100847C - Westmoreland

o.+�F`°"R41 ❑LAMA ❑ DREDGE & FILL N° 100847 A B
3 Previous permit
Date
GENERAL PERMIT ous
previous permit issued
ffi ,E]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 Q `�"`• I Q (DO ❑Rules attached. General Permit Rules available at the following link:www.dgq.nc.gov/CAMArules
Applicant Name r Authorized Agent
nn 1� ✓yl-. ��,1��T��
Address U ' 1 `c�,. k � %a- Project Location(County): C­� l �/
City ����aY C7 State "C ZIP Street Address/State Road/Lot#(s) (��(c� . r� l]i P t .) ll f
Phone#
Email Subdivision Y t11 / ` 1 ✓
City - ZIP
Affected ❑CW `DEW PTA ❑ES ❑PTS Adj.Wtr.Body (nat/ an/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj.Wtr Body lJ� �-
ORW:yes/no `PNA:yes/no
Type of Project/Activity \ ok Ly e—S4 tO QN=11 SYI I-Q (MVP . JQ(3)D CDC-) Vi L
c ✓ (SCale:K T S )
Shoreline Length
Access Length
Pier(dock)length Pf�U
Fixed Platform(s) cQL7 V -
L
Floating Platform(s)
Finger pier(s)
�7 _;-------H-Z
Total Platform area
Groin length/#
Bulkhead/Riprap length �-
Avg distance offshore
Breakwater/Sill —""'� ( '! j ✓
Max distance/length
Basin,channel
Cubic yards
Boat ramp
Boathouse/Boatlift
Beach Bulldozing "r�-�— ,,. � L �1 �Y �n�c �ln ,(
OthertJQ (_ 7
L l-
SAV observed: yes no
�-� l�i a✓ �'_�!r (fir Moratorium: n/a yes no _,J Site Photos: yes no
Riparian Waiver Attached: yes no
A building permit/zoningpermit may be required by: Y �� ❑Y
" TAR/PAM/NEUSE/BUFFER(circle one)
Permit Condition t 01 ---11 _. ✓I_ b
( , (--, 1 Ul� ❑ See note on back regarding River Basin rules
rn ►.� 2D' we . c-oc 3
❑ See additional notes/conditions on back
S - O f-.
I AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial) y
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signa re Please re compliance statement on back of permit" S"g�at re
Applic 'on Fee(s) Check#/Money Order Issuink 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:
1-1 Tar- Pamlico River Basin Buffer Rules F] 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

`°"rk ❑CAMA ❑ DREDGE & FILL N9 100847 A B C .,D
GENERAL PERMIT Previous permit `—
� � Date previous permit issued `
❑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 ,' U`J ❑Rules attached. ❑ General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name i ; :'1 /' (_ Authorized Agent
Address Project Location(County): t
City t�g t state �..X ZIP ti' r' T 7 Street Address/State Road/Lot#(s) j L) +C'U) )1!
Phone#
Email """�� Subdivision t
City Y ZIP J
Affected ❑cW P-JEW ❑PTA ❑ES ❑PTS Adj.Wtr.Body (nat/man/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj.Wtr.Body ;
ORW:yes/no PNA:yes/no
Type of Project/Activity ?
(Scale: )
Shoreline Length
Access Length i y ;.,I 1 ! ! _ __3. .. .. � tPo
Pier(dock)length -J U � A -�' '`-•• E
Fixed Platform(s) ,'�D
Floating Platform(s)
Finger pier(s) +
Total Platform area
� I
Groin length/#
Bulkhead/Riprap length14
Avg distance offshorerye, i
-_
Breakwater/Sill -
i
ilk
E �
Max distance/length ✓�
Basin,channel
..._. c _..._. — —
... .....
il
Cubic yards ;b i } ; r
E
Boat ramp I P
Boathouse/BoatliftIF
Beach Bulldozing ( 11 r
g
Other _ m_
- - -
F -
SAV observed: yes no
Moratorium: n/a yes 9L—
)Site Photos: yes Riparian Waiver Attached: yes -m j
A building permit/zoning permit may be required by:
)❑TAR/PAM/NEUSE/BUFFER(circle one)
Permit Condition4�i � � � ^-,��_ _lam � (-U-1 y���—�'�1t�l.,,E�
A 4-r 1 -..l "� ;� 1��-(-'. �1 t;,X,� ❑ See note on back regarding River Basin rules
{A - C J(c. ❑ 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
Signat re**Please re"d compliance statement on back of permit** Signat e_ _
Imo/
Applichon 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:
1-1 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

