60295_OAKES, ROBERT_20120629

�. CAMA / DREDGE & FILL h,.,- NO. 60295
GENERAL PERMIT Previous permit #
❑New ❑Modification FOComplete Reissue 7—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
J Rules attached.
Applicant Name Project Location: County
Address Street Address/ State Road/ Lot #(s)
City State ZIP
Phone # (_ _) Fax # ( ) Subdivision
Authorized Agent City_ ZIP
i
Affected Cw Ew PTA ES PTS Phone # ( ) _ River Basin
AEC(s): OEA HHF IH UBA N/A Adj. Wtr. Body_ (nat (man /unkn)
PWS: FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body _ -.-
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 K
Beach Bulldozing _
Other
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
Signature ** Please read compliance statement on back of permit
(Scale:
See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Date
Expiration Date
Application Fee(s) Check # 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 ❑ Other:
El 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)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to v`ise S
(Name of Property Owner)
property located at �� �� ,� C rig 61 S {
(Address, Lot, Block, Road, etc.)
on , in N .C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
_4-1— 1 have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must till in description below or attach a site drawing)
Lt'/_ 7- AT WAIST/iUG 'C)oc-(�-
RECEIVED
JUN 2 5 Z012
DCN4-MLID CITY
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, -lift, or groin 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.
(Property Owner Information) JAdjacent Pro erty Owner Information)
1 ature Si lure .--�
4- C i_ 1�.e c l rn. a/" (_5 (zci �ti
Print or Type Name Pnnt or Type Name
C�C� �i� r'1-1I l� �z� tJ.9�tic4F C/%
Mal'fing Address Making Address
42P A (t � 7S/ �j ,%mac Kv�, S( t=s Nc k� i 2
City/Stat&Zip City/StatelZ
MOO e_ Number Telephone Number
Date Date
(Revised 6/1 KO12)

I hereby certify that I own property adjacent to 1. r �n �"t , v t V ` s-- S.
(Name of Property Owner)
property located at la 0, r Lc=r�, t 1 S L..i✓�e �
(Address, Lot, Block, Road, etc.)
on , in N .C.
(Waterbody) (City/T own and/or County)
The applicant has described to me, as shown below, the development proposed at the above
io at
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must rill in description below or attach a site drawing)
RECEIVED
JUN 25 2012
DCM-MHD CTTy
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse;'=lift, or groin must be set
(5ack,.a,minimum distance of 15' from my area of riparian access unless waived by me. (lf:yg0
wish to waive the setback, you must initial the appropriate blank below.)
J� I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Piopetty Owner Information)
(Adj
12 L C
P bt or Type Name
7),/ `)nKI Cry h �2—
14
City/State/Zip
Telephoife Ntkner,
Date T
(Revised &✓1 &2012)

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date CL � /a
Name of Property Owner Applying for Permit:
Ll
Mailing Address:
M., ` k �D
),x I / /y (— 7Sj
JA 2 5 zoI2
DCM_mnz� CITY
I certify that I have authorized (agent) to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
instas , (activity)
�I or construct activi j
at (my -property located at) 1 3 �% . r�,, it C� (� ��S [VL
This certification is valid thru (date) 7 3
Property Owner Signature Date

PNPIO'-�� A
FIRST CITIZENS BANK
OUTER BANKS MARINE CONSTRUCTION, INC,
1501 FIRST AVE
MOREHEAD CITY, NC 28557
[phone]
4935
66-30/531
137
7/3/2012
$ PXY TO THE **200-00
ORDER OF D.E.N.R.-
Two Hundred and 00/100*****
D.E.N.R.
MEMO
I.- MW - 11 AUTHORIZED SIGNATURE
llg00493511v :053LO0300i:001,31,21,82L/11111
OUTER BANKS MARINE CONSTRUCTION, INC
7/3/2012
D.E.N.R.
First citizens
I. DOLLARS fe!'
4935
200-00