58802_WILLIAM B. MCLEAN TRUST_20110901

5 LCAMA / ❑ DREDGE & FILL
GENERAL PERMIT
❑New El Modification ❑Complete Reissue ❑Partial Reissue
Previous permit #
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 I SA NCAC
F' Rules attached.
Applicant Name
Address ti C, tfi 1�.!
Cityc, n r l_ ar +� r i State , V C ZIP
Phone # () Fax # ()
Authorized Agent
Affected ❑ CW ❑ EW ❑1 PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWs: ❑ FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City
158Al2C
ZIP 14�yi
Phone # ( ) `� 2' _' ^^ijjO a River Basin
Adj. Wtr. Body ri( t ��G�•�+� (nat./man /unkn)
Closest Maj. Wtr. Body -
Type of Project/ Activity
(Scale: �— :y,, )
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/
Beach Bulldozing
Other
Shoreline Length "' `iC•I(
SAV: not sure yes no
p'���
Sandbags: not sure yes �03
Moratorium: n/a yes Lo
Photos: yes fj9
Waiver Attached: yes, no
A building permit may be required
Notes/ Special Conditions
a
i
I
All
I
j
I
by:
`
❑ See note
on
back
regarding
River Basin
rules.
VJ
en `or Applicant Printed Name
Signature Please read compliance statement on back of permit"
ZOOS ._,
Application Fee(s) Check #
Per mitOffice Y Signature
Issuing Date i Expiration Date
Local Planningf urisdiction 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/ 1-888ARCOAST
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

f
O. E. JOHNS ON
M. W. JOHNSON
PH.252-291-0130 66-12311531 5037 COUNTRY CLUB DR. N 1863
WILSON, NC 27896-9123 US 1 Jf
DATE
PAY TO C
/ g DFH-EORDE N
�
Cornersto a -
W~Senior
Checking
I"' Ward Blvd- • Wilson, NC 2�893
MEMO RDA-d—( x-f—
':OS3112314i: l05 41 -- 6 18

08/22/2011 10:27 2523932463 PAXON HOLZ PAGE 02
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor James H. Gregson, Director William G. Ross Jr., secretary
A
Name of Property Owner Applying for Permit:
Msiilina Addrpcc!
L.1 V C (,2 , j 0tf AS,3
lr certify that I have authorized (agent) LI W 1p !�- JV SO Al to act on luny
behalf, for the purpose of applying for and obtaining ail LAMA. Permits necessary to
install or construct (activity)
at (my property located at)
r— mL­S; —) 4 � L—LS
This certi-fication is valid thru (date) li�l12
rV
perty
(r2sus`�-
Date
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] l FAX [phone] Internet: www. nccoastalmanagement net
An Equal Opportunity 1 Affi mattve Action Employer - 500A Recycled 110%Fost Consumer Paper
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Aug 19 11 10:06a MWJ [phone] p.1

Aug 19 11 10:06a MWJ [phone] p.2
CERTIFIED MAIL . RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPS;ZTY OWNER NOTIFICATIONlWAIVER FORM
Name of Property Owner- l J 00 I �C-LL5
Address of Property: `}" - _C fl l%CJ1f L.. r .. -Of�F 1 �1L_L-�' MOD
(Rot or street #, Street or Road, City & County)
Applicant phone #JrL. )q3' &4--- Mailing Address; 4
I hereby Certify that I owr property adjacent to the above referenced property. The individual
applying for this permit has &giChbed to me as shown on the attached drawing -the developmert
they are proposing. A description or drawing. with di i n mug e provided with this letter.
M% I hava no ohjectiotl� to this prc,fxrsal. ,1 havc objections to this proposal,
if you have objections to what is doing proposed, you n Ust notify the Division of Coastal Management
(OCM) in writing within 10 days of receipt of ihi$ notice. Contact information for OCM affieas is
available ai www,nccoasiafmangementnetfeoniact-dcm.htm or by calfinrg 1-898-4RCOA5T. No
res onse fs considered the same as no oNection if jDu have bean notified by Certified Mail -
WAIVER SECTION
understand that a pier, dock, mooring pilings, broakwater, boathouse, or lift must be sct back a
minimum distance of 15- tram my area of riparian access unless waivctl by me. (fyou wish to
waive the setback, you must initial the appropriate bia0e, below-)
V' l do wish to waivC the 15'setback requirement.
I do not wish to waive the 15- setback requirerncnt.
(Properf ,CJ7n , lnformatian)
7PtUr!:LY'111A
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Print nr ryrpe N1am, o
-
Moiling Addtnss
Teiop c Number
p rian�er owner Information)
,1 �
Prior or Type Name
Mailing Add e5s
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