61124_GUY, DON_20121109

{� r
1� CAMA / '� DREDGE & FILL 'v 1� �T
O • 6 1 124
GENERAL PERMIT Previous permit#
'New OModification �_JComplete Reissue Ell 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 i
iJ Rules attached.
Applicant Name 1-)f1 Ar- Project Location: County ,t
Address .0 I t , Ai� c;.^ i Street Address/ State Road/ Lot #(s)
i
City G State I ZIP 2 it(�
Phone # (') —7e'�- - `Fax # (�) Subdivision '
Authorized Agent EGA �? City 1 } Qn ZIPv'J
! I [�P (' .f River Basin 11�,/
Affected Cw O EW TA ES ❑ PTS Phone # �) % �' 1$ I ^ �.
L OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
AEC(s): Adj. Wtr. Bodgnat /man /unkn)
l PWS: ❑FC: -�
Closest Maj. Wtr. Body
noQc
ORW: yes / no PNA yes / Crit.Hab. yes / no T-—
Type of Project/ Activity
Pier (dock) length - -- - - - -�
- I - - - -- Platform(s)-
Finger pier(s)
Groin length - --
number t .
i
Bulkhead/ Riprap length I �I X I 1
avg distance offshore
max distance offshore Z� --i—
Basin, channel
cubic yards T
r ,t
Boat ramp
Boathouse/ Boatlift_ —
t
Beach Bulldozing
Other
i
Shoreline Length '1
SAV: not sure yes >o> n ; - 1 '.� t -r kL '
1k+.
Sandbags: not sure yes o -
1
Moratorium: n/a yes o, - - rf 1 "'1`� t t j a.l_
Photos: yes o-
Waiver Attached: yes o 1
A building permit may be required by: t ' , :�+? ! ,` # Cn, 0 S'
Notes/ Special Conditions
or Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
(Scale: )
�J
Cj See note on back regarding River Basin rules.
i
Permit Officer's5ignature
Issuing Date Expiration Date
Local PlanningJurisdiction 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 h- s 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:
1 Tar - Pamlico River Basin Buffer Rules n Other:
0 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
252-808-2808J I-888-4RCOAST
Location:
Fax: [phone]
2728 Capital Blvd.
(Serves: Carteret, Craven, Onslow -above
Raleigh, NC 27604
New River Inlet- and Pamlico Counties)
919-733-2293
Fax: [phone]
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)

AN
;.a
r..._..._
N (kPO'DENR
Noith (:: l oiina [),;apartment )f Environment : nd Natural R,(;,sources
:, ivision of i;oastaf Manac ;,meet
Beverly Paves Perdue, GovEr. »r James 1 I . Gregson, Direc , ,:l(
I:)ae Freeman, Secretary
RFCEPV D
Date � .�--. NOV 0 8 2012
DCNt-Mfw Crry
Applicant Nam,1z
Mailing Addres-s _ — --
� .- _zL— ( �: -- to act on nxy
X cert�£'y that I hav(! ,�uthori zed agent �C2
behalf, for the Puy 0 Ise of a )plying for ;►nd obt ining/:
►, CAMA Pey' its necessary to
J
] LrU(:1. ijCtjVjt'�)
install r r COI1S
% z o �U �..
at (location)
date)
This,eertificati.oni I`i �+fi ( -
Signature -
400 GC amerce Aver' Morehead {:; it,, , North Carofin-ri 28557
Phony: FAX: 1s!.247-33301 IntrR : t; www rimota3talmanagemetlt.net
AV I;! ,ai Opf: ad ,illy 1 Affirmatl ie a ctiai Employer— 5r °b :; ;xyded 110% F osl : ons .mer PSper

A.1t>. A t.'ENT J1JPARJAJ' PROPERTY DWNER S'lVA.TEMENT
l hereFr certi .y that ] awn propert.i adjacent to
1 lame of Prop 4
J 2- / T rt3' )
property locsled T! ._____L _ Z, b o / / _--
(L it, Block, Road, .) _
OR _ � OIL) 4 A/ in 6a�, � l"
✓v, terbod; •) (T +wn and/or 0 mAty)
Applicant's phOW ' # 0 7' W 1� Cf t+`tailing Adt �em: . L D '" `
N.C.
[46 has described t m!e, as; Mown below the development fe is 14WMP, at that location, and, T
have no ob)eGlJoT1.9 > his pr TOsal.
NOV Q 8 2012
'R11, J TON i , ND/OR DR, ►WING OF FRI _I NOSED DEVELOPMENT-
�l b be f ifed in by pri peraly owner,prol Sing r� v� ipucenr}
Pk-afGSed4
itG�� 1.7vI
KJ(,LC'c,C,J
k cq
_-. _. _- - - .- --
(Tnform�!ati m ficrprr,perb, Cwr►er Apl�l,ing (I2ipari,si 'roperty Own information)
for Per wit)
? 5C)
Mail.in.g Address Signature
61t4--tatelZip Print or Type Name
--q/9 z q_59 3
T epbrorre errrt>�'i'
zero Qua. .
Date

.A.lMA t'ENT TJPARIAJ1 PROPERTY OWNER S'VA.TEMENT
I hereb:, cerh "y that l . ►wn propert• e adjacent to r 's
lame of Prop :rty ner)
property lomted 3.! � 1 . C � L'. Z� U / I _—
(L BlochR, ` oadtc. T
on (� n , N.C.
i.erbod) (I twn and[/or Ci,unty),
Applicant's pho�t; #: Mailing Adi ess: T �� (� d /C) l l
C)
RECEWED
He has described t me, as: hcown below the developmety to is proposin 1! at that location, and, I
n a3 a no 0bjec;7:ion. ) his pi �)posal. NOV 0 8 201?_
.YJ
v DES CRIU rtoN i', ND/OR DR SWING OF PR1.1 POSED DEVEL160%wrop I
1,0 be f Hed in by pri, ienty owner prod , ring dovelopjuont) g✓
d IA 6ui k,--aC,/k
-Matioi(I 191.11'r perk, U wner Apl I,, i ag (Ripa6 iii 'roperty Owner Information)
£ter Peirmit) a
7 R
Address
Mailing A
�iN a 6O .l I S�tGt� _ •. ��5�
City/State/Zip
Tcd : iaone 14,umhe:i
D di:
f—�---- — Signature
Print or Type Name
--- - — Telephone
er
Nte
_J

lz)ot-) v o
L66-iold(LI v 9
✓� /u o f s o e
RECEIVED
9

INTRACOASTAL MARINE CONSTRUCTION3515 WHITE DR. 2338
MOREHEAD CITY, NC 28557 66-112/531
e
Pay to t.�Y I Ci
(�e
0rderof�
I
BRANCH BANKING AND TRUST COMPANY
1 -800-BANK BBT BBT.com
—
00000 2938n' 1: 531011 211:000519834994311'