56911_LIEBERMAN, ED_20101109

❑CAMA / ❑ DREDGE & FILL ,
.GENERAL 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 I SA NCAC
❑ Rules attached.
A licant Name f"� Pro'ect Locat on Coun
PP
Address
City
State ZIP
Phone # ( )
Fax # ( )
Authorized Agent
❑ CW
❑ EW ❑ PTA ❑ ES ❑ PTS
Affected
AEC(s): ❑ OEA
❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
❑ FC:
ORW: yes / no
PNA yes / no Crit.Hab. yes / no
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # O River Basin
Adj. Wtr. Body Cr,, 4 (nat man unkn
Closest Maj. Wtr. Body
.••
■C■C■CC■CC■CCC■C■■■C■CCC■CC■■■■C■CCCC■C■
■':■:::■■■:■■:■:■::■C■■■C■■■:■■■:■::C:■
■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■■■1�:�■■■���■■■■■■■■■■■■■■■
Agent or Applicant Printed Name �..
r:
Signature ** Please read compliance statement on back of permit
Permit Officer's Signature
#`t1f1 f
Issuing Date I Expiration Date
ApplicationFee(s) Check# Local PlanningJurisdiction 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/ 1-888-4RCOAST
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

Applicant:
Caie.
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
Habitat Name
TYPE
Choose
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
/
Dredge ❑ Fill ❑ Both ❑ Other
timpacts)
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
[Dredge ❑ Fill ❑ Both ❑ Other ❑
... 54 .. Lim•:?.... ...!"+ .. ': <a -au

ADJACENT RIPARLAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORIIVG PILIIVGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to G b n. er wA ti-N I
(Name of Property Owner)
property located at i "A, d k b LU Oov\ U,
(Lot, Block, Road, etc.)
on (ycfA- ,in Mevi((w 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 minimum distance 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 waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To befilled in by individual proposing development)
ago
�MLk►Q-'.tA%Uf-
(Applicant Information)
To f ox 1(�b
Mailing Address
d��e��
City/Stagl aop ll
Telephone Number _
Date
L�J
Print or Type Name
�( 2�c'i- 1�65
Telephone Number
Date

A AA
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 7111 L10
Applicant Name
LAC
V wVN V\
Mailing Address
LvAy,\
,. e,rv,�W fic
I certify that I have authorized (agent)
to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) 14.A VO \ ko eXCA'v\ j Q`4 ec
at (location) 5 Pw.
This certification is valid thru (date) i
Signature
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] t FAX: [phone] Internet: www.nccoastalmanagement.net
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Page 1 of 1
CITY
JIMERRITT
STATE
NC
ZIP
28556
PARRECNUM
4888
NAME
JILIEBERMAN, EDWARD MARVIN
MAPNO
K071-39
CONTROLNUM
CLSCODE
PIN
IDISTTOWN
D02
INSERT
K071
DBLCIR
BLOCK
39 JJPARCELNO
SITEADDR
191 OLD LUPTON RD
SITUSADDR
191
SITUSROAD
OLD LUPTON RD
EXEMPT
LEGDESC1
E/S SR 1326
LEG6ESC2
TOTACRES
0
IICRNTTOTUSE
110
CRNTTOTDEF
0
CRNTLANDVA
1154600
CRNTBLDGVA
29019
CRNTOBLDGV
14943
TOTCRNTVAL
98562
FIRECODE
F
II HOUSECODE II P
II SEWERCODE
SALEAMNT
125000
JISALEDATE
10/26/2004
SALEDATE2
174,447
IP4CODEIls
ROADNUM
1326
PCTCOMP
100
WILLBOOK
11WILLPAGE
10
DB PG
1143411
DEEDBOOK
11434
DEEDPAGE
IIIJJPLAT
XXXXXXX-XX
II MOBHOME 110
http://www2.undersys.comlscriptsltestadvlusiwebpc.dlUusi?formis=ptmap&MouseX=460... 7/19/2010

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORMG PILIIVGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to d ��eberw��h
property located at
(Lot, Block, Road, etc.)
(Name of Property Owner)
I
on ( Owl'-Oe (yice�L ,in Mievy(w 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 minimum distance 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 waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
� 1y\L,1k1k,tA, lLC
(Applicant Information)
Yo V)00 lCAD
Mailing Address
City/State/Zip
aL�A-
Telephone Number
.7C�� Iry
Date
yet`
A. -a
(Riparian Property Ownejr Info mation)
Signature
k� � Lr.,�XI ✓ N"tV\
Print or Type Name
Telephone Number
x
Date

lBX
PO BOX 190
ORIENTAL, NC 28571
Pay to the D
Order of � i j , `
11 Iq /IC)
Date
1159
66-30/531
472
$ a0D.OU
Dollars 8 t,,,eo
fj First Citizens
I� Bank Ft pp `firstchizens.com
For
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AGA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue James H. Gregson Dee Freeman
Governor Director Secretary
BUFFER AUTHORIZATION CERTIFICATE
FOR PIER AND DOCKING FACILITIES ACCESS WAY
A riparian buffer authorization is required for pier and docking facilities access ways through the Tar -Pamlico &
Neuse River Riparian buffer per Division of Water Quality (DWQ) regulations 15A NCAC 02B.0233 & .0259.
The Division of Coastal Management (DCM), through a Memorandum of Understanding with the Division of
Water Quality (nWQ) has reviewed your project proposal, determined that the project as proposed complies
with the aforementioned regulations, and made a "no practical alternatives" determination per those
regulations.
Those activities covered by your Coastal Area Management Act (CAMA) permit have received Buffer
Authorization as long as the project is constructed in a manner that continues to meet all of the conditions
listed below. Failure to comply with this Buffer Authorization shall subject the property owner & the party
(contractor) performing the construction &/or land clearing to a civil penalty of up to $25,000 per day per
violation.
1. Crossing is Perpendicular: Pier and docking facility access way must cross the 50 ft. riparian buffer
perpendicularly (which is defined as between 75 and 105 degrees) unless otherwise approved by DCM.
The alignment shall minimize the removal of woody vegetation to the greatest extent practicable.
2. Pervious Materials: All reasonable measures shall be taken to ensure the access way i.:, made of
pervious materials like open -slatted wood or composite, mulch, or grass to meet the intent of the rules
to the maximum extent practicable.
3. Access Width: The width of the pier or docking facility access way shall be limited to six (6) feet.
4. Project Drawing: The drawing on the CAMA General Permit is considered the project drawing of your
property indicating the relative location of the pier or docking facility and any requested access way.
This drawing will be used to aid in compliance and monitoring efforts.
By your signature below you agree to be held responsible for meeting all of the conditions listed above and
verify that all information provided is complete and accurate.
ti�fJ oyeV
Agent A plicant Printed Name
Agefit or Applicant Signature
Per" fficer's Signature
� -7 ( u
Issue Dafte
CAMA GENERAL PERMIT #: � 9 1 [ L
Washington Office
943 Washington Square Mall
Washington, NC 27889
Phone [phone]
Morehead City Office
400 Commerce Avenue
Morehead City, NC 28557
Phone [phone]
Version 5, 09/2009
An Equal Opportunity/Affirmative Action Employer — 50% Recycled/10% Post Consumer Paper