57930_GIAIMO, CAROLYN_20110513

❑ CAMA / ❑ DREDGE & FILL ipX "
GENERAL PERMIT � Previous permit #
❑New ❑Modification ❑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 15A NCAC
❑ Rules attached.
Applicant Name if Proj1ect Location: Coun
Address
City
Phone # ()_
Authorized Agent
Affected 0 CW
AEC(s): El OEA
ElPWS:
ORW: yes / no
_ State ZIP
Fax # ( )
❑ EW ❑ PTA
❑ HHF ❑ IH
❑ FC:
PNA yes / no
tY
Street Add r s/ St a Road/ t #
Subdivision
City ZIP
❑ ES ❑ PTS Phone # O River Basin
❑ UBA ❑ N/A
Adj. Wtr. Body gnat /man /unknj
Crit.Hab. yes / no Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale:
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
—
1
,
Beach Bulldozing
Other
Shoreline Length
SAV: not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
Notes/ SpecialiConditions
I
i
`.
{
-
4
;1
•
❑
See
note
on
back
regarding
River
Basin
rules.
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
PermitOfficer's Signature r + -•.
! t
Issuing Date Expiration Date
Application Fee(s) Check # 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 complywith 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/ I-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

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
DISTURB TYPE
Choose One
TOTAL Sq, Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)
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 ❑
2':2
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 ❑
e„t..y �%.Si Vew �'R;Jn .. `�•�.7 u�i:'71,.135��.9J .. '•�T-;t/ r.;'l�:.i�d?.�ax.?.t:tX�:'5.7«C.'.:2a;1:iAi`t.!"i[,':'� .s....a ...;.�..t• i^, �) f.. •,l�.l ii

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FORA PIER,1hIt�ORII�G PILLNGSIBOATLIFTIBOATHOfISE) �cc�n
I herebyccrtif y that I own property adjacent to _"� �i t� � � �'►� �_� � 1 � �4Y 5 2011
y p p , (Narne of Property Owner)
property located at 2�
(Lot, Block, Itoad, etc.)
DCM.MUZ) CITY
on
in - •I - , N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: "J2�- —62-1 0 Mailing Address:_ Z �'� V.?�•) �`-
lte has described to zne, as shown below, the development he is proposing at that iocati(>r7, anti, I
have. tics to his ptoj)osal. I to de.rstand that. a pie3-!rnaoring pilings I I�t�atlift 1 boathouse
must be set back a mimmw;, distanct of fifteen feet (15') from .ny area of riparian acczss unless
waived by me. (If you wish to Nvaive the setback, you must initial the appropriate blank
below..)
1 do not wish to waive
I do wish to waive that setback requirement.
_ --
DESCRIPTION AND/OR DRAWING OF PROPOSED DL+ VELOPMENT:
(To be filled in by individual proposing development)
(Information for Property Owner Applying
for Permit)
Mailing Address
Lary/State/zip
'12� m2�o
Telephone Number
Signature Date
O'er
a4: (3L0 L-viak)
------------------------------------------------------------
(Riparian Property Owner Information)
T� Signature
Print or Type :dame
Telephone Number
I l _ _--Date

ADJACENT RIPAIUAN PROPERTY OWNER STATEMENT RECEIVED(F. ORPIERINIOORINGPILL,VGSIBOA7'LIFTIBOATIIOUSE)
I hereby certify that I own property adjacent to _ t''� t O l M c 's 2011
(Larne of Property Owner)
property located at 2 d� �/11�5;`—� ' HDCITY
(Lot, Block, Road, etc.)
N.C.
,in
on �" (W erbodY) (Town and/or County)
Applicant's phone Mailing Address:_2c)'I �Z-D ' `K
Ile ),Asdescribed t.o xne, its_ -,shown belmy, the development he is proposing at that locatio l and i
have no ob.jeclions to his prolx0s�nl. I unde.rstan.d that. a picilln7-3oring 1lilii�gs / bt�atlift! baatlYouse
rmist be set back a mininrn nn distance of fifteen feet (15' j frorn ,try area of riparian access unless
waived by me. (If you wish to Nvaive the setback, you must initial the appropriate blank
below..)
I do not wish to waive
I do wish to waive that setback requirement.
----------- --------------------- ------ -- --
DESCRIPTION AND/Olt DRAWING OF PROPOSED DEVELOPMENT:
rfo be filled in by individual proposing development)
C�iy�tNS
b.LIL
r
(Information for Property Owner Applying (Riparian Property Owner information)
for Permit)
.ZOO
Mailing Address Signature
1�J C Z 5-'� z
City/State/Zip
.Z ©Z40
Telephone Number
Signature
Date
Print or Type Name
Telephone Number
Date

Ala -FAQ
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary
Date `�7 � / /
A'Ua QNw Waq
IIOZ bW
Applicant Name _
Mailing Address
Qa41aOaO
I certify that I have authorized (agent) _ to act on my
behalf, for the purpose of applying for and obtaining all LAMA Permits necessary to
install or construct (activity) ,
at (location) _ 'Z w-�
This certification is valid thru (date)
Signature%G�2��
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internet: www.nccoastalmanagement.net
An Equal Opportunity \ Affirmalive Action Employer — 50% Recycled 110% Post Consumer Paper

�. �p ;,A ,� 4..'•.'av�vam6�." ,`�i°"ffis �.�^ .., :A�*r�
MUD BUCKET DREDGING INC ���j 5005
507 HEDRICK BLVD (%/`� 66-112/531
MOREHEAD CITY, NC 28557-3045 lJ
Date 5. t 31 1
'Payto the s....",
Order of �' `.•°..
G� _y Do((ars
BRANCH BANKING AND TRUST COMPANY
• 1-8GG-BANK BBT BST.00m
FOR
-
` u'0000 500 Sum i:0 5 3 10 1 1 2 11:000 5 2 9 3 2 I8 31-, Ills