56923_THOMPSON, HARRY_20101022

❑CAMA / El DREDGE &FILL
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. j
Applicant Name_ !' P
Address----
City
Phone # (i)_
Authorized Agent
Affected ElCW
AEC(s): ElOEA
ElPWS:
ORW: yes / no
State
Fax # (
❑ EW El PTA
ElHHF ❑ IH
❑ FC:
PNA yes / no
ZIP, 1'
C ES ElPTS
Ll UBA El N/A
Crit.Hab. yes / no
roiect Location. County
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # ( ) River Basin
Adj. Wtr. Body (nat /man /unkn
Closest Maj. Wtr. Body—,r"
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Agent or Applicant Printed Name
Permit Officer's Signature
Signature ** Please read compliance statement on back of permit **
Application Fee(s)
Check #
Issuing Date
Local Planning Jurisdiction
Expiration Date
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 27699-1638
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/ 1-888-4RCOAST
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

C :xw`$ i. lon w"F ✓' s a, `•ktl3,r ,,. ?Hs' -'Uat :!.s'�p'c c:' 0' w s 61e`t
Applicant:
Date:
1�41`py
If 11�
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
ternim acts
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
)/j
r dgi e Fill VBothJ❑ 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 ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
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RECEIVEO
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT 0 C T 212010
M0reii9QdCiIYDCM
I hereby certify that I own property adjacent to r Al, T j6's
(Name/of Property Ow er)
property located at 0 9(z/1 C ) re %-e
(Lot, Block, Road, etc.)
on bG lie- 5yn Hn C a r�l�y� / N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: !0 9 L- 3 9 2 l Mailing Address: 6 o 9 )4 v P C iY G 1 c
A/p worsr�. /V s7 a
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)
N
py
.sk (iY�ss o
i
-- Co�rc. $vI1C�ead —
{
5oUY)J
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
vq g U M CIr�l�o
Maili'Address
A/iwprt, Al G 70
City/State/Zip
Telephone Number
Signature Date
xz, - C
--- Signature
i
e S
Print or Type Name
�V7-- 5,267
Telephone Number
Z0/7ZIJ
Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT or"'
RECEIVED
OCT 21 on
I hereby certify that I own property adjacent to jer 'g 10
(Name4f Property O er) M019he0dCityDC&I
property located at 0 9 1z 1 G) Ye 1-e,
(Lot, Block, Road, etc.)
on dGveSovmd in CCwtleYF CV ,N_C.
(Waterbody) (Town and/or County)
Applicant's phone #: & 9 G- 14 2 1 Mailing Address: & 0 9 Jd v R C it G) c
Newo,>Yt, Al C "S'7o
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)
5 0 ,)Y) J
l( KoG�
_ F
CflhG . VX 1 -eQa --
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
6-vg1�vL1C„��1�
Mailing Address Sign re
Al�wpr�_ IV G � g 5 70
City/State/Zip
Telephone Number
Signature Date
lq
Print or The Name
Telephone Number
Date

Harry M. Thompson
Sarah B. Thompson
609 Hull Circle
Newport, NC 28570
Tel: [phone]
--Zala-L-20,.Q
1925
66-112/531
PAY TO "THE /a
O RDER OF li
�o Nv i$o20Da
BB&T
Branch Banking and Trust Company
6200 Falls of Neuse Rd.
Raleigh. NC 27609
13004
FOR �4
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