60270_LASICK, JULIE_20120821

CAMA / DREDGE & FILL
NO. 60270
' ^ GENERAL PERMIT
Previous permit #
❑New —]Modification I 'Complete Reissue
I.] 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 I SA NCAC
❑ Rules attached.
Applicant Name
Project Location: County
Address
Street Address/ State Road/ Lot #(s)
City State ZIP
Phone # (` ) Fax # (�)
Subdivision
Authorized Agent
City___ Z!P___
Affected I CW I EW -j PTA J ES F-' PTS
Phone # ( ) _ --- River Basin
AEC(s): El OEA _' HHF L IH UBA N/A
Adj. Wtr. Body-- _ (nat /man /unkn)
PWS: FC:
ORW: yes / no PNA yes / no Crit.Hab.
yes / no Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale:
Pier (dock) length
Platform(s) -
Finger pier(s) I
Groin length — -- -
number_
Bulkhead/ Riprap length �
avg distance offshore
max distance offshore
Basin, channel
cubic yards -
Boat ramp --
Boathouse/Boatlift_
Beach Bulldozing
Other - - --
Shoreline Length — t�= 'r `• ;
SAV: not sure yes o ""
Sandbags: not sure es no yr.
Moratorium: n/a es no }..
j _I I
Photos: yes no I
Waiver Attached: yes no I'
A building permit may be required by: ! See no*Ig River Basin rules.
Notes/ Special Conditions
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 Plan ningJurisdiction
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:
L_I Tar - Pamlico River Basin Buffer Rules [_-1 Other:
1 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 252-808-2808/ 1-888-4RCOAST
Location: Fax: [phone]
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
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)

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
I hereby certify that I own property adjacent to J14 ji L fi L 6r7JC/ 's
(Name of Property Owner)
property located at Z l/ be, i s w
(Address, Lot, Block, Road, etc.)
on 6 P) £St in Ar t1 /3't'✓1h N.C.
(Waterbody) (City/Town and/or County)
Agent's Name #:
Agent's phone #:
Mailing Address: /// /Q4 ice( 4,j !2
/'i�ru 4C-Irel hG "2Sg� 'L
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at www.nccoastalmangement.net(contact dcm.htm or by calling 1-888-4RCOAST. No
response is considered the same as no objection if you have been notified by Certified Mail
Owner// Information)
Print or Type Name
Mailing Address
LLIJ � NG 2x�2
City/State/Zip
Telephone Number
.17/,i7 /nA iOI
Date
(Riparian Property Owner Information)
Signat/ure��
0,�
Print or Type Name
Mailing Address
Mre-, "Yse,�
City/State/Zip
22C'_ 7�S^ Z
Telephone Number
Date
—/�

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
I hereby certify that I own property adjacent to - l L r 's
property located at
(Name of Property Owner)
41,.
(Address, Lot, Block, Road, etc.)
N.C.
(Waterbody)
Agent's Name #:
Agent's phone #:
(City/Town and/or County)
Mailing Address: �� �G j s (.,�A
-/S' e-1
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
- -------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT ---------------
(Individual proposing development must fill in description below or attach a site drawing)
A
lrv�� pA-5- C
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in wilting within 10 days of receipt of this notice. Contact information for DCM offices is
available at www.nccoasta/mangementnet/contact dcm.htm or by calling 1-888-4RCOAST. No
response is considered the same as no objection if you have been notified by Certified Mail
(Property Owner Information)
4S190tureL
Pnnt or Type Name
kz lrt/V
Mailing Address
-Radl PSI /Vl;
City/State/Zip '
a) & 0 5o
Telep noh e Number
,7/!v, 1An /,-I
Da
(Riparian Property Oynermation)
Z:LI
Print or Type Name
Mailing Address
yistate/Zip
Telephone Number
--//' 7
Date I / 6

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date
Name of Property Owner Applying for Permit:
Mailing Address:
I certify that I have authorized (agent) ;� l��s,� C�r/l to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity)
at (my property located at)
This certification is valid thru (date)
P

FREDERICK A DRESSLER
JULIE A LARICK
111 DUCKS WAY [phone]
NEW BERN, NC 28562
Pay to the
Order of_
3176
66-19/530 NC
F� 15578
Date
-� $" l?®
ars F..,.,..
Bankof America -glib Wealth Management Banking
ACH R(! 053000196 . r
For
f
% nm
1:053000196I: 000688390475►�' L76

ADJACENT RIPARLA-N PROPERTY OWNER S"T:vTE1iE-NT
' (FOR A PIER11OORI.,VG PILINGSiBOA TLIFT,BO A THO C SE)
I 'hereby eenify that I own property adjacent to 1} c, /J' i' /9 L— /)-•I % C %'s
(Name of Property Owner)
proGc: ty located at -- 4)-,�l_G,l
(Lot, Block, Road, etc.)
on in , N.C.
(Waterbody) (Town and/or County)
Applicant's phone 4:1/0 ���G �.35�! Mailing Address: nC—
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse
must be set back a minimum distance of fifteen feet (15') from 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
RECEiai3
I do wish to waive that setback requirement.
----------------------------------------------------------------------------------------- JAh-2-3-20)1--------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development) I C
-------------------------------------- -----------------------------------------------------------------------------
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
Mailing Address `^ Signature
ti
City/StdiciZip Print or Type Name
Telephone Number
Signature
Date
Telephone Number
Date

ADJACE-NNiT RIPARIAN- PROPERTY O'W ER STATENIENT
(FOR .1 PfER- 11100R,CNG PILINGS180.4 TLIFT,BOzi nVOLUSE)
I hereby certify that I own property adjacent to 14�
(Name of Property Owner)
�rAAk
property located at
(Lot, Block. Road, etc.)
on A /" / f S F 6-C in . dJ F cam! A i- A k3 , N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: Mailing Address:
- S"6�
He has described to me, as shown below, the development he is proposing at that Location, and, I
have no objections to his proposal. I understand that a pier/mooring pilings / boatlift I boathouse
trust be set back a minimum distance of fifteen feet (15') from 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
1 do wish to waive that setback requirement-
--------------------------------------------------- — -------- -------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To befilled in by individual proposing development)
(Information for Property Owner Applying
for Permit)
Mailing Address
City/stale zip
0/6 te- �
'S'eone Na b
Si aiure Date
--------------------------------------------------------
(Riparian Property Owner Information)
Signature
7-91
Print or Type Naine
2 SZ�G3�°��oz"L
Zip, Tyqj\j zo
Telephone Number
Date