41972_NC WILLIFE RESOURCES COMMISSION_20051102

DCAMA DREDGE & FILL
GENERAL PERMIT Previous , ermit #
❑New ❑Modification ❑Complete Reissue ❑Partial Reissue Date pr ious permit issued
As authorizes 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 / U °Y r"'�`" �'= ! / Project Location: CountyY1111'
Address 7 ` �f .S Street Address/ State Road/ Lot #(s)
City f J 12 1 •ti` State !'� C ZIP Z 1
Phone # ( ���) 3 d /��Fae# ( ) Subdivision
-
Authorized I
Authorized Agent CityZIP
❑ CW ❑ EW H-PTA Ca•ES ❑ PTS Phone # fiver Basin
Affected _1 OEA ElHHF 1-1IH ❑ UBA El N/A
AEC(s): Adj. Wtr. Body _ natman unkn
Ci PWS: ❑FC:� r
ORW: yes / no`PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body _
Type of Project/ Activity
(Scale. )
Pier (dock) length
Platform(s)
Finger pier(s) ?`
Groin length
number
Bulkhead/ Riprap length_ _
avg distance offshore _
i
max distance offshore
Basin, channel
cubic yards '
Boat ramp
Boathouse/ Boatlift I.
Beach Bulldozing
Other p i y +
�To
z
Shoreline Length
SAM not sure yes
Sandbags: not sure yes n� n
Moratorium: n/a
Photos: yes no,
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
t h.
Agent or Appica nt Print e t
Y
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Date Expiration Date
k 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:
I_ Tar- Pamlico River Basin Buffer Rules Other:
El 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 (910-395-3900) for more information on how to comply with thesebuffer rules.
Division of Coastal Management Offices
Central Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888ARCOAST
Fax:[phone]
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)
Morehead City District
151-B Hwy. 24
Hestron Plaza II
Morehead City, NC 28557
202-808-2808
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico 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
910-395-3900
Fax:[phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
www.nccoastalmanagement.net
Revised 10/05/01

r6AMA / L`61131-::DGE & FILL 1V? �19'72
qf—NERAL PERMIT Previous permit #/' LC
�? ew EModification CiComplete Reissue I ]Partial Reissue Date previous permit issued �
As authorized by the State of North Carolina, Department of Environment and Natural Resources O
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC C✓ ll ��
�I �d -'- attached.
Applicant Name _ �''\`� ° �"' Project Location: County p —_ f� c v+^ �6
Address- 1 -7 �'2 S�_ Street Address/ State Road/ Lot #(s) 67�
e
City- /'„�(e��� — State/" (Z-ZIP�T Cl o � `^ tr✓� �bt��`�! /,�.,-�a�.f"
Phone # � 7 3 3 �1/7 ax # 1 FSubdivision_
Authorized Agent ` JVIA _ City?` �_' rL `_ _ZIP _
El Cw C >' A N�n ❑ PTS Phone # () , River Basin
Affected ElOEA ❑ HHF ❑ IH ❑ UBA [IN/A C'�I'
AEC(s): Adj. Wtr. Body _ _ Lat /ma unkn
Di PWS: ❑FC:
ORW: yes / no PNA ye / no Crit. Hab. yes / no
Closest Maj. Wtr. Body ` `'e�--
Type of Project/ Activity 6ALG-f- f o � (Ilk I I 1� X �
Pier (dock) length -_
Platform(s)
r i
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore I
max distance offshore — 1- ! r
Basin, channel O __ . `--�
cubic yards
Boat ramp —
Boathouse/ Boatlift =
Beach Bulldozing
Other 6-11 ����X �_O
3�'
- ----
i 1
i
Shoreline Length
SAV. not sure yes no
Sandbags: not sure yes
Moratorium: n/a yes no�tC�6
Photos: yes n®
Waiver Attached: 0 no - - - - - -- -.
A building permit may be required by: �iC►� �C � e note on back regarding River Basin rules.
Notes/ Special Conditions M All L1. 1 i611-` )% - s,C-1i c[ (G fr ki n, u44
��lrYyrs J�J'c��/1��cc�,�} i�n!/iSn LILJ�tas� aj J�/G://��,�1^�!1 d✓� lr.. ��n��rT�l �11f hnd
i'�. IA�•'',y(/n�T%>'�\ u!'T� 1'f � /%II:I/1.�� .% lr^� Ralr,✓vl l.b'�ry /r'cJt� .. ����It}�"'li� • I
(Scale: No - I'- )
)"lat Ih-!I I- f'Al t i- I -lt a.�; {t . f- rg� �/t�c �,rc(i�+t � (cv.�t s i.\.
Agent or Applicant Printed Name
SigTo
Please read compliance statement on back of permit **
0 f ii%�,.yE� /'�PToovvooq3ao
Permit Offih is Signature
f- Z -o f-
a' ;L-- 0
Issuin Date
XtPOI/Ico C,.
Ex
Ex 'ration Date d
Local Planninv lurkdiction
Rover RIP Name

