50720_TEETS, GREG_20080611

❑ CAMA / ❑ DREDGE & FILL ` �j i 2+ c-
^` 1J
GENERAL PERMIT Previous permit #
❑New nModification El Complete Reissue El Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural k5ANCaAC
— }
and the Coastal Resources Commission in an area of environmental concern pursuant to
❑Rules attached.
Applicant Name �ra� Project Location: County
Address ! ' r_ , Street Address/ State Road/ Lot #(s)
City �' `' State ZIP i
Phone # O Fax # (.)---- Subdivision
Authorized Agent i
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ElUBA ❑ N/A
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
City ZIP
Phone # ( } River Basin ✓ -
Adj. Wtr. Body - (nat •/man /unkn)
Closest Maj. Wtr. Body
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Agent or Applicant Printed Name
Signature "Please read compliance statement on back of permit
11 �/
Application Fee(s) Check #
Pe— officer's Signature
i
Issuing Date Expiration Date
�I jE
Local Planning Jurisdiction Rover File Name —r

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, certify that 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
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888ARCOAST
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

JUN-04-2008 WED 02:29 PM CARDIOTHORACICSURGERY 7404546354 P. 02
Jun 04 08 10:40a BCC 252-745-4253 p.2
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIEKWOORING PXLINGSBOATU BOATHOUSE)
r
I hereby certify that I own property adjacent to C�7e� �F--T' is
- (Name of Property Owoer)
property located at
(lot, Block, Road► eta)
MT in N.C.
(Waterhody) own and/or Cataty)
He has described to me, as shown below, the development he is proposing at that location,
and, I have no objections to his proposal. I understand thm a pier/mooring pilings/boatlif /boathouse
must be set back a minimum distance of ftlteen feet (I5� from my area of riparian aceess unless
waived by me.
_ K l do not wish to vraive the setback requirement.
I dg wish to waive that setback requirement.
I
DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT:
(To be fdW in by individual proposing drvdopmml)
ri
T-
Signature U/
�/l? G I(
Print or Type Name
7yy -�5 02--07�0
Telephone Number
Date: y�o�

Norl.n Garoiina Depa!;ment of Environment and Natl-iral Resc,.irces
Division of Coastal Matiagei-nent
l'a cha l !_..: siey c - Charles S. Jones, Girecior G, J• . secrei r
Date
Applicant Name
ANT ailing, Address
I certify that I have authorized (agent) f n y
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity)
at (location) ( rl�T -,
This certification is valid thru (date
Signature
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: 252-24'-33301 Intemet: www.ncooastalmanagement.net
An Equal Opportunibj 1 Alfurnative Action Employer — 50% Recycled';'VPcsi Consumer Paper

Page 1 of 1
Site: 161 CAPE HATTERAS PT
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H094-1-16
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Property Details:
START
1831
UNIQUEID
1796
ACCTNUM
26177
=1
LASTNAME
ITEETS, GREGORY L
FIRSTNAME
115103 HORTON RD IIADDR2
CAREOF
ET UX BARBARA S
ADDR1
CITY
IJORIENTAL
JISTATE
NC
ZIP
1128571
PARRECNUM
I 15657
NAME
JITEETS, GREGORY L
MAPNO
H094-1-15
CONTROLNUM
I
I
1HO94
I PIN
I
D05
CLSCODE
DISTTOWN
INSERT
DBLCIR
BLOCK
1
PARCELNO
15
SITEADDR
161 CAPE HATTERAS PT IFSITUSADDR
11161
SITUSROAD
CAPE HATTERAS PT
EXEMPT
LEGDESCI
LOT 15 DAWSON CREEK PH 1
LEGDESC2
PCA 150-11
TOTACRES
1.68
CRNTTOTUSE
0
CRNTTOTDEF
10
CRNTLANDVA
175500
CRNTBLDGVA
110 IFCRNTOBLDGV
0
TOTCRNTVAL
175500
FIRECODE
S
HOUSECODE
I
ISEWERCODE
SALEAMNT
11375000
JISALEDATE
6/20/2006
SALEDATE2
75049
SALECODE
S
ROADNUM
1302
PCTCOMP
0
WILLBOOK
0
WILLPAGE
0
DB PG
472/831
DEEDBOOK
472
DEEDPAGE
IF831
11PLAT
I PCA 150-11
II MOBHOME IIO
http://www2.undersys.con/scriptsltestadvlusiwebpc.dlllusi?formis=ptmap&MouseX=O&M... 6/4/2008

