87839_Thomas Newman_20220805

0`Q"NPICAMA1.1 Date previous permit issued DREDGE & FILL N° 87839 ABC D
GENERAL PERMIT S D 1125i1 Previous permit
[iNew 'Modification (i Complete Reissue Partial Reissue
As authorized by the State of North Carolina,Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I 5A NCAC n Rules attached. n General Permit Rules available at the following link:www.dea.nc.gov/CAMArules
Applicant Name Authorized Agent
Address Project Location(County):
City State ZIP Street Address/State Road/Lot#(s)
Phone#( )
Email Subdivision
City ZIP
Affected n CW EW n PTA n ES n PTS Adj.Wtr.Body (nat/man/unk)
AEC(s): OEA n IHA n UW SPIMA PWS Closest Maj.Wtr.Body
ORW:yes/no PNA:yes/no
Type of Project/Activity
(Scale: )
Shoreline Length
Access Length ,
Pier(dock)length l ! I ; I , i i , , I ' f 1 .-.«- i
•
_ I
Fixed Platform(s)
Floating Platform(s)
I
Finger pier(s) I
Total Platform area
Groin length/#
i
Bulkhead/Riprap length ---___--
Avg distance offshore '
Breakwater/Sill { -
Max distance/length i -
Basin,channel I--r- .- } 1---- I !
Cubic yards a -I .— —
l`a
Boat ramp f I I 1
Boathouse/Boatlift
Beach Bulldozing _ I t- 1 '
Other , !-
SAV observed: yes no.. / , ,t lQ ,s E �-.X '1'
Moratorium: n/a yes no ff
Site Photos: yes no _ , . I
Riparian Waiver Attached: yes no i / ' r'
A building permit/zoning permit may be required by: /✓«� 7'"'
6 a TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions fc- -/t' . ( GC/
I I See note on back regarding River Basin rules
0 See additional notes/conditions on back
I AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature**Please read compliance statement on back of permit** Signature
Application Fee(s) Check#/Money Order Issuing Date Expiration Date

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

��(w 1 ICAMA ^ DREDGE & FILL :'�`' No 87839 ABCD
0
= GENERAL PERMIT 4; -1 Z` Previous permit
Date previous permit issued
New Modification _Complete Reissue Partial Reissue
As authorized by the State of North Carolina,Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC Rules attached. General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name _ Authorized Agent
Address Project Location(County):
City State ZIP Street Address/State Road/Lot#(s)
Phone#( )
Email Subdivision
City ZIP
Affected CW 1 1 EW PTA n ES PTS Adj.Wtr.Body (natlman/unk)
AEC(s): OEA IHA n UW I I SPIMA PWS Closest Maj.Wtr.Body
ORW:yes/no PNA:yes/no
Type of Project/Activity
(Scale:;' )
Shoreline Length
Access Length 4-- --
Pier(dock)length
j
Fixed Platform(s) 1,----.�,— 4 _-. f 1111111•11111
Floating Platform(s) j , j L_`
—.. t ._._...__ r---— .-.--
1 •Il MI
i
Finger pier(s)
Total Platform area
Groin length/# I
Bulkhead/Riprap length IIIj
Avg distance offshore II !
Brea kwater/Sill
Max distance/length_
Basin,channel I
I
Cubic yards -•^ I I
Boat ramp . — . ,
Boathouse/Boatlift .
Beach Bulldozing I
Other ■
■ I mom I ,
SAV observed: yes no I i
Moratorium: n/a yes no
I I 1 I i I
Site Photos: yes no (— I I I
Riparian Waiver Attached: yes no • i
A building permit/zoning permit may be required by:
Permit Conditions TAR/PAM/NEUSE/BUFFER(circle one)
See note on back regarding River Basin rules
See additional notes/conditions on back
I AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial) __
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature**Please read compliance statement on back of permit** Signature
Application Fee(s) Check#/Money Order Issuing Date Expiration Date

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

•
_ ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
Coastal Management BRAXTON DAVIS
ENVIRONMENTAL QUALITY °Erector
BUFFER AUTHORIZATION CERTIFICATE •
FOR PIER AND DOCKING FACILITIES ACCESS WAY
A riparian buffer authorization is required for pier and docking facilities access ways through the Tar-Pamlico&
Neuse River Riparian buffer per Division of Water Resources(DWR) regulations 15A NCAC 028.0233 &.0259.The
Division of Coastal Management(DCM),through a Memorandum of.Understandingwith 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: /ca.•h w/ h /4( I
By your signature below you agree to be held responsible for meeting all of the conditions listed above and verify
that all information provided is complete and accurate.
„sea , _,;±....earse>
Sir? L1+4,17
Agen p cant Printed Name Permit Officer's S'gnature
Agent or Applica Signature Isss Dates
CAMA GENERAL PERMIT it: if 7a .17/..5
State of North Carolina I Environmental Quaitty f Coastal Management
Washington Office 1943 Washington Square Mali Washington NC 278891252-946-6481
• Wilmington Office 1127 Cardinal Drive Ext.Witrnington,NC 28405-38451910-196-7215
Morehead Ow Office 1400 Commerce Avenue Morehead city.NC 2855? 1252-808-2808

