87861_George Monk_20220823

.iomuv f CAMA I 1 DREDGE & FILL -R,-s- N9 87861 A 8.' C D
GENERAL PERMIT z permit
�� us Date 7N93 o Pre io spermitissued
nNew ❑Modification n Complete Reissue n Partial Reissue
As authorized by the State of North Carolina,Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to;
15A NCAC n Rules attached. I 1 General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name - Authorized Agent
Address • Project Location(County): _.
City State ZIP Street Address/State Road/Lot#(s)
Phone#(_)
Email Subdivision
City ZIP :.)-+1'S 0 L
Affected rim I I EW n PTA n ES n PTS Adj.Wtr.Body ' (nat/man/unk)
AEC(s): ❑OEA ❑!HA n UW n SPIMA ❑PWS Closest Maj.Wtr.Body
ORW:yes/no PNA:yes/no 11
Type of Project Activity .7 v `\ ' c�
YP 1 / Y � - �: [ • a � 3 C:v s �r S 1�,1 w—o`��,� i
-, C%r 14".1{.. ctav¢ !4.4 r4 { • .• (Scale:'' 3,//
Shoreline Length x_�-_ _ _ b -• 1 ` I
Access Length -+ -_;t._ .
Pier(dock)length . 1S L - i'N ._.._ )
Fixed Platforms) I
7
Floating Platforms) ,L j J
rip
Finger pier(s) ,,p •y dui 1
•
Total Platform area I ?c_,r1` --- T
Groin length/# rYiY \ '
Bulkhead/Riprap length --- f __
Avg distance offshore 1 >{..;— , i -- ---
Breakwater/Sill 4`
Max distance/length •-: I ,1'
1
Basin,channel . .I •1. "s
Cubic yards Boatramp 4!Boathouse/Boatlift i - ... .-
' ..
Beach Bulldozing t )L"'
Other ii {J
. I,./ l
SAV observed: yes no A,, -__t A w/ /
Moratorium: n/a yes no fp . "�`� �� ! '
'' r!
Site Photos: yes no -
Riparian Waiver Attached: yes no ry
A building permit/zoning permit may be required by: •
Permit Conditions n TAR/PAM/NEUSE/BUFFER(circle one)
nSee note on back regarding River Basin rules
nSee additional notes/conditions on back
I AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature**Please read compliance statement on back of permit** Signature
Application Fee(s) Check#/Money Order Issuing Date Expiration Date

Statement of Compliance and Consistency
•
This permit is subject to compliance with this application and permit conditions. Any violation of these terms may
subject the permittee to a fine or criminal or civil action; and may cause the permit to become null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for
compliance. The applicant certifies by signing this permit that: 1) prior to undertaking any activities authorized by this
permit, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the
local land use plan and all local ordinances, and 2) a written statement from the adjacent riparian property owner(s)
has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(s).
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar - Pamlico River Basin Buffer Rules Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules
for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the
NC Division of Water Resources. If you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
Notes/Additional Permit Conditions:
Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland location.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave Morehead City, NC 28557 943 Washington Square Mall Washington, NC 27889
252-808-2808/1-888-4RCOAST Fax: [phone] 252-946-6481
(Serves: Carteret,Craven—south of the Neuse River,Onslow Fax: [phone]
Counties) (Serves: Beaufort,Craven—north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Elizabeth City District Wilmington District
401 S. Griffin St. Ste. 300 127 Cardinal Drive Ext.Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax: [phone]
(Serves: Bertie, Camden,Chowan, Currituck, Dare,Gates, Hertford, (Serves: Brunswick, New Hanover and Pender Counties)
Pasquotank and Perquimans Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

