60165_WADE, JAMES_20120402

.�CAMA / DREDGE & FILL
GENERAL PERMIT
lNew LJModification CComplete Reissue ❑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 I SA NCAC
Applicant Name l)
Address 166 i ^
1
I
City �^,� t -'s State ZIP
Phone # -Z Z4 � �}L'�" 3 Fax # (�)
Authorized Agent t o A A
Affected CW EW [).PTA [9ES ❑PTS
AEC(s): OEA U HHF ❑ IH ❑ UBA ❑ N/A
PWS: 7 FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Type of Project/ Activity
Pier (dock) length
Platform(s) Z�6K I2 `
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards_
Boat ramp
Boathouse/ Boatlift
Beach Bulldozi `ng
Other JVv .5 �.
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 by
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
�J No. 60165
Previous permit #
Date previous permit issued
El Rules
Project Location: County
Street Address/ State Road/ Lot #(s)
N
Subdivision
City r 't ZIP f5%� `r
Phone # ( ) �,b�4' River Basin
Adj. Wtr. Body r £+ i� (nat /man /unkn)
Closest Maj. Wtr. Body —
(Scale:
See note on back regarding River Basin rules.
Permit Office { s Signature
1
Issuing Date ' Expiration Date
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 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, certifythat 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:
El 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/ 1-888ARCOAST
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)

If
16
A

2012-03-29 11:22
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RS SALT LAKE CITY
[phone] >>
P 111
.'." pUG-26-i?009 11.28 From: DGM 11f-UM
ADJACENT RIP
Name of individual a
Address of Prcpe V:
MA -
S
To :'339ZG 146
;iON OF COASTAL MANAGEMENT
PROPERTY OWNER NOTIFICATiON/WAMR FORM
for Permit: -%AA 0S ( (Z) q jq
,-�) �- , '-�&S.
(Lot or Street #, Street or Road. City & County)
PA9e:1-,f
I hereby certify that I o.v property adjacent to the above referenced property. The Individual
applying for this permit h described to me as shown on the attached drawling the development
they are proposing. A des p3ion or drawing, with dimensions, should be provided with thit, letter.
y Jan I have rl�o objections to this proposal.
If you hava objections to what is being proposed, please write the Division of Coastal
Management dDO Com ' rce Avenue, Morehead City, Na Z8557'orcaff [phone] within
10 days of receipt of this notice. No response ins consfdered the same as no objection if you
have been notified by Cowflad Mail.
I understand that a pier,
be set back a minimum
you wish to waive the se
it Idow
I do n
(Applicant information)
Su �rQ351 y
MaTily Address
Telephone Number
I
Dune i
i
WAIVER SECTION
mooring pilings, breakwater, boathouse, boatlift or sandbags must
:e of 15' from my area of riparian access unless waived by me, (If
you must initial the appropriate blank below.)
to waive the 15' setback requirement.
Wish to waive the 15' setback requirement
(Riparian Property Owner information)
srgnarura
a1 5 .� � X ��r�✓ ;� B u�; `d
Print or Type Nam
M--1IF-126Is
Telephone Number
Dare

Norin uaroima uepartment or tnvlronment ar, ,�.tral Kesources
Division of Coastal Manage m ll
Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary
Date
Name of Property Owner Applying for Permit:
-,J A
Mailing Address:
IfD Li.eT)c"ate
I certify that I have authorized (agent) �o � ��C;�ei ` to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) 00 C- K
at (my property located at)
This certification is valid thru (date)
Owner Signature
Date
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] \ FAX: [phone] \ Internet: www.nccoastaimanagement.net
An Equal Opportunity \ Affirmative Action Employer — 50% Recycled \ 10% Post Consumer Paper

.ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 3 Qr De s C ��nc w
(Name of Property Owner)
property located at \160 L-t5kic-, Urk'*yt ,
(Lot, Block, Road, etc.) o
on , in t`� uU )e t, N ,C , N.C.
(Waterbody) (To n an and/or County)
Applicant's phone A&S20-W
Mailing Address: \ �) 01 � e cS 4 �C D r 1 v
- "- Wo erE W C 2,$539
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by property owner proposing development)
(Information for Property Owner Applying
for Permit)
Iry Le5/,J0;
Mailing Address
City/State/Zip
/0 - -tz;z (, ,- �� y-s--
Telephone Number
(Riparian Property Owner Information)
, xlet/
Signature
Print or Type Name
�J 3 �� o C�-- Z-
Telephone Number
+iatureS _� Date Date