60249_SANDERLAND, LARRY_20120629

:�ICAMA / II DREDGE & FILL
NO. 60249
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
Project Location:
County
Address-------------,—-.
Street Address/ State Road/ Lot #(s)
City _ State ZIP
Phone # ( �);'�;
_ Fax # (- -)
Subdivision
Authorized Agent _—
City
ZIP
CW -1 EW PTA - ES I PTS
Affected -
Phone # (_ )
_._ River Basin
OEA HHF IH _I UBA I_ N/A
AEC(s): _
Adj. Wtr. Body
gnat /man /unknl
PWS: I FC:
ORW: yes / no PNA yes / no Crit.Hab.
yes / no Closest Maj. Wtr.
Body
[Type of Project/ Activity
Pier (dock) length
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
Shoreline Length
j
SAV: not sure yes
no
Sandbags: not sure yes
no -- -? -
—
Moratorium: n/a yes
i
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 #
See note on back regarding River Basin rules.
Permit Officers Signature '-_'�-y�
Issuing Date Expiration Date
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:
h Tar - Pamlico River Basin Buffer Rules 1 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
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888ARCOAST
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)

V
Date:
Describe below the FIAE3ITAT disturbances for the application. All values should rnatch the name, and units of measurement
found in your Habitat code sheet.
Habitat dame
DISTURS 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
im act amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
tem im acts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
Dredge ❑ Fill ❑ Both ❑ Other
r
�—
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 ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
1520? C 0A:3T ar..v':?r.n r.,:�:.: z !,.,a:7 _ .:r:.,..�+..r„„t :.;•:t.....i. r r:.i; �,�

0
North 'Caroiir-la Depar ment of Crrvironment and " aturai Resources
Division pI Coastal �Aanagsment
Michael F. Easley, Governor Ghades S. Tones, Director William G, Ross Jr., Secret s!
late 5-- � - 1 -;I— —
Applkant Nawe
Mailing Address F'A-1 L� Cl� b 1-�� t
MAY 21 2012
V�,&)rt IC— a CAA 1) C-
DCM-MHD CITY
certify Llaat I have au certify (agent)
Vim' to act on xx�
behalf, foa- tixe purpose n, applying for and obtaining all CAMA Permits necessary to
install or construct (acti ity)
at (location)1'��TK _.—..
This certification is -�ahid thru (elate)
Si(m

i
ADJACENTRIPARIAN PROPERTY oWNER STATEMENT
a 's
I hereby certify that I own property adjacent tq (Nameo f Proper Owner)
property located at _� isR`�
(Lot, Blocks, Road, etc.)
C: in -pt7 All,
on {Waterbod Y') (Tom and/or oan
MRiHn Address• F � I �Ll�D
Appkicaz�t's phone #: _
He has described to me, as shown. below, the development he is proposi.r►g at that location, anal, i
have no objections to his proposal.
----DESMPTIGN ANT 17R�`WING OF PROPOSED DEVELOPMENT:
(To be filled in by property ouwher elopmet�t)
l 3 � 13� � ° ���
3 � C41
tiZECEIVBD
pCM-MI'ID CITY
S p picy-
t i-t MAI L-
-------------- - --------------- ------- - ---------
(Information for Property Owner Applying
for Permit)
1—a.-fling .Addres
!%`}�Q�Vi(' ��Cl L
City/State/zip
(Riparian Property owner Infarmatiion)
Signature
Print or Type Narne
Telephone Number
Date

Feb 24 12 11:38p Allen 919-557-1946 p.1
GG�
ADJACENT RWARIAN PROPERTY OWNER STA.TEIUNT
1 hereby certify that t aum PFapeay adjacent toy
1ai ne ofPropertY O' DIII)
LIS
property locs-ted at q ot, -810cu, Road, etc-)
C- . - 1 N.C.
ozw r�.r� • �Y1Pe.f G� t in �i 1 — nd/vr w,Bkin�tYi
Mailing Ei�ddres5.1�
ApplicanVS phone #• m 0
He has described Come, as sllanwz3 below, the development he is propr,Sir►g at that location, and, X
]gave ac' objections to his propoSaL
Ai-smioR DRAWI tG OF PROPOSED-DEVE.LOPWNT:
pIESc,m,r,ON lopmera) -;k.
(To be j filled in Gp pro P t 7�7-
(Wormation for Property Owner AppWiD9
for permit)
CitylStairm
Telephone NurI2 r
3 r:
RECEIVED
MP 21 N12. 0
DCM-1,114D CAP
(Ripsrian Property Owner 7anfdrinatian)
Print or Type Name
c,// / -f Q y - © z/ d
Telephone Number
Date

ir
• 14tr i41
TURNER MARINE CONSTRUCTION
P.O. BOX 1885
MOREHEAD CITY, NC 28557
1207
66-112/531
DATE
PAY m 1 o�'
TO THE �i 1 C %�,/ �
ORDER OF +
DOLLARS
BRANCH BANKING AND TRUST COMPANY
7-800-BANK BBT BBT.com
7FOR
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