54,
ROY COOPERGownor
MICHAEL S. REGAN
Secretary
Coastal Management BRAXTON DAVIS
ENVIRONMENTAL QUALITY Dbeclor
BUFFER AUTHORIZATION CERTIFICATE
FOR PIER AND DOCKING FACILITIES ACCESS WAY
A riparian buffer authorization is required for pier and docking facilities access ways through the Tar-Pamlico&
Neuse River Riparian buffer per Division of Water Resources (DWR) regulations 1SA NCAC 02B.0233 & .0259.The
Division of Coastal Management(DCM),through a Memorandum of Understanding with the Division of Water
Resources (DWR) has reviewed your project proposal and has determined that the project as proposed complies
with the aforementioned regulations.
Those activities covered by your Coastal Area Management Act(CAMA) permit have received Buffer Authorization
provided the project is constructed in a manner that continues to meet all of the conditions listed below. Failure to
comply with this Buffer Authorization may subject the property owner and the party(contractor) performing the
construction and/or land clearing to a civil penalty by DWR of up to$25,000 per day per violation. •
i. Crossing is Perpendicular: Pier and docking facility access way must cross the 50 ft. riparian buffer
perpendicularly(which is defined as between 75 and 105 degrees)unless otherwise approved by DCM.The
alignment shall minimize the removal of woody vegetation to the greatest extent practicable.
2. Pervious Materials:All reasonable measures shall be taken to ensure the access way is made of pervious
materials like open-slatted wood or composite, mulch, or grass to meet the intent of the rules to the
maximum extent practicable.
3. Access Width:The width of the pier or docking facility access way shall be limited to six(6) feet.
4. Project Drawing:The drawing on the CAMA General Permit is considered the project drawing of your •
property indicating the relative location of the pier or docking facility and any requested access way.This
drawing will be used to aid in compliance and monitoring efforts.• Pre-project site conditions: 611- ] G v4,$)41 W J)A11.
By your signature below you agree to be held responsible for meeting all of the conditions listed a ve an verify
that ail information provided is complete and accurate.
b Aye_
Agent or Applica Printed Name ermi ice s Signatu
Agent or ailant Signature Issu Date
CAMA GENERAL PERMIT it: V ' v1U / CJ
State of North Carolina I Environmental Quality(Coastal Management
Washington Office 1943 Washington Square Mall Washington.NC 27889 I 2 52-94 6-6481
Wilmington Office 1127 Carona!Drive Ext.Wiknington,NC 28405-3845 i 910-796-7215
Morehead City Office:400 Commerce Avenue Morehead City.NC 2855?1252-808-2808

X/ _
'f/ C7t 14/Z •
AGENT AUTHORIZATION FOR.CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address:
.2/11 S7r.1.S ,(�ti
rdeA k 27WO
Phone Number:
3oi - 848 - s-Y33
Email Address: EUrge A9 BaA C 3 4
I certify that I have authorized A-WAI l
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all LAMA permits
necessary for the following proposed development: fRee C►4ce /�'6/C
'"U nay ltoA4 (4 F)-
at my property located at ,rj p�.,)„5 Creek o)r, 4,-en
in geactSidI-1- ,
'County.
/ furthermore certify that / am authorized to grant, and do in fact grant permission to
Division.of Coastal Management stag the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application;
Property Owner lnformation:
Signature
•
�- /7r
Print or Type Name
Tithe
Date
This certification is valid through /
/

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1 f 1 •
N.C. DIVISION.OF COASTAL MANAGEMENT `
' ADJACENT RIPARIAN,PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DEL IV ERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: Geo e
Address of Property: c2/ S pr,) r Creek P
Mailing Address of Owner:
Owner's email: 9ev e . rnoeut� Owner's
r' Oyes"
�.// Phone#: 30 1-8 fm.5-f33
Agent's Name: 1db Cn4y4e ✓at a it Agent Phone#: e-S-z S60 093I/
Agent's Email: O i.e d r"11/t?�oZ ± T2t
Cvyy�
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
I hereby certify that I own property adjacent to the above referenced property.The individual applying for this
permit on the attached drawing,the development they are proposing: A
cription or drawing;with dimensions,must` e
p e4ct I DO NOT have objections to this proposal. I DO have objections to this proposal.
thet,E
no If you have objections to what is being proposed, you,must notify the M.C. Division of Coastal
Management(DCM) in writing within 101 days of receipt of this notice. Correspondence should be
mailed to 943 Washington Square Mall, Washington`, NC`27889.DCM representatives can also be
contacted at(252) 946-6481. No response is considered the,same as no objection:if you have been
notified by.Certified Mail
WAIVER:SECTION
I understand that any
proposed pier dock„mooring pilings, boat ramp, breakwater boathouse, lift or
groin must be set backa'minimum distance of,151 from my area of riparian access unless waived.by me
(this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback,you must sign
the appropriate blank below.)
I DO wish to waive some/all°of the 15'setback
S.y"/
. OR- Signature of Adjacent Riparian Property Owner
i 1}1QL
I do not wish to waive the 15'setback requirement(initial the blank)
¢;Lt Signature of Adjacent Riparian`Property'Owner:
S —Typed/Printed name of ARPO:
1
^MailingAddress of ARPO:
1141•41a
2 14
eft ARPO's email: ARPO's Phone#:
Date: *waiver Is valid for up to one year from ARPO's Signature*
Revised May 2021

