62604D - Casey

CAMA / ❑ DREDGE & FILL "
3 E N E RAL PERMIT Previous permit #
New Modification CComplete Reissue CPartial Reissue Date previous permit issued --f—
>rized by the State of North Carolina, Department of Environment and Natural Resources �[
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC r`
��I ` ❑ R%r'les attached.
rt Name L4 !�' A .lr -'� Project Location: County Sl DL,lf
Street Address/ State Road/ � t #(s)
t
State _ ZIP
t U /•
(t ILL 3{' S Z- Fax # ( ) Subdivision
zed Agent A I % " City u I r' ZIP Z ��
i ❑ CW ❑ EW G PTA ❑ ES ❑ PTS Phone # )—lD River 'Basin t•
❑OEA LlHHF IH ` UBA El N/A Adj. Wtr. Body e�rw-nAAS
❑ PWS: ❑ FC:
34
yes //If6 PNA yes Y 'no; Crit.Hab. yes / no Closest Maj. Wtr. Body
4 Project/ Activity
(Scale:
:)ck)length i
n(s) o
pier(s)
ength
ember
ad/ Riprap length
rg distance offshi
iax distance offsf
:hannel
ibic yards
mp
use/ Boatlift
3ulldozing
ne Length -�
not sure
gs: not sure
,rium: n/a
Attached:
ling permit may be required by: / t` ( 1 ❑ See note on back regarding River Basin

pplicant: 1 ✓) O{ A C� S Permit #: -Zh Q `T
ate: '-6
ascribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
and in your Habitat code sheet.
,bitat Name DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount)
C
Dredge ❑ Fill ❑ Both ❑ Other'�3
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑

66.30/531 7725
169
L-6-10-0l3
DATE
- $qa-
DOLLARS
Premier
9588 2116 611' 077 25

DIRECTIONS FOR OBTAINING A CAMA GENERAL
PERMIT for a PIER, DOCK, BOATHOUSE/LIFT
To obtain authorization to construct a pier, you must submit the following items to yi
CAMA Permit Officer:
1. Signatures of no objection to the pier, from both adjacent riparian property
owners.
@' Fill out the attached forms, complete with drawing of the proposed
pier, and have your neighbors sign and date in the appropriate
place. If hand -delivering use the form that states such.
®' If your neighbor will not sign the form, or lives out of town, you
may send the CERTIFIED MAIL /RETURN RECIEPT form, and
10 days after the date of receipt (which is listed on the green cards
returned to you by the Post Office) the permit can be issued, even if
no response has been received.
If any part of the proposed pier is located within 15 feet of the
Riparian Access Corridor line, the applicable neighbor must check
the box to waive the 15 feet setback requirement. A signed form,
without this box checked, does not constitute a waiver.
o� The Riparian Access Corridor is not the extension of property lines
out into the water. It is established by two imaginary lines that
extend at a 90' angle from the channel of the waterbody to the
highground property corners. Your Local Permit Officer can help
you in determining your Riparian Access Corridor. In some cases,
/ a survey may be required.
2. Drawings of the proposedpier:
Your drawing must include the following information
(see attached example drawings):
cv, Your name and project address
C�rl Names of adjacent property owners
Qr, Width of property and name of the waterbody

SECTION .1200 - GENERAL PERNTIT FOR CONSTRUCTION OF PIERS AND
DOCKING FACILITIES: IN ESTUARINE AND PUBLIC TRUST WATERS AND OCEAN
HAZARD AREAS
15A NCAC 07H .1201 PURPOSE
A permit under this Section shall allow the construction of new piers and docking facilities (including pile supported
or floating) in the estuarine and public trust waters AECs and construction of new piers and docks within coastal
wetlands AECs according to the authority provided in Subchapter 07J .1100 and according to the Rules in this
Section. This permit shall not apply to oceanfront shorelines or to waters and shorelines adjacent to the Ocean
Hazard AEC with the exception of those shorelines that feature characteristics of the Estuarine Shoreline AEC.
Such features include the presence of wetland vegetation, lower wave energy, and lower erosion rates than the
adjacent Ocean Erodible Area.
History Note: Authority G.S. 113A-107(a); 113A-107(b),- 113A-113(b); 113A-118.1; 113A-124;
Eff. March 1, 1984; Amended Eff July 1, 2009; April 1, 1003.
15A NCAC 07H .1202 APPROVAL PROCEDURES
(a) An applicant for a General Permit under this Subchapter shall contact the Division of Coastal Management and
request approval for development. The applicant shall provide information on site location, dimensions of the
project area, and his name and address.
(b) The applicant shall provide:
(1) confirmation that a written statement has been obtained signed by the adjacent riparian property owners
indicating that they have no objections to the proposed work; or
(2) confirmation that the adjacent riparian property owners have been notified by certified mail of the proposed
work. The notice shall instruct adjacent property owners to provide any comments on the proposed
development in writing for consideration by permitting officials to the Division of Coastal Management
within 10 days of receipt of the notice, and, indicate that no response will be interpreted as no objection.
DCM staff shall review all comments and determine, based on their relevance to the potential impacts of
the proposed project, if the proposed project can be approved by a General Permit. If DCM staff finds that
the comments are worthy of more in-depth review, DCM shall notify the applicant that he must submit an
application for a major development permit.
(c) No work shall begin until an on -site meeting is held with the applicant and a Division of Coastal Management
representative to review the proposed development. Written authorization to proceed with the proposed
development shall be issued if the Division representative finds that the application meets all the requirements of
this Subchapter. Construction shall be completed within 120 days of the issuance of the general authorization or the
authorization shall expire and it shall be necessary to re-examine the proposed development to determine if the
general authorization may be reissued.
(d) Any modification or addition to the authorized project shall require prior approval from the Division of Coastal
Management.
History Note: Authority G.S. 113A-107(a); 113A-107(b); 113A-113(b); 113A-118.1; 113A-124;
Eff. March 1, 1984; Amended Eff. October 1, 2007; August 1, 1998; January 1, 1990.
15A NCAC 07H .1203 PERMIT FEE
The applicant shall pay a permit fee of two hundred dollars ($200.00) by check or money order payable to the
Department.

