92272A - Killeen, Patricia

❑CAMA ❑ DREDGE & FILL
GENERAL PERMIT
T1 5 q Z_ ( N 92272
O Kt A c �1�t
Previous permit /" I
Date previous permit issued L/
New ❑ Modification ❑ Complete Reissue ❑ 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 ❑ Rules attached. ❑ General Permit Rules available at the following link: wwmdeq.nayov/CAMArules
Applicant Name � ' h-i F v / --I f % . � . 'V
Address , / / �,1..J.:. / /.:-: �.;T '/.,/J
City F State /1ZIP
Phone # ( �) - Y /
Email
Affected ❑ CW DEW ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS
ORW: yes/no PNA: yes/no
Type of Project/ Activity
Shoreline Length.
Access Length
Pier (dock) length
Fixed Platform(s),
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed: yes no
Moratorium: n/a yes no
Site Photos: yes no
Riparian Waiver Attached: yes no
A building permit/zoning permit may be required by
Permit Conditions
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
Adj. Wtr. Body (nattynan/unk)
Closest Mal. Wtr, Body
(Scale: fjl , )
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ 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

Coasta►Monagement
EKWRONMFMAL Qu "
BUFFER AUTHORIZATION CERTIFICATE
FOR PIER AND DOCKING FACILITIES ACCESS WAY
ROY COOPER
Gvioff"
MICHAEL S. REGAN
seosoory
BRAXTON DAVIS
Mector
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 Df 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) unlessotherwise approved by DCM. The
alignment shall minimize the removal of woody vegetation to the greatestextent practicable.
2. Pervious Materials: All reasonable measures shall betaken 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 shallbe limited to six (6) feet.
a. 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:
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. f-or- al (y
J va-4,
CAMA GENERAL PERMIT #: 9 72-72,
'apomg-)
Permit 9 fficer's Sign tore
Z. Z
Issue at
State of North Caroihu I Emuotanental Qualty f coastal Maragemnf
WashingtMOrrtce I 943Washington Square Me8 Was"Wft NC 27869 1252-446-6481
W*rdh9ton Office 1127 Card W DrNe Ext Wilmington, NC28405-38451910-7%r7215
Morehead City Office 1400 Comm me Averse !At ehead City. NC 285571252-808-2808

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND UELIVF.RY
(Top portion to be Completed by owner or [heir agent)
Name of Property Owner: -{ a =, f Lr(CPM
Address of Property:
Mating Address of Owner:
Owner's email: �e'� �wwd)c�1er's Phoned:-_.7�Y' get/ -1�S /
J u �)H/r<,.,� asa -sue 1- Y/c
Agent's Name: VST�_gp.r,pAgent PhoneB:tf
_—�,—_._---
Agent's Email:✓_rn�,�1c/ 7/dC��rr,c,r), (on, __
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
description or drawing with dimensions, must be provided with this letter.
1 DO NOT have objections to this proposal. 100 have objections to this proposal.
it you nave oo/ections to wnat is oerng proposed, you must nonry me rv.6. urvisron or Uoasta,
Management (DCM) in writing within 10 days of receipt of this notice, Correspondence should be
readied to 943 Washington Square Mail, Washington, NC 27889. DCM representatives can also be
contacted at [phone]. No response is considered the same as no obJection It you have been
notified by Certified Mail.
WAIVER SECTION
I understand that any proposed pier, dock, meeting 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 bulkhoeds or 6prop revelmonls). (I(you wish to waive the setback, you must sign
the appropriate blank below.)
100 wish to waive sonle,oll or the IS'Setback
Srgn� rHrl Adjaccn Riparian Property Owner
OR -
I do not wish to waive the 15' salback requirement (Initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed IPrInled name of ARPO:
Mailing Address of ARPO: _
ARPO's email: J_i&S_K .fjl wWwj.&ysVathLb^ARPO's PhoneB; JXJ.-_2tQ`t- `l,001
Date: 3 -is-7-4waiver Is valid for rip to one year from ARPO's Signature'
Revised diary 2021

Spivey, Kell
From: Justin Harris <[e-mail]>
Sent: Tuesday, April 9, 2024 8:56 AM
To: Spivey, Kelly
Subject: [External]
CAUTION: External email. Do not click links or open attachments unless verified. Report suspicious emails with the Report Message -
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N.C. DIVISION Ui C ")ASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL • RFTI IRN racrainT
(Top Portion to be completed by owner or their agent)
Name of Property Owner. AAJ' rV"Ilee
Address of Property: y0a
Mailing Address of Owner:
Owner's email: 4 uM Owner's Phone#:
Agent's Name: J vsYA,
Agent Phone#:___�Sa.51i• yI6 y
Agent's Email: 30r�4 ,,. 7, f ,�,
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
Bo o (Bottom ortlon to be Coinelplild by the Adjacent Property owner)
I hereby certify that I own property adjacent to the above referenced properly.The individual applying for this
permit has described to me, as shown on the attached drawing, the development they are proposing. A
descdotion or drawing, with dlmencl t be 12MY192d With this letter.
I DO NOT have objections to this proposal. _ I DO have objections to this proposal.
rr you nave objections to what Is being proposed, you must notify the N.C. Dlvislon of Coastal
Management (DCMJ In writing within 10 days of race/pl of this notice. Correspondence should be
malled to 400 Commerce Ave., Morehead Cfty, NC 28557. DCMrepresentsfives can also be contacted
at [phone]. No response Is considered the same as no objection If you have been notified by
Certified Mall.
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.) C , �'
I DO wish to waive sometall of the 15' setback
Signature RdJace f parlanPropertyOwner
•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: KALOAL N I ry M CHO
Mailing Address of ARPO: S of C j a wM4 l r' ni! QUENTO N 1,1 r4 79 2 y
ARPO's small: N t7DP M EN�A, 1CM ARPO's Phone#: Sly S 3
Date:.-_ 'waiver Is valid for up to one year from ARPO's Signature'
Revised July 2021

From:
Justin Harris
To:
Spivey, Kellv
Subject:
[External]
Date:
Thursday, March 28, 2024 4:56:54 PM
You don't often get email [e-mail]. Learn why this is important
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8:55
X Pat Killeen Signed Docum...
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Name of Property Owner Requesting Permit: -ZL;Lt�-- ,' J( ^r.0
Mailing Address: y+�.
LJA
Phane Number:4" �ca
Email Address: a P_Cki 11. vy' )h-?i-.•a.i I . cov"
I certify that I have authorized �./ )A bi /02v na
Agent / Contractpf
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: —oeX Lwa//
1
at my property located at 402 r Cr 4r aWGti — rcu l r- � (
in C hpwavx County.
I furthermore certify that i am eumonzea to grant, and cfo In fact grant permr8slorr i
Division of Coastal Management staff, the Local Permit 0/hcer and (heir agents to enh
on the aforementioned lands in connection taith evaluating Information related to th.
permit application.