60380_PADGETT, DOUG_20120802

❑CAMA / ❑ DREDGE & FILL
�" NO. 60380
r GENERAL PERMIT
Previous permit#
[]New ❑Modification ❑Complete Reissue ❑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
❑ Rules attached.
Applicant Name I "otIc
Project Location:
County
Address
Street Address/ State Road/ Lot #(s)
City —State V ZIP .21--555 -f t
Phone # ( )— _ Fax # (_)
Subdivision t f
t,:• :- i
Authorized Agent
City ��;
rk^• : x•rr0 ZIP
ElCW EW PTA ❑ ES ❑ PTS
Affected
Phone # (? ;z)
72.ff`-4 qI6 River Basin
❑ OEA ❑ El IH ❑ UBA i- N/A
AEC(s):
Adj. Wtr. Body
p7.w Lv (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 j .. !
avg distance offshore _
max distance offshore
Basin, channel
cubic yards_
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
I
Shoreline Length
I �
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
Application Fee(s) Check#
-iI
(Stale:. I = 7% )
f-:
See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing bate Expiration Date
Local Planningf urisdiction 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 I) 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 howto 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/ I-888-4RCOAST
Location:
Fax: [phone]
2728 Capital Blvd.
(Serves: Carteret, Craven, Onslow -above
Raleigh, NC 27604
New River Inlet- and Pamlico Counties)
919-733-2293
Fax: [phone] 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)

Date s�
Name of Prapero,3, Owner Applying for Permit-
D61C-
Mailing Address:
PC1'-eG ` /'�—, C
I certify that I have authorized (agent) �l� %��r�� ��r /:/Le ( c,--fib act on gay
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity)
at (my property located at) ,�G " ` L)/ L
This certification is valid thru (date)
Date
Property Gwner Signature

UV I. LV eV I L U, V7r11YI VVIIIN0IVIV I III IN IYIMIVMV.LIYILIV1, rn IIU• 7U7U r.
OFORAPIF-Jtf OOIZ,"N6PrLliVC'SIBOArLIF7'IBO,4yffOZIOL1
Pet
1 hercb certify that I owl, propzrty adjacent to �" ""i, $
Y. Y
(lea urtae a r-operty 01M et•)
propergy loc�Yeed ate t� C7' f` ® n,S r,
(Lot, Block, Road, etc.)
�G � �-�D�..--G� W , ►ct N.C,
oil
(VVatet ady) (ToN�Ftr nd/nr Coultty)
laplicaut's phone I35 111nt1ing,Address: P0, ISox •36`%
clash Orjv,i1�,, ti• �� z�,7x—Yl
I -le lim described to inc, as shown below, the developaaertt be is proposing at that location, and, Z
have no objections to his proposal. I understand that a pier -/mooting pilings / boatGft / boathohhse
must be setback a minimum distance of fifrecn feet (IT) froln Jn,y area of riparian access unless
waived by Jne. (If you vtgsl) to waive the setback, you must initial the appleopx'iate binnlc
be
X do not wish to Waive
I do wish to waive that setback tecluiuetnent.
w S7)ESCR1PTION ANWOR DRAWING OF PROPOSE1) DEVELOPMENT:
(To be flMed in by ir:rllridreal proposing developrMentt)
on
IHCI( 6
sty
----�lo�---- LIB_ ------- -----^-------------------------
(T-forntation For Property Owner Applyiney .va.rian Property Owner Information)
for Permit)
. fox 3�
Mailing Address
4TEe ne:`7uo;ba�fJRillrh / Tate
rrL)JI ur Lypc J ia,I,�
?�elepl�a�e number
D%zCc
r•d /7bt/i777G7. lsuo'1 eulJEIA1 sAueca anHoa

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-2 Y -Y 5
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(1,'OR :f PIF..I?Iji OORlj'd G PIi.FNG.SIBOO,4 TL T.F'T/L OA.TI-rO uuE))
I hereby certify that I own property adjacent to e, "( _ Is
t (Name of Property Owner,)
property located at
(Lot, Bloch, Road, etc.)
-Y oz-lf"t'r-1 , - __, N, C,
(Waterbody) (Town and/or County)
Applicant's phone #:g ddress: `' ' Cjr'C r
He has described to me, as shown below, the development lie is proposing at that location, and, 1
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 (1 T) :from my area of riparian access unless
waived by nie• (If you vr°ish to waive the setback, you must i? Wal the a;;p;-opriate blank,
below.)
I do not wish to waive
Ir P
do wish to waive that setback requirement.
----------------------------------------------......------------------------------------------------------------------
;�;�� DESCRIMON A IND/OIL DR WNG OF PROPOSED l;EVELOPPO la.NT :
(.To be,illed in by indii,idual proposing developinem...)
- -e- 6
---------------------------------.-----------------------------------------------------------------------------------
(In orination ibi' Property Owner Applying
f0r e.1-nit)
� r
tv%ailing Address
i Lyi s LaLt/%ii)
.'- phone Diu •- er - --
(Mparian Property Goi,ner information.)
SiRnature
?/Q• 7f7-2374
Telephone 1iumber
Dale

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BOGUE BANKS MARINE CONSTRUCTION INC. BB&T 2222
111-D Turners Dairy Rd. BRANCH BANKING AND TRUST COMPANY
Morehead City, NC 28557 1-800-BANK BBBBT.com
252-247-4428 66-11215 31
7131 /2012
TO THE $ *" 200.00
DER OF NCDENR
Two Hundred and 00/100,, ***#**. *. * �x �..« DOLLARS
NCDENR
MID c J
Padgette permit A T HORIZED SIGNATURE
119002222110 1:0531011211:000510094 853110