50193_YOUNGBLOOD, BEN_20080310

❑ CAMA / ❑ DREDGE & FILL
GENERAL PERMIT
❑New ❑Modification ❑Complete Reissue ❑Partial Reissue
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 15A NCAC
Previous permit #
Date previous permit issued_
59193
❑ Rules attached.
Applicant Name F. t ' I ^ ^ Project Location: County
Address ,Y l - : ' ` �t ! s , '°; Street Address/ State Road/ Lot #(s)
City State ZIP
Phone # ( , )
Fax # ( )
Authorized Agent
Affected W X.PTA �S ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Type of Project/ Activity
Pier (dock) length
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length; (T
avg distance offshore
max distance offshore
Basin,-channeC
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
"
Shoreline Length�-". 00
SAV: not sure yes
%n
Sandbags: not sure yes
n
Moratorium: Cn%a yes
no
Photos: yes
no
Waiver Attached: yes
no
Subdivision
City
Phone # ( )
ZIP '
River Basin
Adj. Wtr. Body - .gnat /man /unkn)
Closest Maj. Wtr. Bodyy
(Scale:
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A building permit may be required by:
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit"
Application Fee(s) Check #
t� See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Date .'r Expirations
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:
[�❑ ar -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 ar y e NC Division of
Water Quality. Contact the Division of Water Quality at the Washington Regional Offi (252-946-648I r the Wilmington
Regional Office (910-796-7215) for more information on how to comply with these buf e
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
252-946-6481
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

i, t , :e t It it 111 11111111 ]111
tt t [postage & Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box "
j3ew i'ou%vb(OOJ
■ 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: Q f
Ua J(eY V[ ecJwo ti/
�0.051je PCL. Iq�ti6
A. Signature
X // -- 0 Agent
9'Addre:
B. Received b Printe Name C. of Deli,
� )late
arJ (u
D. Is delivery address different from item 17 ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
'k,16ertified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7007 0710 0005 1324 9271
(Transfer from service label)
Ps Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540

UIVIItU JIHI CJ rVJ'ViL`JCttVIIiC"' j
f. 6 'F'.E 6 2C.'. X3 PM �. Permit - G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
Sew tau&. b(oaj
�5 �q cam; �5� 5;c(S R�
:,, ftllilIIJill IilllJill [IIIIIIIIfIIIlllliiIIIllIllIIllIfIIIif
■ Complete items 1, 2, and 3. Also compiete-
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:
A140Pj awPow
Ll
0
❑ Agent
�. eceived by ( Printed Name) If I C./Da a of Delivery
fI Or
D. Is delivery address different from item 1? 137e.
If YES, enter delivery address below: ❑ No
3. Servi ype
ertified Mall ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7007 0710 0005 1324 9264
(Transfer from service label) -- -
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to �j (0u J.s
(Name of Peperty Owner)
property located at Z �e r1'� r o''5 St'
(Lot, Block, Road, etc.)
on Aotrt5 (eectc, ,in Der: e,,,4,` IV,e, 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. (If you wish to waive the setback, you must initial the appropriate blank
below.)
I do not wish to waive
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
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Signature
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Print or Type Name
Telephone Number
Date:

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YOUNGBLOOD FARMS
PH. 919-934-9367
301 LEE YOUNGBLOOD LOOP RD
SMITHFIELD, NC 27577
DATE_ 3 -1 0 -0 v
PAY
TO THE F ClJ IIU
ORDER OI
L l 14J A- 4
enRST CITIZENS BANK
C�wJirstcitizens=.
FOR
u'01316Lu' l:0S3L003001:0032424
90 3 2 211'
13161
66-30/531
327
w oo 00r
DOLLARS 8