59636_WINEBERG, JEAN_20120316

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❑CAMA / ❑ DREDGE & FILLS
GENERAL PERMIT Previous permit#
❑New ❑Modification ❑Complete 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
❑ Rules attached.
Applicant Name_ Project Location: County
Address _
City-- -- --- -
Phone # ( )
Authorized Agent
Affected ❑ CW
AEC(s): ❑ OEA
❑ PWS:
ORW: yes / no
State ZIP
Fax #
EW
PTA ❑ ES ❑ PTS
❑HHF
_ IH UBA El N/A
1 FC:
PNA
yes / no Crit.Hab. yes / no
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # O River Basin L�
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger pier(s)
(Scale:
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
y
_
!
i
Shoreline Length
SAV: not sure yes no y t
Sandbags: not sure yes no �" r
Moratorium: n/a yes no
Photos: yes no t t ,
Waiver Attached: yes M1 no
1"
A building permit may be required by: ` t ® See note on back regarding River Basin rules.
Notes/ Special Conditions
Agent or Applicant Printed Name
Permit Officer's Signature
Signature ** Please read compliance statement on back of permit **
Application Fee(s) Check #
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, 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/ 1-888-4RCOAST
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

UNITED STATES POSTAL SERVICE First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
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n t'a.1, MC 2
II111111l111)I)I�IIIIIIIIIIIIIIiIIj11IIliIjIfI)IIIiI)IIIiIIIII

THIS SE CTION
■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
Article Addressed to:
w a1Ker
3tnat� 1AC57 �Iwy
�4i11sborov�h, �JC�-7al
VERY
A.
X /G1 J� ❑ Agent
❑ Addressee '
B. Receives) by (Pri ted Name) C. Date of Delivery
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3.111Swwwervice Type
Certified Mail 13 Express Mail
Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7011 0470 0000 7751 0693
(Transfer from service label)
PS Form 3811, February 2004 Domestic Return Receipt /� ),n d���+ 102595-02-M-1540

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONAMAIVER FORM
Name of Property Owner: 1 " 1 r5 . J E kN I N 13SP-q
Address of Property:, G` 2 G. P-ni Shop-E5 LN' J Amp`^- JRCLm
(Lot 1orr Street #, Street or Road, City & County)
Applicant phone #: 252 - 2"tl `! " 15 ['a Mailing Address: SGI.YVIe.
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing with dimensions must be provided with this letter.
I I have no objections to this proposal. I have objections to this proposal.
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/conhwt dcm.htm or by calling 1-888-tRCOAST. No
response is considered the same as no objection if you have been notrbed by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift must be set back a
minimum distance of 15' from my area of riparian access unless waived by me. (if you wish to
waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Pro rty Owner Inforrtlation)
Signature
J can (N V) berg
Print or Type Name `J
tUa E.WA5hc L-h -
Mailing Address
Praoa,h 4 ALC_ 2?051D
CitylStat/Z ip
r_254 " 0r� j
^I q-�S�
Telephone Number
3.7.1a
Date
(Riparian Property Owner Information)
1.
ignature l /
�.tr
Print or Type Name
7-il. j L, )\\4 L :�L 7
Mailing Address
tty/StatelZip
Telephone Number
_3.1Z l?
Date

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM
Name of Property Owner: 1 ", YS • JEAN i N B EP—q
Address of Property: 2' E. 5i}0P-E I.t� - J �((aRQ.hP-'P(LIM iCQ
(Lot or Street #, Street or Road, City & County)
Applicant phone#: 2.52" 2H`! " 151 Mailing Address: S0.YYl�
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing with dimensions must be provided with this letter.
I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notrfy 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.nccoastalmangementnettcontact dcm.htm or by calling 1-888-4RCOAST. No
response is considered the same as no objection if Lou have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift must be set back a
minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to
waive the setback, you must initial the appropriate blank below.)
y I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature
J can 1N in bem
Print or Type Name
Mailing Address
A ra na. h , NC a350
City/State ip
02!5(Q - 01qq-/51B
Telephone Number
3.7-Ia
Date
(Rip
frian Property Owner Information)
Signat e
i�"�fe- & �,�i vs'oAI
Print or ype Name
?G o iyeas -,"J.
Mailing Address
it) State2ip
11,E
Telephone Number
Date

Authorized Agent Consent Agreement
`, r [onS+✓ C+CbP%
W I S� EAN i tJ BE ?-(i hereby authorize 'I5, qre& j oe to act on
(Property Owner)
(Authorized Agent)
my behalf in obtaining CAMA permits for the location listed below. This agency
authorization is limited to the specific activities described above.
Property Address:
z. 2- 2- C . 3I c)I-n
Aya h e NC, 2115,51D
Property Owner's Mailing Address and Phone Number:
Sa.m e,
Property Owners Signature: Jan n R` W 1 6 bp(c,
Authorized Agent Signature: �1� iQ) J
Date:
Form: Authorized Agent Agreement as developed by NCDCM revised 7/29/09

Contractor Agreement
THIS AGREEMENT made the day of , 20 , by and between B. Prescott
Marine Construction, LLC and Mrs. Jean Winberg.
Scope of Work
The Contractor shall furnish all materials and perform all of the work to install a vinyl bulkhead at
222 E. North Shore Ln., Arapahoe, NC. The project will consist of the following components:
■ 10' Vinyl 3.5 Series Panels (12' Panels if necessary)
■ 6"x6" Whaler
■ Galvanized Tie Back Rods
■ Driven Deadman Anchor System
Contract Price
The Owners shall pay the contractor for material and labor to be performed between $56,275 and $59,475
depending on length of vinyl panels (please see quotes for specifics).
Timeline
We estimate the construction to take 10-14 days to complete.
Progress Payments
Payments of Contract Price shall be made as follows:
• Due when construction begins: $10,000.00.
• Due at'/2 way point: $20,000.00.
• Due at completion of Project: $26,275 - $29,475.
Signed this i a day of NI CFC Lh , 20 1.�
Contractor
Property Owner
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