54190_UZZELL, PAUL_20090701

74-01 � =_..s:�-�-ss-.• _P,-..ter
CICAMA / DREDGE & FILL,.l t
G9NERAL PERMIT Previous permit #
'L�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
I f
=1 Rules attached.
Applicant Name : _� t r P L C
_ I
Address
City Y; 1 ' ( / State. ZIP_` ;
Phone # (_ _) — `Fax # O
Authorized Agent
Affected ❑ CW -' EW El PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
rolect ocation: ounty_
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # ( ) River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale: )
Pier (dock) length
Platf
orm(s)
r pier(s)
n length
number
�:
avg distance offshore
channel
ramp
house/ Boatlift
h Bulldozing
eline Length
not sure yes no
bags: not sure yes no
atorium: n/a yes no
no
:•^��~ ! _ --
� `
max distance offshore
I
cubic yards
• t — i -
r
I
I II I i i
j
os: yes no
Attached: a
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
Permit Officer's Signature
Date
Expiration Date
Application Fee(s) Check # Local PlanningJurisdiction
Rover File Name
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
Permit Officer's Signature
Date
Expiration Date
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, certifythatthis 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
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

1� AWIA / ❑ DREDGE & FILL 5 1
GNERAL PERMIT Previous permit #
Pll�lew 11!.,Ddification ❑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 I SA NCAC
f / es attach d:
Applicant Name Project Location: County
Address' / Street Address/ State Road/ rL0,1,
#(s)
City / State%i/CZIP/ �'' 01
Pho #, c Fax # (:) Subdivisio
Authorized Agent City T ZI Pr --DI
d El �~
Affected
A f ecte [IOEA ❑ HHF
❑ PWS: ElFC:
't n /
ORW: yes PNA yes /(�Po Crit.Hab. yes / no
' A L �❑ ES ElPTS
D IH ❑ UBA D N/A
Phone # O River Basin
Adj. Wtr. Body' f nat man unkn
Closest Maj. Wtr. Body
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ent r pplicant Printed Name
Signature* Please read co. pia ce statement on back of permit
— V. 3
Application Fee(s) heck #

f
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING P.ILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to P C12 Z� i Jl s
property located at a j 1p in
o zUu9
(Name of Property Owner)
(Lot, Block, Road, etc.
on ("Con! 1 r) Q , in /4 ! 6 f)47 ' 6f a C N.C.
( aterbody) (Town and/or County)
Applicant's phone #: 919 -92- I - 6 3 33 Mailing Address: 519 405 1-+vu a 10 FAS-f
Gib1d5 ►b M c m7 53,V
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. (If you wish to waive the setback, you must initial the appropriate blank
below.)
I do not wish to waive
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(Information for Property Owner Applying
for Permit)
l 9 4 95 Pwy '7o Ek)6t
Mailing Address
cii�d 6 itb Yo MC
City; State/ZIp
.,
Telephone
Signature
Date
(Riparian Property Owner Information)
Signature
Print or Type Name
Telephone Number
Date

ADJACENT RIPARIAN PROPERTY OWNER STATEM NT, L(FOR A PIER/MOORINGPILINGSBOATLIFTBOATHOUSE
I hereby certify that I own property adjacent to CLl1SL lc • UZZQ 1 I J0 3 ® ZOOS
(Name of Property Owner)
DroDerty located at B 1 LC Old C0-t-A6 aA -U4-AAA RO 4A "Ict i'GlI -a Q'jy OC
(Lot, Block, Road, etc.
on , in Allan- 1 G BeciCf , N.C.
Waterbody) (Town and/or County)
Applicant's phone #: 9(9 Mailing Address: 6Iq L� U5 1+AA1 5f
C id--)bNb RUC 0 53Aj
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. (If you wish to waive the setback, you must initial the appropriate blank
below.)
I do not wish to waive
_ I do wish to waive that setback requirement.
--------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposin devel went)
1 '
O
(Information for Property Owner Applying
for Permit)
519 4 U 5 hA '1 o Fri f
Mailing Address
&05bbro N C a 7 5 3
City/State; Zip
91q-9a.1- 6333
Telephone Number
AAm
Signature
Date
(Riparian Property Owner Information)
Signature
ff ,--12AV o 1v T1-/d 1'A;i110 S a,
Print or Type Name
�26'a.
_::: Y6- � -7
Telephone Number
Date

MONITORING & COMPLETION "PORTV
[CAMA Major Development & State Dredge & Fill Permits]
PERMITTEE'S NAME: Cti.�1 - -- � PERMIT # 59/ % v
0/ LOCATION: FIELD REP.
MONITORED BY
PHONE: C DATE REPORTEDLY COMPLETE:
DATE OF INSPECTION C
i) Do the measured dimensions of the development differ from those indicated in the permit and workplat?
YES/NO [circle one].
COMMENT:
2) SEDIMENTATION & EROSION CONTROL: Has Permittee seeded, grassed, or otherwise stabilized all
disturbed areas? YES/NO [circle one]
COMMENT:
3) FUTURE NITORING & ENFORCEMENT ACTION: Is further investigation or enforcement action
needed? ES NO [circle one].
COMMENT AU S llk-9-f