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor Charles S. Jones, Director William G. Ross Jr., Secretary
November 3, 2005
NC Wildlife Resources Comm.
C/o Brent Wilson
110 W. 131h Street
Washington, NC 27889
Attached is General Permit #41972C, to replace culvert (48" x 30') off Hwy 304 at Hobucken
Waterfowl Impoundment, Hobucken, NC
In order to validate this permit, please sign all three (3) copies as indicated. Retain the white
copy for your files and return the signed yellow and pink copies to us in the enclosed, self-
addressed envelope. If the signed permit copies are not returned to this office before the initiation
of development, you will be working without authorization and will be subject to a Notice of
Violation and subsequent civil penalties.
We appreciate your early attention to this matter.
Sincerely,
Stephen Lane/LSB
Coastal Management Representatives
Enclosures
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internet: www.nccoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer— 50% Recycled 110% Post Consumer Paper

�OrW1C LKtD eX-rema�AjGC

PIPE REPLACEMENTAT
HOBUCKEN WATERFOWL IMPOUNDMENT
GOOSE CREEK GAMELANDS ,
PAMLICO COUNTY
Cross sectoion of pipe installation
Width of pipe will be 48"
.aD --7Z

Form DCM-M -1
APPLICATION
(To be completed by all applicants)
b. C�i , to , community or landmark
f fr. � Men
1. APPLICANT
c. Street address or secondary road number
a. Landowner:
N �� 1 (i ; d. Is proposed work within city limits or planning
Name �. i J I; �c tees mmisSrer� jurisdiction? Yes _� ' No
Address j-�Z �-7�7 /ILrJ ce- CaaLC
City State & 1C_
Zip 76�13 Day Phone L-)
Fax 4"t Imo) `733 - 2 17�
b. Authorized Agent:
Name
Address
City State
Zip Day Phone
Fax
c. Project nam (if any) NCB 3 Ec- L04
rr-.r rQSS
NOM. Perncr will be issued it name of lmidowner(r), w0/or
project name.
2. LOCATION OF PROPOSED
PROJECT
a. County �' L co
Revised 03ns
e. Name of body of water nearest project (e.g. river,
creek, sound, bay)
3. DESCRIPTION AND PLANNED USE
OF PROPOSED PROJECT
a. List all development activities you propose (e.g.
building a home, motel, marina, bulkhead, pier, and
excavation and/or filling activities. L
b. Is the proposed activity maintenance of an existing
project, new work, or both? rn�; rr�nanee
c. Will the project be for public, private or commercial
use?
d
Give a brief description of purpose, use, methods of
construction and daily operations of proposed
project. if more s ace is needed, please attach
additional pages.

