54152_TILLMAN, JERRY_20090619

❑CAMA / DREDGE & FILL 1�
GENERAL PERMIT � Previous permit #
New �Mc:dification ❑Complete Reissue ❑Partial Reissue �J` 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
LJ Rules attached.
Applicant Name
017117-t
t
i, tr•\,:.�
Address
City `
�o to
State- , r ZIP
Phone # () 7
51 — 1 5 31 Fax # ( )
!f'j' I
Authorized Agent
---
—
Affected ❑ CW
❑ EW
D' PTA ❑ ES ❑ PTS
AEC(s): ElOEA
HHF
-- IH ElUBA ❑ N/A
❑ PWS:
FC:
ORW: yes / no
PNA
yes / no Crit.Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City r ', ZIP
Phone # :..! River Basin
Adj. Wtr. Body +. ' - (nat /man /unkn)
Closest Maj. Wtr. Body c)
Type of Project/ Activity
Pier (dock) length i r
r
(Scale: )
— - — — —
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
_
t
••
I
i
—
—
—
----
--
--
—
b
L—
ti
Shoreline Length
SAV: not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
i
JJ
II
fe 'III
❑ Seel note on back regarding River Basin rules.
Agent or Applicant Printed Name
PermitOfficer's Signature
Signature ** Please read compliance statement on back of permit **
Application Fee(s) Check #
Issuing Date Expiration Date
Local Planningf urisdiction 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, certifythatthis 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 howto complywith 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

r POM
06 15 2009 9: 02
F002
itr(.X A FiLl�VMVO,lo!`ING•,PlU11 GSiBOATI J.FT1.U0A-'H. QUSE,j
I hereby cercify that I own propetly adjacent to 1W.9-AVA9 ,�rIjIA05JA
(Nome of Property Owner or App)icant}
Mailiag address if different froth location
(town, state and zip)Ale
phone nurnb'ersyou can be roached at ��'�" �J•� ����� �',�'� "�� "',������°
property located at - - C✓,, i�r ma"-�1 ,�'Y�r r
CL,o� Bioc)c, 14oq li err.)
Qn a in , l�i.�
(Y1't�tcxboCty) (re
Ton and/or County)
He has descxibedi CD mac, as shown belcnv, the dPVeTopment lie is.proposing at bat locatiol7,
and, Brava no objection; to his praposal, I undast d that a pier/mooring pilinis(coatliftJboathouse
must be set brink rt minimum distax c - Of ftffF64 feat (I5'j om my area of riparian aco=s unless
Waived by Mc.
"Z`"x 75:e" I do not wish to waive the setback re✓quireme *t.
IRWAII
I der wish to waivo that st;iback rcguiremertt.
,m3�au
T
_DFSCRIPT ON.4NDIOR DP-,kMG OFFR )7PoGJD I)EypLoP T-.__-___
(TO be filled fn by indiriduczl pzo�asirs� de�efoprnerztJ '
------------------------ --- — ------ --- ----- )I
Signa:urc
�E C"
'% Print as 7Ype Narnr
TrIepharc Number

(I"OR A..t',(B.E IM-VORING FILINGS/BOA2"LIFTIROATH'OUSE)
I hereby ceri:ify that I own property adjacent to �erp d' 17?Rh QW'0 t
N (Name of Property Owner or ApplieAot)
Mailing ad.dre.,;s if different from location address "v �.
(town, state and zip) /ro%�S�Di� �. 4C. '2i✓; A _
phone numbers- you can be reached
property located at
(Lot, Block, Road; etc.)
on T�Ci 4 - ._Jo
(Wnterbooy) (Town an4/or Coynty)
He has described to me, as shown below, the deveTOprnent he is -proposing at ffiat coca
and, I have no objections to his proposal, I understand that a pier/mooring pilings/boadift/boath
must be set back a miiiimurn distance of fiftfen feet (15j�xom my area of riparian access ur
waived by me,
�n�u��s z do not wish to waive the setback requirement,
94X,, __� S do wish to waive that .,etback requirement,
r•�j w >
--------'---
---------------------------------------------- --------------------------- -; ------
DES C.R ' 'xON' AND/OR DRAWING OF PROPC)SEI) I)EWLOPIMNT-
(To be filled in by individual proposing development)
r how Lroye,
----------------------------------- .--- - - - - ---------------- ---
-- ------.-
-- )
s;gnatur
Pri r or pe Name
Telephone Number

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FROM 06 18 2009 10:42/ST.10:42 P002
71JI1-16-aeO9 ip.SB From:Xrl MHOGTY To:9393900z Pasc;1/1
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management ��D� ��fq
aevetly Eaves perdue, Govwmcr James H. Gregson, DJreetor Doe Freeman, Salary
Dale — r
Applicant Namr, , �-
t
92fiina Address
7Z-3�
I certify %flat Z brave autborizecl (agent) to act en my
hahAf, for the purpOso Of ,%ppiyi )g for and obtaining all CAMA T?crmlt5 n=c�ssary to
install or cr5bstruct(activity) Ue(zY 11'4 tod'e1•
at (locatiou)-z c--
This certification is valid ihru (Mute)
Sionatum rdh
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: 252-80B-2$08 � FAX, 252-247-33301 Internet: wwwmcceastalmanagement.neI
M Equal Oppm1unity U&MGltyo Aoilon Employer— 50% RKYOi l'ID% POST Consumer Papor

NORRIS MARINECONSTRUCTION & LANDSCAPING
BILLY M. NORRIS, OWNER LLC
B 252-393-8646 H 252-393-8810
377 NORRIS LANDING RD.
SWANSBORO, NC 28584
8201
E % 66-30/531
DAT
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DOLLARSFirst Citizens
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MONITORING & COMPLETION REPORT
[LAMA Major Development & State Dredge & Fill Permits]
PERMITTEE' S NAME: ��l .. ��� ,, PERMIT # C)Z VIP-; r y - `� n�
LOCATION: 2rj_ &�' -t• �P `f FIELD REP.
PHONE: RR n 5 } I $% (
DATE OF INSPECTION C6I S ( 05
MONITORED BY
DATE REPORTEDLY COMPLETE:
1) Do th measured dimensions of the development differ from those indicated in the permit and workplat?
YES[circle one].
COMMENT: Vo n
Q
2) SEDIMENTATION & EROSION CONTROL: Has Permittee seeded, grassed, or otherwise stabilized all
disturbed areas? QE /NO [circle one]
COMMENT: N I
3) FUTURE MONITORING & ENFORCEMENT ACTION: Is further investigation or enforcement action
needed? YES/[circle one].
COMMENT: N

Empr
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