
wet lands ,trees,grass, and shrubs
f. Man-made features and uses now on tract
Barn for storage,fill dirt for house foundation and low spots
g. Identify and describe the existing land uses aJacent to the proposed project site.
empty lots
It. How does local government zone the tract?
I. Is the proposed project consistent with the applicable zoning?
(Attach zoning compliance certificate, if applicable)
residental
[]Yes ❑No RINA
J. Is the proposed activity part of an urban waterfront redevelopment proposal? ❑Yes QNo
k. Hasa professional archaeological assessment been done for the tract? If yes, attach a copy. ❑Yes ❑No k]NA
If yes, by whom?
I. Is the proposed project located in a National Registered Historic District or does it involve a []Yes ❑No IQNA
National Register listed or eligible property?
<Form continues on next page> RECE )
AUG 2 4
252-808-2808 :: 1-888-4RCOAST :: www.necoastalmarly}o 1AFh Lt••

Form DCM MP-1 (Page 3 of 4)
APPLICATION for
Major Development Permit
m. (1) Are there wetlands on the site?
ElYes ❑No
III) Are there coastal wetlands on the site?
IdYes []No
(III) If yes to either (i) or (ii) above, has a delineation been conducted?
@Yes []No
(Attach documentation, if available)
n. Describe existing wastewater treatment facilities.
none, permit for off site drain feild
o. Describe existing drinking water supply source.
city water
p. Describe existing storm water management or treatment systems.
none
5. Activities and Impacts
a.
Will the project be for commercial, public, or private use? ❑Commercial ❑Public/Government
private 15aPdvate/Community
b.
Give a brief description of purpose, use, and daily operations of the project when complete.
private dock to leave my boat between fishing and family trips.somewhere for the children to swim,a
place to sit and read my bible.
c.
Describe the proposed construction methodology, types of construction equipment to be used during construction, the number of each type
of equipment and where it is to be stored. 1 excavator with vibrating attachment; l backhoe;1 compact tractor;
generator;hand tools;pneumatic piling driver
this equipment will be stored in shed or on the hill at the entrance of the property
d.
List all development activities you propose. a private dock with a covered boat lift and platform with step down
e.
Are the proposed activities maintenance of an existing project, new work, or both?
new work
f.
What is the approximate total disturbed land area resulting from the proposed project? D aq ft ®Sq.Ft or ❑Acres
g.
Will the proposed project encroach on any public easement, public accessway or other area ❑Yes IONo ❑NA
that the public has established use of?
h.
Describe location and type of existing and proposed discharges to waters of the stale.
N/A
I.
Will wastewater or stormwater be discharged into a wetland? ❑Yes ❑No 2NA
If yes, will this discharged water be of the same salinity as the receiving water? ❑Yes ❑No ❑NA
j.
Is there any mitigation proposed? ❑Yes UNo ❑NA
If yes, attach a mitigation proposal.
<Form continues on back>
RECr`fv "=1D
AUG f � j!l
252-808.2808 .: 1-888-4RCOAST :: www.nccoastalmanag n _ - -el

Form DCM MP-1 (Page 4 of 4)
APPLICATION for
Major Development Permit
6. Additional Information
In addition to this completed application form, (MP-1) the following items below, if applicable, must be submitted in order for the application
package to be complete. Items (a) - (f) are always applicable to any major development application. Please consult the application
instruction booklet on how to property prepare the required items below.
a. A project narrative. see attached paper :project narrative
b. An accurate, dated work plat (including plan view and cross -sectional drawings) drawn to scale. Please give the present status of the
proposed project. Is any portion already complete? If previously authorized work, clearly indicate on maps, plats, drawings to distinguish
between work completed and proposed. All work is new construction to be started on 9-9-17
c. A site or location map that is sufficiently detailed to guide agency personnel unfamiliar with the area to the site, 99 timber pt ,merritt,n
d. A copy of the deed (with state application only) or other instrument under which the applicant claims title to the affected properties.
e. The appropriate application fee. Check or money order made payable to DENR.
I. A list of the names and complete addresses of the adjacent waterfront (riparian) landowners and signed return receipts as proof that such
owners have received a copy of the application and plats by certified mail. Such landowners must be advised that they have 30 days in
which to submit comments on the proposed project to the Division of Coastal Management,
Name Eric Johnson Phone No.
Address 1263 Overton Circle ,Gallatin ,TN. 37066 [phone]
Name Gregory Derman Phone No.
Address 1480 North Ridge Path--Hernando,FL,34442 [phone]
Name Phone No.
Address
g. A list of previous stale or federal permits issued for work on the project tract. Include permit numbers, permiftee, and issuing dales.
h. Signed consultant or agent authorization form, if applicable.
1. Wetland delineation, If necessary.
J. A signed AEC hazard notice for projects in oceanfront and inlet areas. (Must be signed by property owner)
k. A statement of compliance with the N.C. Environmental Policy Act (N.C.G.S. 113A 1-10), if necessary. If the project involves expenditure
of public funds or use of public lands, attach a statement documenting compliance with the North Carolina Environmental Policy Act.
I understand that any permit issued in response to this application will allow only th
The project will be subject to the conditions and restrictions contained in the permit.
I certify that I am authorized to grant, and do in fad grant permission to representatives of state and federal review agencies to
enter on the aforementioned lands in connection with evaluating information related to this permit application and follow-up
monitoring of the project.
I further certify that the information provided in this application is truthful to the best of my knowledge.
O Date - Atl - 17 Print Name Jody Henries
Signature niw
Please indicate application attachments pertaining to your proposed project.
❑DCM MP-2 Excavation and Fill Information ❑DCM MP-5 Bridges and Culverts
❑DCM MP-3 Upland Development
®DCM MP-4 Structures Information
REC�'-IVED
AUG 2 4 2017
DCM- MHD CITY
252.808.2808 :: 1-888.4RCOAST :: www.necoastalmanagement.net

Form DCM MP-4
STRUCTURES
(Construction within Public Trust Areas)
Attach this form to Joint Application for CAMA Major Permit, Form DCM MP-1. Be sure to complete all other sections of the Joint
Application that relate to this proposed project. Please include all supplemental information.
1. DOCKING FACILITY/MARINA CHARACTERISTICS
a. (i) Is the docking facility/marina:
❑Commercial ❑Public/Government ®Private/Community
❑This section not applicable
b. (i) Will the facility be open to the general public?
[]Yes ®No
c. (1) Dock(s) and/or pier(s)
d. (i) Are Finger Piers included? ❑Yes ®No
(ii) Number 1 e
If yes:
(III) Length }ee /1193 �u
'/�'y-2H
(ii) Number
(iv) Width J
(III) Length
(v) Floating []Yes allo
(iv) Width
(v) Floating []Yes ❑No
e. (i) Are Platforms included? ®Yes []No
f. (1) Are Boatlifts included? @Yes []No
If yes:
If yes:
(ii) Number x 3
(ii) Number 1
(III) Length 101--13'-6"-'"' ,5
(iii) Length 20'
(iv) Width 10'-45'-6" --- 10
(iv) Width 10_
(v) Floating []Yes t]No
Note: Roofed areas are calculated /mm dripline dimensions.
g. (i) Number of slips proposed
h. Check all the types of services to be provided.
1 in boathouse
❑ Full service, including travel lift and/or rail, repair or
(ii) Number of slips existing
maintenance service
na
❑ Dockage, fuel, and marine supplies
❑ Dockage ("wet slips") only, number of slips:
❑ Dry storage; number of boats:
❑ Boat ramp(s); number of boat ramps:
(a Other, please describe:
personal
i. Check the proposed type of siting: j. Describe the typical boats to be served (e.g., open runabout,
❑ Land cut and access channel charter boats, sail boats, mixed types).
[]Open water; dredging for basin and/or channel personal skiff
15aOpen water; no dredging required
[]Other; please describe:
k. Typical boat length: 20 I. (1) Will the facility be open to the general public?
[]YesQNo RECEIVED
m. (i) Will the facility have tie pilings?
❑Yes ®No AUG 2 4 2017
(ii) If yes number of tie pilings?
DCM- MHD CITY
252-800.2808:: t-aas-4RCOAST :: www.nccoastaimanaaement_net revised: 12127/06

Form DCM MP-4 (structures, Page 2 of 4)
2. DOCKING FACILITY/MARINA OPERATIONS MThis section not applicable
a. Check each of the following sanitary facilities that will be included in the proposed project.
❑ Office Toilets
❑ Toilets for patrons; Number: _; Location:
❑ Showers
❑ Boatholding tank pumpout; Give type and location:
b. Describe treatment type and disposal location for all sanitary wastewater.
c. Describe the disposal of solid waste, fish offal and trash.
d. How will overboard discharge of sewage from boats be controlled?
e. (i) Give the location and number of "No Sewage Discharge" signs proposed.
(tt) Give the location and number of'Pumpout Available' signs proposed.
f. Describe the special design, if applicable, for containing industrial type pollutants, such as paint, sandblasting waste and petroleum products.
g. Where will residue from vessel maintenance be disposed of?
h. Give the number of channel markers and "No Wake' signs proposed. _
i. Give the location of fuel -handling facilities, and describe the safety measures planned to protect area water quality.
j. What will be the marina policy on overnight and live -aboard dockage?
k. Describe design measures that promote boat basin flushing?
I. If this project is an expansion of an existing marina, what types of services are currently provided?
RECEIVED
AUG 2 4 2017
DCM- MHD CITY
252.808-2808 :: t-888.4RCOAST :: www.nccoastalmanagement.net revised: 12127/06

Form DCM MP-4 (structures, Page 3 of 4)
m. Is the marina/docking facility proposed within a primary or secondary nursery area?
®Yes []No
n. Is the marina/docking facility proposed within or adjacent to any shellfish harvesting area?
❑Yes ©No
o. Is the marina/docking facility proposed within or adjacent to coastal wetlands/marsh (CW), submerged aquatic vegetation (SAV), shell bottom
(SB), or other wetlands (WL)? If any boxes are checked, provide the number of square feet affected.
®CW 200sf ❑SAV ❑SB
❑WL ❑None
p. Is the proposed marina/docking facility located within or within close proximity to any shellfish leases? ❑Yes 9JNo
If yes, give the name and address of the leaseholder(s), and give the proximity to the lease.
3. BOATHOUSE (including covered lilts) []This section not applicable
a. (1) Is the boathouse stmcture(s):
❑Commercial ❑PublidGovernment ®Private/Community
III) Number f
(!if) Length 20_
(Iv) Width 10,
Note: Roofed areas are calculated from dripline dimensions.
4. GROIN (e.g., wood, sheetpile, etc. If a rock groin, use MP-2, Excavation and Fill.) JaThis section not applicable
a. (i) Number
(it) Length
(III) Width
5. BREAKWATER (e.g., wood, sheetpile, etc.) JRThis section not applicable
a. Length b. Average distance from NHW, NWL, or wetlands
c. Maximum distance beyond NHW, NWL or wetlands
B. MOORING PILINGS and BUOYS ®This section not applicable
a. Is the structure(s):
❑Commercial ❑PubliciGovemment ®Private/Community
c. Distance to be placed beyond shoreline
Note: This should be measured from marsh edge, if present.
e. Arc of the swing _
b. Number
d. Description of buoy (color, inscription, size, anchor, etc.)
AUG 2 4 2017
njOVI- MHD CITY
252-808.2808 :: 1-888.4RCOAST :: www.nccoastalmanaaement.net revised: 12127/06

Form DCM MP-4 (Structures, Page 4 of 4)
7. GENERAL
a. Proximity of structure(s) to adjacent riparian property lines
70' to the east property line
Note: For buoy or mooring piling, use arc of swing including length
ofvessel.
c. Width of water body
64' most constricted area
e. (i) Will navigational aids be required as a result of the project?
❑Yes I]No ❑NA
(it) If yes, explain what type and how they will be implemented.
b. Proximity of structure(s) to adjacent docking facilities.
320' to the next peir to the west
d. Water depth at waterward end of structure at NLW or NWL
4' nwl
8. OTHER This section not applicable
a. Give complete description:
the purposed dock will have a covered 10'by 20' covered boat lift with a 10' by 10' platform and a 1 T-6"by
45'-6"platform. the platform at the end will have a small 4' by 10' step down.
-�7
Date
199 Timber pt
Project Name
Jody Henries
Applicant Name
&-47 __:,
cant Signature
RECEIVED
AUG 2 4 2017
DCM- MHD CITY
252-808.2808 :: 1-888.4RCOAST :: www,nccoastalmanagement.net revised: 12/27106

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Pamlico County, NC
Disclamer.
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DCM Coordinator �(,�Q Permit #:
MAHdNG DISTRIBUTION SHEET-_,_. .
Permiee: aoj W• �TtlMI1dS
DCM Field Offices
Elizabeth City (with revised work plan drawings)
'*Morehead City
Washington
Wilmington
US ACOE Offices:
Washington: Raleigh Bland (Beaufort, Camden, Chowan, Craven, Hertford, Hyde, Perquimans,
Tyrrell)
Josh Peletier (Bertie, Currituck, Dare, Gates, Pamlico, Pasquotank, Washington)
Tom Steffan (NC DOT- Beaufort, Carteret, Craven, Pamlico)
Bill Biddlecome (NC DOT -Remainder ECity/Washington District)
Wilmington: Tyler Crumbley (Brunswick, New Hanover)
Liz Hair (Carteret, Onslow, Pender)
Brad Shaver (NCDOT-Brunswick, New Hanover, Onslow, Pender)
Cultural Resources:
Public Water Supply:
Marine Fisheries:
NC DOT:
Shellfish Sanitation:
State Property:
DEMLR/DWR:
0-Renee Gledhill -Earley
Heidi Cox (WIRO)
Clif Whitfield (WARO)
Shane Staples
Curt Weychert
David Harris
Shannon Jenkins
Tim Walton
j�. Karen Higgins
Kristy Lynn Carpenter (NC DOT -All Projects)
Washington: Anthony Scarbraugh-401
Roger Thorpe-Stormwater
Garcy Ward- (NCDOT-Beaufort, Bertie, Camden, Carteret, Chowan, Craven, Currituck,
Dare, Gates, Hertford, Hyde, Pamlico, Pasquotank, Perquimans, Tyrrell, Washington)
Wilmington:
Wildlife Resources:
LPO:
Fax Distribution:
Robb Mairs — 401 (Carteret Onslow, Pender, New Hanover)
Chad Coburn — 401 (Brunswick)
Georgette Scott - Stormwater
Joanne Steenhuis - 401 (NCDOT-Brunswick, New Hanover, Onslow, Pender)
Maria Dunn (WARD)
Permittee #: Agent#.

