88113_Hal Larson_20230123

#0"4,41,4,ECAMA DREDGE & FILL "T2 No 88113 A .._B.' C D
X Previous permit '
4 1 GENERAL PERMIT ZD4 ,2 111 Date previous permit issued /lc
0 New I I 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:
I5A NCAC n Rules attached. 0 General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
z.:.
Applicant Name Authorized Agent - •
Address C Project Location(County):
City State ZIP Street Address/State Road/Lot#(s)
Phone#( ) -
Email Subdivision
City ZIP
Affected ri cw ri EW n PTA ES PTS Adj.Wtr.Body - ,(nat/man/unk)
AEC(s): n OEA n IHA ri UW SPIMA PWS Closest Maj.Wtr.Body
ORW:yes/no PNA:yes/no
Type of Project/Activity
(Scale:/ _ )
Shoreline Length
Access Length E ) <. 7r - �E._ --•`.
Pier(dock)length - -----+ - '- -f— 1 -
Fixed Platform(s) i i a -t_.-_,.
Floating Platform(s) I _ ': t "' f- Nj { .. ,_
] / X
r �r
Finger pier(s) f jt . _..,
Total Platform area I _
Groin length/# j i
Bulkhead/Riprap length • - j
1 4-
Avg distance offshore
i
Breakwater/Sill t
Max distance/length L � _ j
Basin,channel _-1
Cubic yards
Boat ramp
j 4 _ -I--� i
Boathouse/Boatlift ( j i T
Beach Bulldozing
Other i-- ! -- �-
_ #
—
I
H.-- _ _ 3
} F
fi
SAV observed: yes no t tea' r j - ,h rq e .._ ! •
— 1 =-
Moratorium: n/a yes no _
Site Photos: . -'
yes no -� -�-� _ --� �• _ -��_. _-_ ..__ -lb4�r
Riparian Waiver Attached: yes no ._x_ __L__J_ i 1 f i�,f�
A building permit/zoning permit may be required by:
Permit Conditions 1-1TAR/PAM/NEUSE/BUFFER(circle one)
riSee note on back regarding River Basin rules
piSee 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

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
Coastal Management BRAXTON DAVIS
ENVIRONMENTAL QUALITY Dhec ,:
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 02110233 & .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: Iv 'S ,.1 h/
am✓ 4 I )
By your signature below you agree to be held responsible for meeting all of the conditions listed ove and verify
that ail information provided is complete and accurate.
Jt)f•.N. {ya*)
Agent or pplicant Printed Name Permit Offic is Signature
Z 23 -
nt or Applicant Signature Issue Date/
CAMA GENERAL PERMIT#: - o� 3
State of North Carolina I Environmental Quality I Coastal Management
Washington Office 194a Washington Square Mall Washington.NC 27889 1252-94.6-6481
Wilmington Office I 127 Cardinal Drive Ext.Wilmington,NC 28405-3845 19l0-796-7215
Morehead Cry Office 1400 Commerce Avenue Morehead City.NC 28551 1252-808-2808

AGENT AL1T OR€ZATUON FOR CA RA PERItliUT APPLICATION
Name of Property Owner Requesting Permit: 1441 14(161
Mailing Address: / 9 504.4 40 leitA
Q,Awkl A/C aag ri
Phone Number: Ara -411-- /`1‘
Email Address:
! certifythat ! have authorized J�f � semi Afrig u�A[
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CANIA permits
necessary for the following proposed development: do c.4 /e etevr
at my property located at /0 B 5u'. 6444
9
in Pw"•ir tv 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 Inform
Signature
Print or Type Name
Title
l3 /

s
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 'A // e^ /oise" 's
(Name of Property Owner)
property located at (0c ln,.J w:Jac d
/ (Address, Lot, Block, Road, etc.)
on V'/ee.. CleeK. , in CNTnfrI , N.C.
(Waterbody) (CitylTown and/or County)
The applicant has described to me, as shown below, the development proposed at the above
locat'sn._
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
Biers kJ do it-
644.
old eass
ace's--; - [ 7, i
WAIVER SECTION
I understand that a 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. (If you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
ifperty Owner Information) (Adjacent Property Owner Information)
St0;
glurel/ h �Q' v� p Signature*
P yp. r�e `1 Print or Type Name
pdwi ^dr ) n,
Mail' g Address .i ( 1 I /1 Mailing Address
cQ / 2+' kIl '�Jl
C Stete2ip �;d--('f " 4
^c City/State/ ip

a —
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to W'((i'w1/4 I"‘"se.n 's
Goad u►tn,jS do it (Name of Property Owner)
property located at (7°�
(Address, Lot, Block, Road, etc.)
on Gran Gs-ceK , in CJr4Akl , N.C.
(Watbrbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
loc .
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
164 k'i JiA.
AIVER SECTION
I understand that a 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. (If you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property Owner Information)
Si at //--��t��/L Signature*
tpy Lvi
Pri Oo4Typy .?eOrNf� , 7� Print or Type Name
MailzAdLLdavress NC anseir
Mailing Address
City/Stete/Zip City/State/Zip