57091_ROCHE, PETE_20110316

❑CA! "°' ,F] DREDGE & FILL
GENERAL PERMIT // Previous permit#
❑New ❑Modification ❑Complete Reissue El 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 I SA NCAC
❑ Rules attached.
Applicant Name
Address__
City_ State ZIP
Phone # ( ) Fax # ( )
Authorized Agent
❑ CW ❑ EW ❑ PTA
Affected
AEC(s):
❑ OEA ❑ HHF ❑ IH
❑ PWS: ❑ FC:
ORW:
yes / no PNA yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
❑ ES ❑ PTS Phone # ( ) River Basin
❑ UBA ❑ N/A
Adj. Wtr. Body (nat /man /unkn)
Crit.Hab. yes / no Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale:
Pier (dock) length
Platform(s) i
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
{
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
r
i
Shoreline Length -
SAV: not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no, le -- A
I
Waiver Attached: yes G
A building permit may be required by: U 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
Application Fee(s) Check #
Permit Officer's Signature /
Issuing Date Expiration Date
Local Planning Jurisdiction
Rover File Name

0
r,
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, certifythat this project is consistentwith 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 how to complywith 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)
Revised 08/09/06

NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: Pete Roche
Date: March 16, 2011
General Permit #: 57091 C
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
Habitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
HG
Dredge ❑ Fill ❑ Both ❑ Other N
2,220
1,110
OW
Dredge ❑ Fill ❑ Both ❑ Other ®
144
144
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
252-808-2808 :: 1-888-4RCOAST :: www.nccoastaimanagement.net revised:02/03/10

I A
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor James H. Gregson, Director William G. Ross Jr., Secretary
Date o' A II
Applicant Name
Mailing Address 1311 Do1j V,h 0-,
I certify that I have authorized (agent) X / .' eV 0,\ �, to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) ke h,
at (location) 70 j 0'• ' &r%ehNCA , N(. �,?57
This certification is valid thru (date)
J
Signature ALI
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] \ FAX: [phone] \ Internet: www.necoastalmanagement.net
An Equal Opportunity \ Affirmative Action Employer— 50% Recycled \ 10% Post Consumer Paper

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Individual applying for Permit: ��� e�� �� 0C\QC-
Address ofPro e 70
dY= ,
P Wovfti�C�
(Lot or Street #, Street or Road, City & County)
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this letter.
I have no objections to this proposal.
!f you have objections to what is being proposed, please write the Division of Coastal
Management, 400 Commerce Avenue, Morehead City, NC, 28557 or call [phone] within
10 days of receipt of this notice. No response is considered the same as no objection if you
have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, boatlift or sandbags
must be set back a minimum distance of 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.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Applicant Information)
I`1U
Mailing Address
N7)
City/State/Zip
Telephone Number
Date
(Riparian ro Owner Information)
.X./ x � .-"I-
Sign hire
X, Z-DI A . LJy1i -trG A-U
Print or Type Name
A &o 3 30 20 (--30
Telephone Number
Date

J cMh P��v,ti^ wv.
S�I, ShJ���er Irh•
P&A BSc.. 1006
Site: 703 WARREN DR
X
�12
3 -5430
J0 2-7-'12
toAI k(e'I' v^ 99)30
Property Details:
START 5205 UNIQUEID
ACCTNUM 25923 LASTNAME
FIRSTNAME CAREOF
ADDR1 1312 DOYLIN DR IIADDR2
Page 1 of 1
14
700 35 c�
�P)e
� 5
JOB
5117
ROCHE, PETER
ET UX CATHERINE K
CITY
IFCARY
STATE
NC
ZIP
27511
IIPARRECNUM
11395
NAME
II ROCHE, PETER
JIMAPNO
J082-7-12
(BLOCK
117
IIPARCELNO
12 ji
SITEADDR
703 WARREN DR
IISITUSADDR
703
ISITUSROAD ,WARREN DR IIEXEMPT
LEGDESCI
EDGEWATER SUB
LEGDESC2
TOTACRES
0
IICRNTTOTUSE
CRNTTOTDEF
0
CRNTLANDVA
CRNTBLDGVA
11104995
CRNTOBLDGV
TOTCRNTVAL
183249
JIFIRECODE
OFF SR 1317 ON GUT
0
68634
9620
S
HOUSECODE IFP SEWERCODE
SALEAMNT
11285000
ISALEDATE
3/28/2006
SALEDATE2
174,965
IISALECODE
S
ROADNUM
1317
IIPCTCOMP
100
WILLBOOK
10
WILLPAGE
0
DB PG
466/117
DEEDBOOK
1 466
DEEDPAGE
117
PLAT
0ct-75
II MOBHOME 110
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Label/Receipt Number: 7006 0100 0004 9789 7390
Expected Delivery Date: March 5, 2011
Class: First -Class Mail®
Service(s): Certified Mail"
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• Forward Expired, March 05, 2011, 10:21 am, HAMPSTEAD, NC
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0004 9789
7090
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ORIENTAL.NC
LSJ71
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CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
7
Name of Individual applying for Permit: FLA eC
Address of Property: 703 `4 `^Irti \ of. a �� e'�a~� S7i
(Lot or Street #, Street or Road, City & County)
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this letter.
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, 400 Commerce Avenue, Morehead City, NC, 28557 or call [phone] within
10 days of receipt of this notice. No response is considered the same as no objection if you
have been notified by CertWed Mail
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, boatlift or sandbags
must be set back a minimum distance of 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.)
I do wish to waive the 15' setback requirement.
1 do not wish to waive the 15' setback requirement.
(Applicant Information)
PO &x M
Mailing Address
o\r'Nc,\ 71
COIState/Zip
a 5d.- A� �- � q d,(A
Telephone Number
3 �i 11
Date
91e.5z
(Riparian Property Owner Information)
Signature
x
Print or Type Name
x
Telephone Number
';�^x �o � S- 1 a� of �� �

