87990B - Horace Mcintosh

�o��`°"tr4` cPCAMA DREDGE & FILL ��S No. 7990 ABCD
_
�� = GENERAL PERMIT ID- M g Previous permit
ill
Date previous permit issued ,
n New Ti 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 SA NCAC - _ n Rules attached. n 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 n cm, n EW n PTA n ES Ti PTs Adj.Wtr.Body (nat/man/unk)
AEC(s): n OEA n IHA n UW n SPIMA n PWS Closest Maj.Wtr.Body
ORW:yes/no PNA:yes/no
2O0
Type of Project/Activity
- 63{ f6 V (Scale:
Shoreline Length c ce
Access Length I _ �- r — .rJ'i
Pier(dock)length �"- '—mod •} ' i r I 4 I 1
•
, ,..,v .
' o 1�'l`7
Fixed Platform(s) -rCOP
c„„.,.
Floating Platform(s) I t.{ `� 4- "- i
1 ; ,
Finger piers) S (o_ }_.i j I
Total Platform area �":"....... 6 yo _ " ' _ �*' /.
Groin length/# } , s i i I - , il�rti
Bulkhead/Riprap length -- t: , i r i - if - - —
Avg distance offshore }.... - t f ___ __._-_ ._... ..___
Breakwater/Sill i _ ! / r +'-'
Max distance/length ' I I / �► �/ I
Basin,channel I j i 1 1
Cubic yards
Boat ram ! ( _..— i i
P i
Boathous Boatlift /a oxa. �;T j
Beach Bulldozing _
Other - r• — i _
L._. r- ..._ — .. — _
,
—f
t I Ii i - I
SAV observed: yes no ' /�
Moratorium: n/a yes no ' i
Site Photos: yes no :; ,J I r r 4, .,,.- ,` �
,, � .,r) -
Riparian Waiver Attached: yes no r..,'L.t f H" i .. f
A building permit/zoning permit may be required by: !'.t^
n TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions
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

a� R'QY COOPER
E Gcvemor
MICHAEL S. REGAN
.. - Secretary
Coastal Management BRAXTON DAVIS
ENMRONNENLAL QUALM' Dakar
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 1SA 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 ofthe conditions listed below.Failure to
comply with this Buffer Authorization may subject the property owner and the party(contractor) performing the
construction andfor 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 facilityand any requested access way.This
drawing will be used to aid in compliance and monitoring efforts.
® Pre-project site conditions/911/
• 6 /'e--5 r
714-2/
aka 4m-4
By your signature below you agree to be held responsible for meeting all of the conditions listed above an, 1 rify
that all informa i provided is co plete and accurate.
a L
gent or A p is nt Printed Na r Per it Office Srure
/zl3o/z 2---
Agent or Applicant Signature Issue Date
CAMA GENERAL PERMIT it: S.79/0
State of North Carolina I Environmental Quality I Coastal Management
Washington Office 194a-Washington Square Mall Washington NC 278891252-946-6481
• Wilmington Office 1127 Cardnal Drive Ext.Wimington.NC 28405-3845 1910-746-7215
Morehead City Office i 400 Commerce Avenue Morehead City.NC 2855?l 252-808-2808