Coastal Management
ENVIRONMENTAL QUALITY
November 1, 2017
Jody Henries
1590 Alligator Loop Rd.
Merritt, N.C. 28556
Dear Sir or Madam:
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
BRAXTON C. DAVIS
Director
The enclosed permit constitutes authorization under the Coastal Area Management Act, and
where applicable, the State Dredge and Fill Law, for you to proceed with your project proposal. The
original (buff -colored form) is retained by you and it must be available on site when the project is
inspected for compliance. Please sign both the original and the copy and return the copy to this office in
the enclosed envelope. Signing the permit and proceeding means you have waived your right of appeal
described below.
If you object to the permit or any of the conditions, you may request a hearing pursuant to NCGS
113A-121.1 or 113-229. Your petition for a hearing must be filed in accordance with NCGS Chapter
150B with the Office of Administrative Hearings, 6714 Mail Service Center, Raleigh, NC 27611-6714,
[phone] within twenty (20) days of this decision on your permit. You should also be aware that
another qualified party may submit an objection to the issuance of this permit within twenty (20) days.
The project plan is subject to those conditions appearing on the permit form. Otherwise, all work
must be carried out in accordance with your application. Modifications, time extensions, and future
maintenance requires additional approval. Please read your permit carefully prior to starting work and
review all project plans, as approved. If you are having the work done by a contractor, it would be to your
benefit to be sure that he fully understands all permit requirements.
From time to time, Department personnel will visit the project site. To facilitate this review, we
request that you complete and mail the enclosed Notice Card just prior to work initiation. However, if
questions arise concerning permit conditions, environmental safeguards, or problem areas, you may
contact Department personnel at any time for assistance. By working in accordance with the permit, you
will be helping to protect our vitally important coastal resources.
Enclosure
e�Sincerely,
Douglas V. Huggett
Major Permits Manager
N.C. Division of Coastal Management
State of North Carolina I Environmental Quality I Coastal Management
Morehead City Office 1 400 Commerce Avenue I Morehead City, NC 28557
2528082808

Di VISION OF C-OAS'FALWANAGEMA-IIr'I-
APPLICATION TRANSMITTAL AND PROCESSING RECORD
1) APPLICANT: Jody Henries County: Pamlico
LOCATION OF PROJECT: 199 Timber Point Dr., adj. Lewis Creek, Merritt.
DATE APPLICATION RECEIVED COMPLETE BY FIELD: 8724/I7
FIELD RECOMMENDATION: Attached: Yes To Be Forwarded: No
CONSISTENCY DETERMINATION: Attached: NO To Be Forwarded: YES
FIELD REPRESENTATIVE: Connell DISTRICT OFFICE: Morehead City
DISTRICT MANAGER REVIEW: Brownlow
B) DATE RECEIVED BY MAJOR PERMITS UNIT: _9/12/17 FEE RECD: S 250.00
PUBLIC NOTICE REC'D: 9/6/17 END OF NOTICE DATE: 9/30/17
ADJ.-RIP. PROP NOTICES REC'D: Yes DEED R? ;C'D: Yes
APPLICATION ASSIGNED TO: Bodnar ON: 9/12/17
C) 75 DAY DEADLINE: 1 I ! I 150 DAY DEADLINE:
MAIL OUT DATE: _9/12/17 STATE DUE DATE:
FEDERAL DUE DATE: -FED COMMENTS REC'D:
PERMIT FINAL ACTION: ISSUE. DENY DRAFTION
AGENCY
DATE
COMMENTS
RETURNED
OBJECTION
S:
YES NO
NOTES
Coastal Management -Regional Representative
Coastal Management- LUP Consistency Determigation
`t! % Z
i
Division of Community Assistance
ZI
y
-
DEMLR-Land Quality Section
Division of Water Resources-401
. Q ZZ (`�
*<L0i'/-02Z7
V-Z
DEMLR-Storm Water Management
State Property Office
Division of Archives & History (Cultural Resources)
lI1ON3+.I�
K
DMF-Shellfish Sanitation
41511
x
DWR-Public Water Supply ' -
Z
Division of Highways
Wildlife Resources Commission
rt
Local Permit Office -- - - -
-
_
Division of Marine Fisheries- Fisheries Resource Spec.
h
Corps of Engineers
�,
I?_01-1- 019

ROY COOPER
Coastal Management
ENVIRONMENTAL QUALITY
MEMORANDUM
DATE: August 29, 2017
TO: Gregg Bodnar
THRU: Roy Brownlow
FROM: Brad Connell
MICHAEL S. REGAN
BRAXTON C. DAVIS
SUBJECT: Comments and Recommendations - CAMA Major Permit —Jody Henries,
Pamlico County
The following is my assessment and consequent recommendations of the above referenced proposal: This
proposal shades 1,289 square feet of open water and 250 square feet of Coastal Wetlands. These waters of
Lewis Creek are closed to shellfish harvest. This waterbody is a Primary Nursery Area. This proposal is subject
to the Neuse River Basin Riparian Buffer Rules. Assuming that state and federal agencies concur with the
proposal, I recommend the project be authorized as proposed, contingent upon the following conditions:
1) Any portion of the docking facility, including the boathouse roof overhang, shall not extend greater than
15' waterward of the shoreline into Lewis Creek;
2) This permit authorizes only the docks, piers, and other structures and uses located in or over the water
that are expressly and specifically set forth in the permit application. No other structure, whether
floating or stationary, may become a permanent part of this docking facility without permit modification.
No non -water dependent uses of structures may be conducted on, in or over public trust waters without
permit modification;
3) The piers and associated structures shall have a minimum setback distance of 15 feet between any parts
of the structure and the adjacent property owner's riparian access corridor, which is determined by
drawing a line parallel to the channel, then drawing a line perpendicular to the channel line that
intersects with the shore at the point where the upland property line meets the water's edge;
4) No attempt will be made by the permittee to prevent the full and free use by the public of all navigable
waters at or adjacent to the authorized work;
Nothing Compares_
Stale of North Carolina I Environmental Quality I Cowmil Management
400 Commerce Ave I Morehead City, NC 28557
252 808 2808 T

Henries
August 29, 2017
Page 2 of 2
5) The permittee will maintain the authorized work in good condition and in conformance with the terms
and conditions of this permit. The permittee is not relieved of this requirement if he abandons the
permitted activity without having it transferred to a third party;
6) This permit authorizes a maximum of 1 boat slip. At no time shall more than 1 vessel be moored or
docked at the facility. The restriction of the number of vessels shall apply to all marine vessel types,
including but not limited to motorboats, sailing vessels and personal watercraft;
7) Prior to construction of any new boat slips or other docking facilities under this permit, the permittee
must apply for and receive an Easement from the Department of Administration's State Property Office
as required under N.C.G.S. 146-12(e);
8) Any development or land disturbing activity that is considered non -water dependent is not authorized
within 50 feet of the normal water level unless specifically exempted by Environmental Management
Commission (EMC) Neuse River buffer regulations in place at the time of such development;
9) The portion of the pier built over Coastal Wetlands shall be elevated at least 3' above the wetland
substrate.
CC: Roy Brownlow, DCM
400 Commerce Ave., Morehead City, NC 28557
Phone: [phone] \ FAX: [phone] Internet: www.ncooastalmanagement.net
An Equal Opportunity \ Affirmative Action Employer

IG
Cgq$ta1,l�atzU`�eltieitf'
4NVIQOYMEN1A,L'dUAUT.V
September 12, 2017
MEMORANDUM:
TO:
FROM:
SUBJECT:
Applicant:
Project Location:
Proposed Project:
RQY COQ.P'ER
.4'o.Ve!/tpr
MICHAEL S..RE.GAN
Secretary
RPAXTQN C. DAVIS
Dirkfor
Rachel Love-Adrick
Division of Coastal Management
Gregg Bodnar
Major Permits Processing Coordinator
CAMA/DREDGE & FILL Permit Application Review
Jody Henries
Pamlico County, adjacent to Lewis Creek at 199 Timber Point Dr., near
Merritt.
Proposes to construct a docking facility for personal use.
Please indicate below your agency's position or viewpoint on the proposed project and return this form
by October 2, 2017. If you have any questions regarding the proposed project, please contact Brad
Connell, permit officer at [phone]. Ext. 214. When appropriate, in-depth comments with
supporting data is requested.
REPLY: This agency has no objection to'the project as proposed.
This agency has no comment on the proposed project.
This agency approves of the project only if the recommended changes are
incorporated. See attached.
This agency objects to the project for reasons described in the attached
comments. p ,1
SIGNED DATE
Noihing Compares_,
State ofNofth Carolina I Environmental:Quatty I CoastAManagement
Morehead CltyOfftce 1 400 Commerce Avenue I MoreheadCity,NC 28557
251808280E .

Coastal Management
ENVIRONMENTAL QUALITY
MEMORANDUM
TO: Gregg Bodnar, Major Permits Processing Coordinator
Division of Coastal Management
FROM: Rachel Love-Adrick, District Planner ,n\A
Division of Coastal Management lll[,
SUBJECT: Major Permit Request by Bob McDonald
DATE: August 23, 2017
ROY COOPER
corenmr
MICHAEL S. REGAN
Secretary
BRAXTON C. DAVIS
Oirecror
Consistency Determination: The request is consistent with/not in conflict the Pamlico County
Joint CAMA Land Use Plan certified by the CRC on January 28, 2005.
Overview: The applicant is proposing to construct a docking facility adjacent to Lewis Creek at 199
Timber Point Drive, Pamlico County. The 3.3-acre parcel has approximately 417' of continuous
shorelines along Lewis Creek and Mason Bay, tributaries of the Bay River. Existing onsite development
includes earthen fill (for future home site) and a storage shed. Vegetation on the parcel is mainly native
trees and shrubs. There are Coastal Wetlands (Juncus roemerianus) within the project area. Areas of
Environmental Concern affected include: Coastal Wetlands (CW), Estuarine Shoreline (ES), Estuarine
Waters (EW) and Public Trust Areas (PTA).
Lewis Creek approximately 60' across at this location, and Mason Bay is approximately 600' wide. The
waterbody is classified as SC; Sw, HWCI;NSW. The site is classified as a Primary Nursery Area, and is
closed to shellfishing. Submerged Aquatic vegetation (SAV) is not present at this location. There is not
a defined Federal Channel in the nearby vicinity of the project area. The project is subject to the Neuse
River Riparian Buffer Rules.
Anticipated impacts resulting from this project are expected to include: shading of 1,289 ft2of estuarine
waters and 250 ft2 of Coastal Wetlands due to the proposed docking facility.
Traditional marine methodology would be utilized during construction. Turbidity impacts are not
anticipated in Lewis Creek during the construction.
Basis for Determination:
The project is subject to the Pamlico County Joint CAMA Land Use Plan. The Future Land Use Map
(FLUM) classifies the site as "Rural with Services", "Conservation I, II" (due to Estuarine Shoreline AEC),
"Conservation II" (due to the properties shoreline that borders Primary Nursery Area), and
Nothing Compares. —,
State of North Carolina I Eaviromental Quality I Coastal Management
400 Commerce Avenue I Morehead City, NC 28557
252-808-28081252-247-3330 (in)

North Carolina Department of Environmental Quality
Division of Coastal Management
Page 2 of 2
MEMORANDUM
"Conservation III" (due to the properties Coastal Wetlands). The conservation land use designations are
defined as follows:
• Conservation I - "The purpose of this classification is to protect and to assist in the long-term
management of the county's estuarine and public trust waters.... The counties primary goal is
to "(1) to allow only those water uses and land uses in this classification that are consistent with
conservation of these waters; and (2) to protect the public's rights to access, navigation and
recreation. The county also allows development activities in this classification that require
water access and that cannot function elsewhere, if these uses are designed, developed, and
operated in a manner that is consistent with the primary goal. Examples of these uses include
erosion control structures, docks and piers, marinas, and mooring pilings.
• Conservation II - "establishes a permanent: conservation zone for all land within 75 feet of the
natural mean high water level for all shorelines bordering primary nursery areas, estuarine
waters, and public trust waters. Man-made ditches, canals, and basins are excluded from this
classification ...... All construction activities are prohibited in this zone, except for those
permitted under the CAMA use standards for estuarine waters and coastal wetlands".
• Conservation III - "encompasses areas in the county that are designated as coastal wetlands...
The county's primary goal for this land use classification is to protect the biological, aesthetic,
economic, and life-style values associated with wetlands. To achieve this goal, the county will
only support land uses and development that are consistent with the goal and that require
water access and that cannot function elsewhere. These uses include those described in the
CAMA use standards for coastal wetlands" T'sA NCAc 07H.0205(d)
The following LUP policies may be applicable to this request:
2.0 Land Use Compatibility
2.1 Pamlico County strongly discourages any uses in estuarine waters that are not compatible with protection
and conservation of their biological and community values.
2.1.1 Only development associated with water -dependent uses is allowed. Examples of appropriate
development may include public access facilities, docks and piers, erosion control structures, or other
uses that are permitted by CAMA use standards' NOAC T15A: 07H.0208
2.1.2 In all cases, the design of facilities or activities will ensure that any negative impacts on
estuarine waters, during both construction and operation, are minimized and that they
comply with all local policies and the policies of CAMA use standards.
2.3 The county strongly supports management of development in its estuarine shoreline to protect water
quality and the aesthetics of the waterfront.
2.3.3 The county establishes a local, permanent conservation zone within 75 feet of the normal mean
high water level or normal water level for all shorelines bordering public trust waters, estuarine
waters, and any waters designated as primary nursery areas.
2.3.3.1 All development and construction activities will be prohibited in this area except for
the following uses: marinas, docks and piers, boat ramps and similar structures providing
public access; and structures to prevent erosion as described in the Public Access policies
section.
Nothing Compares..-,s..
State of North Carolina I Eavironmental Quality I Coastal Management
400 Commerce Avenue I Morehead City, NC 28557
252-808-28081252-247-3330(fot)

f�
. #1
1k,
Cp¢f�'tON E ?AVQUA
�NVIgONMENAL'aVALnY
September 12, 2017
MEMORANDUM:
TO:
FROM:
SUBJECT:
Applicant:
CE
SEP 13 2017
sh Sanitation E ?e eational
Water Quality Sec: --
Shannon Jenkins
Shellfish Sanitation
Gregg Bodnar
Major Permits Processing Coordinator
ROY COOPER
ll0y"r
MICHAEL S. REGAN
Sear Ory
BRAXTON C. DAVIS
Mew
RECEIVED
SEP 18 Z017
DCM- MHO CITY
CAMA/DREDGE & FILL Permit Application Review
Jody Henries
Project Location: Pamlico County, adjacent to Lewis Creek at 199 Timber Point Dr., near
Merritt.
Proposed Project: Proposes to construct a docking facility for personal use.
Please indicate below your agency's position or viewpoint on the proposed project and return this form
by October 2, 2017. If you have any questions regarding the proposed project, please contact Brad
Connell, permit officer at [phone]. Ext. 214. When appropriate, in-depth comments with
supporting data is requested.
REPLY: This agency has no objection to'the project as proposed.
This agency has no comment on the proposed project.
This agency approves of the project only if the recommended changes are
incorporated. See attached.
This agency objects to the project for reasons described in the attached
comments. /
DATE q1 S [17
FOe— S�1GtalflaYl i 1�ir1S
-Nothing Compares
State of North Camba I EnvfronmentalQuaRty l Coastal Management
Morehead City Office 1400Cemmerce Avenue I Moreheadoty,NC 28557
2528082808

IL
N1.
t
CQt�tta MWT. t UAInept'
CN`tWeNMENTIJ.OUALRY
September 12, 2017
MEMORANDUM:
:TO:
FROM:
Lee Padrick
Division of Community Assistance
Gregg Bodnar
Major Permits Processing Coordinator
ROY COOPER
pawhwr
MICHAEL S. REGAN
• Sebetilry
BRA%TON C. VAVIS
DUed ar
SUBJECT: CAMA/DREDGE & FILL Permit Application Review
Applicant: Jody Henries
Project Location: Painlico County, adjacent to Lewis Creek at 199 Timber Point Dr., near
Merritt.
.Proposed Project: Proposes to construct a docking facility for personal use.
Please indicate below your agency's position or viewpoint on the proposed project and return this form
by October 2, 2017. If you have any questions regarding the proposed project, please contact Brad
Connell, permit officer at [phone]. Ext. 214. When appropriate, in-depth comments with
supporting data is requested. '
REPLY _ •This agency has no objection i6 the project as proposed.
". V This agency has no comment on the proposed project.
This agency approves of the project only if the recommended changes are
incorporated. See.attached.
This agency 'objects. to the project for reasons described in the attached
comments.
SIGNED —Ole DATE
� toihing Compares_,,.
State otNolthOamba I EnvfmnmetWQmDtyl Coast4Mmagemmt
Moreheadaty0ake 1400CammemeAveme I Moreheadaty,NO 2W
252808280B

kin
a:
Coastal Afaa4gemeht
ENVIRONMENTALL QUALMY
September 12, 2017
MEMORANDUM:
TO:
FROM:
SUBJECT:
Applicant:
Project Location:
Proposed Project:
RECEIVED
SEP 1 3 2017
00A
STATE PROPERTY
OFFICE .
Tim Walton
State Property Office
Gregg Bodnar
Major Permits Processing Coordinator
ROY COOPER
Q0VW7Wr
MICHAEL S. REGAN
seart4ry
BRAXTON C. DAVIS
Dlremr
CAMA/DREDGE & FILL Permit Application Review
Jody Henries
Pamlico County, adjacent to Lewis Creek at 199 Timber Point Dr., near
Merritt.
Proposes to construct a docking facility for personal use.
Please indicate below your agency's position or viewpoint on the proposed project and return this form
by October 2, 2017. If you have any questions regarding the proposed project, please contact Brad
Connell, permit officer at [phone]. Ext. 214. When appropriate, in-depth comments with
supporting data is requested.
REPLY: This agency has no objection to the project as proposed.
This agency has no comment on the proposed project.
This agency approves of the project only if the recommended changes are
incorporated. See attached.
This agency objects to the project for reasons described in the attached
comments.
SIGNED< DATE
RECEIVED
<�-Nothing Compares , SEP 2 2 2017
State 014orth Carodna I EltviranmentalQnalty 1 coastalMsnagement
Morehead City Office 140OCemmerce Avenue I Moreheadaty,NC 28557 - DCM' MHD CITY
2528082808

