56012_MILLS, JOHN_20100629

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El CAMA / L,] DREDGE & FILL
GENERAL PERMIT 6 Previous permit #
ENew DModification ElComplete 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
71.Rules attached.
Applicant Name
Address
City -1
State
ZIP
Phone #
Fax #(
Authorized Agent
0 Cw
El EW
0 PTA DES
El PTS
Affected
AEC(s): Ll OEA
Ll HHF
Ll lH D UBA
El N/A
D PWS:
El FC:
ORW: yes / no
PNA
yes / no Crit.Hab. yes no
Type of Project/ Activity
Pier (dock) length
Platfo
Finge
Groin
Bulk
Basir
Boat
Boat
Beac
Oth(
Shor
SAV:
Sand
Mor;
Phot
Wain
Project Location: County- ',-I I
Street Address/ State Road/ Lot #(s)—
Subdivision
City— ZIP
Phone# River Basin tf
Adj. Wtr. Body (nat /man /unkn
Closest Maj. Wtr. Body
(Scale:
rm(s)
r pier(s)
length
number
iead/ Riprap ength
avg distance offshore
max distance offshore
Lil
,channel
-T—
cubic yards
ramp
#1
A
iouse/ Boatlift
10
A a
-i Bulldozing
r
L
--N �,7
V\K,
'NJ
N
aline Length
not sure yes no
)ags: not sure yes no
L
i
torium: n/a yes no
:)S: yes no
er Attached: Yes n
7
—i
!
A building permit may be required by: vot-A,( Cc C� u XSee note on back regarding River Basin rules.
Notes/ Special Condition, 1, 11
(Own ev ceeJ 6
- % I i b)" IA-ewr—T WC , A ,,-i rPA-r wp—l- I Awl
Agent or Applicafft Ptin*d Nag 1/
4e Signature PI "read compliance statement on back of permit
s'
Application Fee(s) Check #
Permit fficer'l Signature
Issuing Date 'Exp/-ra'tionDate
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
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

NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: John Mills
Date: June 29, 2010
General Permit #: 56012C
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
TOTAL Sq. Ft.
FINAL Sq. Ft.
TOTAL Feet
FINAL Feet
(Applied for.
(Anticipated final
(Applied for.
(Anticipated final
DISTURB TYPE
Disturbance total
disturbance.
Disturbance
disturbance.
Habitat Name
Choose One
includes any
Excludes any
total includes
Excludes any
anticipated
restoration
any anticipated
restoration and/or
restoration or
and/or temp
restoration or
temp impact
temp impacts)
impact amount)
temp impacts
amount
SB
Dredge ❑ Fill ® Both ❑ Other ❑
1,008
1,008
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
252-808-2808 :: 1-888-4RCOAST :: www.nccoastaimanagement.net revised: 02/03/10

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ADJACENT RIPARIAN PROPERTY OWNER STATFAIENT
I hereby certify that i own property 4acentwJlni lmn
(Name of Property Owner)
property located at L0 i 2�, jC), F 13C),;� on I
0.94 Mock, Road, efc-)
on f k US C- A 11je e - Pin 0 V6L0 C bQ-0;/ PaVY) ! IC C , N.C.
(Waterlwdy) I(Town and/or County)
Applicant's phone #: q I' -oZ 1 0 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.
,MON AND/0R DRAWING OF PROPOSm DEVELOPMENT:
(7b bed in by propaV owner propesi V draeWpm &0
Ro posed
-�Kt -ECW�eUd. e-USL
7
i
�cyn6US
prcyf+y
(information for Property Owner Applying
for Permit)
Mailing Address
Devi
propf"
(Riparian PrqPwty Owner information)
i S
1 V-C) Uc11es+-J Nc- 2 �7 �� l �LTPr�irnelt; �Xvle / 0S
City/State/Zip o
9P-a(D--zn(69 ,zs,2-2q9-oo7a
Telephone Number Telephone Number
Signature
fI
/0—/0 zolL?
Date

L-
POMPLETE THIS SECTION
■ 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.
Article Addressed to:
-De1,v
� D 3Cc �ic�—i
kyL�c taxesij�L
A. Sign ture
X / ❑Agent
t� ❑ Addressee
B. Rued by (Print�l�lame) I C. Date of Delivery
�1 I i , i
Is delivery address different from item 17 U Y@:
If YES, enter delivery address below: ❑ No
3. ° Service Type
Certified Mail ❑ Express Mail
Registered ❑ Retum Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery?(Extra Fee) ❑ yes
2. Article Number 7007 2680 0002 8365 1353
(Transfer from service label)
PS Form 3811, February 2004 Domestic Return Receipt M Alf 102595-02-M-1540

