85122B - Stancil, Danny

tow, CAMA DREDGE & FILL la1� No 85122 A '... C D
Q/�GENERAL PERMIT Zp ��3 [v Date previous permit issued
RNew n 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 (..)] '' ''LC- ' Rules attached. f General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name T)A fsi t' c;1 A yJC-t i__ Authorized Agent • , i i t I i.-r ( :'-N r x
Address ' I-)(I. )"4 • 1 1 - 5 t -I-) f _ Project Location(County): • �'-k-
City C' •- `'- ". State N C ZIP Street Address/State Road/Lot#(s)
Phone#( 7<; ' `-I I (...' , �..
Email Subdivision - - ,.
City _.--' '- 1i �l ZIP 2,'4 13-
Affected ❑CW IIEW nPTA n ES n PTS Adj.Wtr.Body ' . r:--, ) ( funk)
AEC(s): ❑OEA ❑IHA n UW 0 SPIMA n PWS Closest Maj.Wtr.Body )o r
ORW:yes/no PNA:yes/hp`."
Type of Project/Activity ; _ - r• S .,"t 1 _ /`I ' x Z "
L,,,. +11,-'_, sc (Scale:I" _1•
Shoreline Length t 'CCri
Access Length - Cir ct c 4.w '''''4".�+
Pier(dock)length I 1 11--}" C'
Fixed Platform(s) --4-- - I 1c `F,'''' .....T' '
L a
ifikk—` � —
Floating Platform(s) t I Ir..: ,� f V
--+— •Finger pier(s) lTotal Platform area ` t". i , =' i____,i
I_i ,✓. ,
Groin length/St 1' ' ,- --_
r I
Bulkhead/Riprap length ---' -r-s... T
Avg distance offshore - N-
Breakwater/Sill r?r - , :_-r` 11
Max distance/length f
Basin,channel-_--
Cubic yards1
"
Boat ramp
'Boathouse/Boatlift �--. ti i 0 �C a 1� , 1i
.Ja..
Beach Bulldozing ' [H - a f.&A�c P
Other
j t- ,- /ig
SAV observed: yes no ` 1
.-,
Moratorium: n/a yes ' of --) ( - /7(7
Site Photos: yes 85;1fr r ' L - }
Riparian Waiver Attached: yes no I ' I -1 I I I ; I
A building permit/zoning permit may be required by: ("7r2L'a/ ' 1^
S' 'I-"):, � D TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions '. t :> .L- , i j�U yr 17-
) '
• �� / .4 -`.*' <-r ;., R See note on back regarding River Basin rules
1
4 1 fat-A ' ri 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
r 3
Application Fee(s) Check it/Money Order Issuing Date Expiration Date

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

''''' ',''',„ ._'CAMA _ DREDGE & FILL -- =} N9 85122 A B C D
ii GENERAL PERMIT -t -/I _ii� Date previous 1permitissued
New n Modification ( Complete Reissue n Partial Reissue Previous
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. n General Permit Rules available at the following link:www.deo.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 I CW EW PTA ES PTS Adj.Wtr.Body (nat/man/unk)
`AECIsI: OEA j 1 1HA UW SPIMA PWS Closest Maj.Wtr.Body
ORW:yes/no PNA:yes/no
Type of Project/Activity -
1,
(Scale: -=
Shoreline Length
I
Access Length
Pier(dock)length I l I J 1 l.,i l'L, ..
Fixed Platform(s) l 1 -' <
[ - i 4
Floating Platform(s) j • y
i 1 t i z
Finger pier(s) f---- =- -----/ —
1
l
Total Platform area i - jF-,' 44. . ' i ,' , -A i . , 1
Groin length/# .. _ 1.
Bulkhead/Riprap length l i _ I
Avg distance offshore 13,=C\t'\�.t' F i t I
Breakwater/Sill ; be.' i .k JY1.� I 1IIMax distance/length .
Basin,channelII
I (
Cubic yards j i
Boat ramp _ I
Boathouse/Boatlift '-' )3 I Mw�4 ` f 1 y;
Beach Bulldozing
[ ' 4 r -. ``+:.
Other r..- r.. - ___—
#'' it -
SAV observed: yes no { 1 c . —' I
Moratorium: n/a yes no 1 0 r
Site Photos: yes no "'., ...-,1 —_— — - "..44 I
Riparian Waiver Attached: yes no _ [
r
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
te--.1
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