September 12, 2017
MEMORANDUM:
T0:
FROM:
SUBJECT:
Applicant:
ROY 6.QO.PER
-Qtriernor
MICHAEL S..REGAN
SeGetgry
BRAXTON C. DAVIS
`01ieCfor
R�CflV, g0//yCJDE1VWOWR
SEP 18 2017
Q�Vfily Re
ttc7ro,
Was O9t n Rom ea��/lice.
Anthony Scar braugh
Division of Water Resources
Gregg Bodnar
Major Permits Processing Coordinator
CAMA/DREDGE & FILL Permit Application Review
Jody Henries
Project Location: Pamlico County, adjacent to Lewis Creek at 199 Timber Point Dr., near
Merritt.
Proposed Project: Proposes to construct a docking facility for personal use.
Please indicate below your agency's position or viewpoint on the proposed project and return this fortii,
by October 2, 2017. If you have any questions regarding the proposed project, please contact Brad,
Connell, permit officer. at [phone]. Ext. 214. When appropriate, in-depth comments with
supporting data is requested.
REPLY: % This agency has no objection to the project as proposed.
This agency has no comment on the proposed project.
This agency approves of the project only if the recommended changes are
incorporated. See attached.
This agency objects to the -project for reasons described in the attached
comments.
SIGNED Q`'L� Q c^-V—LIL`� P.. v DATE 5 cp k,. X,, a a , a<J.1%
Bills' ao1�i- rJaa� v.a
N. othing Compares�
State ofNoethCamllna. I Environmental Quality I CoastalManagement
Morehead City Office 1 400 Commerce Avenue I Moreheadrity.Nc 28557
2528082808

Water Resources
Environmental Quality
September 22, 2017
Mr. Jody Henries
1590 Alligator Loop Road
Merritt, North Carolina 28556
Subject: NO WRITTEN CONCURRENCE REQUIRED
199 Timber Point Drive — Docking facility
Dear Mr. Henries:
ROY COOPER
Governor
MICHAEL S. REGAN
- Secretary
S. JAY ZIMMERMAN
Director
DWR Project # 2014-0227 v2
Pamlico County
The Division of Water Resources (DWR) has received a copy of your CAMA Major application request.
DWR issues approval in the form of a Water Quality Certification (WQC) in conjunction with the CAMA
Major Permit and General Permit(s) 198000291 issued by the US Army Corps of Engineers (USACE), This
Certification allows you to use the CAMA Major Permit when the Division of Coastal Management Issues
it.
In accordance with the attached General Certification #4097 (GC4097), the impacts described in your
application do not require written authorization to utilize GC 4097. However, you are required to follow
the conditions listed in the attached certification. You should get or otherwise comply with any other
federal, state and local requirements before you go ahead with your project including (but not limited to)
erosion and sediment control regulations.
This Certification can be contested as provided in Articles 3 and 4 of General Statute 150B by filing a
written petition for administrative hearing to the Office of Administrative Hearings (hereby known as
OAH). A petition form may be obtained from the OAH at htto://www.ncbah.com/ or by calling the OAH
Clerk's Office at [phone] for information.
Within sixty (60) calendar days of receipt of this notice, a petition must be filed with the OAH. A petition
is considered filed when the original and one (1) copy along with any applicable CAM filing fee is received
in the OAH during normal office hours (Monday through Friday between 8:00am and 5:00pm, excluding
official state holidays).
The petition may be faxed to the OAH at [phone], provided the original and one copy of the petition
along with any applicable OAH filing fee is received by the OAH within five (5) business days following the
faxed transmission.
!`� Nothing Compares-,,
State of North Carolina I Environmental Quality I Water Resources -Water Quality Regional Operations Section -Washington Regional Office
943 Washington Square Mall, Washington, North Carolina 27889
252-946-6481

Mailing address for the OAH:
If sending via US Postal Service:
Office of Administrative Hearings
6714 Mail Service Center
Raleigh, NC 27699-6714
Jody Henries
D W R# 2014-0227 v2
401APPROVAL
Page 2 of 2
If sending via delivery service (UPS,
FedEx, etc.):
Office of Administrative Hearings
1711 New Hope Church Road
Raleigh, NC 27609-6285
One (1)-copy of the petition must also be served to DENR:
William F. Lane, General Counsel
Department of Environmental Quality
1601 Mail Service Center
Raleigh, NC 27699-1601
This letter completes the review of the Division under section 401 of the Clean Water Rules.
Please contact Chris Pullinger at 252-948-3922 or [e-mail] if you have any
questions or concerns.
Sincerely,
Robert Tankard, Assistant Reg nal Supervisor
Water Quality Regional Operations Section
Division of Water Resources, NCDEQ
Enclosures: GC 4097
Certification of Completion
cc: Josh Pelletier, USACE Washington Regulatory Field Office (via e-mail)
Brad Connell, DCM Elizabeth City (via e-mail)
Gregg Bodnar, DCM Morehead City (via e-mail)
Jody Henries (via e-mail:. henries2000vaho.com)
DWR WaRO 401 files
Laserfiche
a

i
r:a
m
Water P esources
Eavironincntal Quality
DWQ Project NO.:
Applicant:.
Project Name;
Date of Issuance of Wetland Permit:
County;
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
S. JAYZIMMERMAN
Director
Upon completion of all work approved within the 401 Water Quality Certificationand/or Buffer Rules, and any
subsequent, modifications, the applicant Is required to return this certificate to the 401 & Buffer Permitting Unit,
North Carolina Division of Water Resources,1617 Mail Service Center,. Raleigh, NC, 27699-1617, This form may be,
returned to DWR by the applicant, tine applicant's authorized agent, or the project engineer. it Is not necessary to
send certificates from all of these
1, hereby state that, to the best of myabilities, due care and diligence
was used In the observation of the construction 'such that; the construction was observed to be built within
substantial compliance and intent of the 401 Water Quality Certification and/or Buffer Rules, the approved plans
and specifications, and other supporting materials.
Signature; Date:
Agent's Certification
1, hereby state that, to the best of myabilities, due rare and diligence
was used in the observation of the construction such that the construction was observed to be built within
substantial compliance and Intent of the 401 Water Quality Certification and /or Buffer Rules/the approved plans
and specifications, and other supporting materials.
Signature; Date;
If this project was designed by a Certified Professional
1, as a duly registered Professional (i.e., Engineer,
Landscape Architect, Surveyor, etc.) in the State of North Carolina, havingbeen authorized to observe (periodically,
weekly, full time) the construction of the project, for the Permittee hereby state that, to the best of my abilities, due
care and diligence was used In the observation of the construction such that the construction was observed to be
built within substantial compliance and intent of the 401 Water Quality Certification and/or Buffer Rules, the
approved plans and specifications, and other supporting materials,
Signature: RegistcationNo. Date
^IVothttlg Compa*e.r<-
state :of Nonh Carol na I Enviroamenml Quality I Water Resources -Water Quality Regional Operations Section -Washington Regional Office
943 Washington Square Mall, Washington, North Carolina 27889:
252.946-6481 '

2
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
WATER QUALITY GENERAL CERTIFICATION NO.4097
GENERAL CERTIFICATION FOR PROJECTS ELIGIBLE FOR US ARMY CORPS OF ENGINEERS
• REGIONAL GENERAL PERMIT NUMBER 198000291 INC COASTAL AREA MANAGEMENT ACT)
AND
• WHEN APPLIED TO CAMA PERMITS, REGIONAL GENERAL PERMIT NUMBERS 198000D48,
198700056,197800080,197800125 AND 198200277 AND NATIONWIDE PERMIT
NUMBERS 3,12,13,14,18, 27, 29, 33, 35, 39, AND 54
Water Quality Certification Number 4097 is issued in conformity with the requirements of
Section 401, Public Laws 92-500 and 95-217 of the United States and subject to the North
Carolina Regulations in 15A NCAC 02H .0500 and 15A NCAC 02B .0200 for the discharge of fill
material to surface waters and wetland areas as described in Regional General Permits
198000291, 198000048, 198700056, 197800080, 197800125, and 198200277 and in 33 CFR 300
Appendix A (B) (3, 12, 13, 14, 18, 27, 29, 33, 35, 39, and 54) of the' US Army Corps of Engineers
Regulations.
The State of North Carolina certifies that the specified category of activity will not violate
applicable portions of Sections 301, 302, 303, 306 and 307 of the Public Laws 92-500 and 95-217
if conducted in accordance with the conditions hereinafter set forth.
Effective date: March 19, 2017
Signed this day March 6, 2017
M
for S. Jay Zimmerman, P.G.
Director

i
GC4097
Activities meeting any one (1) of the following thresholds or circumstances require written
approval for a 401 Water Quality Certification from the Division of Water Resources (DWR):
a) If any of the Conditions of this Certification (listed below) cannot be met; or
b) Activities authorized by LAMA permits, except for:
i) Activities authorized by CAMA General Permits 1100, 1200, 1300, 1400, 1500,
1600,1700, 1800, 1900, 2000, 2100, 2200, 2300, 2400, 2500 and 2600;
11) Boat Ramps and associated access (i.e. roads and parking lots) that involve the
excavation or filling of less than 500 square feet total of wetland and open water
area, with the exception that the excavation or filling of coastal wetlands (as
defined in 15A NCAC 07H .0205) shall not exceed 100 square feet;
III) Shoreline protection measures (excluding living shorelines/marsh sills) that tie into
existing bulkheads, land or other shoreline protection measures or do not extend
waterward of the normal high water line or normal water level more than 30 feet
provided that the activity will not Involve the excavation or filling of any Submerged
Aquatic Vegetation (SAV) or significant shellfish resources as identified by the
Division of Marine Fisheries and impacts less than 500 square feet total of wetland,
with the exception that the excavation or filling of coastal wetlands (as defined in
15A NCAC 07H .0205) shall not exceed 100 square feet;
iv) Living shorelines/marsh sills, Including activities authorized by CAMA General
Permit 2700, that do not extend waterward of the normal high water line or normal
water level more than 30 feet, the activity will not involve the excavation or fill of
any Submerged Aquatic Vegetation (SAV) or significant shellfish resources, as
Identified by the Division of Marine Fisheries, and do not result In any fill landward
of the toe of the sill alignment;
v) Piers and docks designed to accommodate up to but not exceeding 10 vessels
(except where prohibited in Outstanding Resource Waters (ORW) as defined in 15A
NCAC 02B.0225(7) & (B)) and where the water depth is equal to or greater than two
feet of water at normal low water level or normal water level (whichever Is
applicable);
vi) Maintenance dredging of less than 0.5 acres of open water or non -vegetated
wetlands provided that the applicant can provide documentation showing the
historic dimensions of the dredged channel, and no SAV or shellfish beds are
excavated or filled;
vii) Projects that Involve only shading of waters or wetlands that do not meet the
criteria listed in item v above;
All) Utility lines, except wastewater lines and potable water discharge lines which are
subject to an NPDES Permit, as long as all impacts are temporary;
Ix) Upland development which involves no more than 1/10 of an acre of excavation or
filling of non -coastal wetlands, with the exception than no more than 2,000 square
feet of the non -coastal excavation or filling may take place within a Coastal
Shoreline Area of Environmental Concern (AEC). For the purposes of this area
calculation, the excavation or filling impacts of the entire project shall be
Page 2 of 12
J

4
GC4097
considered, which may include. boat ramps, bulkheads or other shoreline
stabilization measures; and
x) Single family home construction that results in fill of 404 jurisdictional wetlands as
long as written concurrence is not required from DWR for the applicable US Army
Corps of Engineers Nationwide Permit;
c) Any stream relocation or stream restoration; or
d) Any impacts except shading to SAV or significant shellfish resources as identified by the
Division of Marine Fisheries; or
e) Any impacts Unique Wetlands (UWL); or
f) Any impact associated with a Notice of Violation or an enforcement action for violation(s)
of NC Wetland Rules (15A NCAC 02H .0500), NC Isolated Wetland Rules (15A NCAC 02H
.1300), NC Surface Water or Wetland Standards (15A NCAC 02B .0200), or State
Regulated Riparian Buffer Rules (15A NCAC 02B .0200); or
g) Any Impacts to subject water bodies and/or state regulated riparian buffers along subject
water bodies in the Neuse or Tar -Pamlico River Basins (or any other basin or watershed
with State Regulated Riparian Area Protection Rules [Buffer Rules] in effect at the time of
application) unless:
i) The activities are listed as "EXEMPT" from these rules; or
ii) A Buffer Authorization Certificate is Issued by the NC Division of Coastal
Management (DCM); or
111) A Buffer Authorization Certificate or a Minor Variance is issued by a delegated or
designated local government implementing a state riparian buffer program
pursuant to 143-215.23.
Activities included In this General Certification that do not meet one of the thresholds listed above
do not require written approval.
I. ACTIVITY SPECIFIC CONDITIONS:
1. Dredging shall not cause Shellfish Closures. The effluent water from the dredge spoil should
not be released Into open shellfish waters. Shellfish Sanitation and the Division of Water
Resources shall be notified if this is to occur. [i5A NCAC 02B .0221]
2. If this Water Quality Certification is used to access residential, commercial or Industrial
building sites, then all parcels owned by the applicant that are part of the single and
complete project authorized by this Certification must be buildable without additional
impacts to streams or wetlands. If required in writing by DWR, the applicant shall provide
evidence that the parcels are buildable without requiring additional Impacts to wetlands,
waters, or state regulated riparian buffers. 115A NCAC 02H .0506(b)(4) and (c)(4)]
3. For road construction purposes, this Certification shall only be utilized from natural high
ground to natural high ground. [i5A NCAC 02H .0506(b)(2) and (c)(2))
Page 3 of 12

,1
GC4097
4. Deed notifications or similar mechanisms shall be placed on all lots with retained
jurisdictional wetlands, waters, and state regulated riparian buffers within the project
boundaries in order to assure compliance with NC Wetland Rules (15A NCAC 02H .0500), NC
Isolated Wetland Rules (15A NCAC 02H .1300), and/or State Regulated Riparian Buffer Rules
(15A NCAC 02B .0200). These mechanisms shall be put in place at the time of recording of
the property or individual parcels, whichever Is appropriate. [15A NCAC 02H .0506(b)(4) and
(c)(4)]
5, For living shorelines, the sills shall have at least one five-foot opening every 100 feet and may
be staggered or overlapped or left open as long as the flve-foot separation between sections
is maintained. Overlapping sections shall not overlap more than 10 feet. 115A NCAC 02H
.0506(b)(4) and (c)(4)]
6. For living shorelines, the permittee shall employ all sedimentation and erosion control
measures necessary to prevent an increase in sedimentation and turbidity within waters and
wetlands outside the permitted area. This shall include, but is not limited to, the immediate
Installation of silt fencing, turbidity curtains or similar appropriate devices around all areas
subject to soil disturbance. Additionally, the project must remain in full compliance with all
aspects of the Sedimentation Pollution Control. Act and the Mining Act of 1971. [iSA NCAC
02H .0506(b)(4) and (c)(4)]
7. Living shorelines in Primary Nursery Areas (as designated by the NC Marine Fisheries
Commission) shall be coordinated with the appropriate NC Wildlife Resources Commission
(WRC), National Marine Fisheries Service (NMFS) and NC Division of Marine Fisheries (DMF)
personnel. [35A NCAC 02B .0221]
8. For the North Carolina Department of Transportation, compliance with the NCDOT's
individual NPDES permit NCS000250 shall serve to satisfy this condition. For all other
projects that disturb one acre or more of land (including a project that disturbs less than one
acre of land that Is part of a larger common plan of development or sale); have permanent
wetland, stream, or open water Impacts; and are proposing new built -upon area shall comply
with the following requirements: 115A NCAC 02H .0506(b)(5) and (c)(5)]
a. Stormwater management shall be provided throughout the entire project area in
accordance with 15A NCAC 02H .1003. For the purposes of 15A NCAC 02H .1003(2)(a),
density thresholds shall be determined in accordance with 15A NCAC 021-1.1017.
b. Projects that have vested rights, exemptions, or grandfathering from state or locally -
implemented stormwater programs do not satisfy this condition. Projects that satisfy
state or locally -implemented stormwater programs through use of community in -lieu
programs do not satisfy this condition.
c. Projects that require written authorization from DWR shall submit the following with
their application for review and approval:
Page 4 of 22

GC4097
For projects that have a stormwater management plan (SMP) reviewed under a state
stormwater program' or a state -approved local government stormwater program'
shall submit plans that show the location and approximate size of all proposed
stormwater measures;
ii. All other low density projects not covered above shall submit a completed low
density supplement form with all required Items; and
Ill. All other high density projects not covered above shall submit a completed SMP,
including all appropriate stormwater control measure (SCM) supplemental forms and
associated Items, that complies with the high density development requirements of
15A NCAC 02H .1003.
d. Projects that do not require written approval from DWR shall obtain approval of the SMP,
when required, before any impacts authorized by this Certification occur.
e. SMPs approved by DWR may be phased on a case -by -case basis. SMPs for each future
phase must be approved before construction of that phase commences. Approved SMPs
may not be modified` without prior written authorization from DWR.
IL GENERALCONDMONS:
1. When written authorization is required, the plans and specifications for the project are
incorporated into the authorization by reference and are an enforceable part of the
Certification. Any modifications to the project require notification to DWR and may require
an application submittal to DWR with the appropriate fee. [15A NCAC 02H .0501 and .0502]
2. No waste, spoil, solids, or fill of any kind shall occur in wetlands or waters beyond the
footprint of the Impacts (including temporary impacts) as authorized in the written approval
from DWR; or beyond the thresholds established for use of this Certification without written
authorization. [15A NCAC 02H .0501 and .05021
No removal of vegetation or other Impacts of any kind shall occur to state regulated riparian
buffers beyond the footprint of Impacts approved in a Buffer Authorization or Varlance or as
listed as an exempt activity in the applicable riparian buffer rules. [15A NCAC 02B .0200)
3. In accordance with 15A NCAC 02H .0506(h), compensatory mitigation may be required for
losses of greater than 150 linear feet of streams and/or greater than one (1) acre of
wetlands. Impacts to isolated and other non-404 jurisdictional wetlands shall not be
combined with 404 jurisdictional wetlands for the purpose of determining when impact
thresholds trigger a mitigation requirement. For linear publicly owned and maintained
transportation projects that are not determined to be part of a larger common plan of
' e,g. Coastal Counties, HQW, ORW, or state -Implemented Phase II NPOES
' e.g. Delegated Phase II NPDES, Water Supply Watershed, Nutrient -Sensitive Waters, or Universal Stormwater
Management Program
Page 5 of 12

