53030_LAMSON, JOAN_20081124

❑ CAMA F] DREDGE & FILL
GENERAL PERMIT
DNew DModification ElComplete Reissue []Partial Reissue
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 I SA NCAC_
Applicant Name
Address
City State a. ZIP,_
Phone# ri'Fax #(
Authorized Agent
Affected 0 Cw F1 EW D PTA El ES 0 PTS
N/A
AEC(s): El OEA F-- HHIF El lH El UBA El
0 PWS: LJ FC:
ORW: yes / no PNA yes / no Crit.Halb. yes no
Previous permit #
Date previous permit issued
D Rules attached.
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City— ZIP
Phone # River Basin A
Adj. Wtr. Body— (nat unkn)
/man L
Closest Maj. Wtr. Body i
Type of Project/ Activity
Pier (dock) length_
Platform(s)_
Finger pier(s)
(Scale:
I I-L i F I A
Groin length
number I
Bulkhead/ Riprap length 1 "A ,(I
avg distance offshore
rajBasin,
max distance offshore
channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
I
I
-
N
I
V,
IiV-- V
Shoreline Length
7
SAV: not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no i
Waiver Attached: yes no 1 r
A building permit may be required by: I See note on back regarding River Basin rules.
Notes/ Special Conditions 7 -A?
I
I
Agent Applicant Printed Name Permit
Signatyre Please read compliance statement on back of permit Issuing
J
Application Fee(s) Check # Local P
Date
— --:X�
,iurisdiction 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 I) 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/ 1-888-4RCOAST
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

NCDENR
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
Date //2 3- 0'5?
Name of Property Owner Applying for Permit:
—1
i /1�i � E . Z-14 U �
Mailing Address:
J l ,,,1914 Ybwyl 4e �)r
I certify that I have authorized (agent) ' / y l-v, j to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity)
at (my property located at) p o 5
This certification is valid thru (date)
Property Owner Signature
Date
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internet: www.nccoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOOR17VG PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to
(Name of Property Owner)
property located at I I C )
(Lot, Block, Road, etc.)
on �,N , in� lil Q K `GG Gi I L��/� , N.C.
(Waterbody) (Town and/or County)
He has described to as shown below, the development he is proposing at that location,
and, I have no objections fdb s-proposal. I understand that a pier/mooring pilings/boatliftiboathouse
must be set back a minimum: distance of fifteen feet (15') from my area of riparian access unless
waived by me.:`
2-
I do not wish to waive the setback requirement.
v' I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
t.,f T s3 S h d ►Zc -� a rz,� 125 �i� rL i� s S _ �� `,z
W Lw��tir
"j L" j IL ►, e P� 0
(Applicant Information)
Il U A-hwo' 7e� e 6—
Mailing Address
City/State/Zip S �-/ L
,Z S 2 2 w- � /,/ L)
Telephone Number
Date
1"44-o,. ,54- oL1) wads
(Riparian Property Owner Information)
Signature
Print or Type Name
Telephone Number
Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to i-o A d �AJ t� d ,t/ 's
(Name of Property Owner)
property located at 1 Q EAL D R ,
(Lot, Block, Road, etc.)
on , in Flo , N.C.
(Waterbody) (Town and/or County)
He has described to nre, as shown below, the development he is proposing at that location,
and, I have no objections to T xs-proposal. I understand that a pier/mooring pilings/boatlift/boathouse
must be set back a minimumistance of fifteen feet (15') from my area of riparian access unless
waived by me.
I do not wish to waive the setback requirement.
I do wish to waivq that setback requirement.
---------- -------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
(�✓' � �L �o g �' � h o-�;, ��-� `-f 2 5�� Q-i � S ' Cep � 5 v � �'
w A-LL L�N-5 �► I �8
LC)
—
(Applicant Information) (Ripariap Property Oner Information)
If a AR2 }
Mailing Address
City/State/Zip
` -S-2 2tk> .3 I 10
Telephone Number
II/23/
Date
Signature
LJ,;44- w-rL 14, mho m 0 �
Print or Type Name
2I--) 1 —64--o
Telephone Number
It .7 3,0-3
Date

JOAN LAMSON
PH. 252-240-3110
110 ARBORVITAE DR
PINE KNOLL SHORES, NC 28512
Ay
ORDER OF
7331
/ 66-1246/531
I $ `Yc,
U- Souraf�ldvantage
S� _
Morehead City, NC 28557 -- - -rur
FOR
0O S 1 466�: 000 2 19801" 7 3 3 1