53066_RUSHER, JOHN_20090220

❑CAMA / ❑ DREDGE & FILL
GENE►�AL PERMIT Previous permit #
❑New ❑Modification ❑Complete Reissue Partial Reissu Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and N ural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
Applicant Name
Address
City-- _ State ZIP
Phone # ( ) Fax #
Authorized Agent'
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): OEA ❑ HHF i] IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Type of Project/ Activity
Pier (dock) length
Platform(s)_-
Finger pier(s)__
Groin length
number
Bulkhead/ Riprap length
avg distance offshore ri
max distance offshore_%
Basin, channel
cubic yards_
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAV: not sure
yes no
Sandbags: not sure
yes no
Moratorium: n/a
yes no
Photos:
yes no
Waiver Attached:
es no
attached.
Project Location: County _
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP_
Phone # (_) _- River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body f i c S
(Scale: r
--
i
1 T I 1
I:
y
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.
Permmiit0 icer's Signature
r' .�
491,420109
Issuin Date J piration ate
Local Planning Jurisdiction Rover File Name

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 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

A�7-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 0 120 f (�
Applicant Name "A k-w
Mailing Address 1 L,{ 0'5 1991 \i
SALE IG, 0 f-JG �-7&09
I certify that I have authorized (agent), �Ej(—' Yf2 j-(' to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity)
at (location) --�- d- I IJ 121 A-t-3 (2) L. U V
This certification is valid thru (date) _ 1 QT� L Oct
*- Signature
kA_A�
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] l Internet: www.nccoastalmanagement.net
An Equal Opportunity1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTIBOATHOUSE)
I hereby certify that I own property adjacent to __.,5Djjj 41ET�_ Is
(Name of Property Owner)
property located at* �� ( 1--1(21 Ar 1 P� UU Or- G> 09 l VE
(Lot, Block, Road, etc.)
on 5I9l: V l V , in VA N1 LA C 0 ODu1"i � , N.C.
(Waterbody) (Town and/or County)
He has described to me, as shown below, the development he is proposing at that location,
and, I have no objections to his proposal. I understand that a pier/mooring pilings/boatlift/boathouse
must be set back a minimum distance of fifteen' feet (15� from my area of riparian access unless
waived by me.
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
ExI/:7t_11,JCn �'06 V. wj bgAtl ITit f5oaL�pL_
At,30 Pv­)AVt-05 0 C ' ALor JL=i -t-h t_. L_ ,1'2i OF-, -
r'�' 6-4- o 1 '--A Aft r� W C.,
l �' u►.l � �7i� � . A ti� � P � A� ,L= D �Ui-4� � cx i �T"r �1 C-=�
%' (�-�r l C R %tZAI t �`(42TW C- tr: TEI� � u Njl -
(Applicant Information)
'mot �- EP,9 4 �-tq.
Mailing Address
City/.Stale/7_ip
1iIo��-(�2�
Telephone Number
1()` ")"( i a
Date
(Riparian Pro Owner Informs 'on) /
Signature k j�
Print or Type Name
C 1 ( 9) 7,?3 --to 40
Telephone Number
Date
O U10 `', &.kAg-A f;'9A N� V-,
9-ALeiC- t-� t` C,1,10 (-b

tKS
OCKS
Construction, LLC
Left Neighbor
Mr. Stephen D. Benjamin
P.O. Box 399
Norwalk, CT 06856-0399
(200 Bennett Place Road - Arapahoe)
Right Neighbor
Bud & Mara Frank
2413 Beechridge Road
Raleigh, NC 27608
(#21 Indian Bluffs Drive)
RE: Dr. John Rusher - #3 Indian Bluffs Drive
7/17/08
Quality Craftsmanship from
the 4rowd Up!
Hello everyone! This is in regards to your neighbor, Dr. John Rusher. My company plans on
adding some additional rock to Dr. Rusher's existing rock. The new rock will be large granite
boulders. As well as we are going to replace his existing groin with a new 34'x6" groin and
add a new French drain system for storm water run-off.
I will need for you to sign the enclosed forms and mail it back to me at your earliest
convenience so that I can obtain the necessary state and local permits.
If you have any questions, please do not hesitate to contact me.
Thank you in advance for your time!
Sincerely,
� t(0 b .
Miranda Hill
T
Decks N' Docks, LLC

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER
FORM
Name of individual applying for the permit: �,YQ fl ELujtT
Address of property: 40 1 tJ(AAt A f�l. Ur-� 199-1y
(Lot or street#, street of road)
NWA46
(City & County)
I hereby certify the 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 whit 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 Ave., Morehead City, NC 28557 or call [phone]
within 10 days of receipt of the 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, lift 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
,Z I do not wish to waive the 15" setback requirements
/3 --DUov -0 o-
Signa re Date
Ir.�v1 3� V� A wL i
Print Na
Telephone number with area code
n • �� A rut I �i
9,0tj C1J l ?LAC E7 W •
A�PA�

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to 's
(Name of Property Owner)
property located at Ol Ar-3 b'LU Cf—Ij V2 9 l \) ,
(Lot, Block, Road, etc.)
on tlf(�U/2 P,in LAIC-0 C'Du j 1:� ,N.C.
(Waterbody) (Town and/or County)
He has described to me, as shown below, the development he is proposing at that location,
and, I have no objections to his proposal. I understand that a pier/mooring pilings/boatlift/boathouse
must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless
waived by me.
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
G � 1 Imo& ex I-/ ' —1 tJ&N (206 iL, U,3 1 C- ig-Ar-J ITT-- )50 (,y2e—
�DCV�, i,,�l Lt, Lx171E� (2 PA-7,r t, , 2 oC y—
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to' oQ i-R-e- tl�EPr kk- Ar-30
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(Applicant Information)
Mailing Address
9-� 0- & 4 t�� co 09
City/State/Zip
Lq I Zr)
Telephone Number
10�ryJ'l 02�
Date
(Riparian Property Owner Information)
r.
S' .II
Print or Type Name
;11-0 _1-13 - S,Z 3 3
Telephone Number
—A0V—ag
Date
P'c)- Pion 1�q9

2553
66-7538/2531
JASON R HILL
MIRANDA S HILL 2I2� 2
1483 CRU NC 28562 RD
3650
NEW BERN,
[phone]
17
PAY
TO THE 1 A y` V `[ _ DOLLARS
nnER OF_{— ^ A
FIRST FLIGHT FEDERAL CREDIT UNION
2553
FOR 1. L0130L372L207 •
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