GC4097
development by the US Army Corps of Engineers, compensatory mitigation may be required
for losses of greater than 150 linear feet per stream.
Compensatory stream and/or wetland mitigation shall be proposed and completed in
compliance with G.S. 143-214.11. For applicants proposing to conduct mitigation within a
project site, a complete mitigation proposal developed in accordance with the most recent
guidance issued by the US Army Corps of Engineers Wilmington District shall be submitted
for review and approval with the application for impacts,
4. All activities shall be in compliance with any applicable State Regulated Riparian Buffer Rules
in Chapter 2 of Title 15A.
S. When applicable, all construction activities shall be performed and maintained in full
compliance with G.S. Chapter 113A Article 4 (Sediment and Pollution Control Act of 1973).
Regardless of applicability of the Sediment and Pollution Control Act, all projects shall
incorporate appropriate Best Management Practices for the control of sediment and erosion
so that no violations of state water quality standards, statutes, or rules occur, [15A NCAC
02H .0506(b)(3) and (c)(3) and 15A NCAC 02B .0200]
Design, installation, operation, and maintenance of all sediment and erosion control
measures shall be equal to or exceed the requirements specified in the most recent version
of the North Carolina Sediment and Erosion Control Manual, or for linear transportation
projects, the NCDOTSediment and Erosion Control Manual.
All devices shall be maintained on all construction sites, borrow sites, and waste pile (spoil)
sites, Including contractor -owned or leased borrow pits associated with the project.
Sufficient materials required for stabilization and/or repair of erosion control measures and
stormwater routing and treatment shall be on site at all times.
For borrow pit sites, the erosion and sediment control measures shall be designed, installed,
operated, and maintained in accordance with the most recent version of the North Carolina
Surface Mining Manual. Reclamation measures and Implementation shall comply with the
reclamation in accordance with the requirements of the Sedimentation Pollution Control Act
and the Mining Act of 1971.
If the project occurs in waters or watersheds classified as Primary Nursery Areas (PNAs), SA,
WS-1, WS-II, High Quality Waters (HQW), or Outstanding Resource Waters (ORW), then the
sedimentation and erosion control designs shall comply with the requirements set forth in
15A NCAC 04B .0124, Design Standards in Sensitive Watersheds.
6. Sediment and erosion control measures shall not be placed in wetlands or waters except
within the footprint of temporary or permanent Impacts authorized under this Certification.
Exceptions to this condition require application to and written approval from DWR. [15A
NCAC 02H .0501 and .05021
Page 6 of 12

r
GC4097
7. Erosion control matting that incorporates plastic mesh and/or plastic twine shall not be used
along streambanks or within wetlands. Exceptions to this condition require application to
and written approval from DWR. [15A NCAC 02B .0201)
8. An NPDES Construction Stormwater Permit (NCG010000) is required for construction
projects that disturb one (1) or more acres of land. The NCGO10000 Permit allows
stormwater to be discharged during land disturbing construction activities as stipulated in
the conditions of the permit. If the project Is covered by this permit, full compliance with
permit conditions including the erosion & sedimentation control plan, Inspections and
maintenance, self -monitoring, record keeping and reporting requirements is required, [15A
NCAC 02H .0506(b)(5) and (c)(5)]
The North Carolina Department of Transportation (NCDOT) shall be required to be in full
compliance with the conditions related to construction activities within the most recent
version of their individual NPDES (NCS000250) stormwater permit. [15A NCAC 02H
.0506(b)(5) and (c)(5)]
9. All work in or adjacent to streams shall be conducted so that the flowing stream does not
come in contact with the disturbed area. Approved best management practices from the
most current version of the NC Sediment and Erosion Control Manual, or the NC DOT
Construction and Maintenance Activities Manual, such as sandbags, rock berms, cofferdams,
and other diversion structures shall be used to minimize excavation in flowing water.
Exceptions to this condition require application to and written approval from DWR. [15A
NCAC 02H .0506(b)(3) and (c)(3)]
10. If activities must occur during periods of high biological activity (e.g. sea turtle nesting, fish
spawning, or bird nesting), then biological monitoring may be required at the request of
other state or federal agencies and coordinated with these activities. 115A NCAC 02H
.0506(b)(2) and 15A NCAC 04B .0125]
All moratoriums on construction activities established by the NC Wildlife Resources
Commission (WRC), US Fish and Wildlife Service (USFWS), NC Division of Marine Fisheries
(DMF), or National Marine Fisheries Service (NMFS) shall be implemented. Exceptions to this
condition require written approval by the resource agency responsible for the given
moratorium. A copy of the approval from the resource agency shall be forwarded to DWR.
Work within a designated trout watershed of North Carolina (as identified by the Wilmington
District of the US Army Corps of Engineers), or identified state or federal endangered or
threatened species habitat, shall be coordinated with the appropriate WRC, USFWS, NMFS,
and/or DMF personnel.
11. Culverts shall be designed and installed in such a manner that the original stream profiles are
not altered and allow for aquatic life movement during low flows. The dimension, pattern,
and profile of the stream above and below a pipe or culvert shall not be modified by
widening the stream channel or by reducing the depth of the stream In connection with the
construction activity. The width, height, and gradient of a proposed culvert shall be such as
Page 7 of 12

GC4097
to pass the average historical low flow and spring flow without adversely altering flow
velocity. [15A NCAC 02H .0506(b)(2) and (c)(2))
Placement of culverts and other structures in streams shall be below the elevation of the
streambed by one foot for all culverts with a diameter greater than 48 Inches, and 20% of the
culvert diameter for culverts having a diameter less than or equal to 48 inches, to allow low
flow passage of water and aquatic life.
If multiple pipes or barrels are required, they shall be designed to mimic the existing stream
cross section as closely as possible Including pipes or barrels at flood plain elevation and/or
sills where appropriate. Widening the stream channel shall be avoided.
When topographic constraints indicate culvert slopes of greater than 5%, culvert burial is not
required, provided that all alternative options for flattening the slope have been Investigated
and aquatic life movement/connectivity has been provided when possible (e.g. rock ladders,
cross vanes, etc.). Notification, including supporting documentation to Include a location
map of the culvert, culvert profile drawings, and slope calculations, shall be provided to DWR
60 calendar days prior to the installation of the culvert.
When bedrock is present in culvert locations, culvert burial is not required provided that
there is sufficient documentation of the presence of bedrock. Notification, including
supporting documentation such as, a location map of the culvert, geotechnical reports,
photographs, etc. shall be provided to DWR a minimum of 60 calendar days prior to the
installation of the culvert. If bedrock is discovered during construction, then DWR shall be
notified by phone or email within 24 hours of discovery.
If other site -specific topographic constraints preclude the ability to bury the culverts as
described above and/or it can be demonstrated that burying the culvert would result in
destabilization of the channel, then exceptions to this condition require application to and
written approval from DWR.
Installation of culverts in wetlands shall ensure continuity of water movement and be
designed to adequately accommodate high water or flood conditions. When roadways,
causeways, or other fill projects are constructed across FEMA-designated floodways or
wetlands, openings such as culverts or bridges shall be provided to maintain the'natural
hydrology of the system as well as prevent constriction of the floodway that may result in
destabilization of streams or wetlands.
The establishment of native woody vegetation and other soft stream bank stabilization
techniques shall be used where practicable instead of rip -rap or other bank hardening
methods.
Page 8 of 12

GC4097
12, Bridge deck drains shall not discharge directly into the stream. Stormwater shall be directed
across the bridge and pre-treated through site -appropriate means to the maximum extent
practicable (e.g. grassed swales, pre -formed scour holes, vegetated buffers, etc.) before
entering the stream. -Exceptions to this condition require application to and written approval
from DWR. [15A NCAC 02H ,0506(b)(5)]
13. Application of fertilizer to establish planted/seeded vegetation within disturbed riparian
areas and/or wetlands shall be conducted at agronomic rates and shall comply with all other
Federal, State and Local regulations. Fertilizer application shall be accomplished in a manner
that minimizes the risk of contact between the fertilizer and surface waters. 115A NCAC 02B
.0200 and 15A NCAC 02B .02311
14. If concrete is used during construction, then all necessary measures shall be taken to prevent
direct contact between uncured or curing concrete and waters of the state. Water that
inadvertently contacts uncured concrete shall not be discharged to waters of the state. 115A
NCAC 02B .0200]
15. All proposed and approved temporary fill and culverts shall be removed and the Impacted
area shall be returned to natural conditions within 60 calendar days after the temporary
impact is no longer necessary. The impacted areas shall be restored to original grade,
Including each stream's original cross sectional dimensions, planform pattern, and
longitudinal bed profile. For projects that receive written approval, no temporary Impacts are
allowed beyond those included in the application and authorization. All temporarily
impacted sites shall be restored and stabilized with native vegetation. [15A NCAC 02H
.0506(b)(2) and (c)(2)]
16. All proposed and approved temporary pipes/culverts/rip-rap pads etc, in streams shall be
Installed as outlined in the most recent edition of the North Carolina Sediment and Erosion
Control Planning and Design Manual or the North Carolina Surface Mining Manual or the
North Carolina Department of Transportation Best Management Practices for Construction
and Maintenance Activities so as not to restrict stream flow or cause dis-equilibrium during
use of this Certification. [15A NCAC 02H .0506(b)(2) and (c)(2)]
17. Any rip -rap required for proper culvert placement, stream stabilization, or restoration of
temporarily disturbed areas shall be restricted to the area directly Impacted by the approved
construction activity. All rip -rap shall be placed such that the original stream elevation and
streambank contours are restored and maintained. Placement of rip -rap or other approved
materials shall not result in de -stabilization of the stream bed or banks upstream or
downstream of the area or in a manner that precludes aquatic life passage. [15A NCAC 02H
.0506(b)(2)]
18. Any rip -rap used for stream or shoreline stabilization shall be of a size and density to prevent
movement by wave, current action, or stream flows and shall consist of clean rock or
masonry material free of debris or toxic pollutants. Rip -rap shall not be installed In the
streambed except in specific areas required for velocity control and to ensure structural
integrity of bank stabilization measures. [15A NCAC 02H .0506(b)(2)]
Page 9 of 12

GC4097
19. Applications for rip -rap groins proposed in accordance with 15A NCAC 07H .1401 (NC
Division of Coastal Management General Permit for construction of Wooden and Rip -rap
Groins in Estuarine and Public Trust Waters) shall meet all the specific conditions for design
and construction specified in 15A NCAC 07H .1405.
20. All mechanized equipment operated near surface waters shall be Inspected and maintained
regularly to prevent contamination of surface waters from fuels, lubricants, hydraulic fluids,
or other toxic materials. Construction shall be staged in order to minimize the exposure of
equipment to surface waters to the maximum extent practicable. Fueling, lubrication and
general equipment maintenance shall not take place within 50 feet of a waterbody or
wetlands to prevent contamination by fuels and oils. [15A NCAC 02H .0506(b)(3) and (c)(3)
and 15A NCAC 028.0211(12)]
21. Heavy equipment working in wetlands shall be placed on mats or other measures shall be
taken to minimize soil disturbance. 115A NCAC 02H .0506(b)(3) and (c)(3)]
22. In accordance with 143-215,85(b), the applicant shall report any petroleum spill of 25 gallons
or more; any spill regardless of amount that causes a sheen on surface waters; any
petroleum spill regardless of amount occurring within 100 feet of surface waters; and any
petroleum spill less than 25 gallons that cannot be cleaned up within 24 hours.
23. If an environmental document is required under the State Environmental Policy Act (SEPA),
then this General Certification is not valid until a Finding of No Slgniflcant Impact (FONSI) or
Record of Decision (ROD) is issued by the State Clearinghouse. If an environmental document
is required under the National Environmental Policy Act (NEPA), then this General
Certification is not valid until a Categorical Exclusion, the Final Environmental Assessment, or
Final Environmental Impact Statement is published by the lead agency [15A NCAC O1C
.0107(a)]
24. This General Certification does not relieve the applicant of the responsibility to obtain all
other required Federal, State, or Local approvals before proceeding with the project,
including those required by, but not limited to Sediment and Erosion Control, Nan -Discharge,
Water Supply Watershed, and Trout Buffer regulations.
25. The applicant and their authorized agents shall conduct all activities in a manner consistent
with State water quality standards (including any requirements resulting from compliance
with §303(d) of the Clean Water Act), and any other appropriate requirements of State and
Federal Law. If DWR determines that such standards or laws are not being met, including
failure to sustain a designated or achieved use, or that State or Federal law is being violated,
or that further conditions are necessary to assure compliance, then DWR may revoke or
modify a written authorization associated with this General Water Quality Certification. [15A
NCAC 02H .0507(d)]
Page 10 of 12

GC4097
26. When written authorization is required for use of this Certification, upon completion of all
permitted Impacts included within the approval and any subsequent modifications, the
applicant shall be required to return a certificate of completion (available on the DWR
website https://edocs.deg.nc.goy/Forms/Certificate-of-Completion). [15A NCAC 02H
.0502(f)]
27. Additional slte-specific conditions, including monitoring and/or modeling requirements, may
be added to the written approval letter for projects proposed under this Water Quality
Certification in order. to ensure compliance with all applicable water quality and effluent
standards. [15A NCAC 02H .0507(c)]
28. If the property or project Is sold or transferred, the new Permittee shall be given a copy of
this Certification (and written authorization If applicable) and is responsible for complying
with all conditions. [15A NCAC 02H .0501 and .0502]
III. GENERAL CERTIFICATION ADMINISTRATION:
1. In accordance with North Carolina General Statute 143-215.3D(e), written approval for a 401
Water Quality General Certification must Include the appropriate fee. An applicant for a
CAMA permit under Article 7 of Chapter 113A of the General Statutes for which a Water
Quality Certification is required shall only make one payment to satisfy both agencies; the fee
shall be as established by the Secretary in accordance with 143-215.3D(e)(7).
This Certification neither grants nor affirms any property right, license, or privilege in any
waters, or any right of use in any waters. This Certification does not authorize any person to
interfere with the riparian rights, littoral rights, or water use rights of any other person and
this Certification does not create any prescriptive right or any right of priority regarding any
usage of water. This Certification shall not be interposed as a defense in any action
respecting the determination of riparian or littoral rights or other rights to water use. No
consumptive user is deemed by virtue of this Certification to possess any prescriptive or
other right of priority with respect to any other consumptive user regardless of the quantity
of the withdrawal or the date on which the withdrawal was initiated or expanded.
3. This Certification grants permission to the Director, an authorized representative of the
Director, or DWR staff, upon the presentation of proper credentials, to enter the property
during normal business hours. [1SA NCAC 02H .0502(e))
4. This General Certification shall expire on the same day as the expiration date of the
corresponding Nationwide Permit and/or Regional General Permit. The conditions in effect
on the date of issuance of Certification for a specific project shall remain in effect for the life
of the project, regardless of the expiration date of this Certification. This General
Certification is rescinded when the US Army Corps of Engineers reauthorizes any of the
corresponding Nationwide Permits and/or Regional General Permits or when deemed
appropriate by the Director of the Division of Water Resources.
Page 11 of 12

,i
GC4097
5. Non-compliance with or violation of the conditions herein set forth by a specific project may
result In revocation of this General Certification for the project and may also result in
criminal and/or civil penalties.
6. The Director of the North Carolina Division of Water Resources may require submission of a
formal application for Individual Certification for any project in.this category of activity if it is
determined that the project is likely to have a significant adverse effect upon water quality,
Including state or federally listed endangered or threatened aquatic species, or degrade the
waters so that existing uses of the water or downstream waters are precluded.
Public hearings may be held prior to a Certification decision if deemed in the public's best
interest by the Director of the North Carolina Division of Water Resources.
History Note: Water Quality Certification (WQC) Number 4097 issued March 6, 1017 replaces
WQC Number 3900 issued March 19, 2012; WQC Number 3641 and 3642 issued March 19, 2007;
WQC Numbers 3371 and 3400 issued March 18, 2002; WQC Number 3274 Issued June 1, 2000,
WQC Number 3112 issued February 11, 1997; and WQC Number 3025 issued September 6, 1995.
Page 12 of 12

ROY 040.1YER
• .. >"ia"trtitpr
MICHAEL S. PROAN
. Se6retbry
BRAXTON c.0AVIS
RECEIVED
SEP 18 2017
September 1.2, 2017
BY:
MEMORANDUM:
TO:. Clif Whitfield
Public' Water. Supply
FROM: Gregg Bodnar -
Major Permits Processing Coordinator
SUBJECT: CAMA/DREDGE & FILL Permit Application Review
Applicant: Jody Henries
Project Location: Pamlico County, adjacent to Lewis Creek at.199 Timber Point Dr., near
Merritt.
Proposed Project: Proposes to construct a docking facility for personal use.
Please indicate below your agency's position or viewpoint on the proposed project and return this form
by October 2, 2017. If you have any questions regarding the proposed project, please contact Brad.
Connell, permit officer. at [phone]. Ext. 214. When appropriate, in-deptli comments with
supporting data is requested. ,
REPLY: This agency has no objection to the project as proposed.
This agency has nocomment on the proposed project.
This agency approves of the project.. only if the -recommended changes are
incorporated: See attached.
This agency objects to the .project for reasons described in the attached
comments.
SIGNED P. DATE
> �l�inEhing.Com�ares�.�.
State ONodh'Eamlina IEtrvlronmonraLQ,ualhyl �OaseelManagemuR
Morehead CdtI0ft?de 1400Commerm Aftnue I Moreheddaty= 2885T
25t808280a

Bodnar, Gregg
From: Thorpe, Roger
Sent: Wednesday, September 27, 2017 2:55 PM
To: Bodnar, Gregg
Subject: CAMA Major, Jody Henries proposed Docking Facility, Merritt, NC, Pamlico County
Gregg
The subject project will not require a state stormwater permit.
Roger
Roger K. Thorpe
Environmental Engineer
Division of Energy, Mineral, and Land Resources
North Carolina Department of Environmental Quality
252-948-3923 office
[e-mail]
Washington Regional Office
943 Washington Square Mall
Washington, NC 27889
We
-57. NothingCompares�
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.

