58301_SHEPPARD, LEONARD_20110801

❑ CAIVA / E DREDGE & FILL
GENERAL PERMIT Previous permit #
ENew [-]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
# r ] Rules attached.
Applicant Name
Project Location: County
Address Street Address/ State Road/ Lot #(s)
CityState ZIP
Phone # O Fax # (�-
Authorized Agent
Affected ❑ CW ❑ EW ❑ PTA
AEC(s): ❑ OEA ❑ HHF ❑ IH
❑ PWS: ❑FC:
ORW: yes / no PNA yes / no
❑ ES ❑ PTS
❑ UBA ❑ N/A
Crit.Hab. yes / no
Subdivision
City ZIP
Phone # () River Basin
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Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit **
Permit Officer's Signature 1. /`
fI ;
r
it
Issuing Date Expiration Date
Application Fee(s) Check # 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
landowners).
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 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)
Revised 08/09/06

t
J. LEONARD SHEPPARD
KIMBERLY O. SHEPPARD
PH.[phone]
404 GREEN TREE COVE
NEWPORT NEWS, VA 23606
PAY TO
• W IC
4 2011 68.813612514
ATE
$C:2
n.�ens o
Beck.
NEWPORT NEWS SHIPBUILDING
EMPLOYEES CREDIT UNION
3711 HUNTINGTON AVE
NEWPORT��WS, VA 23607
FOR /
ivp
2 L4 L 681: 00009778431I' 9 0

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 &/or
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. h p n t n / r
ct site cfon
<a,fl
6. Project Drawing: The drawing'rah 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 Z::2
information is complete and accurate.
I&4�,� glzp_p57 6 � , .
Agent or =
m Kermit O icer's Signature
A _v J Z
Agq t o A"ic
Sig ature Issue to
CAMA GENERAL PERMIT #: Q
Washington Office Morehead City Office
943 Washington Square Mall 400 Commerce Avenue OneWashington, NC 27889 Morehead City, NC 28557 North Carolina
Phone [phone] Phone [phone] ,i q��������
An Equal Opportunity/Affirmative Action Employer — 50% Recycled/10% Post Consumer Paper (//�N/
Version 5, 09/2009

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner: , tt;PLV ll_SyEfPl11_D ANTI � C'W/UA < I�x1yll lf��/21,U
Address of Property: (,-7 2, c' oo0F�k V64TN Ti2_IaILykl ENTAL , PC
(Lot or Street #, Street or Road, City & County)
Applicant phone #. 77 i - 3a - 3oS �> Mailing Address: q D � Z-,P-F-L41 1 �4 cov
V,p wonwg Nc_WS, V11 Z3Co�
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, must be provided with this letter.
�5 !�rE )4rTA C- 14E13
I have no objections to this proposal. _ _ _ I have objections to this proposal.
ff you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at www.nccoastafmangement.net/contact_dcm.htm or by calling 1-888-4RCOAST. 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, or lift 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.)
SLC7_VZ I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Si natzi,4
N V I t� d1-U � Ad
Print or Type Name
A a C i r-b,)
Mailing Address
City/State/Zip
q
Telephone Number
Date
(Riparia Pro e
sig) ure
u
Print or Type Name
on)
� C) yt (!—� ea
Mailing Address
Ali_W/o a A/FwS . i/A
CityfState/Zip '
-7s- -q3p --303 Le
Telephone Number
=7 - 15-�- --- - - --
Doi

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: Lw, 1! 6clVAM -'_HEfKAkD AAjl) (A; j
A AA jtek iAJ
Address of Property: (01-1� z 0 ocY F4 ZZAM V git_ Oki EIV7& ,, PC
(Lot or Street #, Street or Road. City & County)
Applicant phone #: 7� 7 - 3a - 303 _ Mailing Address: f{y i 44�:Dv !ggF COVt
__I/z ► imT N =�t1S� .jl .--z 3 60 6
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, must be provided with this letter.
Sty 4TTAcHE�
JD kL,/— I have no objections to this proposal. I have objections to thi, proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at www.nccoastaimangement.neticontact-dcm.htm or by calling 1-888-4RCOAST. 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, or lift 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.)
Q I do wish to waive the 15' setback requirement.
_ I do not wish to waive the 15' setback requirement.
(Property Ow
Si��nllrn2
T c) ) t_E'-.)Iv &a S if O�P�!6)
Print or Type Name
Ifo4 6fi_o % i�cf Cart
Mailing Address
IVEvtJ,009T_.N -wS } 2360(0
CitylState/Zip
3 0 - 303(�
Telephone Number
(Riparian Property Owner Information)
Si"'rrullrrc /
P4V I
Print or Type Name
L'1 I Do
Mailing Address
Ka ,cA a7LC_)&
City/State/Zip
Telephone Number
7-tq-H

