54676_PATTIE, BONNIE_20090929

iCICAMA / ❑DREDGE &FILL 46 i f
GENERAL PERMIT Previous permit #
E]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
} I Rules attached.
i Applicant Name , J- }. r ti Project Location: County
Address �_ ,l- s ;� Street Address/ State Road/ Lot #(s)
i -(T_
City � State l ! ZIPS
Phone # ?`I- ax # Subdivision ry
Authorized Agent City ! i, ZIP L
❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Phone # -s K� (� River Basin {
Affected
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body ~ (na /man /unkn)
❑ PWs: ❑ FC: \1 i
i'" Closest Maj. Wtr. Body
ORW: yes I;nol PNA / • yes / no Crit.Hab. yes / no
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number ram_
Bulkhead/ Riprap length �' f
avg distance offshore.!
max distance offshore /)✓
Basin, channel
cubic yards_
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
r
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 Permit(
') zos
Signature Please read compliance statement on back of permit Issuing I
Application Fee(s) Check # Local PI;
(Scale: ;
❑ See note on back regarding River Basin rules.
aIL
Expiry on tei
RdverFile me

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 consistentwith 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 (252-946-648 [)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)
Revised 08/09/06

ADJACENT RIPARIAN PROPERTY OWNER ST TE1VV11f*-#
ahead laud DCM
T L ; ,` ,
I hereby certify that I own property adjacent to 's
(Name of Property Owner)
property located at
on /�.1�� r�L� _ , in , N.C.
(Waterbody) (Town and/or Co")
Applicant's phone # - ailing Address:
' s-5
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)
IV V
\ i
4
Ii
(Information for Property Owner Applying
for Permit)
Mailing Addr
&2&22La,d dy�- - /V
a�
City/State/Zip
- 9 -- i -
Telep one Number
q/0yl�g
Signature 15ate
(Riparian Property Owner Information)
U
Signature
—� Print or Type Name
Telephone Number
Date

ADJACENT RIPARIAN PROPE2T OWNER T TEMENT .-.
low' —
I hereby certify that I own property adjacent to � _, 9
(Name roperty Owner)
EDCM
property located at
(Lot, Block, Road, etc.) \ f V
-on �,�`./�i/� p® , in Z. N.C.
(Waterbody) (Town and/or Con )
Applicant's phone #-- 5, 2- 2-26' 352,-vlailing Address:
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 (Riga an Property Owner Information)
for Permit)
Mailing Addr Signature
City/State/Zip Print or Type Name
Tel ep one Number Telephone Number
x)_
Signature ate Date

BONNIE LEE PAM
`] r 3380
828 S YAUPON TERRACE
` �.(.i
MOREHEAD CITY, NC 28557 66-112/531
'PAY' owl
CT�
\ BRANCH BANKING AND TRUST COMPANY
1.800-BANK BBT BST.eom
• ` --Sid____ ,
�� Ji�rzature
1:05310 121, 0052i40938C3snmo3380 ���