55222_LUNDY, JONATHAN_20100112

❑CAMA / ❑ DREDGE & FILL fo.1
GENERAL PERMIT ; Previous per nit #
New ❑Modification ❑Complete Reissue ❑ artiai'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 rt
Address
City _, State "'`J' ZIP }
Phone # O i _ - Fax # ( )
Authorized Agent
Affected CW ❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA [IHHF ElIH ❑ URA ❑ N/A
❑ PWS: ❑FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # 5�r) River Basin
Adj. Wtr. Body nakm� an /unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale: )
Pier (dock) length
Platform(s)
FingerS)
pier( Ti-
Groin
Bulk
Basin
Boatramp
Boathouse/
Beac
Sand
Mora
Applicant Printed Name
Signature **Please read compliance statement on back of permit
Permit Officer's
Issuing Date
Expiration Date
ApplicationFee(s) Check# Local Planning)urisdiction 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 [)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 rced by the NC Division of
Water Quality. Contact the Division of Water Quality at the Washington Regional Offic 252-946-6 r 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.
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, Bettie, 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�
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 - 9 — c5�,
Applicant Name
Mailing Address
I certify that I have authorized (agent) ' (/cam - /�s -/ to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity)
at (location)
r
This certification is valid thru (date) / -'2--
Signature
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] PAX: 252-247-33301 Internet: www.nccoastalmanagement.net
An Equal Opportunity l Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to J�.� V 's
(Name of Property7Uwner)
property located at s �� C ; i '� ,
(Lot, Block, Road,. etc.)
onin /i/,fG✓ ) N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: % `�,� 5 Mailing Address: 29"
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 property owner proposing development)
�J
CJ
1 -7 1
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
G2/
Mailing Address" ss Signature
/V ? w � ,� N C, -2 s-; Z
City/State/Zip
(2 S z) 63 7 - y3 ZSY
Telephone Number
Z -Z? c j
Sig�r'e � Date
a,
Print or Type Name
Telephone Number
Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to �n.�G�/, r4i,- I
(Name of Property'Owner)
property located at .S—O/2 L
(Lot, Block, Road, etc.)
on ,L r'> (����K , in !�' �� %� , N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: % %-Z 5- Mailing Address:
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 property owner proposing development)
--------------- --------- I I --- ----------------- ------------------------------------------------
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
IM
Mailing Address %` Signature
City/State/Zip
(-Z,5--,?/ 6 . ? 7 - zf zs`
Telephone Number
sipwf6re Date
Print or Typ Name
me
Telephone Number
Date

Z-2�� DECKS N' DOCKS CONSTRUCTION, LLC
1483 CRUMP FARM RD.
°) OCKS NEW BERN, NC 28562
Construction, LLC [phone] DL 8929001
PAYTHE � C 0�� n
ORDERER OF / � � /C
BRANCH BANKING AND TRUST COMPANY
800-BANK-BBT bbf.com
FOR _El�_�_
1110❑7LL5I'm 1:053L0L12L1:0005L95E2E29Ene
/ �ryry 7115
20 66-112;S31
;Z U 1.)
_ DOLLARS 8 a.1lF' ..
M'