AGENT AUTHORIZATION FOR LAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: k h..041kLLS kijsu nwjnu)
Mailing Address: J` 9zrt l by- QcL
Phone Number: c2rj3 , 4 r ne(fa
Email Address: . h 0-4k Q,g
I certify that I have authorized
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
at my property located at 02 iZ Ott[ f
in County.
I furthermore certify that I am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, 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 Information:
Sign ture
/1 hQ4'41 LSulMa_ i
Print or Type Name
OLA I a .tom
Title
4 Ic,,Oa2-,
Date
' This certification is valid through / /

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner. /ko w,eos pi M 49
Address of Property: an ea4r Cjxnrrl. 6,44 ,J^G, a7S' O
�
Mailing Address of Owner: Sf1,�.P a 5 44aJe `
Owner's email:•1-hcol a5i2cv,H;y,JeniArr ; pow er's Phone#: 02-;2— 9 3 flY
Agent's Name: Agent Phone#:
Agent's Email:
•
. ADJACENT RIPARIANPROPERTY•OWNER'S,CERTIFIrCATION
(Saturn portion to be coinpletedlbythe Adjacent•Property.Owner)
I hereby certify that I own property,.adjacent to the above referencediproperty,The individual applying for this
permit has described to me as`shown on'the attached drawing, the development they are proposing. A
description or drawing, with dimes eidria mustbe provided with this letter.
on
v I DO NOT have objections to this I DO have objections to this proposal.
If you have objections to what rs bemg4proposed,;you must notify the:!V.V. Division'of Coastal
Management(DCM)`in w inriting.with 10 days of receipt of this'notice 'Corres ondence should be
triaged'to Washington Square Mall`Washington,*NC 27,089 DCNlrepres ntatfves can'also be
contactedat5946 481-No' sneconsideredthe sae,as noobjcon:if,you have Peennotifed byCertiftegt• 1NER SECTI 4IV ON•.
I understand that any-proposed pier dock moonng pilings boat ramp breakwater boathouse, lift, or
groin must,be set back minimum distance of 15'--from my area of riparian access unless waived by me
(this does not apply to bulkheads or npraprevetments). (If you wish to waive the setback,you must skin
the appropriate:blankbelow:) r
4/40itactii-- S eaag-s- 77 BE l0 Mat
I DO wish to waive some/all of the 15'setback PA9tk%z7Y 4 JC 0 D
Signature of AdjecentRiparian Property 0 er
-OR-
I do not wish to waive the 15'setback requirement(initial the blank)
Signature of Adjacent Riparian Property Ownei�t�1•:��
Typed/Printed name of ARPO': S7ai,/5: � at7 n, atdW
•
Mailing Address of ARPO: .2o 0 A:V9na- tarn OrlYn/7eflAkey , • .2-0S-67A
ARPO's ddtko-1101b .etnbstra i-ARPOs-Phane#: /I9-61?—/0,e
Date: 7/(g/a t— *Waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

N.C. DIVISION OF COASTAL MANAGEMENT
•
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONNVAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND'DELIVERY
(Top portion to be corppleted by owner or their agent)
/� /I
Name of Property Owner. /401t..s A pe.thyiAr-) .
Address of Property: a2/3 Roh r tL K A . AFl>LA AiC. . a 7 Y0 0
i
Mailing Address of Owner: 5,1. —.e ci S r.d n tie
7i4 .aS,„te-AwA-i e cf l.
1..nF 0.-.1
Owner's email: COwner's Phone#: vZ s'a - ?I`f '- .3 8�O sy
Agent's Name: Agent Phone#:
Agent's Email: .
. ADJACENT:RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be complete'd•by the Adiac'ent Propeity.Owner)
I hereby certify that I own propert'adjacent to the above referenced property.The individual applying for this
permit has described to meLiaS,SilaWit on.the attached drawing, the development they are proposing. A
description or drawing,wdh•dimensions musttbeprovided with this letter. •
I DO NOT have objections to this proposal: I DO have objections to this proposal.
If you Have objections to what isjbemg;'proposed,,you must notify the N C Division of Coastal
Management(OCM), iirwntmg within 10 days of receipt of this'nohce Correspondence:should be
mailed to 943 Washington Square Mtatts.Washmgton NC 27889 D`C/Wrepresentatives cah'also be
contactedrat(252J;946 6481'No response is'6 nsidered the•sa%ne•es no,objecbo:7 you-haveaeen
notified.by Certified Malt ...
WAIVER SECTION ". . .
I understand that anyp?oposed'pier dock mooring pilings boat ramp breakwat r boat Ouse; lift, or
groin must be set back'a minimum distance'of;15'ifrom my area of riparian ace:,,-unle.s waived by me
• (this does not apply_to bulkheads'or nprap'revetrnents). (If you wi to w.: e 1- setb. k, you must sign
the appropriate blank'below.)
I DO wish to waive some/all of the 15'setback
Sign- r i-of� j. 'ent '2.. ran c,. erty Owner '
-OR-
I do not wish to waive the 15'setback requirement(initial the blank)
Signature of Adjacent Riparian_Property Owner. h //.
Typed/Printedname of ARPO`: -...��N, .ik ,(//-v44/t2
Mailing Address of ARPO�/�Z3 /6�01�.'t ✓Q20 e'/ of) vd4 4i/tf• C
ARPO's email: /// WO0L4iVoT4Q )e•ARPO's Phone#:ZSZ-7t/'&7�Z7n.
Date: �f'J/f,3�/mv�7/ *waiver is valid r up to one year from ARPO's Signature*
✓ Revised May 2021