60193_WALLENBERG, SARAH_20120509

'"',CAMA / [-DREDGE &FILL
No. 60193
GENERAL PERMIT Previous permit#
New (Modification ❑Complete Reissue DPartial 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 t
1! ] Rules attached.
Applicant Name j t oA 1j11�t, � 6tr Project Location: County Cr
w . A
Address �'�n ''. �'t. Street Address/ State Road/ Lot #(s)
Statekc ZIP
Phone # () Fax # ( } Subdivision 1�
Authorized Agent i 1..* P City 1'� ��« a ZIP
n-.
Affected
❑ CW [; EW C; PTA ®.ES ElPTS Phone # � OVJ River Basin
_ ,
AEC s : OEA i HHF IH ❑ UBA ❑ N/A Ad'. Wtr. Bod 1^� ri ) y El PWS: 1-1 FC: f, t (nat /man /unkn
^� a.
ORW: yes / no PNA yes / no Crit,HabClosest Mal. Wtr. Body_
. yes / no _ --
Type of Project/ Activity
(Scale: )
Pier (dock) length
Finger pier(s)
Groin length — — —=
number
Bulkhead/ Riprap length
avg distance offshore ------
max distance offshore
Basin, channel ~
12�-
1 �
f
I, 1
'i
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length y `
SAV: not sure yes P-OO
Sandbags: not sure yes
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes 1
no
A building permit may be required by:
Notes/ Special Conditions
Agent or Applicant Printed Name
❑ See note on back regarding River Basin rules.
Permit Officer's Signature
v
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
Issuing Date
Local Planning Jurisdiction
Expiration Date
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 I) 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
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.
(Serves: Carteret, Craven, Onslow -above
Raleigh, NC 27604
New River Inlet- and Pamlico Counties)
919-733-2293
Fax:[phone]
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)

4711
Sarah V Waffenberg 68-7497/2560
140 Sea Oats Street
Beaufort, NC 2.8516
PAY TO THE ,(� $
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
1 hereby certify that I own property adjacent to hJ,) f.J� (Pn� /` i 's
(Name of Property Owner)
property located at (y C? sPo- C�rA, S4
(Address, Lot, Block, Road jj etc.)
on (,0Q,j',S n,�ee% , in (i1, zr7 , N.C.
(Waterbody) (City/Town and/or County)
Agent's Name* -Thocha.6 Lawren� Mailing Address: J510-r-J mcLf,l2 (700j ac
Agent's phone #: J - 0� - an �� �� L �<rtr� s �� ��t7� KC
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 AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at www.nccoastalmangement.net/contect dcm.htm or by calling 1-888-4RCOAST. No
response is considered the same as no objection if you have been notified by Certified Mail.
(Property Owner Information)
Signature v
&'A U)�(Q" �
Print or Type Name
1410 � Q�-.s .
Mailing Address
City/StatelZip
Telephone Number
1 /2 7/20 I Z--
Date
(Riparian Prope Owner Information)
S nature ^ ' / I
2nAJ/�J
Print or Type Name
Mailing Address
5F-2�4 o G�
City/State/Zi
25) —7o), S -- 00 7
Telephone Number
41 ©l
Date

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
r!
I hereby certify that I own property adjacent to (ak P o 's
``11 ��,\ (Name of Prope caner)
property located at I �1y la,--�.Cl. S
/� ff (Address, Lot, Block, Road, etc.)
on t�C�f (� s (, �Q�X in l� eo- XTO <t N.C.
(Waterbody)
Agent's Name#:—Tho-mc.5 Lawtenc,
Agent's phone #: 35Q- A 4 ( - ZOO y
(City/Town and/or County)
Mailing Address: AAaf LG,,rs _isla �t
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 AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at www.nccoastalmangement.net/contact dcm.htm or by calling 1-888-4RCOAST. No
response is considered the same as no objection if you have been notified by Certified Mail.
(Property Owner Information)
Signature
Print or Type Name
4-t 0 ;Pa. 00,;k
I
c� F
Mailing Address
City/State/Zip
DS,P --72,g —352
Telephone Number
.4A-7IZ
Date,'
(Riparian Property Owner Information)
Sii7(�
r e
/'
Al
Print or Type Name
?e j-JX pis
Mailing Address
City/StatelZip '
,2$-633
Telephone Number
y/dg1�
Date

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date 2,01
Name of Property Owner Applying for Permit:
Mailing Address:
6c"J04 i\Jc,
I certify that I have authorized (agent) i�to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) IQ� I�tCl�
at (my property located at)
This certification is valid thru (date)
Property Owner Signature C./ Date