61131_PRUITT, BLAND_20121127

J :71CAMA / ❑ DREDGE & FILL
GENERAL PERMIT
New ❑Modification ❑Complete Reissue CPartial 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
1 y..
2 KdsNo. 61131
Previous permit #
Date previous permit issued
Applicant Name "', L:,1,+ % --r oi--ff Project Location: County
Address )) PY .X _7 9` 1 Street Address/ State Road/ Lot #(s)
City LO ,"r Lc ' State !V0 ZIP t
Rules attached.
Phone # (_) t�`
- Fax # ( )
Subdivision
Authorized Agent
r:C- E'`-i �, 1
City- _._ i >;:c Y : 1 r�t,�>�'
ZIP
❑ CW
7J EW ❑ PTA k] ES ❑ PTS
Phone # (_) ; tl 2 - (, 7')S
River Basin 1.1j
Affected
OEA
AEC(s): ElElF
HHIH UBA ❑ N/A
ElElAdj.
Wtr. Body �, nr V;
-
Cs k /man unkn)
(nat /
/', _;
ORW: yes / no
PNA yes / no Crit.Hab. yes / no
Closest Maj. Wtr. Body
,f r
Type of Project/ Activity
(Scale: + �_ •� )
Pier (dock) length
Platform(s)
Finger
Groin
Bulk
r
Basin
Boat
Boat
Beach
Other
Shoreline
SAV:
Sand
Mora
Photos:
Waiveryes no
A building permit may be required by:
�1 +
. l
EI See note on back regarding River Basin rules.
Notes/ Special Conditions
i
pier(s)_F
length
number
or Applicant Printed Name
Signature Please read compliance statement on back of permit
Permit Officer's Signature
' � 4
Issuing aD to ExPiration�Date
Application Fee(s) Check # Local Planning Jurisdiction Rover File Name

44
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 E] 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 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)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I�%/�/J �• S
v 9
I hereby certify that I own property adjacent to(Name of Property Owner)
property located at /� ��(C`'Y W 6J1 / V ',--
(Lot, Block, Road, etc.)
4er
pf e4rx ,4" in W,4r, E rS 2-r
1 , N.C.
_on_ ('I'orvn and/or County)
(Waterbody) b
AppIicant's phone #: �� � g� O J� Mailing Address:,�b �o j/i J
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal.
--------------------------------- OF AND/OR DRAWING PROPOSED elOPMENT:
(T o be filled in by property P P g
�v1.1 /I jfw.r��yf
go
rF
--------------------
(Information for Property Owner Applying
for Permit)
/Pd & )( 2-
Mailing Address
City/State/Zip
Telephone Number
Signature
Date
�pci.JEs / raft;
(Riparian Property Owner Information)
Signature
-� Print or Type Name
Telephone Number
1) �-1-)Z-
Date

205 Nottingham Lane
Eric Ellis
Marine Construction
DOCKS • SEAWALLS • BOAT LIFTS
DECKS & REPAIRS
Phone & Fax: [phone]
Cell: 252.342.6775
Morehead City, NC 28557
l
``.
fl�,,4 /7r 7t
14 - <f
S`
YJ `r 7�9

. ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to (Name of Property Owner)
property located at D (Lot, Block, Road, etc.)
11A kernrs .Z- , N.C.
on
(Waterbody) (Town and/or County)
Applicant's phone #:Yg� o - Mailing Address:; & 2 �` C
/�v is �f
He 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)
XUe �C �'A�- 1 YJ f tJJ
11 i , !'d yard e 1
119r&e°�f T� j+ a��pr�Xi ln4` !y
(Information for Property Owner Applying
for Permit)
f° & )( Z54
Mailing Address
/-6J=SbvrS
City/State/Zip
Telephone Number
j f124
Signature Date
----------------------
(Riparian Property Owner Informa
C
Print or Type Name
Telephone Number
��� Date

mum
ERIC R. ELLIS 4
JASA M. ELLIS 688
206 NOITINGHAM LN. 252-726-6775 6-30/531
MOREHEAD CITY, NC 28557 133
�.S
Pay to tlie #1
$ c, e�.
Order of 7
'---Dollars
First Citizens
Bank
1:0 5 3 LOD 3001: 0 0 L 3 1 ? tj 413 ? 8 0110 04688
4