59709_KANYHA, MARY_20120110

❑ CAMA / ❑ DREDGE & FILL
-9709 (7
GENERAL PERMIT
Previous permit #
❑New ❑Modification ❑Complete Reissue ❑Partial Reissue
Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources i
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
❑ Rules attached.
Applicant Name_. ;
Project Location: County
3;
Address_ ___ rI
Street Address/ State Road/ Lot #(s)
City - -- -- _ —.. - State ZIP
Phone # (_ ) Fax #
Subdivision
Authorized Agent ; ' - , t, f f F w ,v n .C' ti.
City ZIP
Affected ❑ CW r-1 EW ❑ PTA ❑ ES ❑ PTS
Phone # (`) River Basin
AEC(s): ❑ OEA --1 HHF ❑ IH ❑ UBA ❑ N/A
Adj. Wtr. Body (nat /man /unkn)
❑ PWS: F FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) length
(Scale:
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length t or y=
avg distance offshore
I
'
l
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other_
_
I
I
LF
_
I
!
�
Shoreline Length _.
SAV: not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no -
A building permit may be required by:
Notes/ Special Conditions
� I
I
1
❑ See note on back regarding River Basin rules.
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
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/ 1-888-4RCOAST
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

NC®ENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary
Date
Applicant Name q fx—IC,6�.--
Mailing Address -Z >Z P4.4 '�J v4 -
I certify that I have authorized (agent) L/P © c fC ' , _ to act on my
behalf, for the purpose of applying for and obtaining all LAMA Permits necessary to
install or construct (activity)
at (location) .Z i 4 rZ + h ?--z, tan C, -Z f Z.
This certification is valid thru (date)
Signature
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internet: www,nccoastaimanagement.net
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post consumer Paper

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FORA PIE.RINIOOR1NG PILINGSIBOATLIFTIEOATIIOUSE)
1 hereby certify that 1 own property adjacent to I' �Agn' ':.I..K A N O'�
(hta ne of Propert� Owner)
property located at -z
(Lot, Block, Roads etc.)
on t% on. rs� , in_. , N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: `2µ'� _`� _ Mailing Address:_ 2 I t � �4
-P bts' ill S 1-.> 24� 51 Z-
Ile has ine, as shown bu�[ow, 111c development he is prcposing at that 1Ocatlo)n; and, i
have no obiections to his propclsal. I understand that. a pieyhnooring pilings / boatlift / boathouse
1rn:st be set back a In1nHnL11,1 dist.3tle;t� of f5f'tecn feet (1r�i) from ally area of riparian access unlC-ss
waived by me. (If you wish to Nvaive 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/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
`�� P i�-mac: 7►-► li a -A- ��•-
r;� l t' I_, c1tilL� ►,� z a 11
(Information for Property owner Applying
for Permit)
Mailing Address
City/State!Zip
Telephone Number
Signature
Date
(Riparian Property Owner Information)
ignature
\ALE
Print or Type Name
Telephone Number
Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIN10ORINGPILLNGSIBOATLIFTIBOA7"1OUSE)
�4 's
1 hereby certify that I own property adjacent to _ Q �PPNCrTtO�
-_N a neoner)
property located at -Z i �- S'}14" =—q—�,),�1�-) ->a 2
(Lot, Block, Road, etc.)
on Latw a4— T k-� N.C.
,in ,
(Waterbody) (Town and/or County)
Applicant's phone #: `��7 `� ��---- Mailing Address:_ 2 ! Ss S� I���-� �2� �Z
I.le at that location, lia;_desciil)cd ta_zz�cis shown below_, the devolopinellt lie IS proposing at and, I
havo no, oblec(i.ons to his proposal. 1 understand that a pieryinoort.)g filings 7b7c4ffft/ bt�atl%use-
rrn:st t)e set back a minimum distillot of fifteen feet (15') fronl MY 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/OR DRAWING OF PROPOSED DEVE.I,OPMENT:
(To be filled in by individual proposing development)
L �
1®�=-�: ,ram �'T � � � �-- � 11 � ►.� � �.� .,; i � � � !� � � , �
a- A- I
Y O�� `j }+a 1Z1r � 11� � ..� L'`�' � � f �-• Cl� �� �rS 2 o t
- - -----------------------
-------------------------------------------- - ---------
(Information for Property Owner Applying (Riparian Property Owner information)
for Permit)
_.cLIA�
21 !9 in 144: � _e, �"'� Q_ s=� " '� Signature
Railing Address
'City/State!zip
2 S .Z Z-4') — Li. -
Telephone. Number
Signature
(lam tvt�b,� ___�--_��-���►� +�-1___
Print or Type Name
-- Telephone Number
Date Date

NC®ENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue, Governor James H, Gregson, Director Dee Freeman, Secretary
Date l 9 1 Z
Applicant Name YYl 14 fL-�:r 'r �-A ►- ti'9
lilailing Address 2 1 �7 4 1 +Cn- 14
T K-:S N L- 2% 1 7
nn
I certify that I have authorized (agent) �� �� U, �L� D�'�^,� .� to act on my
behalf, for the purpose of applying for and obtaining all LAMA Permits necessary to
install or construct (activity) "ems L3 E:,
at (location) Z l A 14'�- e- 4 Ln
This certification is valid thru (date)
Signature 41
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internet: www.nccoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled \ 10% Post Consumer Paper

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to rn 1 YL.Y Lk a►y s
(Name o Property Owner)
property located at 2 (� a 4 A:g,- 0— Re .V %, 9a 4 O
(Lot, Block, Road, etc.)
on in T K--5 , N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: 2i-1-1 �4 ►53 Mailing Address: � l 6 �11 IAEe- Q4,+h V-a 40
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:
(To be filled in by property owner proposing development)
' � � � �o 2t: � I ► L✓'� � L L C--k— -5 Ra ii�e-- cgnr�
-Z
---------------------------------------------------------------------------------------------------------
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
2 ► 4s �� 14MR--PAJti F-oa a
Mailing Address
PKS
City/State/Zip
252-,Z4—i—`IiS3
Telephone Number
gnature Date
Signature
�L--
Print or Type Name
Telephone Number
Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to rn 4nwr T. 's
(Name o Property Owner)
property located at 2 `7 a 1 i?a -F �, 9,D Iq
(Lot, Block, Road, etc.)
on 6 44 —4 l— in F 1�-5 , N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: 2g-14153 Mailing Address: .Z 1 5-- 1;4- l Paz Q h Aft
Pl..ar Noll � by2� N`CL�-�l�
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:
(To be filled in by property owner proposing development)
'j l7 J i2 ti r ►mil l.�/'� L L L C�4,f` r, -c) f►-, l� a wt,N 1 $-�..c:
Z��1
-------------------------------------------------------------------------------------------------------------------
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
t�4 1 4s-t-'Q4- fh P-04 a Y ti J
Mailing Address Signature
City/State/Zip Print or Type Name
Telephone Number Telephone Number
Signature Date Date