September 12, 2017
MEMORANDUM:
TO:
FROM:
SUBJECT:
Applicant:
RECEIVED
SEP.g 8-2017
DCRA-Flahorl0e.
WARO
Shane Staples
Division of Coastal Management .
Gregg Bodnar
Major Permits Processing Coordinator .
CAMA/DREDGE & FILL Permit Application Review
Jody Henries
ROY COOPER
fJa�HOr
MICiflAEt. 5.:MOAN
Seitehyey
B.RAXTO.N C. UAVIu
Project Location: Pamlico County, adjacent to•Lewis Creek at 199 Timber Point'Dr., near
Merritt.
Proposed Project: Proposes to construct a docking facility for personal use.
Please indicate below your, agency's position or viewpoint on the proposed project and return this form
by October 2, 2017.'If you have any questions regarding the proposed project, please contact Brad
Connell, permit officer at [phone]. Ext. 214. When appropriate,. in-depth comments with
supporting data is requested.
REPLY: /This agency has no objection io'the project as proposed.
V This agency has no comment on the proposed project.
This agency approves of the project only if the recommended changes are
incorporated. See attached.
This agency objects. to the project for reasons described in the attached
comments.
SIGNED DATE
�`l�ohing.lrompare@�,.. .
State ofNofth:Camha I C'nvlronmeadquaBty I CoastetManagement
Mbi.deeACttyOtfleo 140OCoinmkceAve I MoreheadCay,NC 2&%7
251808280E

.A
IL
CoaNaV?tIoONl�MERMLQUALfrY
ROY COOPER
Q0 2 me
MICHAEL S. REGAN
Secretary
BRAXTON C. DAVIS
Dimcfor
,�f-1:1,a9.l4.ot
September 12, 2017
MEMORANDUM:
TO:
FROM:
SUBJECT:
Applicant:
Project Location:
Proposed Project:
Maria Dunn
NC Wildlife Resources Commission
Gregg Bodnar
Major Permits Processing Coordinator
CAMA/DREDGE & FILL Permit Application Review
Jody Henries
Pamlico County, adjacent to Lewis Creek at 199 Timber Point Dr., near
Merritt.
Proposes to construct a docking facility for personal use.
Please indicate below your agency's position or viewpoint on the proposed project and return this form
by October 2, 2017. If you have any questions regarding the proposed project, please contact Brad
Connell, permit officer at [phone]. Ext. 214. When appropriate, in-depth comments with
supporting data is requested.
RECEIVED
REPLY: This agency has no objection to the project as proposed. SEP 2 8 2017
'✓/ This agency has no comment on the proposed project.
DCM- NIHD CITY
This agency approves of the project only if the recommended changes are
incorporated. See attached.
This agency objects to the project for reasons described in the attached
comments.
SIGNED VIA _ I . I DATE q -25 - '.D� f -:1
<:�"Nothing Compares
State of North Carolina I Fmlronmerual Quality l coastalftWement
Morehead Ctty0fTloe 1400Cmneroe Avenue I Moreheadaty NC 2aW
252 8082808

CQR�tal, ft�'cili,A9eiR�hi.
:ENVIgONNENTi�1:YiVALRY.
September 12, 2017 '
MEMORANDUM
TO:
FROM:
SUBJECT:
Applicant:
Renee Gledhill -Early
NC Department of Cultural Resources
Gregg: Bodnar
Major•'Permits Processing Coordinator,
CAMA/DREDGE & VILL Permit Application Review
Jody Henries
ROY CO.OFER
..G4vernar
MICHABL S..RE.GAN
. seaetary
BRAXTON Q. PAVIS
otreffo'
S_ER 1„9 2017
;rZ 176'5'
A _ N�ta�e g•2y-17
N Nc-
flue io I3
Project Location:: Pamlico County,, 'adjacent to Lewis Creels at 199 Timber Point Dr„ near
Merritt.
Proposed Project: Proposes to'construct a docking facility for personal use.
Please indicate below your agency's p. osition or viewpoint on the proposed project and,retum this. form
by October 2, 2017. If you'have any questions regarding the proposed project, please contact Brad
Connell, permit officer at [phone]`. Ext. 214. When appropriate, in-depth comments with
supporting data is requested.
REPLY: This, agency has no objection fo the ,project as proposed.
This agency has no comment on the,proposed project.
This `agency approves 'ofthe project only if the recommended changes are
incorporated. See attached.
This agency 'objects, to the project for reasons described in the attached
comments.
SIGNED DATE W
Notldng:Gompares�.
State ofNoith Carolina I Environmental QualityI CoastalManaliement SEP 2...0 2017
Morehead City .Office .I 400 Commerce Avenue I; MoreheadQty,NC,28557
228082808

October 30, 2017
Regulatory Division
Action ID No. SAW-2017-01984
Mr. Doug Huggett
Division of Coastal Management
North Carolina Department of Environment
and Natural Resources
400 Commerce Avenue
Morehead City, North Carolina 28557-3421
Dear Mr. Huggett:
Reference the application of Mr. Jody Henries to construct a 5' wide by 110' foot long pier
with an associated 10 foot by 11 foot platform and a 10 foot by 20 foot boathouse, along with a
14 foot wide by 46 foot long "L" shaped platform and a 5x10 step-down, at 199 Timber Point
Drive, adjacent to Bay River, Pamlico County, North Carolina.
The Federal agencies have completed review of the proposal as presented by the
application and your field investigation report.
We recommend that the following conditions be included in the State authorization:
1. All work authorized by this permit must be performed in strict compliance with the
attached plans, which are a part of this permit. Any modification to these plans must be approved
by the US Army Corps of Engineers (USACE) prior to implementation.
2. The permittee understands and agrees that, if future operations by the United States
require the removal, relocation, or other alteration, of the structure or work herein authorized, or
if, in the opinion of the Secretary of the Army or his authorized representative, said structure or
work shall cause unreasonable obstruction to the free navigation of the navigable waters, the
permittee will be required, upon due notice from the U.S. Army Corps of Engineers, to remove,
relocate, or alter the structural work or obstructions caused thereby, without expense to the
United States. No claim shall be made against the United States on account of any such removal,
relocation, or alteration. The permittee shall notify NOAA/NATIONAL OCEAN SERVICE
Chief Source Data Unit N CS261, 1315 E West HWY- RM 7316, Silver Spring, MD 20910-
3282 at least two weeks prior to beginning work and upon completion of work.

3. Except as specified in the plans attached to this permit, no excavation, fill or mechanized
land -clearing activities shall take place at any time in the construction or maintenance of this
project, in such a manner as to impair normal flows and circulation patterns within waters or
wetlands or to reduce the reach of waters or wetlands.
4. Except as authorized by this permit or any USACE approved modification to this permit,
no excavation, fill or mechanized land -clearing activities shall take place at any time in the
construction or maintenance of this project, within waters or wetlands. This permit does not
authorize temporary placement or double handling of excavated or fill material within waters or
wetlands outside the permitted area. This prohibition applies to all borrow and fill activities
connected with this project.
5: Unless otherwise authorized by this permit, all fill material placed in waters or wetlands
shall be generated from an upland sdurce and will be clean and free of any pollutants except in
trace quantities. Metal products, organic materials (including debris from land clearing
activities), or unsightly debris will not be used.
6. The authorized structure and associated activity must not interfere with the public's right
to free navigation on all navigable waters of the United States. No attempt will be made by the
permittee to prevent the full and free use by the public of all navigable waters at or adjacent to
the authorized work for reason other than safety.
7. The permittee shall advise the Corps in writing at least two weeks prior to beginning the
work authorized by this permit and again upon completion of the work authorized by this permit.
8. The permittee shall require its contractors and/or agents to comply with the terms and
conditions of this permit in the construction and maintenance of this project, and shall provide
each of its contractors and/or agents associated with the construction or maintenance of this
project with a copy of this permit. A copy of this permit, including all conditions, shall be
available at the project site during construction and maintenance of this project.
9. The permittee shall employ all sedimentation and erosion control measures necessary to
prevent an increase in sedimentation or turbidity within waters and wetlands outside the permit
area. This shall include, but is not limited to, the immediate installation of silt fencing or similar
appropriate devices around all areas subject to soil disturbance or the movement of earthen fill,
and the immediate stabilization of all disturbed areas. Additionally, the project must remain in
full compliance with all aspects of the Sedimentation Pollution Control Act of 1973 (North
Carolina General Statutes Chapter 113A Article 4).
10. The activity will be conducted in such a manner as to prevent a significant increase in
turbidity outside the area of construction or construction -related discharge. Increases such that
the turbidity in the waterbody is 50 NTU's or less in all rivers not designated as trout waters by

the North Carolina Division of Environmental Management (NCDEM), 25 NTU's or less in all
saltwater classes and in all lakes and reservoirs, and 10 NTU's or less in trout waters, are not
considered significant.
11. Violations of these conditions or violations of Section 404 of the Clean Water Act or
Section 10 of the Rivers and Harbors Act must be reported in writing to the Wilmington District
U.S. Army Corps of Engineers within 24 hours of the permittee's discovery of the violation.
Questions or comments may be addressed to Mr. Josh Pelletier, Washington Field Office,
Regulatory Division, telephone [phone].
Sincerely,
Josh Pelletier
Regulatory Project Manager
Copies Furnished:
Mr. Ian McMillan
North Carolina Division of Water Quality
1650 Mail Service Center
Raleigh, North Carolina 27699-1650
Mr. Pete Benjamin
U.S. Fish and Wildlife Service
Fish and Wildlife Enhancement
Post Office Box 33726
Raleigh, North Carolina 27636-3726
Mr. Ken Riley
National Marine Fisheries Service
Habitat Conservation Service
101 Pivers Island Road
Beaufort, North Carolina 28516
Mr. Jeffrey Garnett
Wetlands and Marine Regulatory Section
Water Protection Division -Region IV
U.S. Environmental Protection Agency

61 Forsyth Street, SW
Atlanta, Georgia 30303
Roy Brownlow, District Manager
Morehead City Field Office
North Carolina Division of Coastal Management

' ' n DIVISION OF COASTAL MANAGEMENT
FIELD INVESTIGATION REPORT
APPLICANT'S NAME: Jody Henries
LOCATION OF PROJECT SITE: The project is located adjacent to Lewis Creek at
199 Timber Point Drive, near Merritt, Pamlico County.
Latitude: 35' 8'8.08"N Longitude: 76'41'36.55"W
INVESTIGATION TYPE: CAMA
INVESTIGATIVE PROCEDURE: Date(s) of Site Visit — 7/26/16
Was Applicant or Agent Present —Yes
Photos Taken — No
PROCESSING PROCEDURE: Application Received — cc: 8/24/17
Office — MHC
SITE DESCRIPTION:
(A) Local Land Use Plan — Pamlico County (January 28, 2005)
Land Classification from LUP —Rural with Services
(B) AEC(s) Involved: CW, ES, EW, PTA
(C) Water Dependent: Yes
(D) Intended Use: Private
(E) Wastewater Treatment: Existing — none
Planned - off -site septic
(F) Type of Development: Existing — earthen fill and storage shed
Planned - docking facility
(G) Estimated Annual Rate of Erosion: N/A
Source — N/A
f; R;TM IY 11Df.YN171_y_M_ON1100-5031I1"DI1'y11111s11�l I►[VU_ZJV1.1E/:\_JDI1kA
II (A) Open Water II II II 1,289 ftZ shaded II
(B) Coastal Wetlands 250 ftz shaded
(E) Total Area Disturbed: 1,539 ftZ
(F) Primary Nursery Area: Yes
(G) Water Classification: SC; Sw, HQW, NSW Open: No
(H) Cultural Resources: None
Proiect Summary: The applicant wishes to construct a docking facility for personal
use adjacent to Lewis Creek, Pamlico County.

Field Investigation Report:
Jody Henries
Narrative Description:
The property is located adjacent to Lewis Creek (off Mason Bay) at 199 Timber Point Drive, near Merritt in
Pamlico County. This private residential property is currently developed with earthen fill (for a future home
site) and a storage shed. The adjacent riparian properties are undeveloped residential lots.
The elevation of the high ground of the parcel is about 3' above the normal water level (nwl). Vegetation on
the parcel mainly consists of native trees and shrubs. There are Coastal Wetlands (Juncus roemerianus) within
the project area. The 3.3-acre parcel has approximately 417' of continuous shoreline along Lewis Creek and
Mason Bay, tributaries of the Bay River. Immediate offshore water depths adjacent to the parcel range from-
2' to --4' nwl. The subaqueous substrate is soft without shell.
There is not a cultural resource in the nearby vicinity of the project area. The Lewis Creek waterbody is
approximately 60' across at this location, and Mason Bay is approximately 600' wide at this location. These
coastal waters are classified as a Primary Nursery Area. Submerged aquatic vegetation is not present at this
location. This area is closed to shellfish harvest and is classified as SC; Sw, HQW; Nutrient Sensitive Waters.
There is not a defined Federal Channel in the vicinity of this project area. This project area is subject to the
Neuse River Riparian Buffer Rules.
Proposed Development:
The applicant proposes to construct a docking facility adjacent to Lewis Creek, near Merritt. The proposed
development would take place at 199 Timber Point Drive, Pamlico County. The proposed docking facility
would be for the private use of the property owner.
The proposed pier access would begin on the high ground and traverse northwest over the Coastal Wetlands
(Juncus roemerianus) into Lewis Creek. This proposed pier would be 5' wide and 110' long. Once the pier
access reaches Lewis Creek, there would be 10' by I V platform adjacent to a 10' by 20' boathouse. At the
terminus of the pier walkway in the confluence of Lewis Creek and Mason Bay, there would be a 14' wide and
46' long "L" platform with a 5' by 10' stepdown platform parallel to the landward side of the southeast end of
the "L" platform.
Anticipated Impacts:
The proposed docking facility would shade 1,289 square feet of estuarine waters and 250 square feet of Coastal
Wetlands. Traditional marine construction methodology will be utilized during the construction ofthis project.
Turbidity impacts are not anticipated during construction activities in Lewis Creek. The pier, boathouse, and
"L" platform would extend no further than 15' waterward into Lewis Creek, which would be the maximum
distance allowed due to the'/4 width.
There is not a cultural resource in the nearby vicinity of the project area. This project area is subject to the
Neuse River Riparian Buffer Rules. These waters of Lewis Creek and Mason Bay are classified as a
Primary Nursery Area and the presence of submerged aquatic vegetation was not observed. This area is
closed to shellfish harvest and is classified as SC; Sw, HQW; Nutrient Sensitive Waters. There is not a
defined Federal Channel near the project area. It would not be a hazard to navigation as it would meet the
/4 width rules, in this case 15' waterward into Lewis Creek from the edge of the marsh.
Brad Connell September 12, 2017 Morehead City

l�'rueNEOTo: �rr�
GATE i MIMNIM: \0
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Lyon H.
No
LevU Prpbtar of Deeds
SK573 Pa140-142
Prepared by/ReturR to: Seta L. Delamar, Delalnar & Delomgr, PLLC, Attorneys. at Law
N.C. Excise Tax - $34.00
NORTH CAROLINA
SPECIAL WARRANTY DEED
PAMLICO COUNTY
This deed, made mad entered into this.. day of October, 2012, by and between
Branch Banking & Trust Company, hereinafter referred to as"Grantor ; and Jody henries,
hereinafter referred to as "Grantee". Grantor's mailing address is P.O. Box 1847, Wilron,NC
27894. Grantee's mailing address is Y.O. Box 951, Bayboro, NC 28515,
WTINESSETH:
That said Grantor, for and in consideration of valuable consideration paid to Grantor, the
receipt of which is hereby acknowledged, does grant, bargain, sell and convey unto the Grantee
in fee simple all that certain pact or parcel of land lying and being in Number Two (2)
Township, Pamlico County, North Carolina, and mom particularly described as follows:
Being all of Lots 6 and 6A of limber Point Subdivision a1 shown on the Survey by Hood L.
Richardson, PLS, dated October 30, 2004, and recorded in Plat Cabinet A, Slide 142-6,
Pamlico County Registry. Reference is also made to the Deed to Timber Point Properties,
LLC recorded in Book 439, Page 163, Pamlico County Registry. Lot 6A is not a buildable
lot but is the offsite septic disposal area for Lot 6. Lot 6A is appurtenant to Lot 6, and title
to same mess with the title to Lot 6. There Is also conveyed herewith an easement and
right of -way from Let 6 to Lot 6A for fnataBation,. maintenance and repair of a wastewater
sewer line as described in the Declaration recorded in Book 444, Page 165, Pamlico County
Registry.
The property described above was acquired by Grantor by mstrumcut recorded in Book
554, Page 509, Pamlico County Registry.
RECENED
MAY 01 ZW7
pCM_ MHp CITY
Book: 573 Page:140 Bog:1
B V3 Pp .e Py, ,.,

