55050_STAEBLER, ROY_20091120

11 CAMA / ❑ DREDGE & FILL,
GENET RAL PERMIT Previous permit#
❑flew ' ❑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
3 ® Rules attached.
Applicant Name��,`}� r Project Location: County ry. q r
Address L1 0-72 Street Address/ State Road/ Lot #(s).
City err 1(� StateIt
W ZIP �_ t.j r7t?140Cid
Phone # (7C` ) 7Z �- 2f,�l Fax # ( ) Subdivision
Authorized Agent City. tZIP�`'t
Affected ElCW C1 EW [g PTA ElES ElPTS Phone # ( ? `) ?a - j River Basin
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
AEC(s): Adj. Wtr. Body / Me: -a o..• 6 (at /man /unkn)
❑ PWS: ❑ FC:
Closest Maj. Wtr. Body !2 n!
ORW: yes' / no PNA yes / no Crit.Hab. yes / no
\) �,, r1
Type of Project/ Activity Er
(Scale: 41))
Pier (dock) length
Platform(s) IJ/X
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
_
cubic yards
_
I
_
I
Boat ramp
I
--
1
Boathouse/ BoatI E, S
�
Beach Bulldozing
- --
Other
I
Shoreline Length
SAV: not sure yes
Sandbags: not sure yes (n -
�.
I
i
-
II
I
--
--
t
I
Moratorium: n/a yes nb_
-------
_
Photos: yes no
+;
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f
Waiver Attached: yes (F�
3
A building permit may be required by:
s
y ttt
B
❑See on back regarding River Basin rules.
njnote
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Notes/ Special Conditions
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Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit"
''f l Zed
Application Fee(s) Check #
I'ermitUtticer's Signature
Issuing Date Ekpirfition 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:
❑ 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
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699- l 638
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/ 1-888-4RCOAST
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

ADJACENT RIPARIAN PROPERTY OWNER
STATEMENT FOR CAMA MINOR PERMITS
t
I hereby certify that I own property adjacent to ffd �� J I'Izq - �� IS, l /4C"-f L /1 's
(Name of Property Owner)
property located at . 2,Z L> p lL ,
Address, Lot, Block, Road, etc.)
on S `i(,; A' i7 , in N.C.
(Waterbody) (Town and/or County)
He has described to me as shown in the attached application and project drawing(s), the development
he is proposing at that location, and, I have no objections to his proposal.
(APPLICATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHED)
nature
Print or Type Name
i9/9 1 6 f'2 -S7d 2
Teleph6ne Number
Date

ADJACENT RIPARIAN PROPERTY OWNER
STATEMENT FOR CAMA MINOR PERMITS
I hereby certify that I own property adjacent to �10j Siff//�� �� ,S'T11'r (1z 1z 's
t (Name of Property Owner))
property located at o2a 7 �y/ZL D d�Z c_21
Address, Lot, Block, Road, etc.)
on (71� U� SDO/l/0 in !._ /C r:(J lq G ID T S N.C.
(Waterbody) (Town and/or County)
He has described to me as shown in the attached application and project drawing(s), the development
he is proposing at that location, and, I have no objections to his proposal.
(APPLICATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHED)
(2.,,,,,, 1� L , �, �,
ature
C
Print or Type Name
2.5'2, 5�,6 l C
Telephone Number
J z_s'
Date

61
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Roy B. Staebler 4120
Shirley A. Staebler 66-19/5
C�
P.O. Box 4072 1 — �� —Oct 2002
Emerald Isle, NC 28594 date
PAY
ordcreof I " 1 I $ �•c
dollars
Bankof America Bank of America Advantage8
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ACH R/T 053000196 �,
NP
for -�
i:0 5 3000 L 9 6i: 000 6 20 6 2 L 7 3 6ii' 4 L- 0
SEA TREASUREm
Herla,d Clarke