60261_OSBORNE, DAVID_20120525

DCAMA / CJ DREDGE & FILL
NO. 60261
GENERAL PERMIT
Previous permit#
New ClModification [JComplete Reissue
�_JPartial 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
❑ Rules attached.
Applicant Name ' r
Project Location:
County
Address _ —
Street Address/ State Road/ Lot #(s)
City ----- State ZIP
--- -----
---
Phone # (.) ,i _ _ Fax # (__. )`—
Subdivision
Authorized Agent
City _
ZIP
Affected -' CW EW -i PTA ❑ ES J] PTS
Phone # ( _-__—)
—_ -- River Basin
i OEA _ J HHF D 1H D UBA JJ N/A
AEC(s):
Adj. Wtr, Body_.-_
(nat /man /unkn)
�7 PWs: -iFC:
ORW: yes % no PNA yes / no Crit.Hab.
Closest Maj. Wtr.
yes / no
Body
-- --
[Type of Project/ Activity
(Scale:
Pier (dock) length -_-__ _
Platform(s)_ Er -- — -- -
Finger pier(s)--- 1 —
Groin length -- - -- - - ! - - --- ,
number ---
Bulkhead Ri ra length
Riprap g
avg distance offshore
max distance offshore
Basin, channel - - -- - - --- -- -- -
cubic yards_ -----
Boat ramp . --- -- - - - ----
Boathouse/ Boatlift - -- - - - -`^ -
77
Beach Bulldozing _ J
Other----- �. ... � ; �, ----- ----- --- -
Shoreline Length
SAV: not sure yes n
Sandbags: not sure yes no
--- ---- -----
Moratorium: nla yes no
Photos: yes no
Waiver Attached: yes n
--- _- - �-
A building permit may be required by: See note on back regarding River Basin rules.
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit"
Permit Officer's Signature
Issuing Date Expiration Date
Local PlanningJurisdiction Rover File Name
Application Fee(s) Check #

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
landowners).
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:
r ! Tar - Pamlico River Basin Buffer Rules Other:
_I 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 1) 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)

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date "— / 7 1
Name of Property Owner/Applying for Permit:
f�k--t,C4
Mailing Address:
r 0 3 So
cc -
eqam►-
P r,
r
I certify that I have authorized (agent) Ge re, % �°`^ �o act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity)
at (my property located at) /0
'e A),C . 29� si
This certification is valid thru (date) .5 — l / — /
Property Owner Signature Date
�Z
RECEIVED
MAY 21 2012
DCM-MHD CITY

olvl�lcllq OF ASTAL MANAGENIErNT
��J,JAC N`i �1P-�,RI.AN PROt ART C)YIN FR NO l'FCAT1ONN,
Narne Of Individual applying for Permit:
I hereby certify that I own property adjaCer
applying for this pen71i( has described to me
they are proposing. A descriptior, or drawing,
2
c
of or Street I#, Street or F�oad
� County]�-�--
to the above referenced proerty_ The individual
> shown on the attachEjct drawl g the development
'ith dimensions, should hey proicic:d with this letter.
— w — I have no objections to tilis prc)pc) ;,; i..
If you have objections fa wlae-,t is being Ivaposed, pleaso write the D'visiorn of Coastal
Mal7agement, 400 Commerce Avenue, More lead City, NC, 28557 or call (2 2) 808-2808 within
10 days of receipt of this not'"- No respon a is considered the same as o abJection if you
have been notified b Certified Mail.
WAIVEJ SECTIOIN IIEWEo-
MAY. 2 Y 2012
DCM-MHD CITY'
I understand that a pier, dock, mooring pilings, XeQkwater, boathouse, boatlift Dr sandbags must
be set back a minimum distance of 15' from m area of riparian access unless N2ived by me. (if
You wish to waivq the setback, you must initial he appropriate ro riate blank below.)
Z• /C) I do wish to waive the 15' 4atback requirement.
I do not wish to waive the 5' setback requirement.
(Applicant Information)
Mai�AddroSS
City/State ip
�IeVPQ-k-mber
bIt7:a6ed zZtiL9889��ti6 �l
(Riparian Property owner] Information)
Signature
4
or Type Name
e/LIP hone Number
AiDGHW WDO:WOJ-j 62:9T aMa-TT-add

* 04 16i2012 08:35 FAX [phone] SILICONES INC
i�14'1 It��a 0 AITA�.1 Aj1,lAC.,EPA.ENT
DJAC,�_NT F�IPAFRIAN PROPER? C INi -R NQTIFICATIUi+lAJVFR F;0RVf
Name of individual aprlyillg fQr Permit.
I hereby certify that I own property adjacrer
applying for this parmit has desarlbed to me
thay are Proposing, A description or drawing,
have no obj'ac;tions to ti
If ycu have abfections to what is being,
Management, 400 Commerce A venue, Nor,
90 days ofreceW ofth/s notice. Norespon
have been noiY ied by Cerlified Adafl.
or 61reet #, Street or Roed, Q1 & 001)nty)
to the above referenced prop rty. l"he individual
shown can the atEarliecl tjiraw! g the development
r;th dlmonsioiis, should be pro lded with this letter,
proposal„
'oAosedf please write tiIs p viaft�n of Coastal
lead CifyyNC, 28657orcali'(2 ?!} 806-2808wirhirr
e Is considored the same a o objection d9"YOU
WAIVE-14 S�CTJON
RECENED
I MAY 2 1 7.01Z
l understund that a pier, dock, mooting pliirtg's, reakwater, boathouse, boatlift r sandb .
be set back a minimum distance of 15' From my rea of ri y ME..7(I
You wish to waYv@ the setback p�nan access unless aivpd by me. ('I�
YQu r'nust lnitlal a appropriate blank below.)
I do wish to waive the 15' s tback requirement.
4' I do not wish to waive the 51 setback requirement,
(Applicant information)
MR110y p drew
�- - I - 4� Rl
Cfty stateMp
d' 3l 7Ce©ponfo�
lhe m 3 a
Lit
Date
t'"� : D'Y V't
R27C_5889£P_T6.01
Property Owner Information)
print•or 709 Name
Dais
4 Number' �-
k10aHW W IOZWQJ.� GZ:ST STe2-TT-a,de
Z0/Zia dJVd 0ETGLLGZSZ ZZ:60 7,Z0Z/ST/b0

4— a 0 1 -->