87909_Tim Poole_20221003

o'' 'u AMA DREDGE & FILL 1Z-4 No. 87909 A 0 C D
GENERAL PERMIT It' 1 ` Previous permit 790 CS'zir
Date previous permit issued o.2"/7/-24
r lew Modification n Complete Reissue n Partial Reissue
As authorized by the State of North Carolina,Department of Environmental Quality and the Coastal R ces Commission in an area of environmental concern pursuant to:
I SA NCAC O 7Fz•/ I24940 D Rules attached. eneral Permit Rules available at the following link:www.deq.nc.gov/CAMArvles
Applicant Name / / 14-- "el Project
Authorized Agent //
l.
Address wZ6o 7/JuZ, /ec c Project Location(County): I < / - / 1
City `...4..-e ed State /1/t ZIP '2 7,299 Street Address/State/Road/Lot#(s)(s �/ c�/� .7.2 G✓4" -4,',.✓<r
Phone#( f�a26/D T.s�..S/ / r!a wiz",••i) G!j T �•/<.h1- .�. /2,
Email 4i.s .o/L 4l� i�liiid i c Subdivision ( / r.�,CT 4ei'451'f
City ,i3ti/G«.v4.A ZIP 027,/0
Affected 0 cw EW ['PTA 0 ES n PTS Adj.Wtr.Body- `✓ LJ ink)
AEC(s): n OEA I I IHA UW n SPIMA I I PWS Closest Maj.Wtr.Body .c v, q p /2'.✓rr-
ORW:yeseD PNA:ye no)
Type of Project/Activity ,a 7`L�;z e- / J#b.- a/ e ,,r)Ah j �� �' a i-- 1 if Z te 4.k,r,v s
d }e 1.,./ f4 Z 0 ' x�0 ` �,o 1 c fI�w 4 Z. bet 4/�A (Scale: /;16)
Shoreline Length 504-
Access Length /D / l L�iG d
Pier(dock)length (p a 4�',/r e.1ttCt , U -j ja i X/1 ' l'�
Fixed Platform(s) a.Zp s'�..2_0 ' I I i
IP 0 J ex
Floating Platform(s) 1 •t ei O•�/�-D fir
c
Finger pier(s) , 4/1/
6
Total Platform area /t22,' = L--�---/-
Groin length/#
Bulkhead/Riprap length
Avg distance offshoreii
Breakwater/Sill 4
Max distance/length
Basin,channel „xi.0 V
Cubic yards I i
Boat ramp i�'‘,5
Boathous• :oatli /7'jc/J' I ' !G G
Beach Bulldozing / tn
1. I Other J ` v
`
SAV observed: yes ro
Moratorium: n/a yes
Site Photos: yes U Prye
Riparian Waiver Attached: yes no // / v
A building permit/zoning permit may be required by: � a G ( I
/0o'�ff H
/�o-•-s - TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions To �/ �Ti/ 'z-e't!/� r . K• f C��cG
d., / rr4 le"- v (
G See note on back regarding River Basin rules
nSee additional notes/conditions on back
I AM AWA
:4/0
OF STATUTES,CRC RR/UJLES/ANND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial) 721./
V 42 Sly<v.G -5--/ /G J
Agent o D I�rr Permit s PRINm�Sign t re ompliance stat ton back of permit** Signature
-/v2a0---- ig-11100g(144 /1/� �/r/23
Application Fee(s) Check St/Money Order Issuing D to 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 ariy 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