•--•.• par.... • Rt rani,,-CtLEIPT REQUESTED or HAND"DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner. G�1eoel e ✓r►0S'AG
Address of Property: a 1 et - ,S pr.�,5 Cfe t it Pit
Mailing Address of Owner:
- Owner's email:' QOyS e , mo v Owner's Phone* c30
Agent's Narne: 43db'C ) 4. 1Cr,;)A ll
y Agent Phone# Z Sto 0' O 93
A dnvet� elerl e:Ch-Vgens,Emarl Ol� ;
re
ADJACENT RIPARb4N;PROPERTYOWNER'S CERTIFICATION
(Bottom portion to be completea'bv the AdiacentProperty.Otivner)
. I hereby certifythat I own propertyadjacenttothe above referenced property'The individual:applying for this,permit . on the attached drewin the development they are:proposing.A
edictio 'ordrawina with'dim nsions=must •e . • '. g , P
P egfee Do NOT have ob notions to thisro osal: I DOshave objections to this' ro osal.
CtY1CL P... - j
P P
'If you have objettione tolwhat is being,proposed,,you mustrfotify the MC Division of Coastal'NJanagemegt(DCM)rn writing,within 1bidays of receiphoffthis notice Correspondeneeshould be,mailed to 943 Washington Square Mai! Washington; NC-27889 DCM re resentatives can also be•contacted et(252)94ti-6481 No respbnse is considered the same es no objection if you'have`been
notified by Certified M -
ail
I'unberr , '. h : an WAIVER SECTION
y:proposed pier dock mooring pilings boat ramp breakwater boathouse lift,or
-.groin must set back a minimum distance'of.15'from my area of riparian access unless_nixed hy_me-
• -----=--==(thrsdoes•notapplgto tSulkhea'Sd or nprap revetments).jif you Wish to waive the setback;'ydu.Must sign
the appropriate blank'below.) '
I'DO wish to waive somelell'of the l5'setback
$
>y
• OR- Signature of Adjacent Riparian Property-Owner` " '
I-do not wish to waive the 15'setback requirement(initial-the"blank)°..
•crcL • teignature,of Adjacent Riparian•Property Owrier:
Spa
TypediPrinted name ofARPO '41 . tf p,)'LI
s srP C-MailingAddresofARPOvshiam 'X-- pJ i\jG zn80(0i c`a A gist e; '' O'semaii:K01 ; (p�y�.y 6pG �,sPhone#: 2S�L�/7�Q• ;�57
-- ;Date:" -•S Zi)2 —,- *Waiver is valid for up.to one yeat, rom ARPO's Signature' •'
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CERTIFIED MAIL° RECEIPT
T1 Domestic Mail Only
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❑Return Receipt(hardcopy) $ l ,l ii;,I re
Q Return Receipt(electronic) $ $V CIO Perk
❑Certified Mail Restricted Delivery $ i_l 011 Nee
❑Adult Signature Required $
❑Adult Signature Restricted Delivery$ f ,
] Postage
r $ $0.58
Total Postage and Fees 07/01/2022
$7.33
a Sent To
] street t No.,or PO Box PTg�,
City,-S`--fe ZIP+44

A receipt(this portion of the Certified Mail label). for an electronic rerum recvipr,see a retail
A unique identifier for your mailpiece. associate for assistance.To recetee a duplioere
Electronic verification of delivery or attempted return receipt for no additiorl91 fee,presertithis
delivery. LISPS O-postmarkgd Certified Mail receipt to the
A record of delivery(including the.recipient'e retail associate.
signature)that is retained by the Postal Service- Restricted delivery service,which provides
for a specified period. delivery to the addressee specified by name,or
to the addressee's authorized agent.
nportant Reminders: -Adult signature service,which requires the
You may purchase Certified Mail service with signee to be at least 21 years of age(not
First-Class Mail°,first-Class Package Service°, available at retail).
or Priority Malts service. -Adult signature restricted delivery service,which
Certified Mail service Is not available for requires the signee to be at least 21 years of age
International mail. and provides delivery to the addressee specified
Insurance coverage is not available for purchase by name,or to the addressee's authorized agent
with Certified Mail service.However,the purchase (not available at retail).
of Certified Mail service does not change the ■To ensure that your Certified Mail receipt is
insurance coverage automatically included with accepted as legal proof of mailing,it should bear a
certain Priority Mail items. USPS postmark tf you would like a postmark on
For an additional fee,and with a proper this Certified Mail receipt,please present your
endorsement on the mailpiece,you may request Certified Mail item at a Post Office"for
the following services: postmarking.It you don't need a postmark on this
-Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion
of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply
You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece.
electronic version.For a hardcopy return receipt,
complete PS Form 3811,Domestic Return
Receipt;attach PS Fenn 3811 to your mailpiece; IMPORTANT:Save this receipt for your records.
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A uniqueidentifier for your mailpiece. associate for assistance.ToDrefve a duplieete
Electronic verification of delivery or attempted return receipt for no addittorIGI fee,presetithis
delivery. • USPS®-postmant d Certified Mail receipt to the
A record of delivery(including the recipient's retail associate.
signature)that is retained by the Postal Service' -Restricted delivery service,which provides
for a specified period. delivery to the addressee specified by name,or
to the addressee's authorized agent.
nportant Reminders: -Adult signature service,which requires the
You may purchase Certified Mail service with signee to be at least 21 years of age(not
First-Class Mail°,First-Class Package Service°, available at retail).
or Priority Mail°service. -Adult signature restricted delivery service,which
Certified Mail service is not available for requires the signee to be at least 21 years of age
international mail. and provides delivery to the addressee specified
Insurance coverage is notavailable for purchase by name,or to the addressee's authorized agent
with Certified Mail service.However,the purchase (not available at retail).
of Certified Mail service does not change the •To ensure that your Certified Mail receipt is
insurance coverage automatically included with accepted as legal proof of mating,it should bear a
certain Priority Mail items. USPS postmark.If you would like a postmark on
For an additional fee,and with a proper this Certified Mail receipt,please present your
endorsement on the mailpiece,you may request Certified Mail item at a Post Office"for
the following services: postmarking.If you don't need a postmark on this
-Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion
of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply
You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece.
electronic version.For a hardcopy return receipt,
complete PS Form 3811,Domestic Return •
Receipt;attach PS Form 3811 to your mailpiece; IMPORTANT:Save this receipt for your records.