Agent Authorization for CAMA Permit Application
Name of property Owner Requesting Permit:
1�e 3
Mailing Address:
�a
0 A
Phone Number: — — --
Email Address:
I certify that I have authorized —TQc-Cv\ Vec)n n(
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary
for the following proposed development:
at my property located at 3
in 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 Infor atio
Signature
Print or Type Name
OItJC�I�,r
Title RECEIVED
O C T 1 4 2024
Date
DCM-MHD CITY
This certification is valid through _��

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY1j (mil f-Gv
(Top portion to be completed by owner or their agent) ,//
Name of Property Owner: &SfUll VV
Address of Property:
Mailing Address of Owner:
Owner's email: Owner's Phone#:
Agent's Name:I e li 1 Ye Agent Phone#: �� ���— �J ' ��&
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.
I DO NOT have objections to this proposal. I DO have objections to this proposal.
If you have object fy the N.C. Division of Coastal
Management(DCM ce. Correspondence should be
mailed to 400 Comi sentatives can also be contacted
at(252) 515-5400. 1 tion if you have been notified by
Certified Mail.
I understand that ar )reakwater, boathouse, lift, or
groin must be set b, an access unless waived by me
(this does not apply vaive the setback, you must sign
the appropriate blar
I DO wish waive
Property Owner
-OR-
toI do not wish to w
Signature of Adjacent Riparian Property Owner).�, �--
Typed/Printed name of ARPO:
Mailing Address of ARPO: tAr 5Z
ARPO's email: ARPO's Phone#: ZLIa — 5(X V\
Date: *waiver is valid for up to one year from ARPO's Signature*
RECEIVED Revised May 2021
/
SEP 3 0 2024
DCM-MHD CITY

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)
Name of Property Owner:
Address of Property: n
Mailing Address of Owner: Ve_m�L cNeftlarU `QJ
Owner's email: Owner's Phone#:
Agent's Name: Agent 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
cle.scription or drawing,with dimensions 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(DCM) 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) 515-5400. 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)
Signature of Adjacent Riparian Property Owner r
Typed/Printed name of ARPO: ✓ Q Ida p-4 /i CIA,y l�
Mailing Address of ARPO: �- �. 07� Zs— c
_0G_) co /
ARPO's email: Qyrt¢..< T �`�RPO's Phone#: oZJ`��•?Z-s•�1�S�b
Date: 31 A teyD,a "waiver is valid for up to one year from ARPO's Signature`
RECEIVED Revised May 2021
SEP 3 0 ZU[4
DCM-MHD CITY

