57075_VACATION VILLAGE_20110121

❑ CAMA / ElDREDGE & FILL 4lv-r
GENERAL PERMIT/Previous permit #
❑New difi ation ❑Complete Reissue ❑Partial Reissue A Date previous permit issued
• �", �c, As authorized by the State", o Ina, Department of Environment and Natural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
n Rules attached.
Applicant Name �/ Project Location: County
Address Street Address/ State Road/ Lot #(s)
r'
City State ZIP
Phone # () Fax # () ((; Subdivision
Authorized Agent i';Ito_ City
ZIP
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Phone # (i) River Basin
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body gnat /man /unkn)
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body
Type of Project/ Activity
i ! (Scale: ' )
rr, ♦r
Finger -_ 1100`•
Groin length
numberYN®t
Bulkhead/ Riprap lengthl■Ri1■■■SEEGi�ll■t!<r•IlvliL�S�1N■_■
avg distance offshore
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max distance offshore-
Basin, channel
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SEES
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Boat ramp
Boathouse/ Boatlift
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Beach Bulldozing
Other
Ma@w,
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Shoreline Length 11��\®■■E�■�'�■�I�C:�f1liiEv■■■■■■■■■
SAV: notsure yes no��■■trE!'E■E■■9■■■■J■ml■®�■■■�■■■■■■■■■S
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no■EN■19■■■■■SI:i:�lE7■■■■�
Waiver Attached: yes no
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SEES
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A building permit may be required by:
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
❑ See note on back regarding River Basin rules.
Permit Officer's Signature ! �)
issuing Date Expiration Date
Local Planning jurisdiction 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/ I-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

- --
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
TOTAL Sq. Ft.
FINAL Sq. Ft.
TOTAL Feet
FINAL Feet
(Applied for.
(Anticipated final
(Applied for.
(Anticipated final
DISTURB TYPE
Disturbance total
disturbance.
Disturbance
disturbance.
Habitat Name
Choose One
includes any
Excludes any
total includes
Excludes any
anticipated
restoration
any anticipated
restoration and/or
restoration or
and/or temp
restoration or
temp impact
temp impacts)
impact amount)
temp im acts
amount
4
Dredge ❑ Fill Both ❑ Other ❑
L
Dredge ❑ Fill ❑ Both ❑ Other
a
fledge ❑ Fill ❑ Both ❑ Other
Dredge ❑ Fill ❑ Both ❑ Other Lk
redge ❑ 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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NCbFNR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management Dee Freeman, secretary
Beverly Eaves Perdue, Governor James H. Gregson, Director
Date — L - . " J I
Name f Pro erty Owner ,Applying for Permit:
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Mailing Address* f� P01^4
0`�'—io0 Cwjdqr- D © j
Cedar
Y certify that I have authorized (agent) S � I /1-5 to act an my
behalf, for the purpose of applying for and obtaining all CA Permits necessary to
Install or construct (activity)
VD Gj�
at (my property located at) p� f Vd
This certifieation 1s valid thru (date) S — 3 1 — "
Date
Property Owner Signature
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone-. 252-808-28081 FAX: [phone] internet, www.nccoastalmanagement,net
An Equal Opportunity 1 Affiirmetive Action Employer - 50% RecTled \ I0% post Consumer Paper

,TAN-14-2011 108:5E. AM SHORELINE MARINE CONST.
1+252+393+7934
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Marine Construction
Inc.
580 PEARSON CIRCLE /
NEWPORT NC
28570 License # 62746 -Marine
mobile 252 bob 3212
office / fax [phone]
email : abrooksl(pec,rrxom
FAX COVER SHEET
TO: ;47 1441-rhFe
FROM: �57�y Li'vo 1�S
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JAN-14-'•2011 08:55 AM SHORELINE MARINE C:ONST. 1+252+393+7934
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CERTIFIED MAIL - RETURN RI"GEIFT REQUESTED
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I hereby certify that I own P►OPehy adjacent to Vqtdr4AD^ it ijla �'s
(Narngpf Property Owner)
P,-Psr1y located at
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(Address, Lot, Block, R d, late,)
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Agent's phone #: -2�d
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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 ANCHOR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing deve10pment must fill In description below or attach a site drawing)
Jis4fl dew SeP4wcdt e dwA .-
if you have 000ctiort3 ib whet is being POOPoseay Y*u must notify the Division of Coastai Management
(®CM) In wraW w/thin 10 days of recalpt of this notice• ConWt lnlbnrwdon for DCM ofl9ceer is
'ailable at www-nccoastalmanDemonineticantact dcm.htm or by caftig i-888.4RCOAST. No
nsprans610 considered the some as no Iron /f nu have boon notHied by CenVfvd !Mali
(Property Owner Infor(nation)
Signature
pl )1 67N A e
Print or Type Name
1201-- /n o Cedwr Pw, f
Mailing Address
c�610 f- Pa, „- - C-
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Clty/�S7tata,710 q p I
Telephone Number
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(Riparian Property Owner Information)
Signature
Print or Type Name
2-
Mailing Address
Clty/StatRaip
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Telephone Number
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FEB-15-2011 08:53 AM SHORELINE MARINE CONST. 1+252+393+7934
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Marine Construction, Inc.
680 PEARSON CIRCLE
NEWPORT, NC 28570
mobile [phone]
office / fax [phone]
email: abrooksleec.rr.com
License # 62746 -Marine
FAX COVER SHEET
DATE-. 7-- 1 15- I f FAX # 247 — 3 3 3 a
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