Form DCM-MT-1
4. LAND AND WATER
CHARACTERISTICS
a. Size of entire tract�'<�
b. Size of individual lot(s)a`
c. Approximate elevation of tract above MHW or
NWL 5 4,6k �1r %ss
d. Soil type(s) and texture(s) of tract
e
e. Vegetati on tract
n rc —S �b lr r
f. Man-made, features now o tract
e PL07- c r1
g. What is the CAMA Land Use Plan land
classification of the site? (Consult the local lmsd use plmt.)
Conservation Transitional
Developed Community
Rural Other
h. How is the act zoned by local government?
1a,---�,
i. Is the proposed project consistent with the applicable
zoning? +/ Yes No
(Mach zoning compliance certificale, if applicable)
Has a professional
done for the tract?
If yes, by whom? .
archaeological assessment been
Yes ✓ No
k. Is the project located in a National Registered
Historic District or does it involve a National
Register listed or ee igible property?
Yes ✓ No
Are there wetlands on the site? ✓ Yes _ No
Coastal (marsh) ✓ Other
If yes, has a delineation been conducted?
(Attach doc a sensation, if available)
m. Describe existing wastewater treatment facilities.
4/1-
n. Describe location and type of discharges to waters
of the state. (For example, surface runoff, sanitary
wastewater, industrial/commercial effluent, "wash
down" and residential discharges.)
su'k�P 'un�
o. Describe existing drinking water supply source.
n/0-
5. ADDITIONAL INFORMATION
In addition to the completed application form, the
following items must be submitted:
• A copy of the deed (with state application only) or
other instrument under which the applicant claims title
to the affected properties. If the applicant is not
claiming to be the owner of said property, then
forward a copy of the deed or other instrument under
which the owner claims title, plus written permission
from the owner to carry out the project.
• An accurate, dated work plat ('including plan view
and cross -sectional drawings) drawn to scale in black
ink on an 8 1/2" by 11" white paper. (Refer to
Coastal Resources Commission Rule 71.0203 for a
detailed description.)
Please note that original drawings are preferred and
only high quality copies will be accepted. Blue4ine
prints or other larger plats are acceptable only if an
adequate number of quality copies are provided by
applicant. (Contact the U.S. Army Corps of
Engineers regarding that agency's use of larger
drawings.) A site or location map is a part of plat
requirements and it must be sufficiently detailed to
guide agency personnel unfamiliar with the area to the
Revised 03195

Form DCM-MP-I
site. Include highway or secondary road (SR)
numbers, landmarks, and the like.
• A Stormwater Certification, if one is necessary
• A list of the names and complete addresses of the
adjacent waterfront (riparian) landowners and
signed return receipts as proof that such owners
have received a copy of the application and plats
by certified mail. Such landowners must be advised
that they have 30 days in which to submit comments
on the proposed project to the Division of Coastal
Management. Upon signing this form, the applicant
further certifies that such notice has been provided.
Name
Address G
Phone
Name (�" � -
Address %' 41,
7
`�
Phone
Name any
Address
Phone ZSZ S 7
• A list of previous state or federal permits issued for
work on the project tract. Include permit numbers,
permittee, and issuing dates. l
i �tma- fl m;� SAS" 7� �sss'•eij )4-1e-97
• A check for $250 made payable to the Department of
Environment, Health, and Natural Resources
(DEHNR) to cover the costs of processing the
application.
• A signed AEC hazard notice for projects in
oceanfront and inlet areas.
• A statement of compliance with the N.C.
Environmental Policy Act (N.C.G.S. 113A - I to
10) if the project involves the expenditure of public
funds or use of public lands, attach a statement
documenting compliance with the North Carolina
Environmental Policy Act.
6. CERTIFICATION AND PERMISSION
TO ENTER ON LAND
I understand that any permit issued in response to this
application will allow only the development described in
the application. 'Ile project will be subject to conditions
and restrictions contained in the permit.
I certify that to the best of my knowledge, the proposed
activity complies with the State of North Carolina's
approved Coastal Management Program and will be
conducted in a manner consistent with such program.
I certify that I am authorized to grant, and do in fad,
grant permission to representatives of state and federal
review agencies to enter on the aforementioned lands in
connection with evaluating information related to this
permit application and follow-up monitoring of the
project.
I further certify that the information provided in this
application is truthful to the best of my knowledge.
'Ilis is the day of , 19
Print Name
Signature
Landowner or AAdwrized AgeW
Please indicate attachments pertaining to your proposed
project.
_ DCM MP-2
Excavation and Fill Information
DCM MP-3
Upland Development
DCM W-4
Structures Information
DCM MP-5
Bridges and Culverts
DCM MP-6
Marina Development
NOTE: Please sign and date each attachment in the
space provided at the bottom of each form.
Revised 03195

