51804_HOWELL, LEROY_20071112

1 i Z -c7 7/ 6 6
❑CAMA / ❑ DREDGE & FILL NT9
G8NERAL PERMIT Previous permit
❑New ❑Modification El Complete Reissue El 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
Applicant Name
s
Address
City e -
State
i
Phone # ( ) V:
Fax # ( )
Authorized Agent
❑ CW ❑ EW
❑ PTA ❑ ES ❑ PTS
Affected
ElOEA ElHHF
AEC(s):
ElIH ElUBA ElN/A
❑ PWS:
❑FC:
ORW: yes / no PNA
yes / no Crit.Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City
❑ Rules attached.
ZIP
-51-SO4;„
Phone # ( ) River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale:
Pier (dock) length ,
I
Platform(s)
Finger pier(s)
Groin length
number_
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
--
i
I
Shoreline Length _
SAV: not sure yes no --�— FTIJI fill t
` ?1 i
Sandbags: not sure yes no
Moratorium: n/a yes no fi
Photos: yes no
Waiver Attached: yes no
A building permit may be required by: �y 4 ~ ` '� See note on back regarding River Basin rules.
Notes/ Special Conditions
Agent or Applicant Printed Nago j
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:
Meuse 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 (252-946-648 I) or the Wilmington
Regional Office (9 I 0-796-72 15) 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/ I-888-4RCOAST
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

UNITED STATES POSTAL SERVICE
First -Class -Mail
Postage & Fees Faicl
USPS,
Permit No. G-1D
• Sender: Please print your name, address, and ZIP+4 in this box 0
274
NC22571-
............ ......

ra
(DomesticCr Only,
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CID
Postage
$
t17
Certified Fee
2.
Lrl
M
Return Receipt Fee
Postmark
Here
?
' j^'
p
(Endorsement Required)
0
Restricted Delivery Fee
i
O
(Endorsement Required)17
Lr)
r—1
Total Postage & Fees
Is
r
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a-
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Sent T
-----
-A P7No.
.;
or PO Box No.
-
--------
State,-
City, State, ZIP+
r7YL-''
- -
- --
■ Complete iterns 1, 2, and 3. Also complete
item ,4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
A. Si ature
/► / , /J/j '
X
Cl Agent
Addressee
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.
B. Received by ( Printed Name) C. to of Delivery
e f S V
g® item 1? ❑Yes
D. Is deli7every
If YESaddres(�c�X
5 2007 1�
MOIL-
1. Article Addressed to: I r (
2,
C V �� � J IV 'V "'�
3. Service pe , .
Ce t' ailR ess it -'�`
❑ egistered Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee)
❑ Yes
2. Article Number
7006 2150 0005 5858
5319
(Transfer from service label)
PS Form 3811, February 2004 Domestic Return Receipt /1^�
102595-02-M-1540

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PI RIMOOR17VG P&WGSBOATLI.FTBO jAT'HOUSE) }
i hereby certify than I own property adjacent to 5' U can Oo vC
(N i of Property Owner)
property located at
(Lot, Block, Road, etc.)
1J
on I 030n S cffick, , in - - TAMLI(o CO3 , 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 minimnun distance of fifteen feet (25' from my area of riparian access Mess
waived by me. (If you wbb 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 DEVELOPMENT:
(To beJUW In by hubfiftdprWvsixg &vsloPmerr)
CCAIP-y�} CAW ELLL
3a,, LA
Signature
I o v►, WWCCA/al
Print or Type Name
2yq - ool1
Telephone Number
Date: toIi9Ia7

PRESCOTT BROTHERS INC
141 TARA TRL
GRANTSBORO, NC 28529
PAY
TO THE / l
ORDER OF / J A
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3996
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6fi-30/
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DATE �
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' DOLLARS
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F'lRS'I' CITIZENS BANK
www.firstcitiz s.com
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FOR
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North Carolina Dopartme t of Erivirorimerit and Natural Resources
Division of Coastal Management
Michael F. Easl.ey, Governor Charles S. Jones, Director 'Ailliam G. Ross Jr., secretary
Date I U
T
Applicant Name
Mailing Address .
I certify that I have authorized (agent), r ( �i UI ` T� to act on my
behalf, for the purpose of applying for and obtaining all CAM.A. Permits necessary to
installor construct (activity) C (d
at oocation)
This certification is valid thru (date) IIAI l of
Signature Z-Z� t
IQ-
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internet: www.nccoastalmahagernent.tiet
An Equal Opportunity 1 Affirmative Action Employer —50% Recycled io% Post Consumer Paper

To: Barad Connell
25 247-3330
Date: 11/20/2007
Regarding: Howell Permit
Comments:
M
Prescott Brothers
Marine Construction
PO Box 874
Oriental, NC 28571
252-249-0149(phone)
2524249-0384 (fax)
bobby2t)rescoitmarinQconstruction.cam (emit)
The following fax contains the Agent Authorization fonn for the Hornell Permit, There
was also some confusion on a physical address for the property. I spoke with the map
office for Pamlico Co, and they have assigned it the address of'.
$b Wise Lane
Oriental, ETC 28571
Thanks,
Bran&