60365_PADGETT, DOUG_20120725

LCAMA / FDREDGE & FILL
GENERAL PERMIT
CINew ❑Modification ❑Complete Reissue ❑Partial Reissue
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
Applicant Name
Address
City `. C-r' i
cnyJ� � '
State ;' ZIP, ` '. 6t
Phone # ( )
Fax # ( )
Authorized Agent
i
Affected ❑ CW
rl EW
PTA ElES ElPTS
AEC(s): ElOEA
_i HHF
J IH —1 UBA ❑ N/A
❑ PWS:
❑ FC:
ORW: yes / no
PNA
yes / no Crit.Hab. yes / no
No.
Previous permit #
Date previous permit issued
60365
❑ Rules attached.
Project Location: County
Street Address/ State Road/ Lot #(s) 4 ,
Subdivision 1H
City ->i�� r.3 ?., r.� [r ZIP
Phone # River Basin 1 ~.
Adj. Wtr. Body (;nat /man /unkn
_
Closest Maj. Wtr. Body -
Type of Project/ Activity
t.
(Scale:
20 j )
Pier (dock) length
Platt
Finge
Groi
Bulk40
Boat
Othe
Shor
SAV:
Sand
Mor
Phot
Waiveryes no
A building permit may be required by: 5.
Notes/ Special Conditions
rules.
River
Basin
��' `•^ % : ' `)
C See note
on back regarding
i 2
n
head/
I
-
length
number
i
i i I
ed.
;
Riprap length
av distance offshore__
max distance offshore
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit **
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:
D 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)

BOGUE BANKS MARINE CONSTRUCTION INC. BB&T 2212
111-D Turners Dairy Rd. BRANCH BANKING AND TRUST COMPANY
Morehead City, NC 28557 1-800-BANK BBT BBT.com
252-247-4428 66-112/531
b'5
11'00 2 2 1 2111 1:0 5 3 10 1 1 2 11:000 5
AUTHORIZ DSIGi ATJF;_
1009458 %311'
a

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date
Name of Property Owner Applying for Permit:
cle
Mailing Address:
t?eYei�z 1 \ r r
I certify that I have authorized (agent) fops%�� C °�"�b act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
�'
a
install or construct (activity)�
at (my property located at)
This certification is valid thru (date)
Property Owner
Z //- /- - Z,
Date

-Jul. 20. 2012 8:09AM'-- JOHNSTON PAIN MANAGEMENT, PA No. 5696
(TOR A ,PIER MOORING PILX1VGS1B0,4TL.XI'TA30AT11r0VyL�
LA -
I hereby certify that I own ptopzrry adjacent to
(Name o roperty Owner)
property located at �o�'`�� �• vhS t-e)' ,
(Lot, Block, load, etc.)
Oil
J`�n5/" r�M x"�v t,/ , -N.C.
(Water- ody) yy (To«'n nd/for County)
rippiicaut's phone #: %�/0`.�°! mailing Address: f"� (� /S6/IC 3Q
I -le has described to me, as shown below, the development be is proposing at that location, and, I
have no objections to his proposal. I understand dial a pica-/mootilig pilings / boatlift / boathouse
tmtst be set back a minimum distance of fifteen feet (l 5') from 11ly al•ea of riparian access Unless
%vaived by me. (If yoll wisl) to waive the setbaclt, you must fialtlal the appropz'iate bintllc
below.)
X do not wish to Waive
I do wish to waive that setback'egUileMe"t.
-----w-DESCMPTION AND/OR DRAWING Or, PROPOSED DEVELOk'i1IRNT,
(To be,jilled in Ay indipidrenl p•oposirrg devetoprnenf)
Oz-C
4vw G
7 v
/r
(1nformation for Property Owner Applying piparian.Property OvVner I11TQ1'matl0n)
for Pel•rnit)
fax 3w
5isnawrc
Mailing Address
�ity/StiAit%� trl �� ! Priw G1 Typc NalrlG
�Z(0
Tele hone i�umUer
]'Yfia hlr e-
rats D;�tr
f d / 7.1yb/b7.7G7 ]suo') euueev SVUein AI,HAa

AJ , C- .
a
s t
eS� o � v�•�� 120��
�1 eve eK-- Cv
ct sub
&
��°P ,�.7

(FOR A PI-R/MOORING PILINGSIBOATLIPTIE 0ATFI'0 U,5E)
I hereby certify that I own property adjacent to Qa, 5 Pct 0[ �7 � , 's
(Name of Property Owner)
1 �
property located at I i/ Z J oW L,• t!j
q rS
,� 0
(Lot, Block, Road, etc.)
Oil i� ���G,/1 yl. , in SVV6417 S C��r✓ N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: /iG' 39,� J13'-sMailing Address:�Ta
V, If P" 28 5 y/
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. (If you wish to waive the setback, you must initial the appropriate blank
below.)
A
I do not wish to waive
do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in b)) iizrlividtial proposing dei)elopiitent)
�r,*los e-
a� S ill / O>L-
(Information for Property Owner Applying
for Permit)
C' box 36)
1v1ailinc, Address
& C, z �5
City/SiaieiZ-Ir)
phone a el,
R
.err
(Riparian Property Owner Information)
i
signatUre
Pi-iilt ui T' aliir
1d- 7r7-23?G
� / Telenhonc Number
.
� / ew< 1Z
Date,

JUL-10-2012 11:59 From:DCM MHDCTY
�4CAMA / 0 DREDGE & ALL
GENEPLAL PERRAIT
ONcvv - OModification 'PCOMPletQ Reissue 7Partial Re
As authorized by the State of North Carolina, Department of Environment and
and the Coastal Resources Commission In an area of environmental concern pi�
CJ OFA OHHlF OlH- 0 URA r-1 N/A
AEC(s):• 0 FWS:
h.
ORW: k I no PNA yes Crit-Hab. yes / no
Type 01 Project/ Activity
Pior (dock) IcVhl tV2z'--
Flatform(s)— i .1 k.
Finger piar(s)_� I.
Groin length
number --.—
Bulkhead/ RIprap, length_
ava distance offshdre
max distance offshore —
Basin, channel
cubic yards
Boat MMV
004thouse/
CO
Beach Bulldozing_
i
To:92474427
Pase:1/1
7
419 3C."
Previous permit # A'1 2 7
ue A/ Date previous permit issued
atural Resources
jant to 15A NCAC_
0Rvles
attichod.
Project Location; County
Street Address/ State Road/ Lot #(s)
Subdivision
777��
City.
ZIP
Phone # River Basin
Adi. Wtr. Body ­
an un"
Closest Maj. Wtr. Body
A building permit may be required by:. it'. J
Notes/ SpecW Conditions
Am
ULM
. ef . i
;:I