53354_PASSEY, TERENCE AND HORACE MURRAY_20090309

❑CAMA / u DREDGE & FILL 1 " "_ 3-(40-09 146
`. GENERAL PERMIT �E]
�` Previous permit #
'r' ' ❑ Complete Reissue Partial Reissue Date revious ermit issued
C!New ❑Modalcatron Comp ep p
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 1�J,
X) Rules attached.
Applicant NameT�o�tcti> '`�:,�tt.1 ya ��ot:rcC%
Address -S �3 .1 �- t 1 Lar
� ±�+ �`41 r�.i
•�7 f .
City
State ' C
ZIP 2-SSRIA
Phone # ()
Fax # ( )
Authorized AgentCr'j!.,,o,'(
Affected D CW EW
`-] PTA i� ES
❑ PTS
AEC(s): OEA ❑ HHF
❑ IH ❑ UBA
❑ N/A
Cl PWS:
❑ FC:
ORW: lye?]/ no PNA yes / no Crit.Hab. yes / no
Type of Project/ Activity
Pier (dock) length X I
Platform(s) jCi k Ci
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp _
Boathouse/Boatlift` 1_')* 1.5
Beach Bulldozing
Other 7A 2— >!,n,
Shoreline Length
SAV: not sure
yes
no
Sandbags: not sure
yes
'tv)
Moratorium: n/a
yes
nol
Photos:
yes
n .
Waiver Attached: (yesi no
Project Location: County, r , : 1,
Street Address/ State Road/ Lot #(s) : � 11, -;J j j c.cc; ypt 1i;
Subdivision
1\,
City I tw---- l i t ZIP �� t
Phone # (" '�i? )" 727�- I-j River Basin r
Adj. Wtr. Body '�eC.� tQ:. nNta man lunkn
Closest Maj. Wtr. Body
(Scale: 0-3 )
A building permit may be required by: �"• ; - 1. l? ❑ See note on back regarding River Basin rules.
Notes/ Special Conditions ;tVA ,11S cz 101 Z.- S
Agent r Applicant Printed Name
ff; _--
Signature ** Please read compliance statement on back of permit"
Application Fee(s) Check #
Permit Officer'sSignature
IssuWgDate Expiration Date
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, 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 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.
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, 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

JRN-22-200e 16:08 From:DCM MHD 2522473330 To:252 393 8660 P.1/1
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
Datea�
Applicant.Name
Mailing Address 313 LOB1,
(--WI L Z)
WE/certify thatI'>za authorized (agent) to act
,2Sio� x4l-flai/vc �'F�1✓Sif-ZU� i IS��J )
YYYY behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) -DCC ti'
at (location) S _T) -Dj2► vj ,
v� �—rz ►� �iS C e:7' U C��t, (0�) W& P" i , Ale -
This ecrtificatiotz is valid thru (date)
1 ,
Signature -�
400 Commerce Avenge, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone]Internet- www.nccoastalmanagement.net
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to A-0 /2,9 t AI tt •�q 's
(Name of Property Ovvner)
property located at S J 1 1 � e 1) B£ k r �2
(Street Address, Lot, Block, Road, etc.)
on / R O U T (�4 r-- C- r- _,in - T e 0 cJ v 7-y , N.C.
(Waterbody) (Town and/or County)
He/she has described to me, as shown below, the development he/she is proposing at that
location and I have no objections to this proposal. I understand that a pier/mooring
pilings/boatlift/boathouse must be set back aminimum distance of fifteen feet (15') from my area of
riparian access unless waived by me. I have indicated my intentions by initialing below:
I do not agree to waive the 15' setback requirement.
ials}
I do agree to waive the 15' setback requirement.
itials)
--------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
---------------------------------------------�-------------
nature
Print or 'Type Name
Telephone Nuinber ~ ~
Date:--

03/03/2009 12:55 9197790826 TRYON BUSINESS CTR PAGE 02
Feb, 25. 2009 1:32PM QWICK PACK & SHIP, No. 0547 P. 1
ADJACENT RIPARIAN PR PERTY OWNER STATEMENT
(FORA "MUN'G PILINGSIB O.4 TLI'FT/BOATH'O USE)
I hereby certify that I oivn property adjacent to
pro,egy,located at
Gar
(Name of Property Owner)
r
(Street Address, Lot, Blok, Road, etc.)
on in
(Waterbody) (Town And/or County)
He/she has described to me., as shown below, the development lie/she is proposing at that
location and I have no objections to this p�oposal. 1 understand that a pier/mooring
pilings/boatliftliioathowe must be set back arn.inirn� rn distance of fifteen, feet (1 T) f ozn my area of
riparian access unless waived by me. I have indicated my infantions by initialing -below:
I do not agree to waive the 15' setb�ck requirement.
(initials)
Z do agree to waive the 15' setback f equiremant.
�illlhslB�
------------------------------------------------------------- — ----------- .........
U, SCRIPTION AND/OR DRAWING bF PROPOSED DEVELOPMENT:
(To be -fitted in by individual�roposing development)
t or 'type None
elephotie Member