50162_BERTSON, MARY JO_20080221

11CAMA / ❑ 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 (' Project Location: County
Address Street Address/ State Road/ Lot #(s)
City
Phone # ()_
Authorized Agent
Affected ❑ Cw
AEC(s): ❑ OEA
❑ PWS:
ORW: yes / no
State ZIP
Fax # ( )
❑ EW ❑ PTA ❑ ES ❑ PTS
❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ FC:
PNA yes / no Crit.Hab. yes / no
Subdivision
City ZIP
Phone # O River Basin
Adj. Wtr. Body (nat /man /unkn�
Closest Maj. Wtr. Body
Type of Project/ Activity
■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■
�7■1■■■■■■■■■■■■■■■■■■■■■■■■Iti■■■■Y■■■■■
Ian
Agent or Applicant Printed Name
Permit Officer's Signature
Signature ** Please read compliance statement on back of permit Issuing Date
Expiration Date
Rover File Name
Application Fee(s) Check # Local Planning Jurisdiction

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 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
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/ 1-888ARCOAST
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

u""JAN. Z2.200,94911 * 06AM REGIONAL CARDIOLOGY NO. 489 P. cIR4U3
Authorized Agent Consent Agreement
`tact-+
'r1N�V#ereby authorize r r L' • ZQ act OZ
(Proper Owner)
Authorized Aged
my behalf in ob g C, NOL Permits for the locat m listed below, 1-his agency
authorization is limited #o tote 3Poeific aCt-Viti2s described above,
Property Address:
'V G tre t�,. � ►.� f_. Q
Property Owner's Mailitg Address;
i
ViLLC- 1.s C.
I,
PrdPerty CVner's Signature:
4�
,Authorized Agent Sigmara:e;
Date! i J

1
TURNAGE CONSTRUCTION & TRUCKING, INC.
2373 NC HWY 304
BAYBORO, NC 28515
252-745-4976
MM7
WACHOVIAWachovi
Bank. N.
wechowa .A `\ \l n
ooviecom J {�
"'000 L 3 3 Fl 9l" l:0 S 3000 2 L 9l: 200 78800 L00 S 9ll'
66-21-530
13866

■ Complete items 1, 2, and 3. Also complete A. Signature
item 4 if Restricted Delivery is desired. ElAgent
X ■ Print your name and address on the reverse ❑ Addressee
so that we can return the card to you. B. Received by (Printed Name) C. Date of Delivery
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
❑ Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number
(Transfer from service 7007 2560 0002 6205 5490
PS Form :3811, February 2004 Domestic Return Receipt
102595-02-M-1540
lit tliIIitIIHIIiIM(11HT(I ItIIIIIIIIIIIIll 11(11(it Ill lit I
(`(I;tfItfttftI4(itIMIT If! IT11
ttt--;,Z1� C,0TC0--EiV0TZ,0TCE3L.VC0d.Z, 00
SId
9 _L_2
08tJM2dOJ 0.1. '3.1t:3rit4rl
(
2j: CIld:� 01. Nadt'11.1-36
Z)Nr) Q,�>L�',
/ ✓
G-? C.) fC� 4� / � Cf �3c'� 'G :3 c� C: E/3 2S "i 7: Y' T. h(
m;•,
1D-OSLbBU ZES8Z il.U,il
06hS 9029 2000 0952 t'_OOL
1 La � 3]1,1 M35lViS^d
' ,i
�
�
1Nr:OW
'7.Z_Ntif
3N'10-11 IHNN338 Q�
3 ]H1SOd ' S fl

1
USA First -Class
.AA <4,- q .%.3 /3 £ n TjfS C 1 !
3 � �N +"f rl O r %,e r
Z -7 � -3 y

JIAtv e �.5.G1.�sc_a
-2 Y � ov. A
S L.-� E9.J \ \ -to n V "1 N
jo
!-l� T3

44 rAA
tJ UUZ
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 1 A , - / -%, 13 c= rL r 3c;r , S
(Name of Property Owner)
Prop" located at 5` 3 1 R/L' c.k < c_ ✓ t
(Lot, Block, Road, etc.)
on �, - , In r " -/ � / , 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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
Signature
Print or Type Name
Telephone Number

■ 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.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
S' D 1�d 2 w s �LfiQ !L 7'.'t
4 is e- 1 r e Ic , N L
A. Signature
X ❑ Agent
❑ Addressee
B. Received by ( Printed Name) I C. Date of Delivery
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
❑ Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number
(Transfer from service labeq 7007 2560 0002 6205 5537
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
�i♦T!!!!!!f(!!!f/:� r ttj t f! t!i!1�!!1!! ltltt!I�!r�l! n II�!rrI!!I�rr!Ijrt!r�l! ( r1r!r r!Il tl!rl 7
i fi 11 ! li !' ! 1 1 0 C -- Z!; 2; -- t0 0 T E, C) -- G -L' T )t- 1 1e!; C:1r d Cr, j G
S� O
ONrt
uin,a
F.
CA
IC-O8Lb8000 Z£SSZ
oc�oa
3Jl�ltldf'7Vi S(��
iNfluwu E i 33191s U91INn
80.*ZZiP, SKIZNHr 9jMilli
ON'3Cl1HdCl1TAN3,PJ ��I� I ��
300iSod 'S n
oat:�frtt!10-A oj.
0:31-4 i hl-13 IN
N a(3N:3S 0J. NLfn.L.:3r�
3 f uO Cc T 3Sa cs;!;
r y / -71 7 0 ,-, n •7 tj
r
aa,lJ sw v PV ooSS
S'-:> �+ �' �f� 3 - -V
11111111111111111.. jjj�Klnrlff
il
:,E�[Z
7 f�/ � dj f i n N�zry a1
K a �C'N? F11Y�

Mj 13i rLiRct-J
-73�
z�1r3y
M Qt�y
73A L�ti;J-r
tl�g
USA First -Class

' • >�a y j oy
v•
s You AA-- f j(N4t^j
d o w r..l Sc Px c f-'r p Taro (cfi
/- I Z41.7 S t ry -h -e 4f, .w z
• L.^^
I
—
�

.09/1 i /200B; 02: 44 Fa.Y 2002
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to --7' - 3e-s ri I
(Name of Property Owner)
property located at S` _3 ) i r < < h
(Lot, Block, Road, etc.)
on A nAm 5- x- in 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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
s
pov
Signature
Print or Type Name
Telephone Number