To have and hold the aforesaid tractor parcel of landand all privileges thereunto '
belonging in fee simple forever.
(hantor covenants with Grantee that Grantor has done nothing to impair such title as
Grantor received, and Grantor will warrant mid defend the title against the lawful claims of all
persons claiming by, under or through Grantor, other than the exceptions listed below.
Title to the property described above is subject to ad valorem taxes for the current yew
and casements and restrictive covenants of record, if any.
The designation Grantor and Grantee as used herein shall include the parties hereto, their
heirs, successors, assigns and legal and/or personal representatives.
Ia Testimony Whereof, said Grantor has caused this instrument to be signed in its
corporate name by its duly authorized officer by authority of its Roard of Directors, the day and
year first above written
RECEIVED
W,�Ay 01 2017
DCM- MHD CITY
Book,573 Pqp-. 40 8eq:2.
"'M rm W midi

If initialed, the properly includes the primary residence of at least one of the Grantors,
otherwise,, note as NIA. (pet NC OS § 105-3172)
NORTkl,CAROLINA
COUNTY
I,-5&ffann-e 0&&p&fa . Notary Public of said County, do hereby certify
Barbara Oxendine, personally came before me this day and acknowledged that she is assistant
vice-president of Branch Banking.& Trust Company and that she, as assistant vice-president,
being authorized to do so, acknowledged, on behalf of Branch Banidng &.Trust Company, the
due executionof the foregoing instrument LLI
wimess. my hand and official seal, this the day of October, 2012.
nuoaw,n
MOON 40 Public signature
JUN C?
is OU- ntt<M NanKlottrr4
2013 z Nv1wj P c Printed Name
RECEIVED
Mi.Y 01 2017
DCM- MHD CITY
Book: D7.9 Pob.;14 Sag: 3
.. 1S IM PW3.13

ROY COOPER
Governor
ha r. el d
t � v
P
MICHAEL S. REGAN
Secreloty
BRAXTON C. DAVIS
Director
Coastal Management
ENVIRONMENTAL QUALITY
August 29, 2017
Jody Henries
1590 Alligator Loop Road
Merritt, NC 28556
Dear Mr. Henries:
The NC Division of Coastal Management hereby acknowledges receipt of your application for
State approval for development of your property located adjacent to Lewis Creek at 199 Timber
Point Drive in Merritt, Pamlico County. It was received on August 24, 2017, and appears to be
adequate for processing at this time. The projected deadline for making a decision is November
7, 2017. An additional 75-day review period is provided by law when such time is necessary to
complete the review. If you have not been notified of a final action by the initial deadline stated
above, you should consider the review period extended. Under those circumstances, this letter
will serve as your notice of an extended review. However, an additional letter will be provided
on or about the 75th day.
If this agency does not render a permit decision within 70 days from August 24, 2017, you may
request a meeting with the Director of the Division of Coastal Management and permit staff to
discuss the status of your project. Such a meeting will be held within five working days from the
receipt of your written request and shall include the property owner, developer, and project
designer/consultant.
NCGS 113A-119(b) requires that Notice of an application be posted at the location of the
proposed development. Enclosed you will find a "Notice of Permit Filing" postcard which
must be posted at the property of your proposed development. You should post this notice at
a conspicuous point along your property where it can be observed from a public road. Some
examples would be: Nailing the notice card to a telephone pole or tree along the road right-
of-way fronting your property, or at a point along the road right-of-way where a private road
would lead one into your property. Failure to post this notice could result in an incomplete
application.
�Nothing Compares
State of North Carolina I Environmental Quality I Coastal Management
400 Commerce Ave I Morehead City, NC 28557
252 808 2808 T

Henries
Page 2 of 2
8/29/17
An onsite inspection will be made, and if additional information is required, you will be contacted
by the appropriate State or Federal agency. Please contact me if you have any questions and
notify me in writing if you wish to receive a copy of my field report and/or comments from
reviewing agencies.
Sincerely,
co-, JP
Brad Connell
Coastal Management Representative
BC
Enclosure
CC: Gregg Bodnar, Asst. Major Permits Coordinator
Roy Brownlow, District Manager
-5�>^Alothmg Comparesml�
State of North Carolina I Emiroumeutal Quality I Coastal Management
400 Commerce Ave I Morehead City, NC 28557
2528082808 T

5
CAM.A PERMIT
APPLIED FOR
PROJECT: Construct a docking facility adjacent
to Lewis Creek in Merritt.
APPLICANT:
Mr. Jody Henries
1590 Alligator Loop Road
Merritt, NC 28556
September 30, 2017
FOR MORE DETAILS CONTACT
THE LOCAL PERMIT OFFICER BELOW:
R Brad Connell - DCM
400 Commerce Avenue
Morehead City, NC 28557
[phone]

Jody Henries
1590 Alligator loop rd , Merritt, N.C. 28556 1 [phone] 1 [e-mail]
Gregory Derman
1480 North Ridge Meadows Path
Hernando, FL,34442
Dear , Mr. Gregory Derman
I (Jody Henries ) am applying for a CAMA Major permit to build a pier ,located at 199 Timber pt. dr. on
Mason Bay in Pamlico county ,North Carolina. The specifics of the proposed work are in
the enclosed application forms and drawings.
As the adjacent riparian property owner to the aforementioned project, I am required to notify you of the
development in order to give you the opportunity to comment on the project. Please review the attached
permit application and drawings.
Should you have any objections to this proposal, please send your written comments to Doug Huggett /
Brad Connell @ 400 Commerce Ave , Morehead City, N.C. 28557, within 30 days of your receipt of this
notice. Such comments will be considered by the Department in reaching a final decision on the
application. No comment within 30 days of your receipt of this notice will be considered as no objection. If
you have any questions on this project, please call me at [phone], or e-mail me at
[e-mail]
Sincerely,
Jody Henries
RECEIVED
MAY 01 P017
DCM- MHD CITY

Jody Henries
1590 Alligator loop rd , Merritt, N.C. 28556 1 [phone] 1 [e-mail]
Eric Johnson
4683 Running Deer Woods
Iowa City , IA 52240
Dear Mr. Eric Johnson
I (Jody Henries ) am applying for a CAMA Major permit to build a pier ,located at 199 Timber pt. dr. on
Mason Bay in Pamlico county ,North Carolina. The specifics of the proposed work are in
the enclosed application forms and drawings.
As the adjacent riparian property owner to the aforementioned project, I am required to notify you of the
development in order to give you the opportunity to comment on the project. Please review the attached
permit application and drawings.
Should you have any objections to this proposal, please send your written comments to Doug Huggett /
Brad Connell @ 400 Commerce Ave , Morehead City, N.C. 28557 , within 30 days of your receipt of this
notice. Such comments will be considered by the Department in reaching a final decision on the
application. No comment within 30 days of your receipt of this notice will be considered as no objection. I
you have any questions on this project, please call me at [phone], or e-mail me at
[e-mail]
Sincerely,
Jody Henries
RECEIVED
V,` 01 2017
DCM• M HD CITY

■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the maiipiece,
or on the front if space permits.
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Domestic Return Receipt
■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the maiipiece,
or on the front if space permits.
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4 2017
'D CITY

ROY COOPER
G.vemor
MICHAEL S. REGAN
Secretary
BRAXTON C. DAVIS
Director
Coastal Management
ENVIRONMENTAL QUALITY
August 29, 2017
The Pamlico News
Legal Advertisement Section
P.O. Box 510
Oriental, N.C. 28571
Re: Public Notice —Jody Henries
Dear Sir:
Please publish the attached Notice in the September 6, 2017 issue of the Pamlico News.
The State Office of Budget and Management requires an original Affidavit of Publication prior to
payment for newspaper advertising. Please send the affidavit, an original copy of the published
notice, and an original invoice to Arthur Stadiem, NC Division of Coastal Management, 400
Commerce Avenue, Morehead City, North Carolina 28557, Telephone [phone].
Thank you for your assistance in this matter. If you should have any questions, please contact me at
our Morehead City office.
Sincerely
Brad Connell
Coastal Management Representative
Enclosure
cc: Gregg Bodnar
Roy Brownlow
Nothing Compares
Slate of North Carolina I Environmental Quality I Coastal Management
400 Commerce Ave I Morehead City, NC 28557
252 808 2808 T
L

0
NOTICE OF FILING OF
APPLICATION FOR CAMA MAJOR
DEVELOPMENT PERMIT
The Department of Environment and Natural Resources hereby gives public notice as required by
NCGS 113A-119(b) that application for a development permit in an Area of Environmental Concern as
designated under the CAMA was received on August 24, 2017. According to said application, Mr. Jody
Henries proposes to construct a docking facility adjacent to Lewis Creek, at 199 Timber Point Drive,
Pamlico County. A copy of the entire application may be examined or copied at the office of Brad Connell,
NC Division of Coastal Management, located at 400 Commerce Avenue, Morehead City, NC,
[phone] during normal business hours.
Comments mailed to Braxton C. Davis, Director, Division of Coastal Management, 400 Commerce
Avenue, Morehead City, N.C. 28557, prior to September 30, 2017, will be considered in making the permit
decision. Later comments will be accepted and considered up to the time of permit decision. Project
modification may occur based on review and comment by the public and state and federal agencies.
Notice of the permit decision in this matter will be provided upon written request.
PUBLISHED ON: September 6, 2017
Nothing Compares.
State of North Carolina I Environmental Quality I Coastal Management
400 Commerce Ave I Morehead City, NC 28557
252 808 2808 T

TRANSMISSION JOURNAL
�l
T330SYOW1261
TIME
FAX NO.1
NAME
F670-A14
: 08-29-2017 10:35
:12522473330
: DEO-COASTAL
NO. FILENO. DATETIME DURATION PGS TO DEPT MODE STATUS
099 624 08.2910:35 00:15 2 n92490857 EC 603 OK

""'This is a word processing form to be completed in Microsoft Word""
NC Division of Coastal Management
Major Permit Application Computer Sheet
(11/1/2012)
Applicant: Jody Henries
Date: 8/292017
Project Site County: Pamlico
Staff: Brad Connell
District: DElizabeth City ElWashington
®Morehead City ❑Wilmington
Project Name: Jody Henries dock
Date of initial application submittal (EX: 1/8/2007): 5/1/2017
Date application "received as complete' in the Field office (EX: 1/8/2007): 8/24/2017
Permit Authorization: ®CAMA ❑Dredge & Fill ❑Both
SITE DESCRIPTION/PERMIT INFORMATION
PNA: ZYes []No
Photos Taken: Yes ❑ No®
Setback Required (riparian): SYes No
Critical Habitat: ❑Yes ®No ❑Not Sure
15 foot waiver obtained: [-]Yes ®No
Hazard Notification Returned:
❑Yes ®No
$AV: Yes ®No ❑Not Sure
Shell Bottom: Yes ®No ❑ Not Sure
Temporary Impacts: ❑Yes ®No
Sandbags: []Yes ®No Not Sure
Did the land use classification come from
county LUP: ®Yes ❑No
Mitigation Required (optional):
❑Yes ❑No
Moratorium Conditions: ❑Yes SNo
❑NA
Environmental Assessment Done:
❑Yes []No ® NA
SECONDARY WATER CLASSIFICATION — OPTIONAL (choose MAX of 4)
❑ Future Water Supply (FWS) N Nutrient Sensitive Waters (NSW) Swamp Waters (SW)
® High Quality Waters (HQW) I ❑ Outstanding Resource Waters (ORW)
WETLANDSIMPACTED
❑ (404) Corp. of Engineers (Jurisdictional
❑ (LS) Sea lavender (Limonium sp.)
(SS) Glasswort (Salicomia sp.)
wetlands)
❑ (CJ) Saw grass (Cladium jamaicense)
❑ (SA) Salt marsh coidgrass (Spartina
❑ (SY) Salt reed grass (Spartina
altemifiora)
cynosuroides)
❑ (DS) Salt or spike grass (Distichlis
❑ (SC) Bullrush or three square (Scirpus
El (TY) Cattail (Typha sp.)
spicata)
sp.)
® (JR) Black needlerush (Juncos
❑ (SP) Salt/meadow grass (Spartina
roemerianus)
patens)
APPLICATION FEE
❑ No fee required - $0.00
❑ III(A) Private w/ D&F up to 1 acre; 3490
III(D) Priv. public or Comm w/ D&F to 1
can be applied - $250
acre; 3490 can't be applied - $400
❑ Minor Modification to a CAMA Major
Major Modification to a CAMA Major
❑ IV Any development involving D&F of
permit - $100
permit - $250
more than 1 acre - $475
❑ Permit Transfer - $100
❑ III(B) Public or commercial w/ D&F to 1
❑ Express Permit - $2000
acre; 3490 can be applied - $400
❑ Major development extension request -
❑ II. Public or commercial/no dredge
$100
and/or fill - $400
® I. Private no dredge and/or fill - $250
❑ III(C) Priv. public or Comm w /D&F to 1
acre; 3490 can be applied; DCM needs
DWQ agreement - $400
282-808.2808 :: 1$88.4RCOA8T :: www.neconstatmananement.net revised: 02/15/10

NC Division of Coastal Mgt. Application Computer Sheet, Page 2 of 3)
Applicant: Jody Henries
Date: 829/17
Describe below the ACTIVITIES that have been applied for. All values should match the dimension order, and units of
measurement found in your Activities code sheet.
Activity Name
Number
TYPE
Choose
One
REPLACE
Choose
One
Dimension 1
Dimension 2
Dimension 3
Dimension 4
Boathouse
1
New Work ®
Maint ❑
Replace
❑ Y ® N
20'
10,
Pier
1
New Work ®
Maint ❑
Replace
❑ Y ON
110,
5'
Platforms
3
New Work ®
Maint ❑
Replace
®Y ❑ N
11', 46', 10'
10', 14', 5'
revised 02/15/10

. NC'Division of Coastal Mgt. Application Computer Sheet, Page 3 of 3)
Applicant: Jody Henries
Date: 829/17
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
Habitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)
FINAL Fast
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
Open Water
Dredge ❑ Fill ❑ Both ❑ Other ®
1,289 ft2
1,289 ft'
Coastal Wetlands
Dredge ❑ Fill ❑ Both ❑ Other ®
250IF
250IF
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
252.808.2808 :: 1.888-414COAST :: www.necoastalmanasrement.net revised: 02/15/10

DIVISION OF COASTAL MANAGEMENT
FIELD INVESTIGATION REPORT
APPLICANT'S NAME: Jody Henries
LOCATION OF PROJECT SITE: The project is located adjacent to Lewis Creek at
199 Timber Point Drive, near Merritt, Pamlico County.
Latitude: 35" 8'8.08"N Longitude: 76°41'36.55"W
INVESTIGATION TYPE: CAMA ; f
INVESTIGATIVE PROCEDURE: Date(s) of Site Visit — 7/26/16
Was Applicant or Agent Present y
Photos Taken —No
PROCESSING PROCEDURE: Application Received — cc: 8/24/17
Office — MHC
SITE DESCRIPTION:
(A) Local Land Use Plan — Pamlico County (Jan 28L005) P
Land Classification from LUP —Rural with Sd
(B) AEC(s) Involved: CW, ES, EW, PTA .
(C) Water Dependent: Yes
(D) Intended Use: Private
(E) Wastewater Treatment: Existing — none
Planned - off -site septic
(F) Type of Development: Existing — earthen fill and storage shed
Planned - docking facility
(G) Estimated Annual Rate of Erosion: N/A
Source — N/A
HABITAT DESCRIPTION:
II (A) Open Water II II I� 1,289 ftZ shaded II
(B) Coastal Wetlands 250 f shaded
(E) Total Area Disturbed: 1,539 ft
(F) Primary Nursery Area: Yes
(G) Water Classification: SC; Sw, HQW, NSW Open: No
(H) Cultural Resources: None
Project Summary: The applicant wishes to construct a docking facility for personal
use adjacent to Lewis Creek, Pamlico County.

