55073_CHASSE, DARIAN_20100108

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❑CAMA / El DREDGE &FILL \�I � /'56y�
VUC1M=nA - P❑ERMIT ❑� Previous permit #
ew ❑Modification Complete Reissue Partial Reissue( Date previous permit issued_
As authorized by the State of North Carolina, Department of Environment and Natural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
❑ Rules attached.
Applicant Name
Address
City State ZIP
Phone # ( ) Fax # ( )
Authorized Agent
❑ CW ❑ EW ❑ PTA
Affected
❑ OEA ❑ HHF ❑ IH
AEC(s):
❑ PWS: ❑ FC:
ORW:
yes / no PNA yes / no
Type of Project/ Activity
❑ ES ❑ PTS
❑ UBA ❑ N/A
Crit.Hab. yes / no
Pier (dock) length _
Platform(s) p
Finger pier(s) 4
This facility is located within a Primary Nursery-11
Area, and is not for boating use. No slips are
permitted for vessels -motorized, sail, or other.
Any kicking or prop wash will be considerec: a
violation of this permit, and of the CAMA and
D&F Act.
oasin, cnannel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length /
SAV: not sure yes OnA
Sandbags: not sure yes
Moratorium: n/a yes
Photos: yes
Waiver Attached: yes
A building permit may be required by:
Notes/ Special Conditions
�L' C CE
Agent or Applicant,- r' ted a y
Signature sP�ase read co .pliance statement on back of permit;;*
Application Fee(s) CheJ #
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # ( ) River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
(Scale: . i — )
-t-- + I ._l. ,jam i
LA note on back regarding River Basin rules.
--4' c"�l�r!JC�I I nt)f
Permit Officer's Signature /
Issuing Date /1 r Expiration Date
Local Planning Jurisdiction Rover File Name

Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific 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 or certified mail return receipt has been obtained from the adjacent riparian
landowner(s) .
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certifythat this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
❑ Tar- Pamlico River Basin Buffer Rules ❑ Other:
❑ 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 Quality. Contact the Division of Water Quality at the Washington Regional Office (252-946-6481) or the Wilmington
Regional Office (910-796-7215) for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Raleigh Office Morehead City Headquarters
Mailing Address: 400 Commerce Ave
1638 Mail Service Center Morehead City, NC 28557
Raleigh, NC 27699-1638 252-808-2808/ 1-888ARCOAST
Location: Fax: [phone]
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
Elizabeth City District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
Fax:[phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax:[phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 08/09/06

AKAIXV
North Carolina Department of Environment and Natural Resourc
es
Division of Coastal Management
Michael F. Easley, Governor . Charles S. Jones, Director William G. Ross Jr., Secretary
Date
C�+r'
Applicant Name
Mailing Address 2j-
` --GL a
I certify that I have authorized (agent) 157 ,ZI-rY.6 to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity)���,
at (location) / ' l t
This certification is valid thru (date)
Signature = ,
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internet: www.nccoastaimanagement-het
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■ CU.'aplele items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front If space permits.
1. Article Addressed to:
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B. / lecelved bf ( Printed Name) I C. Datq of Dalivery
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D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. §yice Type
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Registered ❑ Return Receipt for Merchandise
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4. Restricted Delivery? (Extra Fee) ❑ Yes
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PS Form 3811, February 2004 Domestic Return Receipt C//1102595-02-M-1540

■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery Is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
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Agent
B. Received by Printed Name) tee Delivery
D. Is deliveryOress different from item 1 ? C�Yes
If YES, entdr`1&livery address below: ❑ No
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(Transfer from service label)
PS Form 3811, February 2004 Domestic Return Receipt OW41-119� 1102595-02-M-1540

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PO BOX 874 252-249-0149
ORIENTAL, NC 28571
PAY
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North Carolina Department of cmiironment and Natural Resources
Coleen H. Sullins, Cirector
Chuck'Wakilcl, Deputy Director
BUFFER AUTHORIZATION CERTIFICATE FOR PIER ACCESS
A riparian buffer authorization is required for an approved access way through the Tar -Pamlico
& Neuse River Riparian buffer per Division of Water Quality (DWQ) regulations 15A NCAC
02B.0233 & .0259.
Activities covered by your Coastal Area Management Act (CAMA) permit are deemed to have
a Buffer Authorization from the DWQ as long as the project can meet ALL of the conditions
listed below. If ALL of the avoidance and minimization guidelines listed below cannot be met, a
separate buffer authorization request must be submitted using a Pre -Construction Notification
(PCN) application to DWQ at the address below.
A PCN application may be obtained on the DWQ site http://h2o.enr.state.nc.us/wetlands.htm1.
Any questions regarding this process should be directed to the wetland/buffer staff of the DWQ
in the Washington Regional Office at 252-946-6481, or the 401 Oversight Unit in the Raleigh
Central Office at 919-733-6893.
A written authorization from DWQ MUST be received prior to any construction activities in the
riparian buffer, including land clearing. Failure to secure a Buffer Authorization prior to
construction &/or land clearing shall subject the property owner & the party (contractor)
performing the construction &/or land clearing to a civil penalty of up to $25,000 per day per
violation.
o Pier access must cross the riparian buffer perpendicularly (which is defined as between
75 and 105 degrees). The alignment should also be located to minimize the removal of
woody vegetation to the greatest extent practicable.
❑ Walkway/access shall be made of pervious materials like open -slatted wood, mulch, or
grass. The use of impervious materials like concrete, pavers, or gravel will require a
PCN review and a separate Buffer Authorization. A request for an impervious walkway
shall include a justification of need.
❑ The width of the access is limited to six (6) feet or less. A width of greater than 6 feet
wide shall require a PCN review and a separate Buffer Authorization. A request for an
access greater than 6 feet shall include a justification of need.
❑ Please submit a project map of your property indicating the location of the pier and any
requested walkway/access.
Internet: wwu ncwatergualitY ore One
North Carolina Division of Water Quality fthCarolina
943 Washington Square Mall Phone: [phone] Naturally
0
Washington, NC 27889 FAX [phone]
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This Buffer Authorization is not considered approved until the E)WQ has received both
this signed form AND the project map.
Submit the requested information to:
Division of Water Quality
Attn: Surface Water/Buffer Program
943 Washington Square Mall
Washington, NC 27889
By your signature below you agree to be held responsible for meeting ALL of the above listed
conditions and verify that all information is complete and accurate. Please be aware, violations
of the above -listed conditions are subject to civil penalty assessment of up to twenty-five
thousand dollars ($25,000.00) per violation per day.
I
CAMA General Permit Number:
North Carolina Division of Water Quality
943 Washington Square Mall
Washington, NC 27889
7-5C
Internet: www.ncwatcraualitv.org
Phone: [phone]
FAX [phone]
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