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
Coastal Management BRAXTON DAVIS
ENVIRONMENTAL QUALITY
Director
BUFFER AUTHORIZATION CERTIFICATE
FOR PIER AND DOCKING FACILITIES ACCESS WAY
A riparian buffer authorization is required for pier and docking facilities access ways through the Tar-Pamlico &
Neuse River Riparian buffer per Division of Water Resources (DWR) regulations 15A NCAC 02B.0233 & .0259. The
Division of Coastal Management (DCM), through a Memorandum of Understanding with the Division of Water
Resources (DWR) has reviewed your project proposal and has determined that the project as proposed complies
with the aforementioned regulations.
Those activities covered by your Coastal Area Management Act (CAMA) permit have received Buffer Authorization
provided the project is constructed in a manner that continues to meet all of the conditions listed below. Failure to
comply with this Buffer Authorization may subject the property owner and the party (contractor) performing the
construction and/or land clearing to a civil penalty by DWR of up to $25,000 per day per violation.
1 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.
m Pre-project site conditions: 4'( f s �—
�it �I e 1ei�h
By your signature below you agree to be held responsible for meeting all of the conditions listed above nd erify
tha information provided is complete and accurate.
440
Age rc rinted Name mit 0 cer's Signatur
3//gent or Ap cant Signature Issue ate
CAMA GENERAL PERMIT#: S f ZZ
State of North Carolina I Environmental Quality Coastal Management
Washington Office!943 Washington Square Mall Washington.NC 27889 252-946-6481
Wilmington Office 1127 Cardinal Drive Ext.Wilmington,NC 28405-3845' 910-796-7215
Morehead City Office 1400 Commerce Avenue Morehead City.NC 28557 252-808-2808

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: 1 fl NV V ��N 1
Mailing Address: j 3 LI ; 1 I N r L-/ t
`ter
LtOW h:4 L l a M Q lrt
Phone Number: 3 S 3
Email Address: S qA ' l '4 y ms QI ma ` ( c o vv'
I certify that I have authorized C�J V
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 ) 3,-/ i•`((E real b r @ xo eosin I,
in Pea ton * County.
/ furthermore certify that / 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:
Signature
Print or Type Name
Title
102
Date
This certification is valid through / /

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Ata,{.gt;f_NT IYIFARIAN PROPERTY oWNrrvc CURTIi-ICAtIOtt
t_.-g',r•arrf_nW tMi r_nJrlrird by fin AdlArnnt r'rn(ir,rlY O'vin'r)
rt-
-', •- • - r!•: I--,, . .r__ rnt to thorbovo rcfcronood property Tt,+: dLO8 '-�ir, '..- a >-` F,
_- _ t.-_, ti"-o cr; tr.ran cn tho attached drawing. the ucvc cpn„r_r4 Mc,/ ate pr''o-`- y
.__ ._ _ _ _ --=r h . -rr-c-'1 must bn provided with this liter
___;:_ i :`.', %J" ,+_r,euc cxrrs to th s proposal I DO have objections it,in:,propo-u
▪ rm-a crt_tots to what is being-proposed, you must notify the N.C. Division of Coastal
" • C:cct 6 Car)!n witting within 10 days of receipt of this notice. Correspondence should be
-c.:Y.: S4.4 Was L'ig on Square mall, Washington, NC 27889. DCM representatives can also be
-'ac_cd.rr'52)94S-0481. No response is considered the same as no objection if you have been
r.': u.,ty Cc:t.i5ed AMai1.
WAIVER SECTION
_ c-_-1 :, Cr;,:proposed per dock, mooring pilings, boat ramp, breakwater, boathouse, hf, or
- _c:r,_^.1 crca a m n'mum distance of 15' from my area of nparian access unless waived by me
= = cryi-o t)u`tn^cdc or riprap revetments) (If you wish to waive the setback, you must sign
r
1 Dp itL:1 #., ,c .) ccmc/c'I et tho 15' setback f�
744,7
Signature of Adjacent iparian Property Owner
I do not Leerh row .ve ttr: 15 se!pack requirement (initial the blank)
Signature of Adjacent Ripanan Property Owner:/ �,.--d t kr 1j T, L7
Typed/Printed name of ARPO: ^^J0 C LJe C 5� 11
t.
Mailing Address of ARPO: f nit� (i h ii d res 1- b 0 koc0 w ; h. y C-
RPO`s email: GJet Ct>� 1� ( Mkt,:( ARPO's Phone#: SQ l�r�
ate; —JO - 1J `waiver is valid for up to one year from ARPO's Signature"
Revised July 2021

