51808_TORNATORE, STEVE_20071114

-7166
❑ CAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit #
❑New ❑Modification ❑Complete Reissue El Partial Reis a Date previous permit issued
As authorized by the State of Nprth Carolina, Department of Environment and Natural Resources
and the Coastal Rgsource/s Commission in an are of environmental concern pursuant to 15A NCAC
>f f- V cam_ -To P—t-AA-kdy2t,/ ❑Rules attached.
Applicant Name Project Location: County
PP 1
Address Street Address/ State Road/ Lot #(s)
City
Phone # () _
Authorized Agent
Affected ❑ CW
AEC(s): ❑ OEA
❑ PWS:
ORW: yes / no
-i
State ZIP
Fax # ( )
❑EW El PTA El ES ❑PTS
❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ FC:
PNA yes / no Crit.Hab. yes / no
Subdivision
City ZIP
Phone # ( ) River Basin
Adj. Wtr. Body J (nat /man /unkn)
/u Closest Maj. Wtr. Body mse- K
Type of Project/ Activity
(Scale:
Pier (dock) length
Platform(s) 1
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAV: not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required
Notes/ Special Conditions
i
—
—
i
I
I i i
f
1
i
I
--
by:
❑ See note
on
back
regarding
River
Basin
rules.
t i
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit 4
t r-j
Application Fee(s) Check #
Permit Officer's Signature
/�Jon
Issuing Date Expira, on Date
i I�l
Local PlanningJurisdiction 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, certifythatthis project is consistentwith 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
252-946-648 I
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

VIVIICV JIMIC.I "" JJIMI IJcmvRAC
st-
P mau
Postagege & Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
w. �r1���lrf�ls�}i1�r}�frrTl�liirfli�l�i{lii�ilt111if�likf�stlsl
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:
pp
$Y-Ns� Imo. A'S T �1 1Jiz�wSC1
0C�D Oz
Fia�E21 C O 9013�
A.
❑ Agent
B. Received by ( Printed Na p) % C. Date obi ry
LAU�it,\LE \�
D. Is delivery address diffe nt from ft m 1? ❑ Yes
If YES, enter delivery a dress below: ❑ tlo
3. Service Type
Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
(, -To V.,-tj � Q � ,� I ��. . o y ...,.. .. res
2. Article Number
(Transfer from service label) 7 0 0 7 0 710 0000 1880 0 618
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540

HECKHAUS, SARAH M TRUSTEE
OF THE SARAH HECKHAUS LIV. TR.
620 WINDWARD DR AcctNum
ORIENTAL NC 28571 22699
List: AP 10/06/2003 Info By: E
Review: ABS 11/28/2003
Appeal: / 1 2004 Run:08/09/2007 17:38
Assessed Previous
Cost/Acre:
8,135
Value Value
Hsf:
0.00
iLand:
118,523
84,990
Bldg:
0
0
UseVal
Othr:
0
0
6,819
Total:
118,523
84,990
Sale: G
2/11/2004 0
Tracts:
0
NBHR:
0.00 / 0.00 / 0.00
Pamlico County NC 2004 REASSESSMENT
D02 K081-((')-076-
Topo: LEVEL
0 MILLS RD
Utils: ELECTR
OFF 1317
Strt:
TRACT 4 AND 5
Deed: 416-82
RD: 1317
Zoning:
Will:
CITY:
Fire: S
Plat: PCA 6-8
Land
f Sea Description
Mth Cis Grd
Size Depth BaseRt
1 B S RESID OR FP
A 54 J
13.17
2 WF UBS W/UT
A 35 E
1.40
ouiiuiiiy 1111 ----
Cnst:
YrBlt:
DBA:
YrRmd:
Fuel:
YrEff:
Fndt:
PhysC:
Roof:
FEDP:
Wall:
DEPO: 0
Flor:
SndVal:
Rfmt:
Rms: BR:
12343 .
PRN:
TracSz: 14.57
LMAT:
MHS: TRAC:
PCA 6-8
AdiRate Use Value Mkt Value
6164 16463
655 102060
Building -- - --- - ------ - -- --- —
Attic/Basement Area Value Built Ins Num Value Chm Num Value Plmba Num Value
Openings:
TotAmm Before Dep: AfterDep:
PC Section Description Class Grd ExtFin Heat/AC Area StyHpt WHT RepCstNew EffYr FIE Value
Section Description Class Grd Comments StvHt Area BaseRt Cond YrBlt Value

5
CUMMIDKEY, BERNARD W
ET UX LINDA M
10845 EAST PINEWOOD DR
AcctNum
PARKER CO 80138
2047400
List: AP 10/06/2003 Info By:
Review: ABS 11/28/2003
Appeal: / / 2004 Run:08/09/2007 17:38
Values
Assessed Previous
Cost(Acre: 15,750
Value Value
Hsf: 0.00
Land: 86,625
61,500
Bldg: 0
0 UseVal
Othr: 0
0 0
Total: 86,625
61,500
Sale: S 6/08/1999 65,000
Tracts: 0
NBHR: 0.00 / 0.00 / 0.00
- Building Info
Cnst:
YrBlt:
DBA:
YrRmd:
Fuel:
YrEff:
Fndt:
PhysC:
Roof:
FEDP:
Wall:
DEPO: 0
Flor:
SndVal:
Rfmt:
Rms: BR:
Pamlico County NC 2004 REASSESSMENT
D02 K081-(())-077-00001 Topo: LEVEL CREEK
160 MILLS RD Utils: ELECTR
OFF N/S SR 1317 Strt: DIRT PVT
Deed: 344-776
RD: 1317 Zoning: Will:
CITY: Fire: S Plat: PCA 8-6
SeQ Description Mth Cis Grd Size Depth BaseRt
1 WF UBS W/UT A 35 E 1.00
2 B S RESID OR FP A 54 J 4.50
Building --- -- -
Attic/Basement Area
13635 .
PRN:
TracSz: 5.50
LMAT:
MHS: TRAC:
PORTION OF LOT 3 PCA8-6
AdiRate Use Value Mkt Value
81000
5625
Value Built Ins Num Value Chm Num Value Plmba Num Value
Openings:
TotAmm Before Dep: AfterDep:
PC Section Description Class Grd ExtFin Heat/AC Area StvHnt WHT RepCstNew EffYr F/E Value
Other Features ------------ —
Section Description Class Grd Comments StvHt Area BaseRt Cond YrBlt Value

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to ST"Ja
I
(Name of Property Owner)
property located at
(Lot, Block, Road, etc.)
Oil /� i2 C�z�i� , in �p�-� l,� Go , N.C.
(Waterbody) (Town and/or County)
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 that a pier/mooring pilings/boatlift/boathouse
must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless
waived by me.
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
01 01
rU-T- F"PA t-, It, G=X1511►JV
`S ti W '?'s
/SIg /�60- <!�rr� 14 u.s
Print or Type Name
Telephone Number
Date:

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor James H. Gregson, Director William G. Ross Jr., Secretary
Date k7l
Applicant Name
Mailing Address �' � % 1, L- r-le
AA
I certify that I have authorized (agent) —T-D X to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) c'� ►L
at (location) 3 J
This certification is v;1(id thru-(date)
Signature
i
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

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r P.O. BOX 190 PH# 252 249-1429 ','l.Si>��'>\!j• Vr \
ORIENTAL, NC 28571
66 30/531
DATE �� C /� 472
PAYTO THE
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