30��`"4NI iCAMA DREDGE & FILL V� N� 87909 A B c D
GENERAL PERMIT �: 1 '�` Previous permit
it iDate previous permit issued
n New 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:
I 5A NCAC n Rules attached. I I 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 4,'
City ZIP
Affected n cW n EW n PTA n ES ❑PTS Adj.Wtr.Body - • (iiat/man/unk)
AEC(s): n OEA n IHA n UW n SPIMA n PWS Closest Maj.Wtr.Body
ORW:yes/no PNA:yes/no
Type of Project/Activity i
(Scale: / )
Shoreline Length _T ___m.- t
• l , tt
Access Length _ � 1
• i / (
Pier(dock)length v U 6.` J1 /`
Fixed Platform(s)
:i C ( +
Floating Platform(s) G( ' , t"n a c f- ',� - r
F..,. f i
Finger pier(s) 1. C,!/ I j 1
Total Platform area t • I ,
i
Groin length/# I
I_ •
I
Bulkhead/Riprap length I i -1- I
Avg distance offshore - 1-
Breakwater/Sill 77.Max distance/length
Basin,channel i
Cubic yards i t—/ — t , -
-
Boat ramp , .4 _.�
Boathouse/Boatlift 1 }
i I
Beach Bulldozing 1 ! ..J Other
1 -
1 ---t I t i l
i
SAV observed: yes no, i `' f- '
Moratorium: n/a yes no `-- • % /
Site Photos: yes no r�- ,
Riparian Waiver Attached: yes no - i I `
i ,
A building permit/zoning permit may be required by:
Permit Conditions I I 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

iZj
+°`t°'" ICAMA I DREDGE & FILL ` ) No 87909 ABC D
GENERAL PERMIT r- ' . 4 ) _I - Previous permit
Z le
Date previous permit issued
New Modification I I Complete Reissue I I 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:
I5A NCAC Rules attached. 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 I CW EW I I PTA I I ES PTS Adj.Wtr.Body (nat/man/unk)
AEC(s): OEA I I IHA UW I I SPIMA I I PWS Closest Maj.Wtr-Body
ORW:yes/no PNA:yes/no
Type of Project/Activity
(Scale: / )
Shoreline Length _�_._.._
Access Length I I _ - ._,_ ,, } i �—
I
Pier(dock)length t j i 1 i f
;
Fixed Platform(s) i
Floating Platform(s) ^
.. �.
Finger pier(s) fI. ! j ( I
S':. , I 1
1, 7 � i ,
Total Platform area )
t
Groin length/# i , I
Bulkhead/Riprap length --- ----- -- I * j
Avg distance offshore -+- — -- - ---
1 t!
Breakwater/Sill I t E • j j I
Max distance/length ! 1 V
"
Basin,channel .
•
i I i
Cubic yards ^......--j- -- I _... -s /I_
4
Boat ramp -rr i �..__—
Boathouse/Boatlift
Beach Bulldozing I
Other
+ (
SAV observed: yes no I
Moratorium: n/a yes no
Site Photos: yes no I i
Riparian Waiver Attached: yes no , I , , Il I 1 'I
A building permit/zoning permit may be required by:
Permit Conditions I I TAR/PAM/NEUSE/BUFFER(circle one)
II 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 Feels) 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 es 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

A ROY COOPER
t Governor ie
MICHAEL S. REGAN
. .. Secretary
Coastal Management BRAXTON DAVIS
tnvlamimarCAi.=awe DRfror
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 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.
o Pre-project site conditions: J3'7zt'cI c0/�12ei1-21/9.4% c� JI �� df
r-- i( mac. e.t.J"6L,ji a F ecf-/e..t- c n C de. A./-1
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.
terifretJA.Ob
Agent or Applica t Printed Name Permit Officer's Signature
•
�'�or A pct/a /©Date
Agent or Ap li nt Signature /� Issue Date
CAMA GENERAL PERMIT#: S'77 Q Fzr
State of North Carolina I Environmental Quality(Coastal Management
Washington Office l 943 Washington Square Mall Washington.NC27889 1 2 52-946-6 481
• Wilmington Office 1127 Cardinal Drive Ext.Wilmington,NC28405-3845 19I0-796-711S
Morehead City Office i 400 Commerce Avenue Morehead City.NC 2855? 1252-808-2808