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATiON/WAIVER FORM
Name of Property Owner: LEwAQ11 NiJ cwxA < l)xivil)
Address of Property: (,,`7 2. L' txV,64 lJ.J4TH 7�-laIC. QK(F-AITAL , AJL
(Lot or Street #, Street or Road, City & County)
Applicant phone #: 757 - 9 3a - 303 Mailing Address: qO `� �, / WE C,041t
i)l^ A04T NEWS, V14 Z3606
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, must be provided with this letter.
-SEF. ATTALHEI
I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at www.nccoastalmangement.net/contact_dcm.htm or by calling 1-888-4RCOAST. 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, or lift 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.
(Property Own Inform ion) (Ripari r ert wrier Information)
Si�r1 at�rrcr Si(1nalur
SoHu Le"31U&� S�EOM 0
Print or Type Name
ifo4 GF-Eri) i > E Cart
Mailing Address
AjpwOoa
City/State/Zip
7S- 7 - `33 0 -- 3o-4
Telephone Number
Dot
Print or Type Name
1 l Z t/1/lc "ke or (o Lco -�
Mailing Address
C-Z'-r,N.; �,�,�, t 3S-z 13
City/State/Zip
2'05' -8 -2 1 - LSy ?
Telephone Number
7/3o�tl
Date

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: u, w, LEOAIAPI A11A n cwluA J)AVill i7,EI2IZ IAJ
Address of Property: . 4,(A , (02, C oo�,F4 LFFJgT14 Uwe- Oki iF-APTAL k/L
(Lot or Street #, Street or Road, City & County)
Applicant phone #: 70 - q 3a - 303G Mailing Address: qy � ZAIP 41V %RE,- COVt
AJp w,,oQT N£.WS, VJ4
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, must be provided with this letter.
SEE A- TA C- H E >i
t/f'l ave no objections to this proposal. - I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at www.nccoastaimangementneticontact—dcm.htm or by calling 1-888-4RCOAST. 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, or lift 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 doCv�-vishLive the 15' setback requirement.
(Property Own Inform ion) (Riparian Property Owner Information)
Sian rture Stan r
Print or Type Name Print or type Name
`-yLf 6aDu i F Cart
Mailing Address Mailing Address
NbAW q lU P-w S -236o(
City/State/Zip City/State/Zip
S7 - q30 -- 303( 0
Telephone Number Telephone Number
Dale Date

A
REW SET 0
JAMES AUGUSTUS GREEN
DEED BOOK 221 PAGE 495
N88'29' 16"E 406'
�Lil
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S,
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s to RACT
n � j
v a
S47'09'07"W 59.16'
NEUSE RIVER
3' 10'01 'W 56.17'
/K S46'07'24"W 25.05'
I, HERBE T J.NOBLES JR- CERTIFY THAT
THIS P IS OF A SURVEY THAT CREATES A
SU@DIVI ION OF LAND WITHIN A COUNTY THAT
HAS
A D ORDINANCE THAT REGULATES PARCELS
THI PROPERTY IS LOCATED WITHIN ZONE AE & X
(8D/FIASE LO►p ELEVATION $') AS SHOWN ON
37206486001 , DATED JULY 2,2004
DEED REFERENCE: DEED BOOK
... ,..,._ .. PAGE
ACT
1
N.C.LAND
OGEMENT LLC
DEED BOOK 497
PAGE 726
to
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51
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VICINITY SKETCH
1�
SITE
BOUNDARY SURVEY
SURVEYED FOR
NO. 5 TWP. PAMLICO CO.
HERBERT J.NOBLES,JR N.c.
PROFESSIONAL LAt4" SURVEYOR - L-2703
186 CAMPEN ROAD
BAYSORO, NORTH CAROL NA ')QF, c

6"X6" Post
6' on cc
Existing
Sheet Pile
Vinyl Wall
Proposed Groin/Jetty for Sheppard and Herrin
Co -application
TOP VIEW
i<-- 24' --�I
Existing
Post and
Sheet Pile
yl Groin Vinyl Wall
48'
SIDE VIEW
Vinyl 6X6
Sheet Pile Posts
All posts will be marine grade 6"x6" posts placed b' on center.
Each proposed groin will be 48' apart and be perpendicular to the shore.
Proposed groin will be constructed from vinyl sheet pile using 6' OC posts.
Proposed groin will use 4"x6" marine grade wale on each side of sheet piles
Groin height will not exceed 12" above normal water level.
Each groin will be 48' OC.
Groin will be constructed on the Lot C Property line at the East end,
Groin will be constructed on the lot A Property line at the West end.