SPECIAL FLOOD HAZARD AREA/COASTAL HIGH HAZARD AREA
PIER/DOCK ANAYLIS CERTIFICATION
This Pier/ Dock Analysis Certification form may or may not be accepted by the governing agency responsible for
floodplain management. This is to be completed and sealed by a licensed North Carolina Engineer qualified to
complete the necessary analysis for construction of a dock/ pier in a coastal high hazard area (V-Zone) and/or
Coastal A Zone. This form also does not replace any other authorizations from any State or Federal Agencies.
This dock/ pier must comply with all dock/pier requirements in the current North Carolina Building Code.
SECTION 1-PROPERTY;1NORMATION
Property Owner: g r a n wn7' O r e le,
Address: /9 3 5414111 ek.) City: Netty,,rr State: ,y C Zip Code:z
Parcel ID#:
SECTION 1-FLOOD INSURANCE RATE MAP INFORMATION (FIRM) �7
Community Name: �ef CUn� � (�Je —3 1 rl Community ID#: 0� 9 3
County Name: Cd ,feC State: I 61
Map/Panel#: lo 3 Zr Suffix: L FIRM Index Date: 10111139 FIRM Panel Effective/Revised Dateb//I/70
Flood Zone: ❑ AE Zone(Non-Floodway) ❑ Coastal A Zone KvE Zone Y 4 9
"(All development in an AL Hoodv.ay regwr a No-Rise Study and cannot utilize this form in lieu of the completion of the required study)**
Base Flood Elevation(NAVD1988): Community Design Flood Elevation(RFPE)(NAVD1988):
SECTION 1-CONSTRUCTION INFORMATION
Construction of(Mark all that apply): ❑ Fixed Dock c ❑ Floating Dock Xier
Piling Construction: Wood ❑Concrete Embedment Depth: B m 1 11
❑ Pier Width: s• r Length: 34 0 I ❑ Decking Designed to Breakaway:dYes)(No
l� x 70 p-Ta �rrr
❑ Fixed Dock Width: Length:_ Decking Designed to Breakaway: Yes ❑No
Covered: ❑ YesxNo Covered Square Footage:_ Electrical: ❑ Yes ❑No
❑ Floating Dock Width:_ Length: Decking Designed to Breakaway: ❑ Yes ❑No
Covered: ❑ Yes ❑ No Covered Square Footage: Electrical: ❑Yes ❑No
RECEIVE_
SEP 3 0 2U24
DCM-MHD CITY

SECTION 6-ENGINEERS CERTIFICATION
Ken Lacy ,cerWthat I have developed or reviewed the design plans forthe pier/
fixed dock/ floating dock to be constructed under the above referenced project and that the design and methods for
construction specified to be used are in accordance with accepted standards for construction in a coastal high hazard
area (V-Zone) and/or Coastal A Zone as referenced in FEMA Technical Bulletin 5 (Free-Of-Obstructi on-Requirements) and
the Community Flood Damage Prevention Ordinance.
Ken Lacy , certify the pier/fixed dock/floating dock as designed will not cause any
harmful diversion of floodwaters, wave run-up, and wave deflection that would increase the risk of damage to
adjacent buildings or structures.
Additional Comments:
Certifiers Name: Ken Lacy License#: 014433
Title: Professional Engineer Phone: [phone]
Company Name: Ken Lacy, PE, PLLC P-0344
Address: 307 Holly Lane City: Cape Carteret State: NC Zip Code: 28584
Date Completed: a liq lzy Place Seal Here
;OPT F ss pO�/,
Signature = SEAL
01 3
NN.�.P.
III q
RECEIVED
SEP 3 0 2024

RECEIvED
Sg 3 0 2024
TV
pCM_Ml..lp CI
Z'.

6 X 6 Sideband
18"-optional 5/8"Timber Bolts
4"X4'X10'
Hogslat Slab by
others
• 5/8"Tim'
8"dia timber • @ Coll
piles 8'deep
Maximum spacing
of pile bents- 10'.
5'
Minimum dept
8'below bottom
or refusal
Pier/Platform Notes:
1. All timber piles shall be ma.
standards C-2 and C-18 (2.5 tree,
2. All fasteners shall be hot dipped y,
coated or 300 series stainless steel.
3. Provide 3"X 12"notches/splices (if reqult,
4. Refer to pier and platform layout by Terry Ye,
shore 10 platform. Dimensions ale approximate anu
desired orientation.
5. Engineers sear on documents applies only to structural
seol—not include permits, construction means, methods, 1,
Procedures, flashing, water-proofing, geotechnical, ins
precautions. Any deviations or discrepancies on inspection of c�
attention to Engineer. Failure to do so will void Engineer's liability.are to
permitted one brouy.
year from date of seal. Seal i..