Lewis, Charles 88635C

,o`0MF4,1&FICAMA ❑ DREDGE & FILL N9 88635 A B C' D
yffit
GPrevious permit
GENERAL PERMIT T
J 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:
I SA 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
P
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (na0man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ 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
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed:
yes not
Moratorium: n/a
yes Ino
Site Photos:
yes no,%
Riparian Waiver Attached:
yes no
A building permit/zoning permit may be rE
Permit Conditions
1-1 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"
Application Feels)
Signature
Check #/Money Order Issuing Date
Expiration Date

*°1
`OAST4 ❑ CAMA ❑ DREDGE & FILL N9 88635 A B C ` D
y = GENERAL PERMIT 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
P
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
Shoreline Length
Access Length
Pier(dock)length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore_
Breakwater/Sill
Max distance/ length _
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed: yes no
Moratorium: n/a yes no
Site Photos: yes no
Riparian Waiver Attached: yes no
A building permit/zoning permit may be requirea oy:
Permit Conditions
(Scale; )
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

N i E
SHORELINES
29 August 2022
Mr. Brad Connell
NC Division of Coastal Management
400 Commerce Avenue
Morehead City, NC 28557
Native Shorelines
A Div of Restoration Systems, LLC
1101 Haynes St, Suite 211
Raleigh, North Carolina 27604
[phone]
Re: Application for CAMA General Permit 2700
Charles and Claudia Lewis, 595 Taylor Farm Rd, Havelock, INC 28532
Dear Mr. Connell:
Please find attached copies of the necessary documentation to request a GP 2700 for installation of 200
linear feet of offshore sill at the above referenced property. The following is included in this packet:
Figure 1 — Location Map & Site Plan
Figure 2 — Cross -Section of Proposed Offshore Sill
Figure 3 — Existing Conditions Photos
Signed Agent Authorization for CAMA Permit Application
Adjacent Riparian Property Owner Statements for adjacent landowners
• Adjacent Riparian Owner of 605 Taylor Farm Rd. waived the setback
• Adjacent Riparian Owner of 551 Taylor Farm Rd. did not waive the setback
As Adjacent Riparian Owner of 551 Taylor Farm Rd. did not waive the setback, the offshore sill will be
constructed within 25 feet of normal high water within the 15-foot setback on the southern property
line.
Please let us know when you would like to visit the site and/or the permit is ready for signature. If you
have any questions, please feel free to contact me or Mary -Margaret McKinney. My contact information
is listed below. Ms. McKinney can be reached at 252.333.9852 or [e-mail]
Sincerely,
NATI ESHORELIN
org Rudd
Coastal Ecologist
[e-mail]
804.385.4981
RECEIVED
AUG 2 9 2022
DCM-MHD CiTV
www.nativeshorelines.com

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Project Location Map Project Description
Proposed Living Shoreline
595 Taylor Farm Rd
Havelock, NC
Date Prepared: 07/26/22
Mapping Sources: Google Earth 02/14/22
NC OneMap 02/14/22
An offshore sill is proposed to be constructed
at 595 Taylor Farm Rd, Havelock, NC, as
shown to the left and below. The total length of
the offshore sill will be approximately 200
linear feet.
(eying
ne as
ig or
i the
of the
than
or no
oastal
'eater.
✓ill be
;ills to
le per
icable
at 15A
NATi E
SHORELINES
A Div of Restoration Systems, LLC
1101 S Haynes St, Suite 211
Raleigh, NC 27504
919.755.9490
www.NativeShorelines.com

a
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UICKREEF
QuickReef- is a patent -pending living shoreline system comprised of a proprietary mixture of natural
calcium carbonate materials, such as oyster shell and limestone marl, cemented together and
arranged in the shallow waters of the intertidal zone in a configuration that attenuates wave energy,
encourages marsh accretion behind the structure, and creates aquatic habitat within the structure. .
Comprised primarily of native coastal materials, QuickReef'' provides an ideal substrate for oyster
recruitment and aquatic environment enhancement. The structure can also be bound together with
stainless steel cable to create an articulating system if conditions warrant. Over time, QuickReef"
living shorelines can naturally grow with sea level rise to provide resilient shoreline protection.
Structure height shall not exceed
12" above NHW or height of adjacent
wetland substrate. whichever is taller
Normal High Water Number of center units may
/ Line vary as needed to reach Maximum
f desired height &slope Slope
0 1.5ff
NHW
�s Il!a!t N LW
Spartina patens Spartina alterniflora _— — — —
planting (optional) planting (optional)
Max 30 ft from NHW or 5 ft from Coastal Max 12 ft
Wetlands, whichever is greater
Cross Section of Low -Energy QuickReef7m Offshore Sill
0 yr
QuickReefTM Offshore Sill
Proposed Living Shoreline
595 Taylor Farm Rd
Havelock, NC
Date Prepared: 07/26/22
Example of
Baffled Gap in an Offshore Sill
Figure 2
Cross -Section
Applicant(s)
Claudia T & Charles L Lewis
595 Taylor Farm Rd
Havelock, NC 28532
N AT I l
SHORELINES
A Div of Restoration Systems, LLC
1101 S Haynes St, Suite 211
Raleigh, NC 27504
919.755.9490
www.NativeShorelines.com

