55327_SAMMARTINO, MARK_20100406

❑ CAMA / ❑ DREDGE & FILL WA#e
5- 27 C.
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 15A NCAC
- Rules attached.
Applicant Name ""'*�.-?61(Y, 1 I fi I i .f) 0
Address
City - i.>t.t i State ZIP
Phone # ( r � Ci Fax #
5'
Authorized Agent —T �,_ r V
Affected ❑ CW ❑ EW dK PTA ❑ ES ❑ PTS
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
AEC(s):
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City +. ti i' i.j ' <� `i ZIP r
Phone # ( ) River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
�. i i
Agent or Applicant PrintePermit Officer' Signature y/
k(
Sig re P read ci�,n1 li.�wtestatementlorr track of permit" Iss ' Dat Expiration Date
� +.F 7 '
7)17
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Application Fee(s) Check,#`: Local PlanningJurisdiction 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:
❑ 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/ 1-888-4RCOAST
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)
Revised 08/09/06

UNITED STATES POSTAL SERVICE
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
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■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to: "
USX i r^a►���a�''ia"%b✓1
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2. Article Number
(Transfer from service label)
A. Signature
X Agent -
U OP � Addressee
B. Rec ived by (Printed Name) C. Dat of Delivery
Mike Phinne
D. Is delivery address different from item 1? Yes
If YES, enter delivery address below: ❑ No
3. Service Type
❑ Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
7009 1410 0000 8408 9205
PS Form 3811, February 2004 Domestic Return Receipt
102595-02-M-1540

USPS - Track & Confirm
http: //trkcnfrm 1. smi . usps. com/PTS InternetWeb/InterLabe l Inqui ry. do?o...
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UNITEDSTATES MPMdMJN'WTA1 cFrnirrF_
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Label/Receipt Number: 7009 1410 0001 5771 2658
Class: First -Class Mail® Track & Confirm
Servicets): Certified MaiITM Enter Label/Receipt Number.
Return Receipt
Status: Delivered
Your item was delivered at 12:43 PM on March 10, 2010 in VIENNA, VA
22182.
Detailed Results:
• Delivered, March 10, 2010, 12:43 pm, VIENNA, VA 22182
• Arrival at Unit, March 10, 2010, 9:03 am, VIENNA, VA 22180
• Acceptance, March 08, 2010, 4:11 pm, MOREHEAD CITY, NC 28557
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1 of 1 3/22/2010 3:34 PM

Postal
MAIL,,., RECEIPT
(Domestic'I�ERTIFIED
Only; No Insurance
Coverage• • -
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Postage
$
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Certified Fee
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Postmark
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Return Receipt Fee
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(Endorsement Required)
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Restricted Delivery Fee
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Total Postage & Fees
$
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Sent To
............................................................."'........................
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Street, Apt. No.;
or PO Box No.
..............
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Ciry, State, ZIP+4
PS Form 3800. August 2006

CERTIFIED MAIL — RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of property owner applying for the permit:' n. �L cJi� v►� vh roti/�t'I V� (7
Address of property: L A- 1 113 L-,-a./- b LcsoY--N U %?zly c-
(Lot or street #, street or road)
(city &
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 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
I do not wish to waive the 15' setback requirement
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit) n
-1 51 CA C,t,V-1, 1 IC c ASA ' l�
Mailing Address Q Signature
S-�- VY10 (61QZ
&B.rV
Date
Print or Type Name
Telephone Number
Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to ��_ aY'1[�gwt►✓� V�-i-Iy1 Z's
(Name of Property Owner)
property located at �,i . , I 1 3 �7�i�LIU a CA >)tn ICJ t
1� (Lot, Block, Road, etc.)
on it ���'�J' N.C.
(Waterbody) (Town and/or County)
Applicant's phone #k,31`A-�SO1-1'51�, Mailing Address: � �\`� c4i( S;E
� .Lho yoDb312gJ
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)
-----------------------t---------------------------------------------------------------------- i --------------------
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
-7r q c4y �
Mailing Address
c>� 0cS G,3Idq
City/S ate/Zip
Telephone Number
Signature
Date
Signature
Print or Type Name
Telephone Number
Date

may
a d
QJa a� o
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Ie--p-artment of Environment and Natural Resources
Division of Coastal Management
James H. Gregson, Director �rtary .
JAiN '� 3 20119
lrew cjty. 1w
Applicant Name --NAV =
Mailing Address -751Gi C-4M b w& Rj E cbb s p-
`ram ` >iA s1
I certify that I have authorized (agent) Cxn1SC P� bCET-K*O, to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) :RVT19j.W/g4 WIALL +- afT 6)-FiS� ,
This certification is valid thru (date)
Signature
6- -36-a':'7
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internet: www.nccoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper

PAY TO THE
ORDER OF
MEMO
TJ DAVIS JR
GENERAL CONTRACTING 1NC
4068 D ARENDELL ST
MOREHEAD CITY, NC 28557
PH. 252-240-0330
BB&T
BRANCH BANKING AND TRUST COMPANY
1-800-BANK BUT BBT.com
66-112/531
11■O L 513 2G1's 1:053 10 112 0:0005 297G8
DOCUMENT MUST HAVE A COLORED BACKGROUND, ULTRAVIOLET FIBERS AND AN ARTIFICIAL
15826
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DOLLARS 8
- VERIFY FOR AUTHENTICITY.
9
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i
SUFFER r' UTHOPMZATION CERTlr ]C.ATEH: FOR S"MORELINE 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 'I5A 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. /
• Pre -project site, conditions: % - d G , VP-- fn f�(I � /I
s.
ws�Pk 4
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 al
information is complete and accurate.
_ WOW X �� �
• - • • • •MEI, � f
Age plican Signature
CAMA GENE PERMIT
Washington Office
943 Washington Square Mall
Washington, NC 27889
Phone [phone]
Morehead City Office
400 Commerce Avenue
Morehead City, NC 28557
Phone [phone]
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One
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Version 5, 09/2009

NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: Mark Sammartino
Date: April 6, 2010
General Permit #: 55327C
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 O Both ❑ Other ❑
180
180
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 ❑
t