60324_VICKERS, JACK_20120614

No. 60324
,r]CAMA / DREDGE & FILL
GENERAL PERMIT Previous permit#
-New ❑Modification ClComplete 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
�i Rules attached.
V
Applicant Name } ,r ! C ter r Project Location: County
Address; 1,;O,t_ 14 01 Street Address/ State Road/ Lot #(s)
City I'e. r "�"-1 tv State wit ZIP
Phone # ( ) Fax # ( ;
Authorized Agent r a
Affected ❑ CW F] EW n PTA [IES ❑ PTS
_i OEA HHF 0 IH ❑ UBA ❑ N/A
AEC(s):
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
Othe
Shoreline Length
SAV: not sure
yes
no.
Sandbags: not sure
yes
no
Moratorium: n/a
yes
no
Photos:
yes
no
Waiver Attached:
ve5.
no
Subdivision
City- �' S ZIP__ }
Phone # (__ - _) 14)- ` '0 s River Basin
Adj. Wtr. Body__ t r .) A fa< _ nat Jman unkn
Closest Maj. Wtr. Roily --- C!
(Scale:l'J' )
A building permit may required by: r- '' ' i- '�- �'_ See note on back regarding River Basin rules.
Notes/ Special Conditions +
Agent or Applicant Printed Name. yI�
Signature * Please read compliance statement on back of permit
PermitO� er s Signature J
i
Issuing Date .i Expiration Date
Application Fee(s) Check #
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 10 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 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
252-264-390I
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)

JUN-12-2012 19:02 FROM:JERRY DAUIS CONSTRUC 2527291940 TO:r 73330 P.1
H
A-0,JA"'FN T
r;f 1r76%ridual Grcf�ir fc:r � rr;ic. Gt. -
A f _i ra zz _ �',f
�Elt cr >i d' City & CQIJF,,yj
I hereby certify. that 10wn praperty adjacnht lto the ob ve referenc
applying for this permit has describod to me a;' showy) a I Ov 'att�cl1c
they are prOposirig. A description or drawing, 4th dimbn Joni, Shbi ld
have no al<)jections to t1111 propose I..
if you have objections to what is being pr!opased, 010ase writr
Management, 400 Commerce Avenue, Morehead City, VC, 28557o;
10 days of receipt of this notice. No responso is consl "orod the sa
have been notified by Certified Mail.
WA1VFR 'SEC'I
d property, The individual
drawing tine development
)e provided with thi;a letter.
the Division of Crustal
:all [phone] within
is as no objection If you
I understand that a ter, dock, maorin P� � g pilings, b'feakwateboathocrse, �vatlift or sandbags must
be set back a minimum distance of 15' from my 6'rea of rip ' nan access niess waived by me. (If
You wish to waivo the setback, you must initial ttpe apprdp late blank be 0W.)
I do wish to waive the 15' setback requirement,5
I do not wish to waive the 1 ' setbac requirpmaht.
(Applicant information) (Ripar Frog owner Information)
Ming Address Signatu
✓ �� �. 4u
city/stateaip print o type Namo
7�2Cr'r $
Telephone Number Talmpho ' e Nun�bBr t
Dale (� Y "-- ----
Date -
,f
a

JUN-12-2012 19:03 FROM:JERRY DAVIS CONSTRUC 2527291940 TO:2473330 P.2
Mom : DnI.1 I NP-GQ I OWN pwbr" MI : 33k 7 � m0eii JUL i17 2@12 02:55Rm P1
�j; 17 FIZ +..�1-1: JE_f�'1��'�F., 1'� �7'! I j7rR�lJIrf ib"'1.`.,Q�C. l .:, 1.
i
r 7tl�
ACT-,,, i 7 ', P'�r%n �Mx� �'i�l �. ��� V"�4 ��ti'•�,Y�. ����tf ._�. a��� rw ri lv �i
1 r1W r'` tri4':1lCit1�' ay,,: fej i"'f'f. i!t,—
�—
l"�,
'Sriee t, �rrW 4r RR d', Gray & 0CUr V)
t 1 areby, Cprtlfy. that'; C�Wn rOW, i . a prtml;, he ab y : � r .r race pre) *ey, Thp individr.,al
applgtng for trtis pel"N has 0. thM, PV4(01e6. iraw,�g ti,m davaiapme,nt
Lhe pro as"nift. A des..-Ol'-art or drawtri� I) no, s ►duld b n provided with this lettrt.
If you have objections to Whitt Is bel(ig -orgpostd, �labse Wrfte I'ia b1vlb+►�rs Cpf 06,0 er
rvlanegament, 400 Cor�'tmerce AYenua, Maralhsad V1i 6 C, 2957 or 814250008�2du I r pa
iQ days ofreecipt of this notice. No rasp'onxd ra cons err;id dh� sar>i� as »o olJfecrin f you
haves Awssry rk lCr#a.d by !`,&#4jR.4
WAIVER 5,F-C ON
t i s
I understand that a pier, dock. mooring pilings, b takwat r�
be aet tuck a minimum distance of IS' from rAV saes of
you wish to wawa the aatbecek. you mU3t1rrji10j tho Opp t^
i do wish to waive the IS' seiback t
--- -- F—
hoothouse,`boatnft or ssndbaps must
Man mccpasIvni�ss waived by me. (if
Me blank blow.)
roment,
Appitcant Information) (Rip rl} mperf + Owner rnformat;o'n):
a1Ing A real
4 ftv

A-7-2012 20:53 FROM:JERRY DAUIS CONSTRUC 2527291940 TO:2473330 P.1
i
N.C. DIVISION CF CCA$TAL M NAGG PAENT
AGENT AUTHOCJ' ATIC)N F0RIM A
;i
Tale Ott fl.. /
Name of Property Owner Applying for Permit:
X,1V1 c .v
Mailing Address:
(
I certify that I hsave authorized (agent) q , to act on my
behalf, for the purpose of applying for and obtaining all CAMA Pormits necessary to
install or construct (activity) F �t
� r
at (my property located at) Q�L
This certification is valid thru (date) Z44—�
Prope y Owner Signature D tc
i
I
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Cape Lookout Marine Construction Inc
580 Bayview Drive
Markers Is&a d, NC 28531
252-728-4995 / 252-241-9405
4 L-
2333
66-1246/531
�ttte
:mIt
o
Sam4wk 3;,
fort, NC 28516 ly Oq —C
FOR—:7:!��
11800233311, i:053 L L 2466,: 00084954'l'