51803_GOODRICH, EDNA (ESTATE OF) & HARRIETT, FREDA_20071117

1:1 CAMA / E]DREDGE & FILL
GENItRAL PERMIT Previous permit #
F-1Nevv []Modification El Complete Reissue El Partia'l� �iss�ue 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
Applicant Name -.�+Project Location: County
[E) Rules attached.
51903C ,
Address Street Address/ State Road/ Lot #(s)
t I -�V-V - I " , I I I I
Cityj; /i�`�`/""""­`..�-,�.State ''- ZIP
Phone # Fax # O Subdivision
Authorized Agent .4'City- ZIP
Affected 0 Cw D EW D PTA EES ❑ PTS Phone# O River Basin
AEC(s): El OEA L1 HHF DIH El UBA El N/A Adj. Wtr. Body (nat /man /unkn
0 PWS: EJFC: Closest Maj. Wtr. Body
ORW: yes / no PNA yes / no Crit.Hab. yes no
mMMMMMMMMMM1MM■1 0
IN 00 0
M.
•
IN■mmmmmmmmmom■ME
MIN
ME■MINE
mLmmmmmmmmmmm
IN
IN
MIN
MINE
■IMENIN
me
MMM=Mmm
IN■MINE
MENEM
IN
ME
IN
MMIMM
NEW
111111111
IN
11111111■IN
IMINNINNIMENVOIN
MIN■IN
IN
IN
mmmmmmmmmm
mmmmm
IN
IN
MMMiMINM
MEMO
W,
MEMO
ME
MINE
ME
IN
MEM
011111111111
IN
ME
IN
OEM
ME
IN
ME
IN
I
NINE
ME
MIN
IN
IN
ME
IN
1111111
ME
MINE
■M■■M
MMMM=MMrAa
V
Comm
IN
1111111
mmm
mmlimmmmimm..0�-
maim
IN
IIIIII
E
IN
IN
mmmmmommw
wrok
iia
-
1111111
ME
9111111111
ME
1111111111MINMINUE
IN
E■■■■■■M■■■■MM■MMEl1 SEEM IN 0
No IN 11PON NOME MR
■■00 IN IN WEVANDWIMMUMEM 11,11.12.
■■ff OEM EMERIANK 0MMa
ME IN IN WINE MIDUNFAMM
MIN0MINE IN 0 111111111H MEE
0 OEM ago M
MEN 11119 21111
ME NJ■■ ■':'M
IN SUN:■■■■■ ■IN ME
::■■■■■■�
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, 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:
I�euse 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
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST
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

r
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIEMMOORING PILINGSIBOA1TLIFTBOATTr H��OUSE) ����JJ
I hereby certify that I own property adjacent to � ` (f, X UJ - M ra ��i(-h
(Name of Property Owner)
j
property located at 4 O Jan.o b TJ -
(Lot, Block, Road, etc.)
on S� ri iS e�� in(7,wl CON.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.)
r
I do not wish to waive
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be fl&d in by individual proposing developme-nrt),
C mtrt?�
63
G Cxxldoa lc,n
Signature
Print or Type Name
Telephone Number
Date: ,"�- �� { _�'/C. �_
I

741(0(6 i7com, , ,
Mrs. Joyce Sanderlin

ADJACENT RIPARIAN PROPERTI(OWNER STATEMENT
(FOR A PfER1MOORDVG PLLDVGSBOATL[FTBOATHOUSE)
I hereby certify that I own property adjacent to mtcl Ic o Ed ryi ' G CL Y i cl'1 's
(Name of Property Owner)
property located at 4% l./ ' J(�-n �Cy RCt
(Lot, Sloe, Road, etc.)
on i WWM Crf c+C , in &(CkoaK((, irpJ.t* Cv , N.C.
(Waterlbody) (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 pipings / 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 iDEVELOPAWNT:
FTo he ffted in by in&vidnat mwnoQsing dkwJo tment)
- (�YO
elephone Number
Date: C%%

grr_. (E,_5er_te ih^ nce
-
A docriment.-
PRESCOTT BROTHERS INC
141 TARA TRL
GRANTSBORO, NC 28529
PAY
TO THE
ORDER OF
66-30/531
472
DATE $
CJ
-DOLLARS
FIRST CITIZENS BANK'
..._.NP
www.firstcitiz s.com /
e; ;;
FOR
111003996ii' 1:0S3100300i:00471102S429ii'
4

North Carolina department of Environrhent and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor Charles S, Jonas, Director William G. Ross Jr., Secretary
Date
A.pplieant Name
MAiling Address
Onehui till AC �i S r l
I certify that I have authorized (agenty7LOO to act on mp
behalf, for the purpose of applying for and obtaining all LAMA Permits necessary to
install or construct (acti-vity) ,
at(location)
This certification is valid thru (date) U
Signature
400 Commerce Avenue, Morehead City, North Carolina 28557
Ph,cne: 252-808.28081 FAX: [phone] intemet: www.nccoastalmanagement,net
An Equal Opportunity 1 Affirmative Action Employer -50% RacyClad l 10% Post consumer Paper

Prescott Brothers
Marine Construction
To: Lawanda-CAMA Office
252-247-3330 PO Box 874
Oriental, NC 28571
252-249-0149 (phone)
252-249-0384 (fax)
Date: 1/16/2008 bobbyaprescottmarineconstruction_com (email)
Regarding: Estate of Edna Goodrich c/o Freda Hargett
Comments:
Lawanda,
Below is the mailing address for the Permit yuu called me about:
Estate of Edna Goodrich c/a Freda D. Hargett
l 10 Galahad Dr.
Greenville, NC 27858
252-355-6776
The following fax contains the authorized agent form -
T
hanks,
Brandi Prescott Robertson
Project Coordinator
Prescott Brothers Marine Construction