58311_HAWLEY, WYNN_20110808

❑LAMA / ❑ DREDGE & FILL g'
GENERAL PERMIT Previous permit#
❑New ❑Modification El Complete Reissue El Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources j
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
Rules attached. _
Applicant Name Project Location: County
i
Address Street Address/ State Road/ Lot #(s)
City State ZIP
Phone # I O �..{ i--" Fax # O Subdivision
Authorized Agent City ZIP
❑ CW ❑ EW El PTA ❑ ES ❑ PTS Phone # ( ) l �'' h ' River Basin
Affected ❑ OEA ❑ HHF ❑ IH ElUBA ❑ N/A
AEC(s): Adj. Wtr. Body fat /man /unkn-
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr, Body `
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Agent or Applicant Printed Name
PermitOfficer's Signature
1 i
Signature ** Please read compliance statement on back of permit **
Application Fee(s)
Issuing Date
Check # Local Planning Jurisdiction
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
❑ 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
Morehead City Headquarters
Mailing Address:
400 Commerce Ave
1638 Mail Service Center
Morehead City, NC 28557
Raleigh, NC 27699-1638
252-808-2808/ 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)
Revised 08/09/06

BLUE WATER MARINE 7086
CONSTRUCTION INC.
P O BOX 93 66-112/531
MOREHEAD CITY, NC 28557-0093 `` g
DATE
PAY
TO THE
ORDER OF_/-J
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BRANCH BANKING AND TRUST COMPANY
1-800-BANK BBT BBT.com
FOR G< +� �i1>!iu-
II80000 708 611' l:0 5 3 10 1 1 2 1+:000 5 2 14 98 6 5 9 gum
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
T (Bulkheads and Riprap)
I hereby certify that I own property adjacent to W NN-- A uJJey 's
J
(Name of Property Owner or Applicant)
Phone number you can be reached at Z - % Ko C� ,
Mailing address if differ
- '"Property located at 2
n�
location: 27 3 r- i fj^�AAeld sfv" '.f
(Lot, Block,
on r' P./'S . /Mil , in N. C.
(Wterbody) (Town and/or County)
He has described to me as shown. below, the development he is proposing at that location,
Band, I have no objections to his proposal.
--------------
-----------------------------------------------------------------------------------------------------
�� RECEIVED
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
JUL O 7 201(To be filled in by individual proposing development)
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nccoastalmanagementnedPermits/ADJACENTRIPARIANPROPERTYOWNERSTATEMENM.pdf

c
I Polly S. Hawley give permission to William W.
Hawley to develop the adjacent property this dated
July 14, 2 011.
RECEIVED
JUL 2 2 2011
DCM-MHD CITY

NCD�N�t
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
F. Easley, Governor Charles S. Jones, Director William G. Ross Jr., Secretary
Date '�-- 3 1 ` //
Applicant Name
Mailing Address
I certify that I have authorized (agent) 4lue waft^ Non a to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) 'u Ile ca�
at (location)
This certification is valid
i
Signature .°�..
RECEIVED
t
JUL () 7 Z011
MI-NFID CITY
(date) 2 — 3 %—
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone]O 11ntemet: www.nccoastalmanagQment.net
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper

AoF licant:
date:
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 (dame
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
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
tern im acts
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
Dredge ❑ Fill Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
bredge ❑ 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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