51516_USA, DUANE_20071001

�4CAMA / [ DREDGE & FILL v7
rERAL PERMIT Previous permit #
❑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 I SA NCAC 7A,
ules attached.
Applicant Names p" j Project Location: County GrA� Coen
Address $ `T 1 �yC ) 0 Street Address/ State Road/ Lot #(s) to 81M 1 /'j I LO L'
rt
City / l Jn ak 6 roo K State ZI P&rc'�-
Phone # (" 15 3 7' fX ax # )
Authorized Agent pare" am
Affected f�(CW " -W ETA ❑ 114TS
AEC(s): [IOEA ElHHF [IIH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
ORW: yes /� PNA yes / Crit.Hab. yes
Type of Project,/ Activity ne v✓ P C Ot P ) P i Li
Pier (dock) length
Platform(s) X-1 21 r ��
Finger •_ 0��
• �� ���
Groin length
MENEM NEI
number
epavg distance offshore
0Basin, channel
���► +►.IiaEN
cubic yards
Boat ramp
Boathous Boatlif X_
Beach Bulldozing
Other
Subdivision& c A wir— [AAO4 y
City �qa lle 100'- ( yJ ZIP 2F5-3
Phone # (7z �/ /��✓ / River Basin L� as
)/
Adj. Wtr. Body C_. V I' Tf (ff tC 62man /unkn)
Closest Maj. Wtr. Body I v&'wSC— K 1yer
(Scale: ✓l o r)'—'o )
<A4 Shoreline Length
SAV: not sure yes n -, --
Sandbags: not sure yes no c
Moratorium: n/a yes no `
Photos: yes no _
i
Waiver Attached: ye no
A building permit may be required by: C 9 See note n back egarding River Pasin rules.
Notes/ Special Conditions s� q C�aS �e
It4i vim. is nCM Oh�-P.A nSguavee
Age or plicant Printed Name
!'1 e
gIication
ture "Please read compliance state + ton back of
00 Fee(s) Check #
10
mo�5 1-3 C
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, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
❑T r- Pamlico River Basin Buffer Rules El Other:
El
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 compl y�these buffer ru e�s-L
1!7* #1
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]
ON
Morehead City Headauarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST
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

cvv\�;
11
Dorothy and Duane Usa
1844 Mission Hills Lane
Northbrook IL 60062
708.837.8187 Duane Cell
September 15, 2007
Mr. Brad Connell
Coastal Field Representative
North Carolina
Department of Environmental and Natural Resources
Divison of Coastal Management
400 Commerce Avenue
Morehead City, North Carolina 28557
Dear Mr. Connell:
y AID
The purpose of this letter is to authorize BJ & Associates' project manager, Darrell
Williams, to collect the permit on my behalf for my dock and riprap, referred to in your
September 11, 2007 letter to me, for my property at
I I I Bimini Court in Havelock on Clubfoot Creek
Thank you for your assistance. Please do not hesitate to contact me if there are
additional matters to be discussed
Si , erely
Duane Usa
Cc: Darrell Williams — BJ & Associates, Morehead City NC

c
A !�
� DENU
North Carolina Department of Environment and Natural Resources
Division of Coastal Managoment
Michael F. Easley, Governor James H. Gregson, Director William G. Ross Jr., Secretary
September 11, 2007
DUANE USA
1844 MISSION HILLS LN
NORTHBROOK IL 60062
Mr. Usa,
The NC Division of Coastal Management has received both adjacent riparian property statements
for your proposal to construct a pier and rip rap revetment on your property at 111 Bimini Court
in Havelock on Clubfoot Creek. Please contact me at your earliest convenience to set up an
appointment to issue the permit and collect the applicable permit fee(s). Thank you for your
time and consideration in this matter.
Respectfully,
C U PY
Brad Connell
Coastal Field Representative
[phone] ext.214
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] \ FAX: [phone] \ Internet: www.nccoastalmanagement.net
An Equal Opportunity \ Affirmative Action Employer — 50% Recycled \ 10% Post Consumer Paper

