51850_FLEM, PER_20071126

CAMA/❑DREDGE&FILL Jf'3v'�7/ i3 0
To
❑
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GENERAL PERMIT Previous permit #
❑ New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Reso s
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A CAC
❑ Rules attached.
Applicant Name_ Project Location: County
Address ; Street Address/ State Road/ Lot #(s)
City
Phone #
Authorized Agent
❑ CW
Affected
AEC(s):
❑ OEA
❑ PWS:_
ORW:
yes / no
State ZIP
Fax # ( )
❑ EW --1 PTA ❑ ES ❑ PTS
❑ HHF ❑ IH I UBA ❑ N/A
❑ FC:
PNA yes / no Crit.Hab. yes / no
Subdivision
City ZIP
Phone # O River Basin
Adj. Wtr. Body (nat/man /unkn)
Closest Maj. Wtr. Body
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Agent or Applicant Printed Name
YN
Signature Please read compliance statement on back of permit **
Application Fee(s) Check #
PermitOfficer's Signature
3_�2 A
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, 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 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/ 1-888ARCOAST
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

11/06/2007 TUE 14:24 FAX [phone] Recto Molded Products Z 001/002
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Mlchael F. Easley, Governor James H. Gregson, Oirector William G. Ross Jr_, Secretary
Datey�aC' Zb Q 7
Applicant Name
NfailingAddress 1`42-ig' <1 C' l,i
X certify that I have authorized (agent) d�'i2i s 1',�P,;�� �,t�i to act on my
behalf, for the purpose of applying for and
lI obtaining -all CANIA Permits necessary to
install or construct (activity) CHIC
at (location) _ t C (' ' w
This certification i-m id thru (date) �`��`f ! 2��c�
Signature
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone- 252-808-2808 \ FAX: [phone] \ Internet: www,nccoastalmanagement.net
An Equal Opportunity \ Affirmative Action Employer - So% Recycled \ 10% post Consumer Paper
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N �v • 21 . 20"17 1 : 1 5PM
No,0812 P. 2
(P'OR A ri eRIM001UNG PILINGS/BOATLIFT/BOATHOUSE)
I hereby cerr.ify that I own property adjacent to &- it 6/h
(Namee of Property Owner or Applicant)
Mailing address if different from location address �// (,. ��r/�L /� ,'t/Z' ^_
(town, state and zip),ri- x.PAia -Z'sez- 2 854�
phone numbers you can be reached at__f/k-
property located at T,9m,�F
(Lot, Block, Road, etc,)
on Sori,ul in �L��S/� —��CS"9 �I'� N.0
(Wa[erbOdy) (Town and/or County)
He has described to me, as shown below, the development he is proposing at that locatior
and, I have no objections to his proposal, I understand that a pier/mooring pilings/boatlift/boathous
must be set back a minimum distance of fift�dn feet (15�'frorn my area of riparian access unles
waived by me.
I do not wish to waive. the setback requirement.
inidRI;
I ds wish to waive that setback requirement.
initials
DES CRIPTION AND/OR DRAWING OF PROPOSI%D DEVELOPMENT:
(To be filled in by hidividual proposing devef pment)
_............. .
i
Signature
O 4 .s—lGl�l�� �J
Print or Type Name
,(?17--77f 13�6
Telephone Number

(P-UR A 1'IERIMOURING PILINGS/BOATLIFT/BOATHOUSE)
I hereby czri:ify that I own property adjacent to i�� g Al1-Z-1? 't
(Name of Property Owner or Applicant)
Mailing address if different from location address �// C�IA�✓,z �t�i'lyi=
(town, state and zip) %S y'y
phone numbers you can be reached at
property locatt;d at SWIP
(Lot, Block, Road, etc.)
on �� 'e u,v, j' in Z�G'�i_� L rLF �- C�� j'
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/boathousc:
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.
initials
I do wish to waive that setback requirement.
initials
-------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
r
r.
----------------------------
---------------------------------------------------------------------------------
Sign urf
Print or Type Name
0712--3- ti-:3l-'?1 _
Telephone Number

-r i l V i n In n c r A n o g •• •��
ORRIS MARINE CONSTRUCTION & LANDSCAPING
NO BILLY M. NORRIS5 OWNER LLC
B 377 NORRIS LANDING3-880 RD.
SWANSBORO, NC 28584
7778
66-301531
342
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