57999_GIBSON, ANDY_20110624

❑ CAMA / D DREDGE & FALL n �'
GENERAL PERMIT Previous permit #
❑New ❑Modification 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 I SA NCAC
0 Rules attached.
Applicant Name Project Location: County
Address Street Address/ State Road/ Lot #(s)
City
State ZIP
Phone # (�)
Fax # ( )
Authorized Agent
Affected D CW
El EW ❑ PTA ❑ ES ❑ PTS
AEC(s): OEA
0 HHF ❑ IH ❑ USA ❑ N/A
O PWS:
❑ FC:
ORW: yes / no
PNA yes / no Crit.Hab. yes / no
Subdivision
City. ZIP
Phone # ( ) River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Win Body
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'MENOMONEE N
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Agent or Applicant Printed Name
Permit Officer's Signature
Signature ** Please read compliance statement on back of permit **
Issuing Date
Application Fee(s) Check # Local PlanningJurisdiction
Expiration Date
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/ 1-888ARCOAST
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, 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:
Date: 1
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
ternimpacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
im a amo nt)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
ternimpacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
Dredge ❑ Fill ❑ Both ❑ Other
/
4edge ❑ Fill ❑ Both ❑ Other
redge ❑ 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 ❑
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06/17/2011 09:17 2524460997
a BARNES,-STEEL,
PAGE 01/01
f))F �w—p-s
.ADJA CENT RIPARIAN PROPERTY OWNER STATEMENT 1 447:
ZT.
bereby certify that X own property adjacent to. AND`
(Name of rroparry Owner)
property located at _ �' Q� R--Ipj-r -s—r
(Lot, Bloch, Road, etc.)
on "�,� L.otZS �+?�'E , inLlTi 21 ZOII
(Waterbody) and/or
DcM
Appiacant's phone }a 5 �5 - /��.5 ]lading Address:
1 k3-7 "7
He has described to me, as shown below, tba development he is proposing at that location, and, I
have no Objections to his proposal.
------------- --------------- - ------------------ 7 ------------------------------- ------------ - - ------------
DESCr�PY.'ION AND/OR DRAWING OF PROPOSED UVELOPNENT:
(To be�ller� in by roper owper proposing devrlrapmenf�
------------ 7- ------------------ - - - --------------- -.- --- - - -------------- ---
(fnformat on for Property Owner Applying (Riparian Property Owner Information)
for Permit)
Address
Cit.3-/State/Zip
Telephone Number
Signature Dare
Signature
Print or Type Name
Telephone Number
Date
Received Time Jun.17. 9;11AM

ADJACENT RIPARIAN PROPERTY OWNER STATEMENTCaJ5-�) ?- 5-3 q/1
I hereby certify that I own property adjacent to. hr JD-( G j$SorN s
(Name of Property Owner)
property located at 196(.
(Lot, Block, Road, etc.)
N2
r 1?Olj
on }'tycMCK , in 1rt 3 U ° 1 c p� per , N.0
(Waterbody) Town and/or County)
Applicant's phone,(atop g5_6-17-25-Mailing Address:
2�eDp-ilySs
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: < h4,\,59
(To be filled in by pro erty ow er proposing development) i ��
----------------------------------------- -------------- I -
(Information for Property Owner Applying
for Permit)
Mailing Address
City/State/Zip z
Telephone Number
Signature
Date
(Riparian Property Owner Information)
"A�����Signature
Print or Type Name
Telephone Number
Date
19VI

�C'%
qp I d
I
eolj
North Caroiina Department of Environment and Natural Resources�cli)�.
Michael F. Easley; Governor Charles S. Jones, Diractor William G. Ross Jr., Secrei,rj
Date A(-"
Applicant Nanne
Q1 O y i
._�G
�/ Sad Rr�
7l57pg4
) W'- to act on im-
I certify that I have autboi--zed ageant
behalf, for the purpose O WlYixng for and obtaining all CAMA Per Mits necessary to
install or construct (activiq
at (location) _ 1-4a& 7rWiL S_
This Ced"aa��Cat" is vafi�rl fi$an-�a (date)
Si(7Knature
1

T _e5
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
�1
1
I hereby certify that I own property adjacent to JqP& { Gi f3SoN "s eo1I
(Name of Property Owner) '
property located at t `-f 6 i S l
(Lot, Block, Road, etc.)
on'FH COV-S' Q*99�5 , in C i9? fffFf , N.C.
(Waterbody) Town and/or County)
AppIicant's phone A( S�BMailing Address: 76 `l 7 "2i:K1 4'&-Mo PZ
2�FV S�e'r� n►Gs N C a? 3 7?
He has described to me, as shown below, the development he is proposing at that location, and, 1
have no objections to his proposal.
-------------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: �< 4\`'�
(To be filled in by pro erty ow�2 er proposing development) �� v ��tA
--------------------------------------------------------
(Information for Property Owner Applying
for Permit)
Mailing Address
City/State/Zip
Telephone Number
Signature
Date
-� ------------- ----------------------------------
(Riparian Property Owner Information)
Signature
Print or Type Name
Telephone Number
Date

04/06/2011 07:20 2524460997
EARNES STEEL
PAGE 01 / 01
ADJACENT RIPARIAN PROPERTY OWNEkI STA']C�EiV�EN"JC�05�
q
X hereby certify that I own properlyadjacernt to j}'G L-ICN --- 1
(Marne of Property ON4VneK&I
property located at
(Lot, Block, Road, etc,)
cjy1-
N.C.
on Z.00-�Ltiyx� and/off' County
(Waterbody)
Applicant's phone 6 !� 5 `,�7� Mailing ,Address: 7 q ?
He has dcscrib©d I,o me, as shown below, the development ho is Proposing at t1lat location, and, [
have no objections to his proposal.
- .-DES N' AND/OR PJRA,WIN'C OF PW)POSED DEVELOPMEl�i'I:----- ti� ,6JN
n�sc�P�cxo � ��
(To laE lied in. ,6y pro erty ow xet proposir� r�evelopmc 0 Q�Vk
:5,5
T t
V, J
pig �cI r�ah+n�
(Information for Property OwnerApplying (Riparian Property Owner Information)
for Permit,)
Signature
Tvlailln,g ,Address
City/State/zi�-
,2�-:2-
Telephone Number
5i nature Date
Print or Type Name
Telephone N=, ber
Date
Received Time Apr, 6. 7:26AM

SAMMIE E. TURNER
MARINE CONSTRUCTION ACCT
252-725-3415
P.O. BOX 1885
MOREHEAD CITY, NC` 28557
PA
TO THE c-
ORDER OF
DATE C�
• • BRANCH BANKING AND TRUST COMPANY
• • 11--8f000-BANK BUT BBT.com
FOR
I+°000 S 16?w, I:OS31011211;00052 LO58406611'
4
.
5167
66-112/531
s C�?bn
LLARS