53012_WASTELAND LLC._20081216

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7 CAMA / DREDGE &FILL j -
.��ENERAL PERMIT Previous permit#
❑New CJModification ❑Complete Reissue DPartial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resource
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
❑ Rules attached.
Applicant Name L- Project Location: County
Address Street Address/ State Road/ Lot #(s)
City___- ----.—State ZIP
Phone # () Fax # ( )
Authorized Agent _
Affected ❑ CW ] EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ElOEA ❑ HHF ElIH C UBA ElN/A
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Subdivision
City ZIP
Phone # ( ) i River Basin
Adj. Wtr. Body. _ _(nat L-an /unkn
Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale: k' )
.I
Pier (dock) length r
Platform(s)
Finger
Tr
Groin
Othe
Shor
SAV:
Mora
Waiver Attached. yes no
A building permit may be required by:
Notes/ Special Conditions
-
Li
on back regarding River Basin rules.
❑ See note
pier(s)
I
i
I
length
i
number
t
Ageht`or Applicant Printed Name
Signat re Please read compliance statement on back of permit"
A'pph ation Fee(s) Check #
Permit Officer's Signature
IssuingDa e � x rati Date
Local Pla ragJ'orisdittion Rover File N

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 Morehead City Headquarters
Mailing Address: 400 Commerce Ave
1638 Mail Service Center Morehead City, NC 28557
Raleigh, NC 27699-1638 252-808-2808/ 1-8884RCOAST
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

A7j'
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor James H. Gregson, Director William G. Ross Jr., Secretary
Date 2 g�
we 'ti,
WC
DEC 1 0 2008
Name of Property Owner Applying for Permit:
LJ',A ,7LwKj ja L.L e-,'-
Mailing Address:
Wreftead City (:
I certify that I have authorized (agent) to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) Oki —a— Q-S ���T S �' O
at (my property located at) )�25-JOCJ)
This certification is valid thru (date)
Property Owner Sig4ature v Date
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

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSIBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to Uq k T L L is
(Name of Property Owner)
property located at
(Lot, Block, Road, etc.)
G a �-�a L `-
-1 , i✓ b , N.C.
on in
(Waterbody) (Town and/or County)
He has described to m-e, as shown below, the development he is proposing at that location,
and, I have no objections fdVspoposal. I understand that a pier/mooring pilings/boatlift/boathouse
must be set back a minimum ,distance of fifteen feet (15') from my area of @_jQJaccess unless
�• S� 5
waived by me.
.•d
I do not wish to waive the setback requirement.
DEC I ZOUB
I do wish to waive that setback requirement.
Morehead City Luv
--------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
:j� f CA-c� �� 2)--
z
I/2c-JS&- Ae-7--,g
2 0 a S�- Z = 101DID 42
/o'o tZ�_
� 20
S I "P fl
(Applicant Information)
'33 o l r�P�� l o
Mailing Address
City/State/Lip
2-3 2 zL11 -)I )o
Telephone Number
121C(-D$
Date
(Riparian ' perty Owner Information)
.SI re
Print or Type Name
74L - IZ-- 15
Telephone Number )
Date

Cy, c�1 /3 L.lL_ LT .
>FA-;'�
'2 57Z -72 4, 6 �D? CA
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify .that I own property adjacent to L L-C 's
(Name of Property Owner)
property located at
(Lot, Block, Road, etc.)
60 SUS S��.z._o X,
on GA,�,a. ,inN.C.
(Waterbody) (Town and/or County)
He has described tome, as shown below, the development he is proposing at that location,
and, I have no objections to Ti s�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 r1l, access unless
waived by me. : ~•
I do not wish to waive the setback requirement.
DEC 1 0 2008
I do wish to waive,.that setback requirement.
-------------------------------------------------------------------------------------11�Orehe _ i b ra%
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
A
a-j5r✓ A,e.E ,3
N
20 y 4 �?
S�tP )I
(Applicant Information)
-33oJ ra,�10
Mailing Address
Y'-t' 1. _
City/State&ip
2-5 2 zLJ
Telephone Number
12•��p�
Date
(RiDaria=
Information)
C �
Signatu
. Zoos I, ' T, �..
Print or Type Name
9 1 � ) '+i�S t --+10 �-
Telephone Number
Date

'25z GA
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to LAQL L�_'s
(Name of Property Owner)
property located at
f
(Lot, Block, Road, etc.)
on G A ,,a C-- , in N.C.
(Waterbody) (Town and/or County)
He has described to me, as shown below, the development he is proposing at that location,
and, I have no objections tot4s'-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 accessyam:, unless
waived by me.
vm fit;
I do not wish to waive the setback requirement.
DEC 1 Q 9008
I do wish to waivep.that setback requirement.
Morehead City DGtvi
-----------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
,!:F CA-q-�P
Akz-�.Q
o Z S", Z = )
(Applicant Information)
33oI�)A� 0,�
Mailing Address
City/Statel'Lip
2.52 2L-11 -�'l)o
Telephone Number
12-q•D`S
Date
(Ripar' n Property Owner Information)
1 ( a
d b S nature
AL
Print or Type Name
,�� 5-J-09ye-9���
Telephone Numbers
Date