58321_GORDON, RICHARD AND JANE_20110825

❑ CAMA / ❑ DREDGE & FILL
GENERAL PERMIT
❑New ❑Modification El Complete Reissue ❑Partial Reissue
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
Previous permit #
Date previous permit issued
❑ Rules
Applicant Name i 1 Project Location: County
Address
City State ZIP
Phone # O Fax # ( )
Authorized Agent
❑ CW ❑ EW ❑ PTA
Affected
❑ OEA ❑ HHF ❑ IH
AEC(s):
❑ PWS: ❑ FC:
ORW:
yes / no PNA yes / no
❑ ES ❑ PTS
❑ UBA ❑ N/A
Crit.Hab. yes / no
Street Address/ State Road/ Lot #(s)
`}r,*i_�
Subdivision
City ZIP
Phone # ( ) , f" River Basin
Adj. Wtr. Body �i,l�� ^ r4 (� (nat /man /unkn)
Closest Maj. Wtr. Body
TY e of Project/ Activity
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MOMMENE MEMOS
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Agent or Applicant Printed Name
Permit Officer's Signature
Signature "Please read compliance statement on back of permit"
Application Fee(s)
Issuing Date
Check# Local Planningfurisdiction
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 [)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

ADJACENT PJPAMAN PROPERTY OWNER STATEMENT
(FOR A PIERIA100RINGPILI_NGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to ► (, ,r� �. 60 ✓�ov, 's
(Name of Property Owner)
property located at L? D i V e firr+ N C"
(Lot, Block, Road, etc.)
on %%Dr in Pu.0 f� ✓ �2 ✓PL� tA H + N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: ZS2�%� 7S/Z Mailing Address: 2 q ( 12-CA�
13�, �C _ 7-
He has described to me, as shown below, the. development he is proposing at that location, and, J
have re objections to Lis proposal_ 1 understand that a. pier/moorine pilin[IS / boatlift / boathouse
must be set back a minimum distance of f f(.een feet (15') from n-ry area of riparian access unless
waived by me. (If you wish to waive 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/Opt DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in.. by individual proposing develo 771ent)
Zoo - Z� fee ;
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A s it i 2-o X 2_41 ' i ,n d ►�v� r� S ; o ✓t 5
Aj, 1
(information for Property Owner Applying
for Permit)
_2-.L( ( R-LAA—o l e t% ID r r
Mailing Address
City/State/Zip
GZS) 7ZS-75"1 Z
Te ephoro 3 u er
:gnature �A✓`C - ► DIV-
(Riparian Property Owner Information)
L Signature
S
Print or Type Name
yea a 3 �
Telephone Number
Date

ATTORNEYS AT LAW
POST OFFICE BOX 1347
NEIL B. WHITFORD
MOREHEAD CITY, NORTH CAROL INA 28557-134 e
CAROLYN B. BRADY*
TELEPHONE [phone]
MELISSA BERRYMAN
FACSIMILE [phone]
KIMBERLY L. FARIAS**
Email: [e-mail]
JANE A. GORDON fi
www, ki rkmanwh itford. com
* ALSO LICENSED IN GEORGIA
**ALSO LICENSED IN CALIFORNIA
July 19, 2011
t ALSO LICENSED IN NEW YORK
VIA CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Virginia Potter Donnell
9809 Overbrook Road
Leawood, Kansas 66206
Re: Application for Permit for Pier at 241 Rudolph Drive, Beaufort, NC
Dear Ms. Donnell:
STREET ADDRESS:
710 ARENDELL STREET - SUITE 105
MOREHEAD CITY, NC 28557
Please find enclosed an Adjacent Riparian Property Owner Statement for your consideration.
We intend to build a pier at 241 Rudolph Drive, and we are sending you this Notice in
accordance with 15A NCAC 07H.1202(b). Any comments by you must be received in writing
within ten (10) days of receipt of the enclosed Notice. No response will be interpreted as no
objection. As you can see from the description of the proposed pier, it should be sufficiently far
from your property line so as not to interfere with your riparian rights.
Sir Tane
erely,
A. Gordon

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'��'�' V v �9.I�R i-'..'STATEMENT _.
' (OR A YI Flv -OOP C- Fir I F� G ; r �I � � OA TIP 0 USE)
T hereby Cc,rti Y that 1 own, p1opc ty adjacent to
p opEr—Ld located at
(Na-me oProperty Owner)
D
o� f
atel'body)
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vlai'.�edby t' e. (kLYOU�-1SI1 to Tvalvc. the se-1{ ::C1 {; j'U'i? 111u5t'il?t'lz! tl
hr �Jtl,tlp?'1aGcI�h?ni.i
belo1,v,.)
I do not -vvish to ivalVe
T do i ish to valve that Setback requirement.
-------------------
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Date

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 f Z
Applicant Name �+ (��"^� G640 o� J G hG 4,
Mailing Address Z � ` ��' �O i 1P k O� i v � � k�,��
I certify that I have authorized (agent)
to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) CZi -
at (location) 2-1'f `Z-�.�.� i� �+ lb Y- 1
This certification is valid thru (date)
Signature . Yi a`" J ,
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internet: www,nccoastalmanagement.net
An Equal Opportunity 1 Affirmalive Action Employer — 50% Recycled 110% Post Consumer Paper

30 July 2011
Jane Gordon
c/o Kirkman, Whitford, Brady, & Berryman
710 Arendell St., Suite 105
Morehead City, NC 28557
In reference to the 19 July letter regarding construction of a pier at 241 Rudolph Dr., Beaufort, NC I
have enclosed the signed Adjacent Riparian Property Owner Statement. I have no objection to the
proposed pier as described as long as all county and CAMA regulations are followed. I was out of
town on travel until recently and could not respond to this letter until now.
Sincerely,
Steve Ross
309 Foxwood Ln
Wilmington, NC 28409

■ 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.
■ Atta&b this card to the back of the mailpiece,
e front if space permits.
to:
V�1 '"--CA P&W Ooni\eik\
WWO U- goad
W,vgoodl, OvisG5 &&2n�
2. Article Number
(Transfer from service label) _
PS Form 3811, February 2004
A. Sin e
X ❑Agent
Addressee
B%% RecbI d by (Printed Name) C.
Date of Delivery
Cf� delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee)
7005 1820 0002 4437 1048
Domestic Return Receipt
❑ Yes
102595-02-M-1540

UNITEDT9�1�0'�AL'Sf2VICE :a►it"d:�;.:. 'w...u� .. a
x... ...•:
• Sender: Please print your name, address, and ZIP+4 in this box •
Kirkmtn� Wh��°cd
np prend aver' 1aV
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