55274_PEARSON, MARY_20100305

/ ❑DREDGE & FILL
�
i❑LAMA
GENERAL PERMIT
DNew ❑Modification [-]Complete Reissue
Previous permit #
❑Partial Rei V Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources l 1� sj �
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and the Coastal Resources Commission in an area of environmental
concern pursuant to I SA NCACFi
'
14
,r
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} 1 I u es,attached.
Applicant Name i 1
Project Location: Countyi---
...y
Address l 1 ^a '
Street Address/ State Road/ Lot #(s)
City t .0 State ZIP
Phone # O Fax # ( )
/
Subdivision A
Authorized Agent ! t j j
City t , i'' 3 'j r y-. ZIP
❑ CW ElEW El PIA ❑ ES ❑ PTS
Phone # ( ) River Basin (A -/�
Affected
❑ OEA ❑ HHF ElIH ❑ UBA ❑ N/A
AEC(s):
!
Adj. Wtr. Body It�`
1 !� �.., `t"-�{ nat /man /unkn)
!.....
Closest Maj. Wtr. Body
ORW: yes / no PNA yes / no Crit.Hab.
yes / no
i
Type of Project/ Activity
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/ Boatlift
Beach Bulldozing
Other
Wring a major shoreline change due
o a storm or other significant event,
he alignment of this structure must be
ipproved by a DCM Rep. within 120
lays of the onset of construction.
Shoreline Length 1
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 #
El See note on back regarding River Basin rules.
The time period requirement for this
development is suspended until 12-31-
2010, pursuant to Senate Bill 831. The
Permit Officer's Signature effective date of expiration for this
` permit is I
Issuing Date , Expiration Dat
Local Planning jurisdiction 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 F-] 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/ 1-888-4RCOAST
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)
Revised 08/09/06

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary
Date 3
Name of Property Owner Applying for Permit:
Mailing Address:
RECEIVED
1T%
MAR 5 2010
odor®heed Cfty DCIW
I certify that I have authorized (agent) K �_ i) (, ,,j ; -r a : „,) to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) ci- U , tv % U L k 1-1 F,1 n
at (my property located at) I )� s tl c .>, l)i<. !Sc"jA ru.^• r tic j ,r5 7 L S)-le I t A,-
This certification is valid thru (date) i1i cc 7 s T )01 G
Signature
Date
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] \ FAX: [phone] \ Internet: www.nccoastalmanagement.net
An Equal Opportunity \ Affirmative Action Employer — 50% Recycled \ 10% Post Consumer Paper

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Adjacent Riparian Property Owner Statement
Y I hereby certify that I own property adjacent to e s o
(name ot Property Owner)
property located at 1 t? S NO Re 09 &-c L) Fo 2 r - -
(Lot, Block, Road, etc)
ion MoRTIA JZIue inEca Fo 2-r N C C�,R Te T-
(te,rbody) (Town and/or ty)
He has de -cribed to me as shown below, the development he is proposing at that
location, and T have no objections to his proposal.
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Description and/or Drawing of proposed De elootaent
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.Adjacent Riparian Property Owner Statement
I hereby certify that I own property adjacent to
a a fe a R S o rJ
(name A Property Owner) 01
property located at Fo PZi -
(Lot, Block, Road, etc.)
1'ion_NoP3tk �ioee F_-L ,in 1`��cayf �2-r nlL J$SI Cor:L-VeP_
(�► Wrbody) (Town and/or County)
He has de-cribed to me as shown below, the development he is proposing at that
location, and i have , o objections to his proposal.
Descriptions d/or Drawing -of proposed Deelopaient
be filled in by individual proposing development)
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Parcels (Updated 1 /05/2010)
OWNER: PEARSON,MARY PIN15: 731703304671000 HOUSE NUMBER (7 0000127
E Digit EX. 0000812):
STREET NAME: SHORE NEIGHBORHOOD 110029 STREET TYPE: DR
CODE:
�tfC�r -
MAILING ADDRESS
CITY:
BEAUFORT
ZIP:
28516
127
HOUSE NUM'
-5 20/O
MAILING ADDRESS
MAILING ADDRESS
MAILINWDRESS
DIRECTION:
STREET:
SHORE DR
STREET TYPE-'eod C;h,
oOM
MAILING ADDRESS
MAILING ADDRESS
MAILING ADDRESS
BEAUFORT
NC
28516
CITY:
STATE:
ZIP:
MAILING ADDRESS
TOTAL ACRES:
0.473
DEED DATE OLD: 20011130
PO BOX:
DEED BOOK:
924
DEED PAGE:
657
TOWNSHIP: BEAUFORT
BEDROOMS:
3
BATHROOMS:
3
TOTAL SQUARE FEET: 1854
L11 SHELL
YEAR BUILT:
1961
CITY LIMIT:
LEGAL DESCRIPTION:
LANDING
FIRE DISTRICT: BEAUFORT FIRE RESCUE DISTRICT: BEAUFORT MOTHER: 0
RESCUE
CONDO—: PDOT: 4671 STRUCTURE VALUE: 177158
LAND VALUE: 244642 TAX VALUE: 434540 OTHER VALUE: 12740
SALE PRICE: 233000 BLT CONDO: 0 PRID: 11014BO109
ROLL TYPE: R Noise: aicuz:
Risk level:
1:344 feet
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Applicant:
Date:
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
Habitat Name
DISTURB TYPF.
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
Dredge ❑ Fill Voth ❑ Other ❑
�©
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both Cl Other ❑
Dredge ❑ Fill ❑ Both Cl Other ❑

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SUPERIOR CONSTRUCTION 5708
1 185 Hwy 70
66-1246/531
SEA LEVEL, NC 28577
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