Sft
IMPORTANT MESSAGE
FOR
DATE
M
A. M.
TIME P. M.
% C
OF
J
PHONE
AREA CODE NUg,,, EXTENSION
❑ FAX MOBILE ^ R vQ�
AREA CODE NUNWER TIME TO CALL
TELEPHONED
MESSAGE
SIGNED
PLEASE CALL
CAME TO SEE YOU
WELL CALL AGAIN
WANTS TO SEE YOU
RUSH
RETURNED YOUR GALL
SPECIAL ATTENTION
FORM 3002P
MADE IN U.S.A.
f

IMPORTANT MESSAGE
FOR A.M.
DATE TIM P.M.
M
OF
PHONE AREA CODE NUMBER E) SION
❑ FAX
MOBILE AREA CODE N ML'ER TI E TO CALL
SIGNED
FORM 3002P
MS, MADE IN U.S.A.

3
ADJACENARIAN PROPERTY OWNSTATEMENT
(FOR A PWRIMOORING PILINGSIBOATLIF 1 ATHOUSE)
I hereby certify that I own property adjacent to IJiJ4zAe- " nj )�6t-"S- + (%C% 's
(Name of Property Owner or Applicant)
Mailing address if different from location addres
(town, state and zip)
phone numbers you can be reached at(.25-2) 4q4 _ i
property located at (3 r fK r N i C 0 4-07_ #�
(Lot, Block, Road, etc.)
2 -a-) 50V -7,'z3
on CLQ 6 E—r-�l e/Lc fL in %/cy� l �� � �Jc:�� .� , N.C.
(, fateLbody )" (Town and/or CJurty)
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/moor na
y ailings/boatliftlboathouse
must be set back a minimum distance of fifteen feet (15' from my i t access uales ._.
waived by me.
i C
I do not wish to waive the setback requirement. 5 E P 6 2007
007
iritia!s
I do wish to waive that setback requirement. MOrehead
City
J)`jM
------------------------------- -----------------------------------------------------------------------------------
DESCRIPTION A,ti-D/OR DRAWING OF PROPOSED DE -VT, LOPMENT:
(To be filled in by individual proposing development)
R416 PP, e,
0
----------------------------------------------------------------- -- - ------ -------------------------------
s igna[ure
Print or Type Name
5( —2 Z6
Telephone N
Da

n�itdi:�e?e an::�a t51��biaa� rrac� n.
Co37- C.0
ADJACEO RIPARIAN PROPERTY ON .tc STATE NT
(FOR A PI,ERIMOOR[NG PILINGSMOATLIFTIBOATHQUSE)
I hereby certify that I own property adjacent to ,Lklgm and l Asoa-A uyck 's
(Noma of Property Owner or A;ppkwg)
Ml ailing addreas if different from location address 5 %'ll CdVJV7 G{-
(to wn, state and zip)CLy�'r[�'L�
phone numbers you can ne reached at -� %J.; Ci 6 -
property located at ld `% ZY'1114 .ti/ C�`T'
(Lai, Block, Road, etc.)
On L v/3 �U O T C.f G ion
(Watertwdy) (Town tnWor County) r
He has described to me, as shown below, the development he is prolws�ng at that location,
and, I have no objections to his proposal. I understand that a pier=col�ng pilingsfboatliklboatouse
must be set back a minimum distance of fifteen feet (151 from my area cf ri- 4aII access less
waived by me.
I do not wish to waive :he setback requirement.
I ,fig wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOP?vMN :
`To hefXed in by individual proposing development)
at r CQ4oG, ank �� t "ac�nti
2007
-- ...------- - ----------------------------------------------------------------------------- - - __._
---- �,4�y DCNa
s �Qun
Print or T ame —
ae/ Number
Duo:
rJ-.',.J.`_� J� 4'j'
O

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