57046_GIBSON, EMMITT_20110103

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❑CAWk / ❑ DREDGE & FILL ��
GENERAL PERMIT Previous permit #
ONew ElModification []Complete 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
Rules attached.
Applicant Name
Address
City
Phone # ()_
Authorized Agent
Affected ❑ CW
AEC(s): ❑ OEA
❑ PWS:
ORW: yes / no
State ZIP
Fax # ( )
❑ EW ❑ PTA ❑ ES ❑ PTS
❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ FC:
PNA yes / no Crit.Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)�47
z i III
Subdivision
City ZIP
Phone # River Basin %'✓ `' r
Adj. Wtr. Body '- i + = (nat /man /unkn)
Closest Maj. Wtr. Body
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Agent or Applicant Printed Nam _.
Signature ** Please read compliance statement on back of permit
Permit Officer's Signature
Issuing Date Expiration Date
a
Local PlanningJurisdiction Rover File Name
Application Fee(s) Check #

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
❑ Neuse River Basin Buffer Rules
❑ Other:
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: Emmitt Gibson
Date: January 3, 2011
General Permit #: 57046C
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 ®
120
120
LM
Dredge ❑ Fill ❑ Both ❑ Other ®
96
96
SB
Dredge ❑ Fill ❑ Both ❑ Other ®
192
192
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 ❑
252-808-2808 :: 1-888-4RCOAST :: www.nccoastalmanagement.net revised: 02/03/10

NCDENR
North Carolina Department of Environmeni and Natural rResources
vIVISIOi t or Coastal Management
Beverly Eaves Perdue James H. Gregson Dee 1 reeman
Gr,vernor Director Secretary
BUFFER AUTHORIZATION CERTIFICATE
FOR PIER AND DOCKING FACILITIES ACCESS WAY
A riparian buffer authorization is required for pier and docking facilities access ways through the Tar -Pamlico &
Neuse River Riparian buffer per Division of Water Quality (DWQ) regulations 15A NCAC 02B.0233 & .0259.
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 Wor land clearing to a civil penalty of up to $25,000 per day per
violation.
1. Crossing is Perpendicular: Pier and docking facility access way must cross the 50 ft. riparian buffer
perpendicularly (which is defined as between 75 and 105 degrees) unless otherwise approved by DCM.
The alignment shall minimize the removal of woody vegetation to the greatest extent practicable.
2. Pervious Materials: All reasonable measures shall be taken to ensure the access way is made of
pervious materials like open -slatted wood or composite, mulch, or grass to meet the intent of the rules
to the maximum extent practicable.
s. Access Width: The width of the pier or docking facility access way shall be limited to six (6) feet.
4. Project Drawing: The drawing on the CAMA General Permit is considered the project drawing of your
property indicating the relative location of the pier or docking facility and any requested access way.
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 conditions listed above and
verify that all information provided is complete and accurate. A/
Agen o.r'App icant Printed Name
or Applicant Signature
CAMA GENERAL PERMIT #:
Washington Office
943 Washington Square Mali
Washington, NC 27889
Phone [phone]
101
T
Morehead City Office
400 Commerce Avenue
Morehead City, NC 28557
Phone [phone]
emit Officer's Signature
IssuEM
An Equal Opportunity/Affirmative Action Employer — 50% Recycled/10% Post Consumer Paper
Version 5, 09/2009

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 )') � l 10
Applicant Name E
Mailing Address 51), `ko"Az5e.C,\
I certify that I have authorized (agent)
NC, ),� 51
.L U ./� ems, h c
to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) V �°`
at (location) 5 k `r v C'.,
This certification is valid thru (date)
Signature /\ 6/vX'\� r �--
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] t FAX: [phone] t Internet: www.nccoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper

Dec. 6. 2010 11:10AM King Pharmaceuticals No.1173 P. 1
CERTIFIED FIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL. MANAGEMENT
ADJACENT RiPARtAN PROPERTY OWNER NOTI"CATIONMAIVER FORM -
Name of Individual applying for Permit: "`^'r^A
Address of Property-
555�. �vw�e5e�
(Lot or Stmt #, Sheet or Road, City & County)
I hereby certify that I own property adjacent to the above referenced property_ The individual
applying forthis permit. has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this letter.
,° have no objections to.thls proposal.
ff you have oNeeftax to what is being proposed, please write the DWW*n of Coastal
Management 4M Commerce Mmue, Mo,ehsad C01% NC, 2M7 orcall (252) BWZM wain
14 days ofyevopt of this notice. No response is conslderred the some as no objectfun if you
have been notffled PX Cediffed Mall.
WAIVER SECTION
I understand that'a pier, dock, mooring pilings, breakwater, boathouse, bootlift or sandbags
must be set back a minimum distance of IN from my arise of riparian access unless waived by
me. (If you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Applicant Information)
Po 46ox i"A0
Meiling AddfM
_d'r.�' CAA , IBC. A? 571
C*1StaWzrp
Telephone Number
11%1 1 10
Date
(Riparian Property Owner Information)
X
Signature
x 011
Print or Type Name
k /,5i_j I �_,.7-7- z--"'
Telephone Number
k L�'_c.I/,d
Dare
C voSJ'AL, 9�e�SG A-Q, pr �,,\x �o
��hlG you, ,IIC/

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Label/Receipt Number: 7006 0100 0004 9789 7376
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• Acceptance, December 01, 2010, 2:39 pm, ORIENTAL, NC 28571
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-----ME (� Street, Apt. : 5 7 or PO Box No. ;v\Pcti\tV�,l ------------------------

1L10-3-11-128B
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LIO-3-1 1-123 L10-3-11-133
L10-3-11-11J
Pamlico Count NC
County,
Parcel Number:
L10-3-11-131
Deed Book:
538
NC PIN:
7419449833
Deed Page:
69
Owner Name:
GIBSON EMMITT E ET UX
Plat:
PICA 157-11
PROPERTY MAP
Owner Name2:
Owner Address:
3653 CAMELBACK DR
Deed Acres:
Land Value:
1.1
165000
Owner City:
MOUNT AIRY
Building Value:
0 N
Declaimer:
Owner State:
MD
Value:
650
165000
.� .. The date provided an this map are prepared for the Inventory of real property found within
Pamlico County, NC from deeds,
Owner Zip:
21771
Sale Date:
(unsupported data type]
( PP
and are compled recorded plats, and other public records
' t� - and dote. This data is for Informational purposes only and should not be substituted
t, for for
Situs Address:
552 HOMESTEAD RD
Sale Price:
465000 One Inch = 100 Feet
c,. a true title search, property appraisal, survey, or zoning verification.
Legal Desc:
LOT 1 1 RIVER DUNES SEC 1

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IBX 1167
PO BOX 190
ORIENTAL, NC 28571 66.30/531
472
Date
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Order of NcDE A i` . -i V Q 00
Dollars
First Citizens
Bank /
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