52128_HOELL, DEBBIE_20080128

1
❑ CAMA / ❑ DREDGE & FILL
CENEHAL PERMIT /issue
Previous permit❑New ❑Modification [-]Complete Reissue ❑Partial (� 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 Project Location: County
Address
City State ZIP
Phone # ( ) Fax # ( )
Authorized Agent --- -
❑ CW ❑ EW ❑ PTA
Affected
AEC(s):
❑ OEA ❑ HHF ❑ IH
❑ PWS: ❑ FC:
ORW:
yes / no PNA yes / no
Street Address/ State Road/ Lot #(s)
Subdivision
City
ZIP
❑ ES ❑ PTS Phone # ( ) River Basin
❑ UBA ❑ N/A .,f -4JFW j'
Adj. Wtr. Body f - F- -'Y~ "t'!- ' , (nat /man /unkn)
Crit.Hab. yes / no Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale: )
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number_
Bulkhead/ Riprap length
avg distance offshore
i
max distance offshore
F. k
Basin, channel
r
r _ cubic yards i_ � f
I
_-
`
Boat ramp
I
i
I
Boathouse/ Boatlift
Beach Bulldozing
Other
_
Shoreline Length
SAV: not sure yesesCno
I I
Sandbags: not sure yes
Moratorium: n/a yesPhotos: yes
Waiver Attached: yes Ir - { r 7 '
A building permit may be required by: ,'\.1 ❑ See note on back regarding River Basin rules.
Notes/ Special Conditions
0e
Agent or Applicant Printed Name f 1
Signature Please read compliance statement on back of permi—`
Application Fee(s) Check #
PermitOffic r's,Signature
'' ''cS
r41
Issuing Date Expiration Date pad
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
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/ I-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

■ 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.
1 ■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. {Article Addressed to:
t� l cn zd
��At.tt^OrZT� J,ic 285-16
A. Signature
X
❑ Agent
❑ Addressee
C. Date of Delivery
Waddress different fro64w 1 1? ❑ Yes
enter delivery address below:
r
Seryiee Type
L`1 Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7005 0390 0003 9059 8426
(transfer from service label)
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 I'

UNITED STATES POSTAL SERVICE
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
• Sender: Please print `� your name, address, and ZIP+4 in this box •
( ' 1
T D��1
ti ,

COMPLETE THIS SECTION
' ■ Complete items 1, 2, and 3. Also complete
item 4 if RI'stricted Delivery is desired.
S ■ Print your name and address on the reverse
1 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.
Article Addressed to:
A:
©A�^ent
UL, i �431tlyqssee
UR,��eiy y ( Printed Name) C;Rpte of DeWery
D. Is delivery address different from item 17 Yes
If YES, enter delivery address below: No
w
3. ,Se�rvie Type
❑ Certified Mail ❑ Express Mail
❑ Registered
❑ Return Receipt for Merchandise
❑ Insured Mail
❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
r 2. Article Number
I (Fransferfromservicei 7005 0390 0003 9059 8419
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 ;
i !'

UNITED STATES POSTAL SERVICE Fimt-Class. Mail
__..::.
P stage & fees Paid
• Sender: Please print your name, address', and Z1Pt4,.i;n this boz •*-
&�?kj lr��
�0,&Y- 1,3
SICO'40rll k-/ c