60364_THIGPEN, RONNIE_20120725

-ICAMA / DREDGE & FILL V P16 NO. 60364
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
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
Rules attached.
Applicant Name C. f, �•, — Project Location: County '
Address L^�"/r ; # { Street Address/ State Road/ Lot #(s)
City .t_ . , , State 3-C ZIP
Phone # (_) Fax # O Subdivision
Authorized Agent ,. 1'. ` , , Y City V.'%cJ - J i ZIP
CW EW $112TA ❑ES ❑PTS Phone # ( ) River Basin
Affected OEA HHF ❑ IH El URA C N/A
AEC(s): 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
Pier (dock) length
Platform(s) -
Finger pier(s) s
><,
Groin length
I
number
Bulkhead/ Riprap length _ E
avg distance offshore
max distance offshore_
Basin, channel
cubic yards
Boat ramp
i"
Boathouse/ Boatlift a S
Beach Bulldozing ! f --
Other S a ti
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 b)
Notes/ Special Conditions
(Scale: )
[ See note on back regarding River Basin rules.
fi
Agent or Applicant Printed Name Permit Officer's Signature
Signature Please read compliance statement on back of permit ** Issuing Dace i Expiration Date
Application Fee(s) Check # 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 [)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 (252-946-648 [)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/ 1-888ARCOAST
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)

0
BOGUE BANKS MARINE CONSTRUCTION INC. BB&T
111-D Turners Dairy Rd. BRANCH BANKING AND TRUST COMPANY
Morehead City, NC 28557 1-800-BANK BBT BBT.com
252-247-4428 66-112/531
O T
:R OFHE_
7u r k u
t= -Af IL
AUTHORIZ D SIG ATURE
11000 2 2 1 2►l l:0 5 3 10 1 12 11:000 5 100 9 4 58 3n•
2212
i'7
DOLLARS

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date =� Z 3 4 Z o (2_---
54
Name of Property Owner Applying for Permit:
o �c
Mailing Address:
5-400 Hockh4s E—a �f
e 1, . C 2 74 06
RECEIVED
JUL 242012
DCM-MHD CITY
I certify that I have authorized (agent) �2 `i 2 S Wt 1 to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) L) p 1-CL
at (my property located at)
This certification is valid thru (date) Aus�
:T 2 3 , 20 r 2—
Property Owner Signature Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
property located at Z-4 14
(Address, Lot, Block,
eofP
etc.
I
on ` o � - (t ki in u,, F' C cLU S P N.C.
aterbody) (City/Town and/or -County)
The applicant has described to me, as shown below, the development proposed at the above
locatiory
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
n
12 �T , n ( 57
r
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
back a minimum distance of 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 wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(P arty Owner Information)
Sz
Signat e
—: a U 4;P E , 1 k�c�v�
Print or Type Name
Soo N a Cz wd s Ea-,, .P
Maili A dres
ei.C', 2_7 o
City/Statelzi
Qi9-,74g -zl-7z
Telephone Number
Date
(A _ ". e r pe Owner Information)
gnature
r—dPJavJ F Jq,,IIPr,
Print or Tye Name
/03 ( 0.fiUbvt �` % 4--$ C
Mail g Address
rcen<, o00 �1�1� 2- �iL
City/State2ip
33C L$ L c)9?7
Telepho e N mber
6 5—�I i z
Date
(Revised 611812012)

ADJACENT RIPARIAN PROPERTY OWNER
STATEMENT FOR CAMA MINOR PERMITS
I hereby certify that I own property adjacent to o-V1 n `le t L1 t ^.e s
_ (Name of Property Owner)
property located at � ' fist eyc U U -P
Address, Lot, Block, Road, etc.)
on �OqLLe SO U vV in .F
h G4'1 �e m' & TSI , N.C.
a erbody) (Town and/or County)
He has described to me as shown in the attached application and project drawing(s), the development
he is proposing at that location, and, I have no objections to his proposal.
(APPLICATION AND DRAWING OF PROPOSED DEVELOPMENT AND DRAWING OF PROPOSED DEVELOPMENT ATTACHED) .
Sig ture
/ iqvEy / Ly �rfl J
Print or Type Name
Telephone Number
7�1'nA z—
Date