55772_PROCTOR, KELLY_20100602

CJCAMA / ❑DREDGE &FILL
GENERAL PERMIT JV Y �
Previous permit #
i"LT7New II Modification []Complete Reissue El 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 I SA NCAC
r'- N2D Rules attached.
Applicant Name ke I k, ttallc cyc`� Gr �+ AA'' Project Location: County cCd -f Qkf
Address 72 NK +�k.v�+ ^�� t'V Street Address/State Road/ Lot #(s)
City State 1 ZIP
Phone # ( ) Fax # () Subdivision
,� � 1
Authorized Agent n�iryy/ &% W IAO i.GAyit cic' City rc ? :� s ��' ZIP + �l
❑ CW ❑ EW ❑PTA �ES ❑ PTS Phone # O .SOti� River Basin W t�� t,
Affected
❑ OEA ElHHF ❑ IH El USA ❑ N/A
AEC(s): Adj. Wtr. Body ililat man unkn
❑ PWS: ❑FC:
ORW: yes / no PNA yes / ono, Crit.Hab. yes ! no
Closest Maj. Wtr. Body —
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number
—
BulkheadF,Riprap length
2vg distance offshore
max distance offshore
Basin, channel
cubic yards_
Boat ramp
Boathouse/ Boatlift
Beach Bulldozi
Other
Shoreline Length oI I
SAV: not sure yes
v I
Sandbags: not sure yes
Moratorium: n/a yes o
Photos: yes
Waiver Attached: yes ---
A building permit may be required by: i
Notes/ Special Conditions 0 (1
�i
%PT
r Applicant Printed Name
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check#
(Scale: (� )
Permi40 icer's 'gr lure-..
Issuing to Expiation Date
W'e-1
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 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 Citv 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

NCD Nit
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley; Governor Charles S. Jones, Director William G. Ross Jr., Secretary
Date S_ /2 _Io �Ay 2 6 2�10
nAorohe "� Dr-M
Applicant Name KC Poe 0
Mailing Address 2 s%
E/rr-� G', h r1. C-. 2 8'2 Z
I certify that I have authorized (agent) A It, C- c'�0.+'-- GoNs f. to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) )�" 1 0ta4 -0/4 do � la, 4
at (location) Z S� y �M �✓� ��`� ��wi t /� �Jlc /v C
This
Signature
is valiNhru (date)
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internet: www.nccoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer - 50% Recycled 110% Post Consumer Paper

14 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
or
I hereby certify that I own property adjacent to / �� ,4 s
(714ame of Property Owner)
property located at .ZS G'e/
(Lot, Block, Road, etc.)
�c/ �5/ on , in .�-�,-• P � � , N.C.
(Waterbody) (Town and/or County)
AppIicant's phone # SZ� Z`/S-y�/c.'L/ diailing Address: 5-7,4 /,.--�� A --
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)
RECEIVED
MAY 2 6 zoo
Morehead C:I.y �CfA
• 4V do*
--------------------------------------------------------
(Information for Property Owner Applying
for Permit)
Mailing Addr ss
e-1 ./- y J 5 'Z Z
City/State/Zip
Z5-4
ephone Number
01
gi,adature Date
10
40, QlLAe F�60ys
(Riparian Property Owner Information)
Signature
Print or Type Name
3>�-
Telephone Number
Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to �Pl� � � �� 's
i ame of Property Owner)
property located at Z5 U`�.6nP�a,� /.�� apt"
(Lot, Block, Road, etc.) �tv�
/ l 'VAY 2 6 2010
on , in �.n e N.C.
(Waterbody) (Town and/or County) mO`° _. Cf}
v �cn,�
AppIicant's phone Zailing Address: 5 7l�
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal.
4
f
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by property owner proposing development)
a
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
Mailing Addr s Signature
City/State ip
252- 2-,el-5--
Telephone Number
Signaffure Date
Print or Type Name
ot14—Aqt—CK0r
4/4/1�-4 I Z.
Telephone Number
Date

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