Form DCN1-NIP-5
BRIDGES AND
CULVERTS
Attach this form to Joint Application for CAMA Major
Permit, Form DCM-MP-1. Be sure to complete all
other sections of the Joint Application that relate to this
proposed project.
(4) Will all, or a part of, the existing culvert be
removed? (Explain)
g. Length of proposed bridge
1. BRIDGES h. Width of proposed bridge
a. Public Private
b. Type of bridge (construction material)
c. Water body to be crossed by bridge
d. Water depth at the proposed crossing at MLW or
NWL
e. Will proposed bridge replace an existing bridge?
Yes No
If yes,
(1) Length of existing bridge
(2) Width of existing bridge
(3) Navigation clearance underneath existing
bridge
(4) Will all, or a part of, the existing bridge be
removed? (Explain)
f. Will proposed bridge replace an existing culvert(s)?
Yes No
If yes,
(1) Length of existing culvert
(2) Width of existing culvert
(3) Height of the top of the existing culvert above
the MHW or NWL
Revised 03/95
i. Height of proposed bridge above wetlands
j. Will the proposed bridge affect existing water flow?
Yes No
If yes, explain
k. Navigation clearance underneath proposed bridge
1. Will the proposed bridge affect navigation by
reducing or increasing the existing navigable
opening? Yes No
If yes, explain
m. Will the proposed bridge cross wetlands containing
no navigable waters? Yes No
If yes, explain
n. Have you contacted the U.S. Coast Guard
concerning their approval?
Yes No
If yes, please provide record of their action.

Form DCNI-MP-5
(4) Will the disposal area be available for future
maintenance? Yes No
(5) Does the disposal area include any coastal
wetlands (marsh), SAVs, or other wetlands?
Yes No
If yes, give dimensions if different from (2)
above.
(6) Does the disposal area include any area below
the MHW or NWL? Yes No
If yes, give dimension if different from No. 2
above.
e. Will the placement of the proposed bridge or culvert
result in any fill (other than excavated material
described in Item d. above) to be placed below
MHW or NWL? Yes No
If yes,
(1) Length of area to be filled
(2) Width of area to be filled
(3) Purpose of fill
f. Will the placement of the proposed bridge or culvert
result in any fill (other than excavated material
described in Item d. above) to be placed within:
Coastal Wetlands _ SAVs _ Other Wetlands
If yes,
(1) Length of area to be filled
(2) Width of area to be filled
(3) Purpose of fill
g. Will the placement of the proposed bridge or culvert
result in any fill (other than excavated material
described in Item d. above) to be placed on
highground? Yes
If yes,
(1) Length of area to be filled
(2) Width of area to be filled
(3) Purpose of fill
4. GENERAL
a.
No
Will the proposed project involve any mitigation?
Yes No
If yes, explain in detail
Will the proposed project require the relocation of
any existing utility lines? Yes / No
If yes, explain in detail
c. Wi11 the proposed project require the construction of
any temporary detour structures?
Yes V No
If yes, explain in detail
d. Will the proposed project require any work
channels? Yes No
If yes, complete Form DCM-MP-2
e. How will excavated or fill material be kept on site
and erosion ntrolled?
What type of construction equipment will be used
(for example,1 ,dragline, backhoe or -hydraulic
dredge)? �Ac Kito�.
g. Will wetlands be crossed in transporting equipment
to project site? Yes y' No
If yes, explain steps that will be taken to lessen
environmental impacts.
h. Will the placement of the proposed bridge or culvert
require any shoreline stabilization?
✓ Yes No
If yes, explain in d
�"M wil I I h
f=
Date
Revised 03195