Field Investigation Report:
Jody Henries s
Page 2 L --�
Narrative Description: n .
The property is located adjacent to Lewis Creek (off Mason Bay) at 199 Timber Point Drive, near Men
Pamlico County. This private residential property is currently developed with earthen fill (for a futhre- e
sits) and a storage shed. The adjacent riparian properties are undeveloped residential Iofs
The elevation of the high ground of the parcel is aboyt 3' above the normal water level (nwl). Vegetation on
the parcel mainly consists of native trees, shrubs,voKO••�nus Thereare Coastal Wetlandkwithin
the project area. The 3.3-acre parcel has approximately 417of continuous snurenne along a ek and
Mason Bay, tributaries of the Bay River. Immediate offshore water depths adjacent to the parcel range from -
2' to -4' nwl. The subaqueous substrate is soft without shell. -6" Lcdv 5',6%,�e�
There is not a cultural resource in the nearby vicinity of the project area. VkUwaterbody is approximately 60'
ss at this locatio These coastal waters are classified as a Primary Nursery Area. Submerged aquatic
vegetation is not present at this location. This area is closed to shellfish harvest and is classified as SC; Sw,
HQW; Nutrient Sensitive Waters. There is not a defined Federal Channel in the vicinity of this project area.
This project area is subject to the Neuse River Riparian Buffer Rules.
Proposed Development:
L� The applicant proposes to construct a docking facility adjacent to Lewis Creek, near Merritt. The proposed
development would take place at 199 Timber Point Drive, Pamlicq County. The proposed docking facility
would be for the private, use of the property,,owner. o.,d� +rkJJ.11
R fik The proposed pier � would begin od Ztre h*gJi groan d travers�l*vveSr. e C � tal Wetlands into Lewis
\\ Creek. This proposed pier would be 5' wide and 110' Ion�Once the pier reaches Lewis Creek,
there would be 10' by I I' platform adjacent to a 10' by 20' boathou* At the terminus of the pier walkway in
the n+emtir of Lewis Creely there would be a 14' wide and 46' long" platform,Fil
il U
'Y
pVA ,Anticipated Impacts?" %� 1'��dts Wed$ WC�k�a1� FiC ce.,J.
The proposed docking facility would shade 1,289 square feet of estuarine waters and 250 square feet of Coastal
`'/L
• ,,off Wetlands. Traditional marine construction methodology will be utilized during the construction ofthis project. -/VIM• �"'
. Turbidity impacts are not anticipated during construction activities in Lewis Creek. U ii4-
" WC There is not a cultural resource in the nearby vicinity of the project area. This project area is subject to the * 5 61
Neuse River Riparian Buffer Rules. These waters of Lewis Creek and Mason Bay are classified as a 10 S
.n� p Primary Nursery Area and the presence of submerged aquatic vegetation was not observed. This area is
closed to shellfish harvest and is classified as SC; Sw, HQW; Nutrient Sensitive Waters. There is not a (,7
vk defined Federal Channel near the project area. i T GIB4 2,Q rW Q¢ (,( /P -10
/All
-1 V,WLs C4ZJ KZ
Brad Connell August 29, 2017 Morehead City

sip

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Pamlico County, NC77-
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006
PROPERTY MAP
OmkKh e!50Fe a.wewaawm.o�ap.q scowiawwr.wror away.wnruon �

gem MP-1
APPLICATION for
Mpy 01 2017
Major Development Permit C�+ _ MHp Cl-Ty(last revised 12/27/06) V MhA
North Carolina DIVISION OF COASTAL MANAGEMENT
1. Primary Applicant/ Landowner Information
Business Name
Project Name (it applicable)
Applicant 1: First Name
Jody
MI
W
Last Name
Henries
Applicant 2: First Nam
MI
Last Name
If additional applicants, please attach an additional page(s) with names listed.
Mailing Address
1590 Alligator loop Rd
PO Box
City
Merritt
Stab
N.C.
ZIP
28556
Country
Pamlico
Phone No.
252 - 670 ' 4330 ext.
FAX No.
Street Address (d di#envnt from above)
City
Stab
ZIP
Email
[e-mail]
FA
2. Agent/Contractor Information
1
Business Name
Agent/ Contractor 1: First Name
MI
Last Name
Loll —
Agent/ Contractor 2: First Name
MI
Last Name "
Mailing Address
PO Box
City
state` C
LP
Phone No. 1
Phone Na.
-
- ext.
FAX No.
Contractor#
/�."�
Street Address (if different from above)
City stele -
Email
L-
'
i
<Form continues on back>
'_,^••808 9808 1-883 :}NwerAsS'T --i

onrt i) . M MP-1 (Page 2 of 4)
APPLICATION for
Major Development Permit
County (can be multiple)
'Sli attAddrlrss
State Rd. #
Pamlico
199 Timber Pt Or
Subdivisen Name
City' --JStale
Zip
Timber Point
Merritf
N.C..
98$56
Phone No..
Lot No.(a) ()rnleny, daai:h adoVlfdnel:pege with fist
252 "- 670 - 4330 8 f'
i lot #6
a. in: which. NC river basin Is the project lasted?
b,. Name of body of water nearest to Proposed project
Bay River
Mason Bay
o. Is the crater body Identified In (b) above, natural or manmd08?
d. Name the closestmajorwater bodyfo the proposed project site.
FL]Netural ❑Manmade ❑Unknown
Bay River
e. Is. proposed work within 41ylimits or planning jurisdiction?
L If applicable. list the planning jurisdiction or city limit the proposed
[]Yes pNo
work falls within.
Site Description
9.
Total length of shoreline on the tractft)
b. Size of entire tract _(sq.R:)
7' It
144,6192' sq ft
c
Weatioda) i
d. Apprmdmate ew%,ation of tract above Ni4W (normal high water) or
-"�
NWL.Mairthal waterlevel)
((r - lot sizes; pfease a8acnadddfonal page wfNl a hail 3.3 8C
aft. 6c7NNNW or ❑NWL
e.
vegetation on trod
RECEIVED
f.
roan-made.featu'res and uses now on tract
MA`{
none
MHD CITY
pCM-
g.
Identify and describe the eidst6,g land uses `to the proposed project site,
empty lots
h.
How does local govemment zone the tract?
I. Is the proposed project consistent with the applicable zoning?
(Attach zoning compliance certificate, if applicable)
❑Yes ❑No &]NA
j.
Is the proposed activity part of an urban waterfront radevelopnfant.pmposal7 []Yes QNo
k.
Hasa professional archaeological assessment been done -for the bad? a yes, attach a copy. ❑Yea ❑No ONA•
If yes, by whom?
t.
Is the proposed project located in a National Registered Historic Dlsttot of does.itimrdlve a ❑Yes ❑No ONA
National Register listed or eligible property?
<Form continues on next page>
r
•4.. Mra _
252-808-2808 :: 1-888.4RCOAST www.necoastarmarragement.net

Form DCM.MP-1 (Page 3.of4)
APPLICATION for
Major Development Permit
m. (i) Are there wetlands pn the siteT
JRYes ❑No
(it) Am them master -wetlands on the site?
QYes ❑No
WMiliyes to either (1) or @I) above, has a delineation been conducted?
Ix1Yes ❑No
A - ocumentatlon, rravaea6le)
n. De;ai e' s' wastewater treatment facilities.
drain
RECEIVED
none, permit for off site feild
o. Describe erdsting ddnaing water suppty:source.
cl t y water
p. Describeexisting storm water management or treatment systems.
DC
none
5 ActivlHes and Impairs "
a. Wlltthe projadt be. for roromeroisl, public; or private use? ❑commarcfal ❑Public/Govemment
private ppyvetelcommunliy
b. Give.a.bdef description of purpose, use, and daily operations of the project when complete..
private dock
C. Describe the proposedconstructionmethodology, types of construction 6qulpmen(to be used during construction; thaiturnberof each type
of equipmentand where it is to be stored. lexcavator with vibrating attachment-,l. baokhoe;1compact tractor
generator,.hand tools;pneurnatic piling driver
this equipment will be stored to shed or on the hill Atthe entrance of the property
d. use all(developmentactivities you prgpose. .a private dock with a boat lift and platforrn with step down
e. Are the proposed activities maintenance of an aidsting project new work, or both?
new work
f. What is the approximate -total disturbed land area resultingfrom the.pmposed pmjed? ❑Sa.Ft or ❑Apes
g. Wlo the proposed project encroach on any public easement, publicadbassway or rarer. area []Yes toNo DNA
thetthe-public has' established use of?
.h. Describe- location and type.ofeolsting and. proposed discharges towetera of the state:
N/A
1. Will wastewater or stormwater be discharged Into a wetland? Dyes ❑No IRNA
If yes, willthisdischarged water tie of the same salinity as the receiving water? []Yes []No ❑NA.
f. Is that,erlymitigation proposed? ❑Yes WNo ❑NA
If yss,.attach s mitigation. proposal.
<Form continues on back>
252-808-2808 :: 1-888-4RCOAST :; www.nccoastaim:anagentent.net

Form DCM MP-1 (Page 4of4) l l
APPLICATION for
Major Development Permit
6 Ada�i6ona!lniptJrr►ahon
m adak�5n tal�Raeoiadrered'�patran fom4 (t/P +� me taro Tema rraW.
�b`1hN'�.Pn?h!rry��p�m4�l�erpe�'Y' 4i, a�t"tippVfcat�0. r'I�Eea.hzftald(fbaapplloa7folt
'a. Apr*cttwmdm
b: An accurate, bated work plat (Including plan view and creesVaectlopal drawings) drawn to. scab. Please gala: the present: stabs of the
proposed project. Is anypwtion_already rompiete? If prevlously authorized work, clearly Indicate on maps, plats, drawings todistinguish
between work corripleled and proposed.
G. ASKS or location map that is sufficiently detailedtoguide agency personnel unfanilllarwfth the area lo.the site.
d. A col the dead (with state appli atbn ortiy)Ar other Instrument under whichthe applicant claims title.to the affected properties.
e. The appropriate application fee, Check or money order made.payabinto DENR.
I. A list of the names and complete addresses of the adjacent waterfront (dparlan) landowners and Signed return receipts as proof that such
owners have received a ropy of theapplication and plats by certified mall. Such landowners must be advised that they have 30 days In
which to subrr it comments on the proposed project to the Division of Coastal Management
Nataa' EncJOhnson t4-%°i,'c;;'}s,<• .:,
ry: '
4683 R .0,ri ig Deer. Wt2oT�n lt�Wj� to g �h
Name Gregory Dennan Phone Na
Address 1480 North Midge Path--Hernando,FL,34442
.., - ..- v �yr��
g. "at of previous state or federal permits issued forwork on the project tract. Include permit numbers, permltlee, and Issuing dates.
h. signed consubantoragentauthorizadon form, if applicable.
t. Wettand delineation, IF necessary..
j. A Signed AEC hazard notice for pmjocls In oceanfront and Inlet areas, (Must the signed byprpperfy, owner)
k A ntiatemenlof cornpliance with the N.C. ErrAronmental Policy Art (N.C.G.S,113A 1-10), if necessary, If the project Involves aiiperMltura
of public funds or use of pubik:lands, attach a statement documerhtng dompltance with the North Carolina Environments! Policy Act,
I understand that any permit Issued In response to this application will allow only the development described In the application:
The project will be subject to the conditions and restrictions contained in the permit.
I certify that I am authorized to gram, and don fact.grant permission to representatives Of state and federal review agendes bo
enter on theaforementionedlands In connection with evaluating information related to this permit application and follow-up
monitoring of the project.
I further certify that the Information provided In this application is truthful to the best of my knowledge.
Date
Print Name Jody Henries
RECEIVED
Signature
MAY 01 2017
Please Indicate application attachments pertaining to your proposed project.
❑DCM MP-2 F_xcavabon and Fill Information ❑DCM MP-5 Bridges and Culvert C M- M H D CITY
❑DCM MP.3 Upland Development
❑DCM MP-4 Structures Information
252-BOB-2808 ., d-888.4RCOAST .. www.nccoastaimanagement.net

OCM MP-1
APPLICATION for
Major Development Permit
(last revised 12127106)
(C
North Carolina DIVISION OF COASTAL MANAGEMENT
1. PrimaryApplicant Landowner Information
Business Name
Project Name (if applicable)
Applicant 1: First Name
Jody
MI
W
Last Name
Henries
Applicant 2: First Name
MI
Last Name
If additional applicants, please attach an additional page(s) with names listed.
Mailing Address
1590 Alligator loop Rd
PO Box
city
Merritt
State
N.C.
ZIP
28556
Country
1 Pamlico
Phone No.
252 - 670 - 4330 ext.
FAX No.
Street Address (if di6erent horn above)
city
Stale
ZIP
Email
[e-mail]
ft^.
2. AgentContractor Information
J&Z wq'To
Business Name
AUG 10p017
Agent/ Contractor 1: First Name
MI
Lest Name
CM_ MH DC
Agent/ Contractor 2: First Name
MI
Last Name
Mailing Address
PO Box
city
Stale
ZIP
Plane No. 1
_
_ ext.
Phone No. 2
- - ext.
FAX No.
Contractor #
Street Address (if different from above)
City
State
ZIP
Email
<Form continues on back>
252-808-2808 :: 1.888.4111COAST :: www.nccoastalmenage:nent.net

Form DCM MP-1 (Page 2 of 4)
APPLICATION for
Major Development Permit
3. Project Location
County (can be multiple)
Street Address
State Rd. It
Pamlico
199 Timber Pt Dr
Subdivision Name
City
State
Zip
Timber Point
Merritt
N.C.
28556
Phone No.
Lot No.(s) (if many, attach additional page with list)
252 - 670 - 4330 81 t'
' lot fib 1 '
a. In which NC river basin is the project located?
b. Name of body of water nearest to proposed project
Bay River
Mason Bay
C. Is the water body identified in (b) above, natural or manmade?
d. Name the closest major water body to the proposed project site.
ONatural ❑Manmade ❑Unknown
Bay River
e. Is proposed work within city limits or planning jurisdiction?
f. If applicable, list the planning jurisdiction or city limit the proposed
❑Yes �]No
work falls within.
Pamlico County
4. Site Description
a. Total length of shoreline on the tract (ft.)
b. Size of entire tract (sq.ft.)
417' ft
144,619.2'sq ft
c. Size of individual lot(s)
d. Approximate elevation of tract above NHW (normal high wa r) or
NWL (normal water level) /
(If many lot sizes, please attach additional page with a list) 3.3 aC
3ft ONHW or ❑NWL
e. Vegetation on tract
wet lands ,trees,grass, and shrubs RECEIVED
f. Man-made features and uses now on tract
AUG 10 2017
Barn for storage,fill dirt for house foundation and low spots
g. Identify and describe the existing land uses adjacent to the proposed project site.
empty lots
In. How does local government zone the treat?
I. Is the proposed project consistent with the applicable zoning?
(Attach zoning compliance certificate, if applicable)
residental
❑Yes []No WNA
j. Is the proposed activity part of an urban waterfront redevelopment proposal? ❑Yes Ix7. No
k. Has a professional archaeological assessment been done for the tract? If yes, attach a copy. ❑Yes []No k]NA
If yes, by whom?
I. Is the proposed project located in a National Registered Historic District or does it involve a Elves ❑No IQNA
National Register listed or eligible property?
<Form continues on next page>
252.808.2808 :: 1.888.4RCOAST :: www.necoa eta l management. net