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.ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Colliplete items 1,2,and 3. A. Signature
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9590 9402 6766 1074 5561 64 0 Collect on Delivery ❑Signature Confirmation
2. Articl^^'h,...k^-rrancfur from service label) ❑Collect on Delivery Restricted Delivery Restricted Delivery
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■ Complete items 1,2, and 3. f 4-II'A�Slgh
• Print your name and address on the reverse < ❑Agent
so that we can return the card to you. 0 Addressee
• Attach this card to the back of the mailpiece, �eceived by(Printed Name) C. Date of Deliver���
or on the front if space permits. / V v .•
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7018 3090 0001 9562 2386 Restricted Delivery
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warm.. ;Nt i.uprcnv tttUEIPT REQUESTED or HANb DELIVERY
(top portion to be completed by owner or agent)
Name of Property Owner. iJeo92 tin'os-k •
-
Address of Property: a /L ,S pr.)..,5 ere
Mailing Address of Owner.
Owners email Aeoye . ltlpv 'a AOL, Coffin • L
✓ ..! K� Owner's Phone#: 30 f-tad ikg;agictr
Agents Name: OA Cohely/e l f.,ia 1l Agent Phondi ill S60 0'93-V
Agent's Email: pOie(�/'r1/Q�oZ -(Q�r►tA•L• Cd✓tn
ADJACENT RIPARIAN'PROPERTYOWNER'SICERTIFICATIOPN
(Bottom portlon to be completed by the Adlacerit Propeitv.Owner)
- I hereby certifythat l own property adjacent to the above referenced'.property:The individual applying for this
permit
edi _ must attached drawing; the development they.are proposing: A
al flan rawmq;with dimensions,must e
re left
Che
( I.DO NOT have objections to this proposal. I DOnave obje,ctions to this proposal.
ao If you have objections to'what is being proposed,Woemust,not fy the•M.C. Division of Coastal
Management(DCM)`In writing,within l0:days of receipt of this notice. Correspondence shoutd be mailed to'9431 Washington Square Mall,•yWashington`, MC 27889 DCM,repiesentatfves,ca also.be contactedtat;(252),946 6481.No'response'-is considered the same as no_objection if you have been
notified by Certified Mail. „
I understand that an WAIVER SECTION F,
y"proposed pier dock Mooring pilings boat ramp breakwater, boathouse, lift,or
groin must be setbeak;a minimum distance of 15'from my area Of riparian access unlessjyautedhy me -
- — -(his s-doed-not appirp-ti lktieads-or nprap revetments).(If you wish to waive the setback,you must sign
the appropriate blank below.)
I DO wish to waive some/all of the,15'setback
t12 I OR Sigh's re of Adjacent Property Owner
I do not:wish to waive-the 15'setback requirement(initial the blank)
ALL Signature of Adjacent Riparian Property Owner. k
Typed/Printed'name of.ARPO: ' r��
•
Aailing.Address of ARPO: ryu,I aX 73 799 ,g_ it-- 028-P3
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ARPO's email:Allo ARPO's Phone#: ;—siSO(P
Date:-2-64=C a'3 , , *waiver is valid for up to one year from ARPO's Signature'
,n-c,(r/'4't'S Azar, _ji©5,rye C Cam. Revised May 2021

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