51216_HAILEY, JAMES_20080818

❑CAMA / ❑ DREDGE & FILL`
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 Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
❑Rules attached.
Applicant Name__
Address
City _
Phone # (')
Authorized Agent
Affected ❑ CW
AEC(s): ❑ OEA
❑ PWS:
ORW: yes / no
State ZIP
Fax # ( )
❑ EW ❑. PTA
❑ HHF ❑ IH
❑ FC:
PNA yes / no
❑ ES ❑ PTS
❑ UBA ❑ N/A
Crit.Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # (`) River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale:. )
Pier (dock) length
Platform(s)`
}
j
Finger pier(s)_ '
Groin length
number -
{
Bulkhead/ Riprap length it
y
avg distance offshore
max distance offshore '
Basin, channel
cubic yards
Boat ramp _ t
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
I
c
SAV: not sure yes no
I
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
❑ See note on back regarding River Basin rules.
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature ** Please read coniipliance statement on back of permit
Permit Officer's Signature
Issuing Date
Expiration Date
Application Fee(s) Check # 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 consistentwith 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.
(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

RCDENR
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
August 19, 2008
James Halley
PO Box 14164
Durham, NC 27701
Dear Mr. Hailey:
Attached is General Permit #51216C & #51217C
In order to validate this permit, please sign the permit as indicated. Retain the white copy for
your files and return the signed yellow and pink copies to us in the enclosed, self-addressed
envelope. If the signed permit copies are not returned to this office before the initiation of
development, you will be working without authorization and will be subject to a Notice of
Violation and subsequent civil penalties.
We appreciate your early attention to this matter.
Sincerely,
q4otl" 614e
7
Heather M. Styron
Coastal Management Representative
lsb
Enclosures
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internet: www.nccoastaimanagement.net

A!AM;i E
--. GIENER
❑New ❑Moc
As authorized by the State
and the Coastal Resourc
Applicant Nam
Address
city
Phone #) U"J
Authorized Agent
�aion
EC�& FILL
EMITomplete Reissue ❑Partial Reissue
Narolina, Department of Environment and Natural Resources
imnn in an area of
environmental concern pursuant to 15A NO
State,��
Fax # ( )_
Affected ElCW Jf W � [I ES ElPTS
A
Affecte [IOEA ElHHF ElIH ❑ UBA El N/A
❑ PWS: ❑FC^
ORW: yes 4 no l
NO
Previous permit #_
Date previous permit issi
Project Location: Count��-''
Street Address/ State Road/ Lot #(s)
_ Subdivisio
ln
City 71 ZIP
Phone # ijver Basin
Adj. Wtr. Body �)ll N L, n man /unkn
r'Incoct Mai Wtr Rnrly
Crit.Hab. yes / no
s
channel cubic yards
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Agent or Applicant Printed Name
Signature* Pe ea compliance statement on back of permit Issu' Date { cpi ion D to
ApplicationFee(s) Check# L lanningjurisdiction Rover File! ame

JAMES R. HAILEY
P.O. BOX 14164 66-46/531
DURHAM, NC 27709-4164 0000172208634 2704
PAY TO THE �j DATE
ORDER OF l -A di/ Jl -
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