48444_THOMASON, JOHN_20070423

.11-,;27-0115`5
M CAMA / f ]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 (SA NCAC
❑ Rules attached.
Applicant Name
Address A
City . k Stale k ! State ZIP x'J
Phone # O Fax # O
Authorized Agent
❑ CW ElEW D PTA ❑ ES [IPTS
Affected AEC(s): D OEA ElHHF ❑ IH ❑ USA ❑ N/A
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Type of Project/ Activity
Pier (dock) length -_
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
Shoreline Length
SAV: not sure
yes
no
Sandbags: not sure
yes
no
Moratorium: n/a
yes
t-no
Photos:
yes
(_.,no
Waiver Attached:
yes
no
A building permit may be required by:
Notes/ Special Conditions
Project Location: County '
Street Address/ State Road/ Lot #(s)
Subdivision _
City ZIP `.
Phone # O River Basin
Adj. Wtr. Body ,4.- -'nat /man /unkn)
Closest Maj. Wtr. Body i '' ` J
(Scale:
i -
i
i
1
f
i
i
❑ See note on back regarding River Basin rules.
I!V ter;
Agent or Applicant Printed Name
Signature "Please read compliance statement on back of permit"
Application Fee(s) Check #
Permit Officer's Signature
­7
Issuing Date , 7
Expiration Date
_/ / r /
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:
❑ 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

A 415V
North Caroiiria Department of Environment and Natural Resources
Division .of Coastal Management
Michael F Easiey, Governer Charles S. ,Jones, Director William G. Ross Jr., Serre) ,r
Applicant Name
kI
`t
Mailing At;;dCeSS _ y
I certify that I have authorized (agent:) �� >C� L)IC—l�!� to act on rxr'-
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (aciTRv) 511�PW Pr �-�-
at (location) -2b � _P-b14-b -bQA OI -
This cea ti ca "on is .4 al.Ad tirru (da e)
Sign,
ture -- —
1.�G '�rmnleiGe .Avenue, Morehead City, North Carolina 28557
Phone: 252-10°-280P `, FAX [phone] \ Internet: www.rrccoastalmana9ement.net

t
(FOP A PIFR1LiNC�rO.;i.
:�y�°; .� •� hereby
I ��
cerUFy that r own property adjacent to�
of Property OsTnai-
••;. i property located at � ��
.. (Lot, Block, Road eton
c.)
In rl C
(Torn dlbrl•C.
He h .�n�
as deso,j.bed:.fo w
me, as sfaown below. or_
Ioc3tion., and, r naye rio..zb.` tio.ris to his:. the dev,.oprr�ent. h6.is �o. since.
• ( must be sett mini r a . ;propo�i I undeist�ric at- tl;ae
ack a rit i d s Ghat a pi` ��nco.v* -ed bgay me.t I t
waived b
tanc,. or"i revn fit (19') n°om in�•j1- a"ar tipaz-ian
d_s
:= any sh. tv waive%the•seEback ­4 uirement. I
do w isl� lo' waive '
that setback reouirernet�t•
D'ESCITijN,'S+7tOR DRA:,
(Tq be1741 d 17 ay. individiirf PROfl i'DfrS�% OP?1>[E:'�vZ'
- • .. y r:Fo.ring cat re!�+• Fitt
s�
n IA D
S '
cs�sT1
Pant or Typ-2 l`i: Jn e
Teleph��ltilt.'•R:r
i
Date:

Ntr Ca V R ED B 0A T 11I.T7SFA
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I hereby certify that r own property adjacent to
or PraP-,rty Otirner)
?.; ; property located at
L a _
f t B !ac _ � k, Road
^Yrn ,etc.)
I
on
,
` (To' andrOrlt'ou �;.C.
y)
He has des�-�bed:.fo me
as s h ; n
below, e
Ioc3 r
tzon and - � the dev,. -
I .o
ha.�e no .. p4lent he. is ro �
�_ ooze` tio.ns to firs; pronosa.I. p PO-�� ac tt;ae
must I u :�
[ be se. �- nderst<
hack a mtnimurn distance - _ _ -, nc# rh3t a prr~r/•uncove
r
.. • o r Ti.tt r - ec+ bo e`� r a:lir
waived by me. t (I �) trorn m urea or s accs; uri
t is
! d—°—n0r wish to waive the seiback requirement.
I • • ` I I do w':
naive that secbac!c reautrement.
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vwum�ry i a !M!Awwts I;ULUR GRADUALLY AND EVENLY FROM DARK TO LIGHT WITH DARKER AREAS BOTH TOP AND BOTTOM
PCB REgP
NOT VALID OVER $1 000 00
ISSUING BRANCH `
TI:3 -'M OREHEACC mA i r;I 63620551
DATE 'sl='N:LL_ .:: i � :'Ot.,l? 93-541/920
PAY TO THE
ORDER OF
BiIV� y - . 1, `c In� 'h�� DOLLARS PURCHASER, BY SIGNING YOU AGREE TO THE SERVICE
CHARGE AND OTHER TEE13M+SS ON THE REVERSE SIDE.
DRAWER: TRAVELERS EXPRESS COMPANY, INC. f. ' �-D "
P.O. BOX: FIRS INTERSOLIS,TATE
MN K, HE '— t `,. ( /+y I CHAS S FO
DRAWEE: FIRST INTERSTATE BANK, HELENA, MT f U
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II16362055L11' 1:092005411i:OL70710451092u'
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