UNITED STATES POSTAL SEFkVTb
'► �S5"in4tlth ".�
faesfage.8� Fee§ ?aid
IJSPS- _,
• Sender: Please print your name, address, and ZIP+4 in this box •
,aescG-t7-
To -4
�jvie�
ii=({��i:�II4:i�,�Ilit,lil,l�iililflt,III(
IiIi:�E111 :111��I

ADJACENT RIEPARMN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent toy ( 1� n�CI(�'�li'�i� i t t�l L<` ,s
(Name of Property Owner)
property looted at L.. 0 t 2,2; 40I- F 13 C,,:P, on 1 V
(At, Block, Read, etc.)
on &IU,SC- A l V C V - , in H Va0K ham., PaYYI 1)C 6, , N.C.
(Waterbody) (TOWN and/or County)
Applicant's phone #: q 11-d10 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 PRopogM DEVEWpMIIVT:
(To bed in by property oar proposing &vdopmeN)
pro posad
Low- 4J1, !�
I
��CynMs
vr(.yoy
(INformatian for Property owner Applying
for Permit)
Mailing Address
1W aces-�
City/State/zip
91q -!;2 10 - (F9
Telephone Number
Siinwari babe
(fin Prqpwty owner h&Sr=Wwn)
Signature
/W /9 vas .-,b C )
Print or Type Name
Telephone Number
1D
Date

NCDENR
iVorth aroiina iJecar!mert of Lnvironment. am 1awrai Pesources
Civision of 0oastal Management
Beverly Eaves Perdue James �. Gregson !sec reernan
Governor Director Secretan/
BUFFER AUTHORIZATION CERTIFICATE FOR SHORELINE STABILIZATION
A riparian buffer authorization is required for shoreline stabilization activities within the Tar -Pamlico & Neuse River basins
per Division of Water Quality (DWQ) regulations 15A NCAC 02B.0259 & 0233. The Division of Coastal Management
(DCM) through a Memorandum of Understanding with the Division of Water Quality (DWQ) 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.
i. Impacts: Impacts to woody vegetation from clearing and filling in Zone 1 (begins at the most landward of either
the waters edge or the coastal wetland line and extends 30 feet landward) shall be minimized to what must be
impacted for the sound installation of the shoreline stabilization project. Unnecessary clearing and filling in the
buffer is a violation of the riparian buffer rules.
2. Clearing & Grading: Clearing and grading of Zone 2 (begins at the landward edge of Zone 1 and extends 20 feet
landward) is allowed provided that it is re -vegetated immediately and Zone 1 is not compromised, which includes
maintaining diffused (non-channelized) flow of storm water runoff through the buffer.
3. Construction Corridors: Construction corridors are allowed for shoreline stabilization projects, but they must be
satisfactorily restored as described in condition 5 below.
4. Potential Overwash: For vertical shoreline stabilization projects (bulkheads) only; sites where wave overwash is
expected to be severe, the first ten (10) feet landward (unless specifically authorized otherwise by DCM) from the
structure may be maintained as a stable lawn in order to provide for structural stability.
5. Site Restoration: At minimum, pre -project site conditions must be re-established. A site that was wooded prior to
this shoreline stabilization project must be restored with woody vegetation at a stem density of 320 stems per
acre. Non wooded sites may be re -vegetated with woody vegetation. Restoration must be completed by the first
subsequent planting season (November 1 through March 30) after completion of the bulkhead. Once re-
established, understory vegetation in Zone 1 is to be undisturbed and no owing r any other activity that would
remove understory vegetation is allowed.
• Pre -project site conditions: �1 �vP a
s. Project Drawing: The drawing on the CAMA General Permit is considered the project drawing of your property
indicating the location of the shoreline stabilization structure and any associated clearing, grading, and
construction corridors. 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 above listed ponditiqip�nd verify that al
gc
information is complete and curate. 7 /�/ a
Age r plic 1Pri Name
Age orW ppli a t gnature
CAMA GENE L PERMIT #: V t
Washington Office
943 Washington Square Mall
Washington, NC 27889
Phone [phone]
Morehead City Office
400 Commerce Avenue
Morehead City, NC 28557
Phone [phone]
Pefmit ffice s Signature
Issu Date
An Equal Opportunity/Affirmative Action Employer - 50% Recycled/10% Post Consumer Paper
One
NorthCarolina
sl atlli'ally
Version 5, 09/2009

V,
B PRESCOTT MARINE CONSTRUCTION
PO BOX 874 252-249-0149
ORIENTAL, NC 28571
PAY
TO THE
ORDER OF
First Citizens
Bank
firsteitize m r
FOR
u,002012116 i:0 5 3 3001:004
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DATE 6 472
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