53319_PRICE, NORMAN_20090211

❑CAMA / ❑ DREDGE & FILL 4'-44_!S
-. GENEFML PERMIT `� PO Previous permit #
❑New ❑Modification ❑Complete Reissue LJF"artial 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
r�J Rules attached.
Applicant Name n Lp`, i '4 i C: c Project Location: County_
Address; �E'( t •_a15 �' �'<.
City - State t }L. ZIP r:/l
Phone # ('�^)7 �� ;,`� Fax #
Authorized Agentt,{
Affected ❑ CW _D EW El PTA El S PTS
AEC(s): ElOEA ElHHF ❑ IH ❑ USA ❑ N/A
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Street Address/ State Road/ Lot #(s)
Subdivision
City_ ZIP
V' 3
Phone # ( ) River Basin �} 1 E
Adj. Wtr. Body `J `� ., ( ilman /unkn)
Closest Maj. Wtr. Body —
Type of Project/ Activity
r
j
(Scale:
Pier (dock) length
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length130�
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
—4—
--
—1
-
I
_
-
---
-s
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Shoreline Length
SAV: not sure yes 40,
Sandbags: not sure yes
Moratorium: n/a yes no
Photos: yes na'
Waiver Attached: yes no ----
n
A building permit may be required by:
Notes/ Special Conditions_.
i
---I - --- —
❑ See note on back regarding River Basin rules.
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—T� ev� ( -1
Agent or Applicant Printed Name
Signatures Please read compliance statement on back of permit ,
Application Fee(s) Check #
PermitOfficgr's Signature
# l �t'
Iss ingDa Expiration Date
Local Plannik 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 ❑ 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.
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

NOU-14-200e 15:20 From:DCM MHDCTY
To:92476332 Paee:1"1
OWWWA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Govemor James H. Gregson, Director William G. Ross Jr., Secretary
Date `j A A) Q A 2 y ro7oo %
Name of property Owner Applying for Permit:
Mailing Address:
PICIII !ED
Mpreheda► City t)C
IW
619N45 / fi/Z-/IjIL (200L)sT
I certify that I have authorized (agent) ! 1144 6221,W kE S to act on my
behalf, for the purpose of applying for and obtuining all CAMA Permits necessary to
install or construct (activity)
at (my property located at) 1126 S A C /} F � l�) ;z
Mi,WPo/eT; AUC- 27�920
This certification is valid thru (date) 3 � ��
Property Owner Signature
a6/--)ao
Date
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone]V FAX: [phone] Intemet: www.nccoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer— 50% Recycled 110% Pnst Consumer Paper

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ADJACENT RIPARIAN PROPERTY OWNER STATFMFNr
WOR A PIFRIMOORING PII.INGSIBOATI_IFTIBOATIIOU.5F_)
I hereby certify that I own property adjacent to NjorZ IAtJ /'/2-1c, S
(Naive of Property Owner)
ffor,crty locate-d at 614 T>� 1�rZ
(l.)t, Block, Road, etc_)
can 1-C Lj
(Waterbody)
in N_f'Cj �alL% / `'L4_Z i�� L2 N.C.
('Town and/or County)
Ile has described to me, as shown below, the development he is proposing at that location,
and, I have no objections to his proposal. I understand that a pier/mooring
pilim .-ibckttlift/boatbouse; most be set back a minimum distance of fifteen feet (151) from my area
Of ripati'M access unless waived by me.
..�� l ' ti wish to waive the setback require►ttent. �N J/1 L
i thi wish to waive that selback requirement.
-------------------------------------------- —---------------- ---------
DESCR1P'T IO,N ANYVOR MAWTNG OF PROPOSrr) DEVELOPMENT;
(To be filled in by indiridualproposing development)
;2E-P&ACf_ s,'IN� &L)LtctY�-14D (WOOD) wlr�l
M c ci l)! N VL l3 U L lK H1L'4 lD .
Sig ure
Prini or Type Naine
6,001 9 old 0 �- z 7;z_f / -7 2
03n Telephone Number
1WEE rate: � /,/ c

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Land Rock

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to /V D 2 Wl A j i 1 l Zl <- - 's
(Name of Property Owner)
property located at `l e?( 5 g: 4- P/Z l U ,
(Lot, Block, Road, ''etc.)
on 0C)P--E C'2k IE�('zc �J�, in k) iz)Pbtz-1 / C1JZT5-2?L7 , NC.
(Waterbody)� (Town and/or County)
He has described to me, as shown below, the development he is proposing at that location,
and, I have no objections to his proposal. I understand that a pier/mooring
pilings/boatlift/boathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
I do not wish to waive the setback requirement. -el-�
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
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Signature
Print or Type Name
,0"--�-16-,2-3
Telephone Number
Date: Z

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Land Rock

FIRST CITIZENS BANK
tirstcivzens.com 3479
OUTER BANKS WARINE CONSTRUCTION, INC
1501 FIRST AVE 66-30/531
MOREHEAD CITY, NC 28557 137
i252) 240 2525
31160009 Y
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