88124_John Wilson_20230207

.40"rk I ICAMA fl DREDGE & FILL N9 88124 A :'B.' C D
ermit
3 1 GENERAL PERMIT J -172/g-9 PreDate ous revowspermitissued
P P
❑New n Modification ❑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 ❑ Rules attached. [1 General Permit Rules available at the following link:www.deq,nc.gov/CAMArules
Applicant Name l A,, � Authorized Agent
Address r' A1"!""!. -,f. Project Location(County):
City --'- - State ZIP Street Address/State Road/Lot#(s)
Phone#(_)
Email Subdivision
City ZIP
Affected ❑CW ❑EW ❑PTA ElES I I PTS Adj.Wtr.Body (natJman/unk)
AEC(s): ❑IDEA III IHA ❑UW ❑SPIMA ❑PWS Closest Maj.Wtr.Body
ORW:yes/no PNA:yes/no
Type of Project/Activity
(Scale:
Shoreline Length
Access Length ■■11M1 1 NMI ii , I �■■ . s■■® Ilik �■
Pier(dock)length �- ■� ■
Fixed Platform(s) 111111 ill
,„„,.
.._.
Floating Platform(s) I I III.j
___11111111N1111111111rIbrip ini
Finger pier(s) fl111H1111F
IIIUIHHHIIIHHIHH
Total Platform area 4, Mil
Groin length/# --- - -- -{--
Bulkhead/Riprap length >! n ... ..-._. ;. IUUUNHNUHU
1
Avg distance offshore 11111 IIII EMI .u■ ■u.■.
Breakwater/Sill E
Max distance/length !
OM
._ ._ rNIP
i.
Basin,channel _ I— _. I }.._
I I.-
Cubic _',� ■■
amps HUh11!
IHhlIHIl
Boat ramp '
Boathouse/Boatlift ]IHHII .
I
Beach Bulldozing4-4 4 -t mi III ,,
ll 11
Other E
SAV observed: yes no Ell ' ___- LI__" • ■ ME Sri.
Moratorium: n/a yes no { _ r, .r a,
Site Photos: yes no .. . ._._._t__._ j }_.".._".__.. ,._.._ .--� _._
Riparian Waiver Attached: yes no y_ I I
A building permit/zoning permit may be required by: _ r
Permit Conditions I I TAR/PAM/NEUSE/BUFFER(circle one)
riSee 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

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
a Governor
MICHAEL S. REGAN
Secretary
Coastal Management BRAXTON DAVIS
ENVIRONMENTAL QUALITY Director
BUFFER AUTHORIZATION CERTIFICATE FOR SHORELINE STABILIZATION
A riparian buffer authorization is required for shoreline stabilization activities within the Neuse and Tar-Pamlico River L
basins per Division of Water Resources(DWR)regulations 15A NCAC 02B.0233 and 0259. The Division of Coastal
Management(0CM)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 compiles 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. Impacts: Impacts to woody vegetation from clearing and filling in Zone 1(begins at the most landward of either
normal water line(NWL}or normal high water line(NHWL)and extends 30 feet landward)shall be minimized to
what must be impacted for the sound installation of the shoreline stabilization project. Unnecessary clearing and
filling in the buffer is a violation of the riparian buffer rules.
z. Clearing& Grading:Clearing and grading of Zone 2(begins at the Iandvdard edge of Zone 1 and extends 20 feet'
landward) is allowed provided that it is re-vegetated immediately and Zone 1 is not compromised,which includes
maintaining diffused (non-channelized)flow of storm water runoff through the buffer.
3. Construction Corridors:Construction corridors are allowed for shoreline stabilization projects, but they must be
satisfactorily restored as described in condition 5 below.
4. Potential Overwash: For vertical shoreline stabilization projects(bulkheads)only;sites where wave overwash is
expected to be severe,the first ten (10)'feet landward (unless specifically authorized otherwise by DCM) from the
structure may be maintained as a stable lawn in order to provide for structural stability.
s. Temporary Stabilization: Immediately post-construction, bare soils must be stabilized as quickly as possible by
providing a temporary ground cover. Newly seeded areas should be protected with mulch and/or erosion matting.
This ground cover is a temporary measure used to address erosion until site restoration can be accomplished.
O. Site Restoration:At minimum, pre-project site conditions must be re-established.A site that was wooded prior to
this shoreline stabilization project must be restored with woody vegetation eta stern density of 260 stems per acre.
Non wooded sites may be re-vegetated with woody vegetation. Restoration must be completed by the first
subsequent planting season (November/ -h 1 through March 30)after completion of the bulkhead.� �� ,
a Pre-project site conditions: L .0/ r S Mani. !fin
)
7. Project Drawing:The drawing on the LAMA General Permit is considered the project drawing of your property
indicating the location of the shoreline stabilization structure and any associated clearing, grading,and construction
corridors.This drawing will be used to aid in compliance and monitoring efforts.
By your signature below you agree to be held responsible for meeting all of the above listed conditions and v rify that all
information is complete and accurate.
Agent or Applicant Printed Name PerhuiSignal,
GJtiZLw ) � )ad r 7 ez 3
nt or Applicant Signature' Issue Date
CAMA GENERAL PERMIT#: )7 8/Z
Stare of North Carolina i Environmental Quality Coastal Management
Washington Office 1943 Washington Square Mail Washington.NC 27889I 252-946-5481
Wilminoron Office 1127 Cardinal Dr;ve Eat wimingro,NC 2340S-38.45 41C-796-7215
Morehead Ow Office 400 Commerce Avenue Morehead City.NC 28557 252-S08-2808