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ADJACENT RIPARIAN PROPERTY OWNCR NOTIFICATTONIWAIVER FORM
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11 you have oblectrorts to what Is being proposed. you must notify tha NC. &vision of Coastal
Management(DCMI at wrong wnhin 10 days of receipt of due nobco Corres4xwlenc•should be
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et(7571 808-2100 No resporuso Is core/Ahmed rho SAM*is no objection d you have been mottos,by
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SENDER:COMPLETE THIS SECTION COMPLETE MI5 SECTION ON 0E:J4E/qv
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111 Print your name and address on the',vent.. X 0
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N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RtPARtAN 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:V1 CI M(Lt.) V)C 1 t 11 t J 1 E ( l 1 IN 1L`r l t Z i'l
Address of Property ' 9Ai tkY -0,1 w1 u , ry tt r r `1 , J, � i
I `� C>�r t {t Mailing Address a owner <-DV 1 v( "�C�l e Ity .NG' 9, 1 U VI
Owner's ernalio IA Ittn-) tip 1 1,wnet^s Phon Ci Lt• - ,`riO
Agent's Name: CVAINtkda Aged Ptwr i - SJR-,ly JR
Agent's Email:';4i1`,l`if e l if Wit 011(crLI 1 (.(',, 1
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(f ottom 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 rne, as shown on the attached drawing, the development they are proposing A
descn n rawitig wittr�irnensions,must be provided with this letter.
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(OCM)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(252)808-2808.No tr ponse 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 DO wish to waive sorrelall of the 15'setback e
iliWA 44..)C_______
OF
Signatu .f Adjacent Riparian Property Owner
-OR-
!
do not wish to waive the 15'setback requirement(initial the blank)
Sigriature of Adjacent Riparian Property Owner fI A'Ve--
TypodlPrinted name of ARPO: '-�w ; �� ' c)
Mailing Address of ARPO: "i- � ! ' '�4' .' Kt Al err! 1i •Cr Z ��
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ARPO's email:/ '�'" t1"me�A,���"t g,RPO's Phone#•76�—S / 7— 7 '39
/r Date: 2l�23 'waiver is valid for up to one year from ARPO's Signature'
Revised May 2021
1

OF COASTAL MANAGEMENTCATIONNYAIVER <'`
N.C.DIVISION OWNER NOTIFl FOWiI
ADJACENT RIPARIAN PROPERTY OWNER
REQUES�E�•••••'nct NFq`I ....,
(Top portion to be completed by owner or their agent) I
NamedProPedy owner NOYall) inilnbdnIE ►i-y- n1
I1?. t` (l4 r}' �flY YY1 t2Ll 'Mti( Ikk- NR.i A C55-
AddtesserProperly N �,�Il.t�l
Malang Address orowner:1W° L�1'nft1��Lk(1-kYUtnYC�T- ekcA h.
Owner's emailfn t.-�4*x11 `(1 k) "l' "Ovm�Y-srtoneo"lhtf- �-,I
Agents Nero : Wtr DVr AC A Agent Phone
Agents Eina portYln((ve6Ww-ki on Q cr(1Qal . Lora
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ADJACENT i .to RIPARIAN PROPERTY OWNER'S t PRip��+r)
(Bottom potion to be eort W Ngedgcent
I hereby certify that)own property a jacentto the above referenced property.The individual applying fort this
i permit/ described with di iwnsions.st be_wovide whit thisletter.the development 1heY are poP° '-
seeptiee
/� 1 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 nobly the N.C. Division of Coastal
ent m writing within 10 days of receipt of this notice. Co pondence should be
Management(DCYJ can also be contacted
mailed to 400 rbrnm¢reeAve.,Morehead City,NC2B551'.DCAf representatives
at(25 508.2805.No response Is considered the same as no objection ifyou have been notified by
CertiffedMaiL
WAIVER SECTION
I understand that any proposed pier,dodo mooring plangs,boat ramp,breakwater,boathouse,fit,or
groinmust be set bads a minimum distance of 15 from my area of riparian access unless waived by me
(this does net apply to bead :ads or dprap revetments).(If you wish to waive the setback.You
the appropriate blank below.)
I DO wish to waive soinefan of the'IS setbadt
Signature of Adjacent Riparian Pfnperty Owner
-OR- '/
I do not wish to waive the 15'setback requirement(initialt11he blank) )1.T3
Signature of Adjacent Riparian Property Owner.. .e.�tz 't---'
Typed1Prirttod name of ARPO: k1`rr4 eseratt wi,s .-"i'v'
Malting Address of ARPO: II.S36 Mt416tOS wed. 6t% rhid >J ut4 1,3113
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ARPO's emelt ARPO's Phone,: 00) — 30 I —o 741
Data: i [Li 12014 'waiver is valid for up to ono year from ARPO's Signature`
Revised May 2021
I.