60247_TEMPLE, TERRY_20120524

1= CAMA / 1 DREDGE & FILL
GENERAL PERMIT
New ❑Modification '--Complete Reissue El 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 15A NCAC
Applicant Name
Address
City State ZIP
f
Phone # (-----•) _ Fax #
Authorized Agent
Affected CW EW ! PTA ❑ ES [IPTS
AEC(s): _j OEA 1-1HHF IH UBA ElN/A
C PWS: FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Type of Project/ Activity
Pier (dock) length
Platform(s))
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length_
avg distance offshore
max distance offshore
Basin, channel
cubic yards_ _
Boat ramp
Boathouse/ Boatlift_
Beach Bulldozing
Other � fi * ^�
I
Shoreline Length
SAV: not sure yes
Sandbags: not sure yes
Moratorium: n/a yes
Photos: yes
Waiver Attached: yes
A building permit may be r�.y—.. -�.
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature "Please read compliance statement on back of permit" -
'L No. 60247
Previous permit #
Date previous permit issued
Rules attached.
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City— f ,% i t`.-'L �� ZIP
_
t r
Phone # (t �: River Basin
Adj. Wtr. Body T44 `' 1-, �f`�' (nat /man /unkn)
Closest Maj. Wtr. Body r
(Scale:I )
e %
Permit Officer s Signature
Issuing Date Expiration Date
Application Fee(s) Checli# Local Plan ningjurisdiction 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 Offiice
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)

INTRACOASTAL MARINE CONSTRUCTION
3515 WHITE DR. 2819 µ ,
MOREHEAD CITY, NC 28557 % 66-112/531
Date
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ADJA CENT RIPARIA ` PROPERT1 ' DWNER S I('ATEIVIENT
I hereb / cert i y that) own propert / adjacent to - } - ►- _ -fejxr--))
k—os
'lame of P oI►erty Oq+
property located
► it, Block, Road,
on u'� �U t�/y e- N.C.
.—. in �1V (,t_J l_ Gt ei
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(7 :Iwn and/or Ci,uniy)
Applicant's phoin,#: "3� �,s y � YMailing Ad► ess: -G-��C, lv C.. ��T Itv '
He has descr+ed tc me, as: hown below the development 1.e is proposinjt at that locatio, and, Z
have .no objections ., his pr )posal. n
DES ('RIP PION A WOR DRY ►VYIN(IF OF PR( I (POSED DEVELOPMX-NT:
19 beftl !ed in by pro, Ierty owner prO ,-ving developn►onr�
(Tnformation f6r Pi 11 perty C wner Appt ­ i ag
for Peirmit)
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Mailing Address Signature
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CztyltatelZip --
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-7S401
L �CEIyED
MAY 18 2012
(Ripariai 'roperty wrier Information) C�,
Telephone Number
ignatra»e D. it is
L•_ � - oo
Print or Type Name
Telephone Number
Date

AMA. [TNT RIP.A►RJA i' PROPERT'"I., i[)WNER S71PAT'EMENT
T hereb_! cev l .*y that I own proper ; i adjacent to _ �r� iJ-14 e ?.,'s
'lame Of o ►e er
property locsted r! � - > UV �_
J it, Rlack, Road, te.)
on a IJ C.QUAJA z,.. in ,
(t � CerbOCi;r) N.C.
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AJpplicant's, phnri_ 3�G !7 yMailing Ad ess- C' C P.
,6
He: has de_scri;hedl 1 me, as : hown belo,,A the deyelopmen+ to is proposing! at that location, and, I
hAve no objet,domi ,, his pi ;)posal.
DEED CR f , P TON i'� WOR DR i ► WING OF PR11 I NOSED DEVELOPMENT
i lo be fi ! !ed in by pri,; erty owner pro: , ►•ing devekp,irgnr)
(Xnfimnation for Pa 11 perry C'.1 wner .A,pp1, i ag
for J"omit)
Mailing Address
City/'State/Zip
T#Cphone Nun 113er
Yign.Axt re D: I:
"ECzftD
MAY 18
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ry,! �
(Ripariai 'roperty Ow tier Information)
Signature
Print or Type Name
Tele:pbone Number
Date
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MAY 18 2012