Proposed Living Shoreline
595 Taylor Farm Rd
Havelock, NC
Date Prepared: 07/26/22
Photos Taken: 02/11/22
Figure 3
Existing Conditions
Applicant(s)
Claudia T & Charles L Lewis
595 Taylor Farm Rd
Havelock, NC 28532

AGENT. AUTHORIZATION FOR CAMAPEPWIT APPLICATION
Nainr of Property Owner Requesting Perrrid: Claudia arid Cl�artesLrwis�
Mailing Address-. 595 Taylor Farm Rd -
Phone Number,.
Ernaii Address:
Ha,v,olock, NC 28532
Cluck: (252)-269-8520
chuck.l€: wis42@email. corn
I certify that I have authorized Pestoration --Systems, LLO i NCC:F
Aaenr i Cor.trar_lw
to act can my behalf. for the purpo5o of applyirfg for and obtaining all C.AMA permits
necessary for tbu following proposed development: flying shoreline.
at my property located at 595 Taylor Farm Road, Havelock, NC, USA
in Graven County.
1 furtheanore certify that i am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff. the Lrca) ✓"'em?it Officer and their agents to enter
on the aforemontroned lands in connection i-vitl7 evaluating information related to this
permit application.
Property Owner Information:
Signature - ,� ,
Prirtt or i'yprr Name
TWO
Cate
This certification is valid through 07 131 12023
AUG 2 9 2_02l

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner:
Address of Property:
Claudia and Charles Lewis
595 Taylor Farm Road, Havelock, NC
Mailing Address of Owner: 595 Taylor Farm Road, Havelock, NC 28532
Owner's email: [e-mail] Owner's Phone#: Chuck: (252)-269-8520
Native Shorelines (Div. of Restoration Systems) Morgan Rudd: (804)-385-4981
Agent's Name: and the NC Coastal Federation Agent Phone#:
Agent's Email: [e-mail]
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
I hereby certify that I own property adjacent to the above referenced property. The individual applying for this
permit has described to me, as shown on the attached drawing, the development they are proposing. A
descri tion or drawing with dimensions must be provided with this letter.
Check Here / I DO NOT have objections to this proposal. I DO have objections to this proposal.
If you have objections to what is being proposed, you must notify the N.C. Division of Coastal
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted
at [phone]. No response is considered the same as no objection if you have been notified by
Certified Mail.
WAIVER SECTION
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or
groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me
(this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign
the appropriate blank below.)
i
Sign Here I DO wish to waive some/all of the 15' setback ✓�y`'�
Signature o Adjacent Riparian Property Owner
_OR- -OR-
Initial Here I do not wish to waive the 15' setback requirement (initial the blank)
Sign Here Signature of Adjacent Riparian Property Owner:
Complete Typed/Printed name of ARPO:I i P— I
Mailing Address of ARPO:
ARPO's email: ( 1t/r/ Ir01 j��1lOd ARPO's Phone#: 1 T �✓ %'� U
pi
Date: 7; Al, 3 1 71-%/ "waiver is valid for up to one year from ARPO's Signature*
Revised July 2021
AUG 2 9 ?_02i

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:
Address of Property:
Claudia and Charles Lewis
595 Taylor Farm Road, Havelock, NC
Mailing Address of Owner: 595 Taylor Farm Road, Havelock, NC 28532
Owner's email. [e-mail] Owner's Phone#: Chuck: (252)-269-8520
Agent's Name:
Agent's Email:
Native Shorelines (Div. of Restoration Systems)
and the NC Coastal Federation
[e-mail]
Agent Phone#: Morgan Rudd: (804)-385-4981
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
I hereby certify that I own property adjacent to the above referenced property. The individual applying for this
permit has described to me, as shown on the attached drawing, the development they are proposing. A
description or drawing with dimensions must be provided with this letter.
Check Here `y I DO NOT have objections to this proposal. I DO have objections to this proposal.
If you have objections to what is being proposed, you must notify the N.C. Division of Coastal
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted
at [phone]. No response is considered the sane as no objection if you have been notified by
Certified Mail.
WAIVER SECTION
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift. or
groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me
(this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign
the appropriate blank below.)
Sign Here I DO wish to waive some/all of the 15' setback
Signature of Adjacent Riparian Property Owner
OR- -OR-
Initial Here I do not wish to waive the 15' setback requirement (initial the blank)
Sign Here Signature of Adjacent Riparian Property Owner: 1 Ir-ii' \;j �' `' 1 t w' i,. ) �' I�t—`' f` ►
Complete Typed/Printed name of A RPO: _ 1 1 e{' ► (�—( ._ s +>>i t ``�` r
�?
Mailing Address of ARPO: '`u �-1+l t,L�It, --�� t l�.f'
ARPO's email ARPO's Phone#:
Date: ` ,� ' 1 ^` ^ ' 'waiver is valid for up to one year from ARPO's Signature"
Revised July 2021
RECEIVED
AUG 2 9 2022
DCM-MHD CITY