DocuSign Envelope ID:115D65D4-1ECC-40CF-A003-D7E094AB4C12
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)Tong Name of Property Owner: U ong A /47 /s 0 IV? rf
Address of Property: iv/C� fl1Wiil-coe7 it Re il`/ e.✓rL .NL' g S•
71
�,/ o.✓ ,r7///s 'Vc, 7-rn
Mailing Address of Owwner: 0/._�- //3(lI< Cl OV S © LJ
Owner's email: e! I�/!son / 1 6) Owner's Phone#: �//7 c? k— 1 y7a
9 Mer 1. Corn
Agent's Name: Agenl.Phone#:
Agent's Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adiacent 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.
x 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 943 Washington Square Mall, Washington, NC 27889. DCM representatives can also be
contacted at(252) 946-6481. 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.)
( Docusigned by:
I DO wish to waive some/all of the 15'setback I & � cj
l �aoegg�g6gE
Signature of Adjacent Riparian Property Owner
-OR-
I do not wish to waive the 15'setback requirement(initial the blank)
Signature of Adjacent Riparian Property Owner: ))
Typed/Printed name of ARPO: ri/CA Q.e/ L--•q ?.P/( 13 y
Mailing Address of ARPO: U//6 ? /2761, Al SC/i/ �7CTr'%yr �'1 e ,p r/A/Y" r"1 )A/G
ARPO's email: P7/)14 a e-iv/Jyell—ARPO's Phone#: 90 /— .SC 0 d 3 51/ f l Sl/
Date: /0—i— .2 2 *waiver is valid for up to one year from ARPO's Signature'
Revised July 2021

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)A Aw /4/ 0 -
JName of Property Owner.. /� N 4
o/4.� /l14i� Oil PtRe. .&ihi eN7Z A/C: 'g ?s- 1
Address of Property: /
Mailing Address of Owner: /l?0, /3a A A /VrvS 0,( in.'//S -We-
'� 7 '�
Owner e s email: ! • kff^i on I f 6) Owner's Phone#: 9/7 0 t k— / ifiZ
g mg,-t. corn Agent Name: Phone#:
Agent's Email:
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
descnptio or drawing:with dimensions, must be.provided with this letter.
vRr 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 943 Washington Square Mall, Washington, NC 27889. DCM representatives can also be
contacted at(252) 946-6481. 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 DO wish to waive some/all of the 15'setback
Signature of Adjacent Riparian Property Owner
-OR-
I do not wish to waive the 15'setback requirement(initial the blank) /l
Signature of Adjacent Riparian Property Owner: yJae 1 771-6 /
•
c.
Typed/Printed name of ARPO: qt1 AWN}Me. Utt I kJo4 ( _ r (—
Mailing Address of ARPO: D i o I H i w(<5 he ad A-sict It Ai(� Fot( I— j S w)
ARPO's email J .4-2. QC.e.r✓ k'v i"'& ARPO's Phone#: 1 [ L-. 4 I O ff 63
��pJr /vet
Date: 0 cPiLeii /& Q&02Z 'waiver is valid for up to one year from ARPO's Signature`
Revised July 2021