•
N.C.DIVISION OF COASTAL MANAGEMENT
A_DJACENT RIPARIAN PROPERTY OWNER NOTIFlCATIONIWAIVERFQRM
CERTIRED MAIL•RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: ihd l by Poole
. dress a Ad
2T 0 E ,wrk r W 4y `aR a t�z ,,.NC 219/e .
•
Mal2ng Address of Owner. 37d 6 l�/1'fyiva7 UX Rai. uiten�N�i Z7j�/d •
R
•
Owner%emalt: .Owner's Phoned: 3 &-Lff7 -aim*,
Agent's Name: •
Agent Phone#: " i
Agent's Emaa: . -
- .ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
- (Bottom portion to be completed by the Adjacent Property Owner)
- •
" I hereby certify that town property adjacent tithe above referenced property:The Individual applying for
gib permit has described to me,as shown on the attached drawing,the development they are proposing.
A desalotien or drawing wfh dimensions.must be provided wgh this letter
I DO NOT have objections to this proposal I DO have objections to this proposal •
.
If you have o$Jacgdns to what Is being propose4 you must notify the MC.Dlvbion of Coastal
Menagement(DO M hr rattrap within 10 days of receipt offhlsnoOca Comesppondeic•Ihouldb '
mailed to NJ Washington„Square Mal6 Washington,NC 27889.DCtt representatives can also be . . r, .
` - contacted et(262)9404481.No response Is considered the same as no ohJection.If you have ,
been notified by CertlnedMEL - '
-
'
- WAIVERSEC-SON - - • . .
I understand that any proposed pier,dock,mooring Wings;boat ramp,breakwater,boathouse,Inor -
c • 'ligroin must be set back a minimum dstence of 1 S from my area of riparian access unless waked by me • -
(INsdoes not apply to busdreads or Oran revetments).(If you wish to waive the setback,you must Mon - -
Ilte appropriate blank below.) -
t I DO wish to waive somefaitofthe lS setback - •
.. '.. : -
Signature ofAdjacentRiparian Property owner..= ..
-OR• .. _ _
Ida not wtahtowake the 1S setback requirement anttlal the blank) - _
i.
' • -Signature of AcilaciotRiparlan Property ownsrr -
�D
Bi
typed/Printednano ofARPO: ffC4./ /'olZ• ti✓k nJ
`aa Mailing Address o(/1RP0 �6 G .
v ARPO den iM AAPO'sPho •
neS P?Sa.-,JaB,f/96
:o / 4'ea�9—'waiver Is mild for up to one year from ARPOY Signature*

SENDER: COMPLETE This SECTION, COMPLETE THIS SECTION ON DELIVERY
•
• Complete items 1,2,and 3. • gna ri
• Print your name and address on the reverse X /i iq CI Agent
so that we can return the card to you. C. !!7 Addressee'
• Attach this card to the back of the maiipiece,' -= e ved by note• ame)' C:Date of Delivery,
or on the front if space permits. ,.-- ,
-
1. Article Addressed to: D. Is delivery address different torn item 17 0 Yes
Gag 50(14 /f�5 If YES,enter delivery address below:* ❑ No
�_ Gct /f ScAao% Rol
C®a,jt ,*t/i/k pi icgz
3. Sevice Type rIoho Adult Signature 0 e Mall Eiroresse
Mni
IIIIIIII III FI milIIIIIIII III Adult Signature Delivery , Registered Mall Restricted
i O Certified .Delivery
i9590 9402 6051 0125 8788 30 O Certified Mail Restricted Delivery ❑Return Reeetpt for
❑Collect on Delivery • - Merchandise-
.. A..,_,_.,,....k..r fr ncfar/mm carving;Iahall ❑Collect on Delivery Restricted DeLVery ❑,Slgnotrae CoAThwation"
❑Insured Mall 0 Signature Confirmation
'0 2 2 0 410 0002 9530 1169 o Ins i Restricted Delivery , Restricted Delivery
over$501:1)
PS Form 3811,July 2015 PSN 7530-02-000-9053 - . Domestic Return Receipt
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