52370_COLLINS, SAMUEL_20080715

11CAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit #
E)New ❑Modification EComplete 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 15A NCAC
❑ Rules attached.
Applicant Name
Address
City
State
Phone # O
fax # O
Authorized Agent
Affected ❑ CW
❑,EW ❑ PTA ❑ ES
AEC(s): ❑ OEA
❑ HHF ❑ IH ❑ UB
ElPWS:
ElFC:
ORW: yes / no
PNA yes / no
Project Location: County
i_ `.'. Street Address/ State Road/ Lot #(s)
ZIP
Subdivision
City ZIP
❑ PTS Phone # ( ) i River Basin '• �� !
A ❑ N/A Adj. Wtr. Body J ' (nat /man /unkn)
Crit.Hab. yes / no Closest Mal. Wtr. Body
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Agent or Applicant; Printed Nam
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Signature * Ple&1 read compliance statement on back of permit
Application Fee(s) Check #
Permit Officer's Signature
s�;C-,k
Issuing Date Expiration Date'
Local Planning Jurisdiction Rover File Name

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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 howto 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/ 1-888-4RCOAST
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

60 if' em I I - 11
S Phillip Collins
President / CEO
5039 Executive Drive • PO Box 943
Morehead City, NC 28557
Phone: [phone] • Fax: [phone] • Cell: [phone]
[e-mail] • www.soundbanking.com
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CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOT
'I
IFFICATION/W
AIVER FORM
Name of Individual applying for Permit:-5�'"vd `,1119
Address of Property.
ArW/), -� /i/ (- )-2; 7
(Lot or Street #, Street or Road, City & County)
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this letter.
// I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, 400 Commerce Avenue, Morehead City, NC, 28557 or call [phone] within
10 days of receipt of this notice. No response is considered the same as no objection if you
have been notified by Certified Mail.
WAIVER SECTION
. i I
Iva 1P T'K
R1 ik'j
JUN 2 6 2008
A&Mi&M I♦ .
I understand that a pier, dock, mooring pilings, breakwater, boathouse, boatlift or sandbags
must be set back a minimum distance of 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 wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Applicant Information)
l �l Sv(,V4
Mailing Address
Nlwp°r-, /VL
City/StatelZip
Telephone Number
Date
(Riparian Propert Owner Information)
Signature nn
Print or Type NaHe
Telephone Number
lc — �-� -0-6
Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to a 4^'"t ��l 11 P (� %'l " S 's
(Name of Property Owner)
property located at 1 9 UtN/I V� ' �� Jr New�mr�- //c
(Lot, Block, Road, etc.)
in
(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.
---- ki ---------------- -----------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DE
N P� (To be filled in by individual proposing development, x '4`.` ` C
J U N 2 S 2008
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(Applicant Information)
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Mailing Address
City/Stat Zip
Telephone Number
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Date
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-------------
(Riparian Property Owner Information)
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Signature
Print or Type Na
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Telephone Number
Date
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0004170475 JUN 12 2008
MAILED FROM ZIP CODE 28557
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CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOT�IIF/ICATIO/N�IWfAIVER FORM
Name of Individual applying for Permit: �^'��� .4v'19
Address of Property: ! ` / 12ye'�'l Z�r
/11i°w12 --' f &6 J-2 7 U
(Lot or Street #, Street or Road, City & County)
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they areosing. A description or drawing, with dimensions, should be provided with this letter.
17 1 have no objections to this proposal.
if you have objections to what is being proposed, please write the Division of Coastal
Management, 400 Commerce Avenue, Morehead City, NC, 28557 or call [phone] within
10 days of receipt of this notice. No response is considered the same as no objection if you
have been notified by Certified Mail. r14
WAIVER SECTION Y�JUN 2 6 NOB
Morehead City 0CM
I understand that a pier, dock, mooring pilings, breakwater, boathouse, boatlift or sandbags
must be set back a minimum distance of 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 wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Applicant Information)
/ 3 / Rve)v7 � g ;� Or.
Mailing Address 1
City/State/Zip
, s - 6 y6 -� �- 3I
Telephone Number
-/Y-,L)?
Date
(Ripari P erty Owner Infor ati )
Signatur
Print or Type Name
a-3� og1�
Telephone Number
Date
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to S4°4 V e 5 's
property located at 1 3 1
on boqjf,
(Waterbody)
(Name of Property Owner)
(Lot, Block, Road, etc.)
/ `'
in e,,, , 4 , N.C.
(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.
- ------------------------- ---------�
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development) Pr- -c- C
(Applicant Information)
Mailing Address
/Uit"O'04 /V(-
City/Stat /Zip
Telephone Number
Date
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JUN 2 6 2008
Owner
Signature /
Print or Type Name
Telephone Number
Date
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CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
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Name of Individual applying for Permit: S,�M���'
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Address of Property:
,42'w�o , r-# ti & '� 7 0
(Lot or Street #, Street or Road, City & County)
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this letter.
✓ I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, 400 Commerce Avenue, Morehead City, NC, 28557 or call [phone] within
10 days of receipt of this notice. No response is considered the same as no objection if you
have been notified by Certified Mail.
WAIVER SECTION
JUN 2 G 2008
I understand that a pier, dock, mooring pilings, breakwater, boathor ;QlUgAifto�gsandbp�ag
must be set back a minimum distance of 15' from my area of riparian access unless wai e M
me. (If you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
,i I do not wish to waive the 15' setback requirement.
(Applicant Information)
31 '3"(ti4 t/ �4 0r
Mailing Address
Newp,141 / C d- 2? fl u
Cityi tateizip
Telephone Number
Date
(Riparian Property Owner Information)
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Signature
Print or Type Name
Telephone Number
Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to flimVt 1 P _2 (�? /!' "s 's
(Name of Property Owner)
property located at 3 } �eNA V'•Or Newo-/- ' / &
(Lot, Block, Road, etc.)
on -Bc0jJf, J ,in l`'ewp.' 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.
` DESCRIPTION AND/OR DRAWING OF PROPOSED DEVE NT
th+M (To be filled in by individual proposing development) D
C l�. i 9�
JUN 2 6
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----------------------------------------------------------------------------------------------------------
(Applicant Information) (Riparian Property Owner Information)
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Mailing Address Signature
New ,4 .Iv(- �'�� 7 /)� %, �• /�, �}—
City/Stat Zip Print or Type Name
a-4-6) 76- 613 -1sd6
Telephone Number Telephone Number
Date Date

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02 1P $ 000.420
0004170475 JUN 12 2008
MAILED FROM ZIP CODE 28557
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A.
S. PHILLIP COLLINS NCDL 5571404
SUSAN L. COLLINS NCDL 2211353
131 BUENA VISTA DRIVE / PH 252-622-4178
NEWPORT, NC 28570
4934
66-1246/531
AY / DATE
TO T1fE
ORDER OF $ n J
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S/OLLARS I tJ ooi.ii. o
SounifAdvantage
Morehead City, NC W,.85,z.*,
FOR
1:053 i 1 2466I: OOOO 16501I•
4934