Form DCM-MP-5
2. CULVERTS
a. Water yin which culvert is to be placed
b_ Number of culverts proposed
c. Type of cult' (construction material, style)
d. Will proposed culvert replace an existing bridge?
Yes ✓ No
If yes,
(1) Length of existing bridge
(2) Width of existing bridge
(3) Navigation clearance underneath existing
bridge
(4) Will all, or a part of, the existing bridge be
removed? (Explain)
e. Will proposed culvert replace an existing culvert?
✓ Yes No
If yes,
(1) Length of existing culvert 30
(2) Width of existing culvert =J�"
(3) Height of the top of the existing culvert above
the MHW or NWL 1
(4) Will all, or a part of, the existing culvert be
removed? (Explain) o 11
iJ,- re�j�czmE zf
f. Length of proposed culvert 3G
g. Width of proposed culvert %Jg"
h.* Height of the top of the proposed culvert above the
MHW or NWL
Will the proposed culvert affect existing water flow?
Yes ✓ No
If yes, explain
j. Will the proposed culvert affect existing navigation
potential? Yes ✓ No
If yes, explain
3. EXCAVATION AND FILL
a. Will the placement of the proposed bridge or culvert
require any excavation below the MHW or NWL?
✓ Yes No
If yes,
(1) Length of area to be excavated 3D
(2) Width of area to be excavated_
(3) Depth of area to be excavated
(4) Amount of material to be excavated in cubic
yards 3
Will the placement of the proposed bridge or culvert
require any excavation within:
_ Coastal Wetlands _ SAVs _ Other Wetlands
If yes,
(1) Length of area to be excavated
(2) Width of area to be excavated
(3) Amount of material to be excavated in cubic
yards
c. Will the placement of the proposed bridge or culvert
require any highground excavation?
Yes ✓ No
If yes,
(1) Length of area to be excavated
(2) Width of area to be excavated
(3) Amount of material to be excavated in cubic
yards
d. If the placement of the bridge or culvert involves
any excavation, please complete the following:
(1) Location of the spoil dis area
ViL � )u rt GJlVc
(2) Dimensions of spofl disposal area
2,0 `X .�3 G
(3) Do you claim title to the disposal area?
✓ „ Yes No
If no, attach a letter granting permission from
the owner.
Revised 03195

Goose Creek Game Land
Culvert Replacement Project Location Map
Legend
' Road
Game land
2 4 6 8 Miles

11
Goose Creek Game Land
Hobucken Impoundment Culvert Replacement
C w
LEGEND
Property boundary
'state road
ditch
Culvert Replacem
0 1000 2000 3000 Feet

Goose Creek Game Land
jy Compartments 3&4
LEGEND
Property boundary
state road
ditch
Uj
0 0.9 1.8 2.7 3.6 4.5 Mlles
I MM%MM=MM=M=M==MMMMMMM%�� - I

Suggs Mill Pond Game Land
NAX
EGEND
Stateroad
Road
Burn unit

lJ
l LItJS �..:J
City L)CM
North Carolina Wildlife Resources Commission
512 N. Salisbury Street, Raleigh, North Carolina 27699, 919-733-3391
Richard B. Hamilton. Executive Director
July 25. 2005
Memorandum
TO: Stephen Lane
CAMA Field Representative
FROM: Brent Wilson
Wildlife Forester
RE: Hobucken Impoundment Culvert Replacement Project
Enclosed are four Adjacent Riparian Property Owner Statements for the Hobucken Impoundment Culvert
Replacement project. According to the county tax records, due to a relatively recent land acquisition by the
Coastal Land Trust, there were a few more property owners along the game land tract west boundary_ than I
was previously aware. The contacted entities include: NCDOT, Jones Island Hunt Club. Bate Foundation and
Coastal Land TnL.t.
As previously discussed. the permit fee will be by account transfer, according to the information you provided
and I will have you sent notification of transfer when completed. When the permit is issued please send to
my attention at 110 West 13t' St, Washington, NC 27889.
If you require additional information I can be contacted at [phone] or email: brentrwr earthlink_net.
Appreciate your assistance with this project.

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
their property is located at
(Name of Property Owner)
(Lot, Bloch Road, etc.)
on in
(Wa erbody) (Town and/or ounty)
North Carolina.
1-he applicant has described tome. as shown below t''- Y� oposed at ►.pie above
location. I understand that any construct?on, excluding bulkheads, must be set back a minimum
distance of fifteen feet (15) from my area of riparian access unless waived by me.
I have no objection to the project as proposed, but do not wish to waive
the (15) setback requirement.
I have no objection to the project as proposed and do wish to waive the
(15) setback requirement.
I object to the project as proposed.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
/v Ev
PRINT OR TYPE NAME SIGNATURE
Y� is � � fJ1`�T AL� ,,�-• ✓i •,, 4r. � r, i2ti S' +R' S` s$ G�' H ?�'�6 /�.
i A T� 1 •Aiv.� �1 .-�'n A->
TELEPHONE NUMBER DA '�,�

