51201_DODD, JEAN_20080724

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❑CAMS►, / ❑ DREDGE & FILL S "-(0 -U,6 /b/5.
r. GEWERAL PERMIT
�E]Nevv El Modification El Complete Reissue El 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 I SA NCAC
} i
Previous permit #
Date previous permit issued_
i'
I'1 Rules attached.
Applicant Name_ � Project Location: County
Address
City
Phone # ( )_
Authorized Agent
Affected aCW
AEC(s): ❑ OEA
❑ PWS
ORW: yes / no
State fZIP f
Fax # ( )
❑-EW ❑ PTA
❑ HHF ❑ IH
❑ FC:
PNA yes / no
Ll ES ❑ PTS
❑ UBA ❑ N/A
Crit.Hab. yes / no
Street Address/ State Road/ Lot #(s)
Subdivision
i
City ZIP %� 1
Phone # River Basin f
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) length (Scale: 1 L,,
M.
M.
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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

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 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 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/ 1-888-4RCOAST
Location:
Fax: [phone]
2728 Capital Blvd.
(Serves: Carteret, Craven, Onslow -above
Raleigh, NC 27604
New River Inlet- and Pamlico Counties)
919-733-2293
Fax:[phone]
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

77�?7
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIE"fOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to S�° �'"` a 's
(Name of Property Owner)
property located at Laf G 2 131" / Z Z 3 G
(Lot, Block, Road, etc.)
on &4!q , in A+1 *-vt4 e, A ea,� , 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)
JUL 2 2 2008
(Applicant Information)
7101 M&u�, Dks Dr-: Vq."
Mailing Address
Ral �► a �•. . NG 27.6 1
Cityl&ate/Lip
91lt- 61z. - 3o77
Telephone Number
DG - .2 7 nU
Date
Morehead City DCM
(Riparian Property Owner Information)
--
Signature
All e44
Print or Type Name
ZSZ - 222' 31341
Telephone Number
7LI2l o 8
Date

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/NIOORING PILINGSBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to feu.„ Dad;
(Name of Property Owner)
property located at L,+- 6 2- 3(0,1+- 1 Z 2- 36
(Lot, Block, Road, etc.)
I
on 64ry n , in "".4 -11 N.C.
( aterbody) (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)
(Applicant Information)
71O1 /l'ma, Owk A-4r6
Mailing Address
124(Cr2L NG 74 /r
City/State/Zip
9(,' $ 7l< � 7 Z -7
Telephone Number
zV7- /2-D�
Date
r
JUL 2 2 2008
MOreheaa (;o,y bui
------------------------------------------------------------------
(Riparian Pro pe ner . n)
Signar
Print or Type Name 4
zs-z Y 5-Li qB 3 7
Telephone Number
Date
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Date/Time
Fax Number
Fax Name
Model Name
No. Name/Number
140 919198558034
Fax Send Report
JUL-22-2008 01:15PM TUE
DCM MHDCTY
SCX-5x30 Series
StartTime Time Mode Page Result
07-22 01:13PM 00' 40 G3 001/001 O. K
-Tep,,.. IJztdi YAa: 91q SSS-9034
-VIV
NCDENR
North Carolina Department of Environment and Natural Resources j
Division of Coastal Management
Michael F. Easley, Governor James H. Gregson, Director William G. lions it., secretary
Date tl7 - 2 2 v ��
0/'
Applicanl.Name -tA,v.
Mailing Address �7j i D i i't'6A,5r Q k5 1), ✓ e �;
K G B JV G 97 4/ 6-
I certify that I have authorized (agent) ( ter-6; �o Vy r �7 5 to act on my
behalf, for the purpose of applying for and obtaining all CAIMA Permits necessary to
install or construct (activity) ON c "T' gWeeA 6or.G- P•/ 9 1,.4- IJ45
at (location) e234 i3ayy:wa DIvA, r%�i{Q,.,4, Pxu.(,,r,yG 28Sf2,
This certification is valid thru (date)
Signature
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: 252.2e7.3330 t Internet: www.nccoastaimanagement.net
MEW IOpDommy Wfirm ive A—CR.pl w—AX Awyc 110% DW wrevmer Papw
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JUL 2 2 2008
Moroheact at t)c nri

J- NAA1 �aK; gM•855'-8034
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 0-7 - Z 2 -� 8
Applicant.Name
Mailing Address 7101 IMkyt,5r 04-k 5 r
<'000 r�
cf�
0
I certify that I have authorized (agent) _ora W I (i 5 to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
I
install or construct (activity) wA e, `T,. S�,i a I30&,Q- / a2 ,� 11-45 ,
at (location) 02 3 4 r3oYy`e-,,j RW V& Z1 S/ Z
This certification is valid thru (date)
Signature
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

PAY TO THE
ORDER OF
W.0
WILLCO CONSTRUCTION
P.O. BOX 151
ATLANTIC BEACH, NC 28512
[phone]
e if) 6N IZ
WACHOVIA BANK, NA
MOREHEAD CITY, NC 28557
66-21/530
4686
-07-72 -d8
$ Roo . k>
DOLLARS 12
VOID AFTER 90 DAYS
____ _� hp
1�'00 4 68 6110 1:0 5 3000 2 191: 20S1,6400 4 6 3 3 911'

4 JUL-24-08 07:47 PM JEAN.DODD 919 876 3727
P.01
JUL -22-2I,11,,1i 1.3• 4 5r orri! LLCM I'1HD1:TY _ To-.91�1g8`'iSKIZ4
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
�_'.99M: 1'1
wla ael F. Easiey, Governor James H, Gregson, Director William a. Ross Jr., Secretary
Date t7 7_.7-
Applicant.Namr.
Mailing Address D��.5_v'.f-.
I certify that I have authorized (agent) �r_��•��J l il, S —__- •_ to act on my
behalf, for the purpose of applying for and obtaining all CA' Permits necessary to
install or construct (activity)
at (location) v'tv 3 tc �w �!: � �(v�t �# �; e- PcdL1, 'Ale- __ 7 8 5 1
This certification is v'alld thru (date)
i natUi'G 4 - e�r1L=
400 Comme!ce Avenue; Morerlee8 City, Norh Caroilra 28557
Pnone: 25t-808-2808',, FAX: [phone] � Internet: ti""v.rlccoastalmanayernent.net
A•, Ecua; Opoorunlry 1 Alf rmative Acwn ET: foyer - 50 % R6ryded , lv° Pvs' CorF.'mer Paps•