60212_POWELL, ROBERT_20120509

C'CAMA / C DREDGE & FILL 6 NO. 60212C
GENERAL PERMIT Previous permit#
❑New El Modification CComplete 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
t � Rules attached.
Applicant Name_ e" .. , _ _ e, ! Project Location: County
Address Street Address/ State Road/ Lot #(s)
City State ZIP
Phone # () Fax # ( ) Subdivision
Authorized Agent City_ _ - _— ZIP
Affected i CW Z EW M PTA ZJ ES ❑ PTS Phone # (_ ) River Basin
AEC(s): -1 OEA D HHF IH UBA - N/A Adj. Wtr. Body _ (nat /man /unkn)
-1 PWS: -I FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Closest Maj. Wtr. Body
IType of Project/ Activity
Pier (dock) length
Platform(s) —
Finger pier(s)--
Groin length
number —
Bulkhead/ Riprap length l� t(I17r
avg distance offshore
max distance offshore
i
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift' '
Beach Bulldozing
Other —
i
Shoreline Length —
SAV: not sure yes
Sandbags: not sure yes o
Moratorium: n/a yes
Photos: yes no T
Waiver Attached: yes no -- -- --
A building permit may be required by: i
Notes/ Special Conditions
(Scale:
CJ See note on back regarding River Basin rules.
Agent or Applicant Printed Name Perm it Officer's Signature
Signature Please read compliance statement on back of permit"
Application Fee(s) Check #
Issuing Date
Local Planningf urisdiction
Expiration Date
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:
�J Tar- Pamlico River Basin Buffer Rules
Neuse River Basin Buffer Rules
❑ Other:
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.
(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)

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TANS
RECEIVED
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�2/2012 WED 12:49 FAX [phone] Howell Support Services 2 rFtVFT) 0002/005
MAY
ADJACENT RI(PARTAN PROPERTY OWNER STA') PN4 ��' r �
I hereby certify that I own property adjacent to J 6br-r-r L� 04wc.1i �) r�� 's
(Name of Property Owner)
property located at 3J7 C, n ri �..1 �r`. �t�f
(Lot, Block, Road, etc.)
on r�- ZJ7 U - in �/ 6-e2JCk -L- 5 /e- JCS->`�'C.I'G %" , N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: 9% yc26 _�p? Mailing Address: %v,�g &k It-) u.f
He has described to me, as shown below, the development he is proposing at that location, and,1
have no objections to has proposal.
DESCRIMON AND/Ott DRAWING OF PROPOSED DEVELOPMENT!
(To be filled in by property owner proposing development)
c�oL,/ Carl -
(Riparian Property Owner Information)
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S 0 Katare
/ e- Jh
tty/ Stat jp a Print or i�p Name
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Tele hone Number Telephone Number
2—
Signature Date DaYc
(Information for Property Owner Applying
for Permit)
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Nailing Address
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Mph � � 2012
,ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 91 611-` - I-f) - (-'&J"' ) t +S
(Name of Property Owner)
property located at �17 Crr'.n ( or.,
(Lot, Block, Road, etc.)
on LO- ' � .L , in 601c1-611 C ,31 5/r- 16CLrtC.fC.i , N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: l%1 d� -426"*- Mailing Address: f -28 "-/0 t 6re t- 'Or.
66lct5b00G,, ) a753`-1
Fie 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)
`" CA I
rU S I Del
pea_ e
6L l �GSYI
t.
�ce-)j r_CI .
(Information for Property Owner Applying
for Permit)
/4128 Cce'-l',uf Cf-,-Z:-k- YJ-.
Mailing Address
City/State/Zip
9/9 — 9 a 0 - /d 49-
Telenhone Number
(Riparian Property Owner Information)
Signature
Print or Type Name
Telephone Number
n9fp Date

Susie Howell
From: Guthrie, Barry [[e-mail]]
Sent: Tuesday, May 01, 2012 12:05 PM
To: Susie Howell
Subject: Riparian Form
Attachments: ADJACENTRIPARIANPROPERTYOWNERSTATEMENT2.pdf
Attached
Barry Guthrie
Coastal Management Field Representative
NC Division of Coastal Management
400 Commerce Ave.
Morehead City, NC 28557
252-808-2808 ext. 213
****** Note new e-mail address is: [e-mail] ******
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be
disclosed to third parties.
PXCRfD
MAY 09
2012
DOM M!m CITY

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SUSAN P HOWELL 66-112/531
628 WALNUT CREEK DR _
GOLDSBORO, NC 27534-8998
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BRANCH BANKING AND TRUST COMPANY
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SUSAN P HOWELL 66-112/531
628 WALNUT CREEK DR
53
GOLDSBORO, NC 27534-8998
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Harland Clarke
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