i t
-
NC DiVSSUWOP COASTAL MAAlricle NT
A OJAC@NI'/(f(AA n+AN PKC)PErd1Y OWNLR NOTIPICA'rIONiWAIVt£R FORM
. (=, _f;t�„ ,t, ;yIur,NRl,rtr'rfal,'2 Lu;[r,_yQLLIANDlat. ERY
fie')rertien to h6 t emp4•Ietl by owner of their fig enq
Nr.. - Itkin . y. ,t .1_ \ "Of L , it -- - -- - --
A ';,r-;a:rr ._a-n,. _ L •rt t( I ( irr .--f /--- •,. ', r (Al,lte.'. --•/
V.- •rtJ A:J C 1.'(if:An'r _ 5 I ', - -------- -- 1
Oa•r. ,rP t. . _ _ __
— _ • . . i .'I+,• (to.ern P I'I'tine , ) �� ?tit +� t(c)6
ri
Ain a\ '0 ____ -- _ - Agent I'trrnoH _
A0.1AGENr RIPARIAN PROPERTY OWNER'S CERTIFICATION
rfi:Ktorr)portion to be completed by rile Atlinceor Properly Owner)
f.'r"y "-1 :`i=t t•''*'property oa;axnl to trio above referenced property Tho individual apptying for this
Pe ' t hae �`'=• :'a: Co ,,e as ;:hewn on the attached drawing, the development they are proposing g
•?r_=C :t.t,r ,- -t,•3 w th d'
mr^"nns must bn providrxi with Mil latter.
4 CO\'OT rave objections to this proposal
I DO have objections to this proposal
d yrnacm o3,-eeUo,7s to what is being proposed, you must notify the N.C. Division of Coastal
Managers-cm(DCAI)in writing within 10 days of receipt of this notice. Correspondence should be
`railed to 943 Washington Square Mall, Washington, NC 27889. DCM representatives can also be
contacted at(252)84 81. No response is considered the same as no objection if you have been
not=%ed ty Cenifed Mail
ders'end vat a WAIVER SECTION
y proposed pier dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or
Ec$/'-c r be set tick a minimum distance of 15'from my area of riparian access unless waived by me
e cr nct t y to bulkheads or riprap revetments). Off you wish to waive the setback, you mus_ t�ia�
rrc yc ba�a'a ' t bb 'k )
I DO ity,sh to wave soma/cal of the 15'setback
OR- Signature of Adjacent Riparian Property caner
Jo not wish to waive the 15'setback requirement (initial the blank)
nature of Adjacent Riparian Property Owner: f
d/Printed name of ARP /-- �yr�
1 Address of ARPO: ) I hi: /I C hCS 71 p
r.
email:�I= let. [ _ k a CO d,)e. h t, f t IV C
ARPO's Phone#: a o s i O i 9 2
`� waiver is valid for u
p to one year from ARPO's Signature*
Revised July 202/
r