Connell, Brad
From: Leonard Sheppard [[e-mail]]
Sent: Tuesday, July 26, 2011 10:46 PM
To: Connell, Brad
,—� n
Cc: Donna Herrin , r--,
Subject: FW: Riparian Notification/Wavier for Jetty construction O tf
i F -
Attachments: File0001.PDF; File0004.PDF; Picture 156.jpg El
Brad,
Attached is the e-mail I sent Joe Welsh, the owner of the property on the east side of 664 Cooper Leath Trail.
He has indicated that he will be sending me the signed Riparian agreement electronically this week. I have all other
agreements already. If you are able to make the site visit this Wednesday July 27, 1 will come to Morehead and bring
you all the signed Riparian Notifications along with the permit check. This will allow me to begin work during my
vacation beginning Monday August 1. 1 will attempt to call you in the morning and see if this is possible. Thanks for your
assistance in this mater.
Leonard Sheppard
From: Leonard Sheppard [mailto:[e-mail]]
Sent: Monday, July 18, 2011 10:10 PM
To: 'Joe Welsh'
Cc: Donna Herrin (doherrin�hotmail.com)
Subject: Riparian Notification/Wavier for Jetty construction
Joe,
Hope you have had a good year. We have all but finished the retaining wall. We have a few last touches and
then it will be time to move onto the next project.
Attached is a Riparian request for the construction of Jetties on our property located at the end of Cooper Leath
Trail, Oriental, NC. I have included two attachments; the agreement itself, a proposed design of the jetty and a site
layout of the proposed construction (page 2). We are planning to construct the jetties out of the same seawall material
as used to construct the wall. The jetty will be less than 1 foot above the normal water line and be 24 feet long.
The information required on the Riparian request is for you to check and initial the Objections area and check
and initial the 15' setback wavier. We were hoping to put the maximum allowed number of jetties on the property and
would like to start near the property line between our properties, but fully on our property. It is our hope that this will
help stabilize the sandy beach on both of our properties.
It would be helpful if you could return a scanned version with the needed information via e-mail. This will allow
us to meet with the CAMA representative in the next few weeks.
1

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: k, LEON,4Ri� SHFPpgIzD ANC 11 aUNw ` I'AVIt f {t21L IIV
Address of Property. U# . 6 W . (,~% 2. (V-AI-H T wc- OKi F- T& , AJC
(Lot or Street #, Street or Road, City & County)
Applicant phone #: -7;5' 7 - 9 3a - 303 Mailing Address: /{J � "yXj-Ly %)EF Cove
iy. winml NE-wS,, V9 Z3(e.06.
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 must be provided with this letter.
Stj= A TAe-HE>'
I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at www.nccoastalmangementneticontact—dcm.htm or by calling 1-888-4RCOAST. 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, or lift 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.
(Property Own#lnformotion)
Si_mknrc
ToNo L-ee- vAft S--FfO0
Print or Type Name
`tD4 6-a-&J ; 4SE Curt
Mailing Address
AIEV/PO)q NMwS , Uh Z360(o
City/State/Zip
7S7 - V 0
Telephone Number
. -- - 7-1
Dale
(Riparian Property Owner Information)
Signalure
Print or Type Name
Mailing Address
City/State/Zip
Telephone Number
Dule

6"X6" Post
6'oncE
Existing
Sheet Pile
Vinyl Wall
Proposed Groin/Jetty for Sheppard and Herrin
Co -application
TOP VIEW
SIDE VIEW
-- 24' --%
Existing
Post and
Sheet Pile
yl Groin Vinyl Wall
48'
Vinyl 6X6
Sheet Pile Posts
All posts will be marine grade 6"x6" posts placed b' on center.
Each proposed groin will be 48' apart and be perpendicular to the shore.
Proposed groin will be constructed from vinyl sheet pile using 6' OC posts.
Proposed groin will use 4"x6" marine grade wale on each side of sheet piles
Groin height will not exceed 12" above normal water level.
Each groin will be 48' OC.
Groin will be constructed on the Lot C Property line at the East end,
Groin will be constructed on the Lot A Property line at the West end.

N
N.C.LAND
N ANAGEMENT LLC
Q DEED BOOK 497
Ld � o PAGE 726
Q O�
JAMES AUGUSTUS GREEN �� � v: 0 in
DEED BOOK 221 PAGE 495 z w
O
N88'29'I6"E 406' Q�e*
X�sr
PJDf N Z
P� U;
N
Inf.08
a Qw ACT: 1 ReeA2 sEr a
1 STATON 0*0i
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C Jtp�56 901
0 N VICINITY SKETCH
ACT . 3 p
` �v AC G�� �1 QR�Eti�Pl
J S47'09'07'W 59.16•
WSW SET o NEUSE RIVER
STAT*N
o+ao.ao
310'01'W 56.17-
S46'07'24"W 25.05-
I, HERBE BLES JR., CERTIFY THAT
THIS P IS OF A SURVEY THAT CREATES A
SUBDIVI ION OF LAND WITHIN A COUNTY THAT
OFS A DORDINANCE THAT REGULATES PARCELS
THI PROPERTY IS LOCATED WITHIN ZONE AE & X
(B SE FLOOD ELEVATION 8') AS SHOWN ON
D/FIA MAP 37206486001, DATED JULY 2,2004 .
DEED REFERENCE: DEED BOOK
PAGE
2.1t ' 6eolti
BOUNDARY SURVEY
SURVEYED FOR
NO. 5 TWP. PAMLICO CO. N.C.
HERBERT J.NOBLES,JR.
PROFESgpNAL LAND SURVMR — L-2703
186 CAMPEN ROAD
BAYROP0 AfADru

PVC Div;,sion of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: Leonard Sheppard and David Herrin
Date: August 1, 2011
General Permit #: 58301 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
SB
Dredge ❑ Fill ® Both ❑ Other ❑
288
288
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 ❑
252-808-2808 :: 1-888-4RCOAST :: www.nccoastalmanagement.net revised: 02/03/10