as they do not extend more than of two feet on either side of the principal structure. These modifications shall not
be used to expand the floor decking of platforms and piers.
(1) Boathouses shall not exceed a combined total of 400 square feet and shall have sides extending no further than
one-half the height of the walls as measured in a downward direction from the top wall plate or header and only
covering the top half of the walls. Measurements of square footage shall be taken of the greatest exterior
dimensions. Boathouses shall not be allowed on lots with less than 75 linear feet of shoreline.
(m) The area enclosed by a boat lift shall not exceed 400 square feet.
(n) Piers and docking facilities shall be single story. They may be roofed but shall not allow second story use.
(o) Pier and docking facility alignments along federally maintained channels shall also meet Corps of Engineers
regulations for construction pursuant to Section 10 of the Rivers and Harbors Act.
(p) Piers and docking facilities shall in no case extend more than 1/4 the width of a natural water body, human -
made canal or basin. Measurements to determine widths of the water body, human -made canals or basins shall be
made from the waterward edge of any coastal wetland vegetation which borders the water body. The 1/4 length
limitation shall not apply when the proposed pier and docking facility is located between longer structures within
200 feet of the applicant's property. However, the proposed pier and docking facility shall not be longer than the
pier head line established by the adjacent piers and docking facilities nor longer than 1/3 the width of the water
body.
(q) Piers and docking facilities shall not interfere with the access to any riparian property, and shall have a
minimum setback of 15 feet between any part of the pier and docking facility and the adjacent property lines
extended into the water at the points that they intersect the shoreline. The minimum setbacks provided in the rule
may be waived by the written agreement of the adjacent riparian owner(s), or when two adjoining riparian owners
are co -applicants. Should the adjacent property be sold before construction of the pier commences, the applicant
shall obtain a written agreement with the new owner waiving the minimum setback and submit it to the Division of
Coastal Management prior to initiating any development of the pier or docking facility. The line of division of areas
of riparian access shall be established by drawing a line along the channel or deep water in front of the property,
then drawing a line perpendicular to the line of the channel so that it intersects with the shore at the point the upland
property line meets the water's edge.- Application of this Rule may be aided by reference to the approved diagram in
Paragraph (t) of this Rule illustrating the rule as applied to various shoreline configurations. Copies of the diagram
may be obtained from the Division of Coastal Management. When shoreline configuration is such that a
perpendicular alignment cannot be achieved, the pier or docking facility shall be aligned to meet the intent of this
Rule to the maximum extent practicable.
(r) Piers and docking facilities shall be designed to provide docking space for no more than two boats.
(s) Applicants for authorization to construct a pier or docking facility shall provide notice of the permZt application
to the owner of any part of a shellfish franchise or lease over which the proposed pier or docking facility would
extend. The applicant shall allow the lease holder the opportunity to mark a navigation route from the pier to the
edge of the lease.
(t) The diagram shown below illustrates various shoreline configurations:

r
j
Af�
AN

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner:
Address of Property:
Agent's Name #:
Agent's phone #:
(Lot or Street #, Street or Road, City &
Co 6 Ay) U+�
Mailing Address:
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 have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in
writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext.,
Wilmington, NC, 28405-3845. DCM representatives can also be contacted at [phone]. No response is
considered the same as no objection if you have been notified by Certified Mail
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
back a minimum distance of 15from my area of riparian access unless waived by me. (If you
wish to waive the setback, you must initial the appropriate blank below.)
_.Q62�I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(PropNtyOwner
information)
Signa ure
►Vito LtitcQ�. dk,
Print r Type Nam
Mailinn drlrlrncc
(Adjacent Property Owner Information)
Signature
_D/CTO/v /.- Poe l--n.s
Print or Type Name
,)072 ? zti S 7

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to va
property located at20--7f �41-011.E (am of Property Owner)
on (Address, Lot, Block, Road, etc.)
in O s�c►cJ N.
(Waterbody) ity/To n and/or County)
The applicant has described to me, as shown below, the development proposed at the above
ate. 1 have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drat
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
minimum distance of 15' from my area of riparian access unless waived by me. (If you wish ti
the setback, you must initial the appropriate blank below.)
L. "-I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Prope Owner Information) (Adjacent PrI &operty Owner Information)
Aignature Signature
Pri t or Tytz—Name Print or Type Namg,
•/1 / � t� l - r-- -� - 17�

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