/BX
MARINE CONSTRUCTION INC
PETER OVERGAARD
PRESIDENT
Phone [phone]
Fax [phone]
P.O. Box 190
Oriental, NC 28571
NC License #55828
www.innerbanks.biz
Email: [e-mail]

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MAR 2 2 201
DCM-ram MY

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PO BOX 190 66-30/531
ORIENTAL, NC 28571 ? . 472
Date
Pay to the NL D E N9 , $ 600.00
Order of
Dollars a
�i First Citizens
firrstcitizzens.com % J1l
For RJ l- Q�r�,�arsnk - V I _ nm
j:053 L00300l:0047 1 2021 25411' 01 L86

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue James H. Gregson Dee Freeman
Governor Director Secretary
BUFFER AUTHORIZATION CERTIFICATE FOR SHORELINE STABILIZATION
A riparian buffer authorization is required for shoreline stabilization activities within the Tar -Pamlico & Neuse River basins
per Division of Water Quality (DWQ) regulations 15A NCAC 02B.0259 & 0233. The Division of Coastal Management
(DCM) through a Memorandum of Understanding with the Division of Water Quality (DWQ) has reviewed your project
proposal, determined that the project as proposed complies with the aforementioned regulations, and made a "no practical
alternatives" determination per those regulations.
Those activities covered by your Coastal Area Management Act (CAMA) permit have received Buffer Authorization as
long as the project is constructed in a manner that continues to meet all of the conditions listed below. Failure to comply
with this Buffer Authorization shall subject the property owner & the party (contractor) performing the construction Wor
land clearing to a civil penalty of up to $25,000 per day per violation.
1. Impacts: Impacts to woody vegetation from clearing and filling in Zone 1 (begins at the most landward of either
the waters edge or the coastal wetland line and extends 30 feet landward) shall be minimized to what must be
impacted for the sound installation of the shoreline stabilization project. Unnecessary clearing and filling in the
buffer is a violation of the riparian buffer rules.
2. Clearing & Grading: Clearing and grading of Zone 2 (begins at the landward edge of Zone 1 and extends 20 feet
landward) is allowed provided that it is re -vegetated immediately and Zone 1 is not compromised, which includes
maintaining diffused (non-channelized) flow of storm water runoff through the buffer.
3. Construction Corridors: Construction corridors are allowed for shoreline stabilization projects, but they must be
satisfactorily restored as described in condition 5 below.
4. Potential Overwash: For vertical shoreline stabilization projects (bulkheads) only; sites where wave overwash is
expected to be severe, the first ten (10) feet landward (unless specifically authorized otherwise by DCM) from the
structure may be maintained as a stable lawn in order to provide for structural stability.
5. Site Restoration: At minimum, pre -project site conditions must be re-established. A site that was wooded prior to
this shoreline stabilization project must be restored with woody vegetation at a stem density of 320 stems per
acre. Non wooded sites may be re -vegetated with woody vegetation. Restoration must be completed by the first
subsequent planting season (November 1 through March 30) after completion of the bulkhead. Once re-
established, understory vegetation in Zone 1 is to be undisturbed and no mowing or any other activity that would
remove understory vegetation is allowed. , I I< r / j I
Pre -project site conditions: I a W 11 'Ir W
N
s. Project Drawing: The drawing on the CAMA General Permit is considered the project drawing of your property
indicating the location of the shoreline stabilization structure and any associated clearing, grading, and
construction corridors. This drawing will be used to aid in compliance and monitoring efforts.
By your signature below you agree to be held responsible for meeting all of the above listed conditi ns and verify that all
information is complete and accurate.
Fe't or Appl' t rinte ame Permit Offi er``'__s gnature
Age or Applicant Signature Issue D to
CAMA GENERAL PERMIT #:
�c
Washington Office Morehead City Office
943 Washington Square Mall 400 Commerce Avenue
Washington, NC 27889 Morehead City, NC 28557 OnrthCarolina
Phone [phone] Phone [phone] ���������
An Equal Opportunity/Affirmative Action Employer— 50% Recycled/l0% Post Consumer Paper
Version 5, 09/2009

Date/Time
Fax Number
Fax Name
Model Name
Fax Send Report
MAR-22-2011 12:09PM TUE
DCM MHDCTY
SCX-5x30 Series
No. Name/Number StartTime Time Mode Page Result
179 92492429 03-22 12:08PM 00'58 ECM 001/001 O.K
j�KXGGCAMA/l7DRED ES FILL � — p Z M 57091G
ENERAL ERMIT Prevlouspermlt#
O(Ne Modification ❑Complete Reissue DPartlal Reissue Date previous permit iswed
As aush,ri ed by fie Sore of North ling, Department of Enhronment and Neunl Resource L ^ u • �n „ p
aM the C—W Resources Commi an area of enviranmenW concern pure .to lSA NCAC V /Il d�
lu utarhe
AP�P7 CtirK.Nime 65 ,}"yr. r3''+n. t?. Project Location: LMy PtTa1n
Rt4sddr�.sv ' Cy9 s .. Street Address/ State Road/ Lot # s
AEC(,): OGu :3MF H CUBA JH/A
n ,—s: 7FC:
ORW: yes /fno i PNA . CHLMab. m /n
Sebdmsien r—
City-
Phone in{WASC
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Closest Maj. WV—. B- /ody
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