Form DCM MP-1 (Page 3 of 4)
APPLICATION for
Major Development Permit
m. (1) Are there wetlands on the site? J(Yes []No
(ii) Are there coastal wetlands on the site? @Yes []No
(III) If yes to either (i) or (II) above, has a delineation been conducted? @Yes []No
(Attach documentation, if available)
n. Describe existing wastewater treatment facilities.
none, permit for off site drain feild
o. Describe existing drinking water supply source.
city water
p. Describe existing storm water management or treatment systems.
none
5. Activities and Impacts
a. Will the project be for commercial, public, or private use? []Commercial ❑Public/Government
private QPrtvate/Community
b. Give a brief description of purpose, use, and daily operations of the project when complete.
private dock to leave my boat between fishing and family trips.somewhere for the chi relo swim,a
place to sit and read my bible.
c. Describe the proposed construction methodology, types of construction equipment to be used during construction, the number of each type
of equipment and where it is to be stored. 1 excavator with vibrating attachment; / backhoe;1 compact tractor;
generator;hand tools;pneumatic piling driver
this equipment will be stored in shed or on the hill at the entrance of the property
d. List all development activities you propose. a private dock with a covered boat lift and platfq�gt lerijj.E pgp¢t D
tK( AAUGG,,1 0 �`2//01177
a. Are the proposed activities maintenance of an existing project, new work, or both?
new work
f. What is the approximate total disturbed land area resulting from the proposed pmject? D eQ ft [jJSq.Ft or []Acres
g. Will the proposed project encroach on any public easement, public accessway or other area ❑Yes IoNo ❑NA
that the public has established use of?
h. Describe location and type of existing and proposed discharges to waters of the state.
N/A
i. Will wastewater or stormwater be discharged into a wetland? ❑Yes []No J NA
If yes, will this discharged water be of the same salinity as the receiving water? []Yes []No ❑NA
J. Is there any mitigation proposed? ❑Yes WNo ❑NA
If yes, attach a mitigation proposal.
<Form continues on back>
)i
252-808.2808 :: 1-888.411 :: www.neeoastaimanagement.net

Form DCM MP-1 (Page 4 of 4)
APPLICATION for
Major Development Permit
6. Additional Information
In addition to this completed application form, (MP-1) the following items below, if applicable, must be submitted in order for the application
package to be complete. Items (a) - (t) are always applicable to any major development application. Please consult the application
instruction booklet on how to properly prepare the required items below.
a. A project narrative. construct a dock and covered boat lift at a private resident as shown on the drawing and ap
b. An accurate, dated work plat (including plan view and cross -sectional drawings) drawn to scale. Please give the present status of the
proposed project. Is any portion already complete? If previously authorized work, clearly Indicate on maps, plats, drawings to distinguish
between work completed and proposed. All work is new construction to be started on 9-9-17
c. A site or location map that is sufficiently detailed to guide agency personnel unfamiliar with the area to the site, 99 timber pt , merrin, n
d. A copy of the deed (with state application only) or other instrument under which the applicant claims title to the affected properties.
e. The appropriate application fee. Check or money order made payable to DENR.
I. A list of the names and complete addresses of the adjacent waterfront (riparian) landowners and signed return receipts as proof that such
owners have received a copy of the application and plats by certified mail. Such landowners must be advised that they have 30 days in
which to submit comments on the proposed project to the Division of Coastal Management.
Name Eric Johnson Phone No.
Address 1263 Overton Circle ,Gallatin ,TN. 37066 [phone]
Name Gregory Derman Phone No.
Address 1480 North Ridge Path—Hernando,FL,34442 [phone]
Name Plane No.
Address
g. A list of previous state or federal permits Issued for work on the project tract. Include permit numbers, pennitlee, and Issuing dates.
h. Signed consultant or agent authorization form, if applicable.
1. Welland delineation, if necessary.
j. A signed AEC hazard notice for projects in oceanfront and inlet areas. (Must be signed by property owned
k. A statement of compliance with the N.C. Environmental Policy Act (N.C.G.S. 113A 1-10), If necessary. If the project involves expenditure
of public funds or use of public lands, attach a statement documenting compliance with the North Carolina Environmental Policy Act.
17. Cerdficadon and Permission to Enter on Land I
I understand that any permit issued in response to this application will allow only the development described in the application.
The project will be subject to the conditions and restrictions contained in the permit.
I certify that I am authorized to grant, and do in fact grant permission to representatives of state and federal review agencies to
enter on the aforementioned lands in connection with evaluating information related to this permit application and follow-up
monitoring of the project.
I further certify that the information provided in this application is truthful to the best of my knowledgl.
Date Print Name Jody Henries O a RECEIVED
Signature <
AUG 10 2017
Please indicate application attachments pertaining to your proposed project.
❑DCM MP-2 Excavation and Fill Information ❑DCM MP-5 Bridges and Culverts DCM- M H D CITY
❑DCM MP-3 Upland Development
®DCM MP-4 Structures Information
252.808.2808 :: 11-888.4RCOAST :: www.neconstalmanagement. net

Form DCM MP-4
STRUCTURES
(Construction within Public Trust Areas)
Attach this form to Joint Application for CAMA Major Permit, Form DCM MP-1. Be sure to complete all other sections of the Joint
Application that relate to this proposed project. Please include all supplemental information.
1. DOCKING FACILITY/MARINA CHARACTERISTICS
a. (1) Is the docking facility/manna:
❑Commercial ❑Public/Govemment ®Private/Communtty
❑This section not applicable
b. (1) Will the facility be open to the general public?
❑Yes ®No
c. (I) Dock(s) and/or pier(s)
d. (i) Are Finger Piers included? ❑Yes ®No
(11) Number 1
If yes:
(Ili) Length 106,
(it) Number
(iv) Width 55'-6"
(iii) Length
(v) Floating []Yes allo
(Iv) Width
(v) Floating ❑Yes []No
e. (i) Are Platforms included? ®Yes []No
f. (1) Are Boatlifts included? @Yes []No
If yes:
If yes:
(II) Number 2
(11) Number 1
(iii) Length 1U-13'-6"
(iii) Length 20_
(iv) Width 16_-445'-6"
(iv) Width 10_
(v) Floating []Yes ®No
Note: Roofed areas are calculated from dripline dimensions.
g. (i) Number of slips proposed
h. Check all the types of services to be provided.
na
❑ Full service, including travel lift and/or rail, repair or
(it) Number of slips existing
maintenance service
na
❑ Dockage, fuel, and marine supplies
❑ Dockage ("wet slips") only, number of slips:
❑ Dry storage; number of boats:
❑ Boat ramp(s); number of boat ramps:
® Other, please describe:
personal
I. Check the proposed type of siting:
❑ Land cut and access channel
[]Open water; dredging for basin and/or channel
5dOpen water; no dredging required
[]Other; please describe:
k. Typical boat length: 20
m. (1) Will the facility have tie pilings?
Oyes ®No
(it) If yes number of tie pilings?
j. Describe the typical boats to be served (e.g., open runabout,
charter
bsboats, mixed types).
personalskiffRECEIVED
AUG 10 2017
DCM- MHD CITY
I. (1) Will the facility be open to the general public?
❑Yes [RNo
252-808-2808 :: 1-888-4RCOAST :: www.nccoastaimanagement.net revised: 12/27/06

Form DCM MP-4 (Structures, Page 2 of 4)
2. DOCKING FACILITY/MARINA OPERATIONS Ebis section not applicable
a. Check each of the following sanitary facilities that will be included in the proposed project.
❑ Office Toilets
❑ Toilets for patrons; Number: _; Location:
❑ Showers
❑ Boatholding tank pumpouF Give type and location:
b. Describe treatment type and disposal location for all sanitary wastewater.
C. Describe the disposal of solid waste, fish offal and trash.
d. How will overboard discharge of sewage from boats be controlled?
e. (I) Give the location and number of 'No Sewage Discharge" signs proposed.
(if) Give the location and number of'Pumpout Available' signs proposed.
f. Describe the special design, if applicable, for containing industrial type pollutants, such as paint, sandblasting waste and petroleum products.
g. Where will residue from vessel maintenance be disposed of?
EIVtO
h. Give the number of channel markers and "No Wake" signs proposed. ' R `EC
i. Give the location of fuel -handling facilities, and describe the safety measures planned to protect area water quality. AUG 10 2017
j. What will be the marina policy on overnight and live -aboard dockage?
pCM- M Hp CVTN
1
k. Describe design measures that promote boat basin flushing?
I. If this project is an expansion of an existing marina, what types of services are currently provided?
252-808-2808 :: 1-888-4RCOAST :: w .nccoastalmanaaement.net
revised: 12127106

Form DCM MP-4 (Structures, Page 3 of 4)
m. Is the marina/docking facility proposed within a primary or secondary nursery area?
®Yes []No
n. Is the marina/docking facility proposed within or adjacent to any shellfish harvesting area?
[]Yes []No
o. Is the marina/docking facility proposed within or adjacent to coastal wetlands/marsh (CW), submerged aquatic vegetation (SAV), shell bottom
IS% or other wetlands (WL)? If any boxes are checked, provide the number of square feet affected.
®CW 200$f ❑SAV ❑SB
OWL _ ❑None
p. Is the proposed marina/docking facility located within or within close proximity to any shellfish leases? []Yes ❑No
If yes, give the name and address of the leaseholder(s), and give the proximity to the lease.
3. BOATHOUSE (including covered lifts) ❑This section not applicable
a. (i) Is the boathouse structure(s):
❑Commercial ❑Public/Govemment ®Private/Community
(it) Number t
(III) Length 20
(iv) Width 10,
Note: Roofed areas are calculated from dripline dimensions.
4. GROIN (e.g., wood, sheelpile, etc. B a rock groin, use MP-2, Excavation and Fill.) ❑This section not applicable
a. (i) Number
(ii) Length
(ill) Width
5. BREAKWATER (e.g., wood, sheetpile, etc.) [I This section not applicable
a. Length _ b. Average distance from NHW, NWL,Rr wetlands
c. Maximum distance beyond NHW, NWL or wetlands
6. MOORING PILINGS and BUOYS ®This section not applicable
a. Is the structure(s):
❑Commercial ❑Public/Govemment ®Private/Community
c. Distance to be placed beyond shoreline
Note: This should be measured from marsh edge, if present.
e. Arc of the swing _
b. Number
d. Description of buoy (color, inscription, size, anchor, etc.)
AUG 1 1
DCM. MHD CITY
252-808-2808 :: 1-888-4RCOAST u w .nccoastalnnananennent.net revised- 12/27106

Form DCM MP-4 (Structures, Page 4 of 4)
7. GENERAL
a. Proximity of stmcture(s) to adjacent riparian property lines
70' to the eaSt Drooerty line
Note: For buoy or mooring piling, use am of swing including length
of vessel.
c. Width of water body
64' most constricted area
e. (i) Will navigational aids be required as a result of the project?
❑Yes ®No ❑NA
(if) If yes, explain what type and how they will be implemented.
b. Proximity of structures) to adjacent docking facilities.
d. Water depth at walerward end of structure at NLW or NWL
4' nwl
& OTHER ❑This section not applicable
a. Give complete description:
the purposed dock will have a covered 10'by 20' covered boat lift With a 10' by 10' platform and a 13-8"by
45'-6"platform. the platform at the end will have a small 4' by 10' step down.
8-9-2017
Date
199 Timber pt
Project Name
Jody Henries
Applicant Name
Applicant Signature
RECEIVED
AUG 10 Z017
DCM- MH['3 CITY
252-808.2808 :: 1-888-4RCOAST :: www.nccoastalmanagement.net revised: 12127106

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Connell, Brad
From: Connell, Brad
Sent: Monday, May 08, 2017 3:18 PM
To: 'Henries, Jody'
Subject: RE: revisions request -- 199 Timber Pt Rd, Pamlico County
Importance: High
Mr. Henries,
Also, the work plan drawings need to be to -scale.
Brad Connell
Field Representative
NC Division of Coastal Management
httD://Dortal.ncden r.ore/web/cm/dcm-home
[phone] ext. 214
[e-mail]
0 V ;_ Nothing Compares�
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to
third parties.
From: Connell, Brad
Sent: Monday, May 08, 2017 3:15 PM
To:'Henries, Jody' <Jody.Henries @weyerhaeuser.com>
Subject: revisions request -- 199 Timber Pt Rd, Pamlico County
Importance: High
Mr. Henries,
Your CAMA Major Permit application package is thorough and well prepared. However, there are some items that you
need to revise before the DCM can begin processing your request. They are as follows:
1.
DCM Form MP-1, 3f:
please answer Pamlico County;
2.
DCM Form MP-1, 4d:
please revise your answer to reflect the normal water level (NWL) instead;
3.
DCM Form MP-1, 4e:
please answer (i.e. native grasses, wetlands, trees, etc);
4.
DCM Form MP-1, 4f:
please answer (i.e. fill dirt, shed, etc);
5.
DCM Form MP-1, 4h:
please answer;
6.
DCM Form MP-1, 5b:
please elaborate with more detail;
7.
DCM Form MP-1, 5d:
please include the term "boathouse" or "covered boat lift";
8.
DCM Form MP-1, 5f:
please answer "0 sq ft";
9.
DCM Form MP-1, 6a:
please include a Project Narrative;
10.
DCM Form MP-1, 6e:
please submit the $250 application processing fee payable to the NCDEQ;
1

11. DCM Form MP-1, 6f: please submit the signed green cards and include their phone numbers in the appropriate
blanks;
12. DCM Form MP-1, 7: please sign, date, and check the "DCM MP-4" box;
13. DCM Form MP-4: please complete the attached form;
14. Work Plan Drawings: please label "proposed" structures, please date the drawings, please number the drawings
(i.e. Sheet 1 of 2), please include a side view/cross-section drawing relating the proposed docking facility to the
normal water level and bottom substrate depth, please show the existing normal water level depths within the
project area*, please note and verify the width across the creek at its most constrictive point, please redesign
the waterward "L" platform by shifting it landward to meet the % width rule and not pose a hazard to navigation
into the adjacent creek, please relocate the southernmost 5' by 20' section of platform towards the shoreline so
as not to usurp the Public Trust, & please label the adjacent waterbody (Mason Bay).
*Please note that this proposal is within a Primary Nursery Area (PNA) as defined by the Division of Marine Fisheries
and sufficient water depths are necessary to prevent scouring of the bottom habitat.
I look forward to receiving your re -submittal. If you have any questions in the interim, please do not hesitate to contact
me.
Respectfully,
Brad Connell
Field Representative
NC Division of Coastal Management
http://portal.ncdenr.org/web/cm/dcm-home
[phone] ext. 214
[e-mail]
nk- Nothing Compares�
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to
third parties.

Connell, Brad
From:
Connell, Brad
Sent:
Monday, May 08, 2017 3:15 PM
To:
'Henries, Jody'
Subject:
revisions request -- 199 Timber Pt Rd, Pamlico County
Attachments:
mp_4p.dot
Importance: High
Mr. Henries,
Your CAMA Major Permit application package is thorough and well prepared. However, there are some items that you
need to revise before the DCM can begin processing your request. They are as follows:
1.
DCM Form MP-1, 3f:
please answer Pamlico County;
2.
DCM Form MP-1, 4d:
please revise your answer to reflect the normal water level (NWL) instead;
3.
DCM Form MP-1, 4e:
please answer (i.e. native grasses, wetlands, trees, etc);
4.
DCM Form MP-1, 4f:
please answer (i.e. fill dirt, shed, etc);
S.
DCM Form MP-1, 4h:
please answer;
6.
DCM Form MP-1, 5b:
please elaborate with more detail;
7. DCM Form MP-1, Sd: please include the term "boathouse" or "covered boat lift";
8. DCM Form MP-1, 5f: please answer "0 sq ft";
9. DCM Form MP-1, 6a: please include a Project Narrative;
10. DCM Form MP-1, 6e: please submit the $250 application processing fee payable to the NCDECI;
11. DCM Form MP-1, 6f: please submit the signed green cards and include their phone numbers in the appropriate
blanks;
12. DCM Form MP-1, 7: please sign, date, and check the "DCM MP-4" box;
13. DCM Form MP-4: please complete the attached form;
14. Work Plan Drawings: please label "proposed" structures, please date the drawings, please number the drawings
(i.e. Sheet 1 of 2), please include a side view/cross-section drawing relating the proposed docking facility to the
normal water level and bottom substrate depth, please show the existing normal water level depths within the
project area', please note and verify the width across the creek at its most constrictive point, please redesign
the waterward "L" platform by shifting it landward to meet the X width rule and not pose a hazard to navigation
into the adjacent creek, please relocate the southernmost 5' by 20' section of platform towards the shoreline so
as not to usurp the Public Trust, & please label the adjacent waterbody (Mason Bay).
"Please note that this proposal is within a Primary Nursery Area (PNA) as defined by the Division of Marine Fisheries
and sufficient water depths are necessary to prevent scouring of the bottom habitat.
I look forward to receiving your re -submittal. If you have any questions in the interim, please do not hesitate to contact
me.
Respectfully,
Brad Connell
Field Representative
NC Division of Coastal Management
htto://oorta l.ncdenr.ora/web/cm/dcm-home
[phone] ext. 214