51817_DEATON, JOHN & DEATON YACHT SERVICES_20071128

&EIFX�
DGE & FILL � 87-
P E R M I T Previous permit #
❑New ❑Modification El 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 R?soy{Ece�s CTmi Mn an area of environmental concern pursuant to I SA NCAC
C o =� ❑Rules attached.
Applicant Name Project Location: County
Address Street Address/ State Road/ Lot #(s)
City State ZIP
Phone # (^) Fax # ()
Authorized Agent
❑ CW ❑ EW ❑ PTA
Affected
❑ OEA ❑ HHF ❑ IH
AEC(s):
❑ PWS: ❑ FC:
ORW:
yes / no PNA yes / no
Subdivision
City
ZIP
❑ ES ❑ PTS Phone # ( ) River Basin
❑ USA ❑ N/A Adj. Wtr. Body (nat /man /unkn)
Crit.Hab. yes / no Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale: )
Pier (dock) length
Platform(s) i
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: es no n/a y
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
�� !
--
L
4
`
~
f
�
r
�
I
(,
_
❑ See note
on
back
regarding
River
Basin
rules.
ti
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
Permit Officer's Signature
Issuing Date Expiration Date
Local Planning Jurisdiction Rover File Name

V.
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, certifythat this project is consistentwith the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
❑ Tar - Pamlico River Basin Buffer Rules
❑ Neuse River Basin Buffer Rules
❑ Other:
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/ I-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

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to Dea:-} on
(Name of Property Owner)
property located at O oLoMcusbDp—
(Lot, Block, Road, etc.)
on 1!\,` Y l i, aver cae t - —,in ( �%1T�{� 1�� , 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)
exisf�r�`c� aced .
w
be re -1P
��t-mcn
Si afar
tirZ, VJ ��,�s►o�
Print or Typi Name
q 10 - lu-2,- 573l
Telephone Number
Date: ID � 6-4

UNITED STATES POSTAL SERVICE -._Fir.st-C(25s-Avail
• Sender: Please print your name, address, and Z! P .........4Jn,is box • `{ -- _ _:
Prescott Brothers, I Kt,
Po Box 274
or%ev.tc(L, NG22571

■ 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: I
nC a�
A. Signature
4'�Q-
❑ Agent
O--r-(,—�l Addressee
B. Received by ( rioted Name) C. Date of Delive
(J
D. Is delivery address different from item 1? Yes
If YES, enter delivery address below: No
3. Service Type
ertified Mail [I Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7006 2150 0005 5858 5357
(Transfer from service label)
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
i

ce
D,
�1'�Imir�N� 2��1►
Page 1 of 1
http://www2.undersys.com/pamlico/pammaps/mapfiles/Wv393565733935532.png 10/l /2007

��
�FA
NCDENR
Noah Carolina Deparlment of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor James H. Gregson, Director William G. Ross Jr., Secretary
Date / e/,5f
Applicant.Name
Mailing Address
�6- , A"!�z Z? b-7
I certify that I have authorized (agent) to act on my
behalf, for the purpose of applying for and obtaining all CAtiIA Permits necessary to
install or construct (activity)
at (location)
This
signa
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] \ FAX: [phone] \ Internet: www.nccoastalmanagement.net
An Equal Opportunity \ Affirmative Action Employer — 500% Recycled \ 10% Post Consumer Paper

S a c k J0 d I t I M
P.1 S e c c e dd 0 _c U
4026
PRESCOTT BROTHERS INC
141 TARA TRL 66-30/531
GRANTSBORO, NC 28529 472
DATE
PAY
TO THE
ORDER OF
DOLLARS
�FYRST CITIZENS BANK
www.firstciflzen,
FOR
116004026ii- I:0531003001:004 254 2 911'
A