P.O.'Box 268
Merritt, NC 28556
www.BroadCreekConstruction.com
OP ckF,
O,V�O
sTRUL
"The Original Concrete Pier"
Phone: [phone]
Fax: [phone]
N.C.G.C.License#45686
February 25, 2008 0 0
Greg Teets
Site: Lot #15 in Dawson Creek
Concrete Decking: 4' x 10' x 4" pre -cast
All pilings: 2.5 marine grade
Cross -braces: 4" x 10" pressure treated @ .8 grade
Bolts: 5/8" hot -dipped galvanized
Minimum piling depth: 10'
"X" (tie -off) pilings: 5' above dock decking
Plumbing and Electrical not included unless noted.
�- 5 -4
sTEIPS

Jun 09A10:34a BCC
252-745-4253 P.1
Broad Creek Construction, Inc.
P.O. Box 268
Merritt, NC 28556
Phone: [phone]
Fax: [phone]
Email: info(c7BroadCreekConstruction.com
www.BroadCreekConstruction.com
To: \ From:
Fax: 3 Pages:
Phone: Date: ` c
Re: cc;
Cl Urgent ❑ For Review ❑ Please Comment 0 Please Reply ❑ Please Recycle
• Comments-

10:35a BCC
3Ei u-i. Jbp
I
Het
and, I have i
must be set
waived by x
"Z
M S I tl`ISFlUll
-r>,jA.1 - 2-52- 7C4 S K z
CANT RWAR 4N PRO]
VR A PIE UMOORMG PILL
certify that f own praperty act
at
WA
(Lot, Block, Road, etc)
c: Cmm� to rac:C as sbownb low,
jectiops to his pr+eaposaL sunders
: a minimun distA of fifteen
wish to waive the setback
252-745-4253 p.2
-JU3-H17-E1460 p. 1
'Y OWNER STATEMENT
3DAT "IBOATHOUSEj
(Name of Property Owner)
N-C.
(fawn andlnr County)
development he is proposing at that kw.2 m.
thad a piadmoosing pi5ogslboaff&A)oa1Muse
: (151) from my area of riparian access unless
do wish to waive that setbawak rou ueutetit
D Ors AND/OR DRAWING I IF PROPOSED DEVELOPMENT: I
I (To be filed in by utd4id propo-qbw & depmCW)
I
�r
a r ^!
f I
�igxzanurc —
�G,Y,��
Print or Type dame
72 3- !?"50 - S7*2S--T-
Teiephmw Number
Date: 11 >v�

Jun 05 08 07:38p
M STENSRUD
703-817-0460 p.l
Jun 05 08 08:12a tit;
'-
714�- qZ
ADYCENT
RIPARIAN PROPERTY
OWNER STATEMENT
(
OR A PIER/MOORYNG PIL17VG
VBO,4TLIFTIBOATHOUSE)
I hereby
certify that I own property adjac
t to `s
(Name of Property Owner)
pry crty loca
ed
at `� Z�
(Lot, Block, Road, etc_)
in
© 'N.C.
(Wa
(Tovrn andlnr )
ody)
He has
described
to me, as shown below, the
development he is proposing at that location,
and, I have ruKco
"ecWns to his proposal. I
that a pier/mooring pitingstboatlift/boathouse
must be set back
a minimum distance of fftcea f
(I5,) from my area of riparian access unless
waived by
the setback iequirment.
✓�
do not wish to waive
U ti
do wish to waive that setback
cement.
D
ON AND/OR DRAWING 13F
PROPOSED DEVELOPPAENT-.
'
(To be frllcd in by indiv xa
prooposzng developn eW)
}
1
16 -
+
l
�.7i�asa�uic
'Print or Type blame
Telephone Number
Date: Z
ut�. end ��i
M�sDCM

AD CREEK CONSTRUCTION ��
BROAD I vC
1H. 252-745-4252
1 CREEVCV'EV'"
MERRI7T, NC 28556-9572
� � � BPAN �_B�ppN--BANK B07 BBTTcom PANY
LO LL 2L� 00 529278
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61137
6187
66-112/531
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