52614_WHITE, ROBERT_20080911

❑ CAMA / ❑ 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 n f�
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
I� Rnloc atta�hari
Applicant Name �, r- 1•. - .4 C
Address l l s
r ti. .: J a V- Lr
City -cr State"(. ZIP I
Phone # (')
�2 / 33'% Fax # O
Authorized Agent
O CW
0 EW Q PTA KI ES ❑ PTS
Affected
❑ OEA
❑ HHF ❑ IH ElUBA ❑ N/A
AEC(s):
❑ PWS:
❑FC:
ORW: yes / no
PNA yes / no Crit.Hab. yes / no
Type of Project/ Activity
rroject Location: k-ounry •_,.; n -){ J t.J
Street Address/ State Road/ Lot #(s) j i y r
1 C 4r-
Subdivision c '
City ZIP
Phone # ( ) River Basin L_,_-) h . 4 c
Adj. Wtr. Body c J nat /man /unknl
Closest Maj. Wtr. Body iA A n
Pier (dock) length
Platform(s) i3
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
- - -
44
_
This facility is located within a Primary Nursery
Area, and is not for boating use. No slips are
permitted for vessels -motorized, sail, or other.
Any kicking or prop wash will be considered a
violation of this permit, and of the CAMA and
D&F Act.
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
i
i
I
I �
i
Shoreline Length I i
1 SAV: not sure yes no! b
I
Sandbags: not sure yes no - ) —
Moratorium: n/a yes no
-.
Photos: yes no 'l i
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions NC 7
L t<
Agent or Applic nt Printed Name
Signature Please read compliance stat2in; t on back of permit"
Application Fee(s) Check #
(Scale: � T )
E See note on back regarding River Basin rules.
PermitOfficer's Signature
I /l - J ,�, /-//, 09
Issuing Date Expiration Date
J vvA 0 4w, l
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
Morehead City Headquarters
Mailing Address:
400 Commerce Ave
1638 Mail Service Center
Morehead City, NC 28557
Raleigh, NC 27699-1638
252-808-2808/ 1-888ARCOAST
Location:
Fax: [phone]
2728 Capital Blvd.
(Serves: Carteret, Craven, Onslow -above
Raleigh, NC 27604
New River Inlet- and Pamlico Counties)
919-733-2293
Fax: [phone]
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

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 g
Applicant. Name
Mailing Address
.t' at; , k:4-N C .-.
I certify that I have authorized (agent) ���tA to act on my
behalf, for the purpose of applying for and obtaining all CAivIA Permits necessary to
install or construct (activity) (,
at (location)
Z-8s-5q
This certifi
Signature
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX [phone] Internet: www.nccoastaimanagement.net
An Equal Opportunity 1 Affirmative Action Employer - 50% Recycled 1 10% Post Consumer Paper
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to &b 4A,"�C .54S4ns dk�
(Name of Property Owner)
Property located at �1 S r�l)<" Da �_5 Dr , ,
�- (Lot, Block, Road, etc.)
on I t h -i -J"r e- K. , in NUbeCf, N.C.
(Waterbody) (Town and/ r County)
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 e.
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
(Applicant Information)
s � �e ti. &&itpr
Mailing Address
00,1&ate/Zip
9/ e� —63 ,-) � 7
Telephone Number
J _ . .
Date-
(Riparian Property Owner Information)
Signaltire D
Ad
Print or Type Name
o__
Telephone Alumber ,y
-1 ! t+— o s
Date

.�
CER
IFIED MAILm RECEIPT
tic Mail Only; No insurance Coverage Provided)
r.
__(Domes
Ln
r
_ z`
r
Ir Postage $ y • I11
M Certified Fee
0 ; Postmark
17-1
Return Receipt Fee Here
C3 ,Endorsement Required)
O Restricted Delivery Fee °
C3 (Endorsement Required) o r,L� i0o
Total Postage & Fees
Sent�R
f r-----bads-hl-----
r%- Street, Apt iV0"-
or PO Box No. -
City, State, Z1P+4 �
+i�t v*i FD �1 �► -
rr

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILI_NGSBOATLIFTIBOATT HOUSE)
I hereby certify that I own property adjacent to 56h Ye
(Name of Property Owner)
property located at ! OQ jL� ,
(Lot, Block, Road, etc.)
on iqu Eens nC[- , in Pab er:5�n ci ,N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: a aZ -3 7!�Railing Address: 306 %dA1,M Oft % I/ r .
� C� 7 ��Til>, � 1,$-*7
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:
- I''o be filled in by property owner proposing development)
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
,3f�01 kenb��
Mailing Address
City/State/Zip
Tele hone Numbe��9�
Signature
Date
V31� e�(
Signature
Print or Type Name
Telephone Number
Date

08/04/2008 15:54
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ROBERT Q. WHITE
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FRED DECKER 5-02 2071
NCDL 4079029
306 WHITE OAK DR. 252-726-0326 66-19/530 NC
NEWPORT, NC 28570 / Q 2002
Date
Dollars o
Bank of America S2& lX
ACH Rrf 053000196
For
1:053000 L96,: 0006900 29336u' 20? L