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
their property is located at
(Name of Property Owner)
N (- : 30 -
(Lot, Block, Road, etc.)
®n �D_ Y1P �L _ 1 ►n rd " I � C-) C--15o �'7�,L 9
(W terbody) (Town and/of County)
North Carolina.
The applicant has described to me, as shown below, the development proposed at the above
location. I understand that any constructlon, excluding bulkheads, must be set back a minimum
distance of fifteen feet (15) from my area of riparian access unless waived by me.
I have no objection to the project as proposed, but do not wish to waive
the (15) setback requirement.
I have no objection to the project as proposed and do wish to waive the
(15') setback requirement.
I object to the project -as proposed.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
PRINT OR TYPE NAME SIGNATURE
-7
TELEPI40NE NUMBER DATE

r' ,7-
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to �005
4'_c�),v L'wci' .. their property is located at
(Name of Property Owner) Y L�11.r4
N. C. 3L�
(Lot, Bloch Road, etc.)
on in
(W�derbody) (Town and/or County)
North Carolina.
11e applicant has described to me, as shown below, the development proposed at the above
location. I understand that any construction, excluding bulkheads, must be set back a minimum
distance of fifteen feet (15) from my area of riparian access unless waived by me.
I have no objection to the project as proposed, but do not wish to waive
the (15') setback requirement.
I have no objection to the project as proposed and do wish to waive the
,. - -
i I s ) setback reyu.. e:..c. z.
I object to the project as proposed.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
PRINT OR TYPE NAME _
SIGNATURE

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
C / w � It _ , their property is located at
(Name of Property Owner)
N , L� �f
(Lot, Block, Road, etc.)
on _ - -- _ in --�I C 0
(W4rbody) (Town and/or County)
North Carolina.
The applicant has described to me, as shown below, the development proposed at the above
location. I understand that any construction, excluding bulkheads, must be set back a minimum
distance of fifteen feet (15) from my area of riparian access unless waived by me.
X— 7
I have no objection to the project as proposed, but do not wish to waive
the (15) setback requirement.
I have no objection to the project as proposed and do wish to waive the
(15') setback requirement.
I object to the project as proposed.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
PIUNT OR TYPE AME
,252. - 746- 7<,?77

Re: [Fwd: NC E-Pay Remittance Advice]
N - i
Subject: Re: [Fwd: NC E-Pay Remittance Advice]
Date: Thu, 28 Jul 2005 12:22:11 -0400
From: Jaye Poole <[e-mail]>
To: Dianne White <Dianne. [e-mail]>
CC: ronda bennett <[e-mail]>, stephen lane <[e-mail]>
Yes, please deposit to 435100093 16256253. Thanks!
Dianne White wrote:
Is this yours?
TO:
DEPT OF ENVIRONMENT & NATURAL
RESOURCES CONTROLLERS OFFICE
1606 MAIL SERVICE CENTER
RE:
Direct deposit notification
Within three business days, pending agency funding approval,
your bank account will receive a direct deposit of 100.00
for payment number 17PT0000009330
These funds were paid by the following agency:
WILDLIFE RESOURCES COMMiSSION
FIN SECT - TRADE ACCTS PAYABLE
1702 MAIL SERVICE CENTER
RALEIGH, NC 27699-1702
AGENCY CONTACT PHONE#: [phone]
Please direct all questions regarding this payment/deposit to the
agency contact phone number listed directly above. This agency
maintains information regarding your payment records. Any questions
concerning payment amount and invoice information/documentation
should be directed to the agency's Accounts Payable office and they
will be happy to assist you with your inquiries.
1 of 2 7/28/05 1:06 PM

Re: [Fwd: NC E-Pay Remittance Advice]
.
1.
PLEASE DO NOT REPLY TO THIS EMAIL.
CONTACT THE PAYING AGENCY AT THE NUMBER LISTED ABOVE.
Your Invoice No Type Inv Date Invoice Amount Discount Taken Net Amount
072705 07/27/05 $100.00 $0.00 $100.00
DIV. OF COASTAL MGMT ATTN: STEPHEN LANE CAMA PERMIT# 41972
TOTAL: $100.00
This notification was sent from the North Carolina Office of the State Controller.
If this notification has been received in error, please contact the agency
listed above to make corrections.
2 of 2 7/28/05 1:06 PM