50102_MASOPURT, WILLIAM_20080211

❑CAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previ u�it #
E]New [--]Modification El Complete Reissue El 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
0 Rules attached.
Applicant Name - 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): ❑ OEA ❑ HHF Cl IH ❑ UBA ❑ N/A
❑ PWS: ❑FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Subdivision
City ZIP
Phone # O 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
ead/ Riprap length
avg distance offshore
channel
ramp
r
eline Length
not sure yes no
bags: not sure yes no
er Attached:
es no
i
number
�
max distance offshore I
� . I
cubic yards I
� -
house/ Boatlift -
h Bulldozing
i
i � I
torium: n/a yes no
� I i
Bent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
Permit0 icer'sSignature `
Issuing Date Expiration Date
n
Local PlanningJurisdiction Rover File Name
Bent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
Permit0 icer'sSignature `
Issuing Date Expiration Date
n
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 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.
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

North Carolina Depal,ment of Environment and Natural Resources
Division of Coastal Management
tvl chael F. S-asfey. Go,rerrior Charles S. Tones, direcior 'Nilliarr Ross Jr. Secret: r,
Date d- //. .Do
Applicant ]dame /64 �
flailing Address o2 V 12
��o ✓S !� CT o6ZQ/
e r:1( 644 n.t : g G 6 gyp`-z8- 7,'eg-
I certify that I have authorized (agent) 3t-0,(c( ct.4(< C'v �. F��.�, to act on my
behalf, for the purpose of applying for and obtaining all ('AAIA Permits necessary to
r/
install or construct (activity) Aflaca/E ex) A/�s, "-'z
at (location) dk,4!, 4 -Alivsf e, ,,►z 4"/' /UC
3 Y )�:i2k Pei4-E- !Cowl eel Fflk
This certification is valid thru (date) a- I lz-L'g:�
Signature
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] l Intemet: www.ncroastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer - 50°o Recycled l 109 Pest Comlrner Paper

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to /,t/r , , tin d Ixloi�9urt- I
(Name of Property Owner)
property located at L 7dr Go
r
(Lot, Block, Road, etc.)
on �l �� C z<< , in h ref w� n. l ,� c , 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 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.
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)
Signature
Print or Type Name
Sz o2y2—.,2y9-7
Telephone Number
Date:

Application for CAMA Permit
N.C. Division of Costal Management
Notice to adjacent property/riparian rights and owners
Subject Property:
Pamlico County, NC No. 2 Twnsp. Oriental.- West Side of Brown Creek off
of Broad Creek, Neuse River.
Deed Book 286, page 271
Owner: William & Marilyn Masopust
34 Fork Point Road West
Lot # 18, Fork Point Subdivision II
Oriental, NC. 28571
Purpose of Application:
1. To relocate two (2) existing piling at the northerly side of the existing
permitted dock to approximately 18 feet from the easterly end of the dock to
serve as "tie -off pilings". The relocation of the pilings will meet all local,
state and federal regulations.
I, John R. Heath, 30 Fork Point Road West, owner of lot 417, to the south of
the subject application grant permission for the placement of requested
pilings.
Date
2. To place a free standing mooring approximately 70 feet off the
easterly end of subject dock. Mooring shall not impede the adjacent
waterways or access to adjacent moorings or docks and shall meet all local,
state and federal regulations.
1, John R. Heath, owner of Lot #17 grant permission for mooring placement.
,�z 6�;s
Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to 1,),/ltA— /J. %ae9Jsr is
(Name of Property Owner)
property located at Av � "'/X , 3 Y 64, 6, - 4. 2."i 0 ,
(Lot, Block, Road, etc.)
on mi
ano C g Cc , in U 2 eS4,4C, (, �a . 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 to his proposal. I understand that a pier/mooring pilings/boatliftfboathouse
must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless
waived by me.
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)
Signature
Sok,., e"Vi-, L
Print or Type Name
P S-2 - .zYF- 3333
Telephone Number
Date:

Application for CAMA Permit
N.C. Division of Costal Management
Notice to adjacent property/riparian rights and owners
Subject Property:
Pamlico County, NC No. 2 Twnsp. Oriental.- West Side of Brown Creek off
of Broad Creek, Neuse River.
Deed Book 286, page 271
Owner: William & Marilyn Masopust
34 Fork Point Road West
Lot # 18, Fork Point Subdivision II
Oriental, NC. 28571
Purpose of Application:
1. To relocate two (2) existing piling at the northerly side of the existing
permitted dock to approximately 18 feet from the easterly end of the dock to
serve as "tie -off pilings". The relocation of the pilings will meet all local,
state and federal regulations.
I, John Barrie, 62 Fork Point Road West, owner of lot 419, to the north of
the subject application grant permission for the placement of requested
pilings.
k / -4?
Date
2. To place a free standing mooring approximately 70 feet off the
easterly end of subject dock. Mooring shall not impede the adjacent
waterways or access to adjacent moorings or docks and shall meet all local,
state and federal regulations.
I, John Barrie, owner of Lot #19 grant permission for mooring placement
Date

1 79 f
P T
1. 9TE
ORK PT. RD 1
IE
'
ET NP � SIRON PIPE
�_ EXISTING IRON PIPE
RIGHT-OF-WAY
SPK SET PK "L
EPK EXISTING PK NAIL
CM CONCRETE MONUMENT
MBL - MINIMUM BUILDING UNE
CERTIFICATE OF SURVEY AND ACCURACY
1, WILLM E. MATTHEWS. CERTIFY THAT THIS MAP WAS
DRAWN UNDER MY DIRECTION AND SUPERVIS40N
FROM AN ACTUAL SURVEY OF LAND;THAT THE ERROR
OF CLOSURE AS CALCULATED BY LATITUDES AND DE-
PARTURES IS 1,1O.00O+:THAT THE BOUNDARIES
NOT SURVEYED ARE SHOWN AS BROKEN LINES;
TA!S C MY HAND AND SEAL TH S
_ DAY OF O2O04.
PROFESSIONAL LAND S RVEYOR
L-1282
REGISTRATION NUMBER
THIS PLAT IS OF A SURVEY OF AN EXISTING PARCEL OR
PARCELS OF LAND.
SURVEY FOR
IYI1,1IAf1 A flASOPUST
ff,4RIL YN A4 SOPUST
NO. 2 TWNSP. PAMLICO COUNTY, N.C.
SURVEY BY: MATTHEWS SURVEYING PLLC.
OCTOBER 8, 2004 SCALE: 1"= 100'
100' 50' 0' TOO'
SCALE: I'm 100'
0111
1ACi
y9�:
: � SEAL CO
• v L • 1282y�¢ �fy/
W.
NORTH CAROLINA
PAMLICO COUNTY
I REVIEW OFFICER OF PAMLICO COUNTY,
CERTIFY THAT THE MAP OR PLAT TO WHICH THIS CERTIFICATION IS
AFFIXED MEETS ALL STATUTORY REOUIREMENTS FOR RECORDING.
REVIEW OFFICER
DATE'
.1.
POWER
g BOX
�r////lll /l lllllll, .E,
S
,� 18
89,521 sq.ft. sxo
\ 2.06 ocres ��-
�0 ,
-
` UP
KE\
O
' PUMP £7•
/WEL $HOUSE
a�v� %SS
/�y . o
/" E
- 4 EPTIC•
ANK 211
I
..�-C:�
EIP �
O
BEING ALL OF LOT 18 OF THE FORK
POINT SUBDIVISION. SECTION 11
RECORDED IN PC A SLIDE 30-7
PAMLICO CO., NORTH CAROLINA REGISTRY.
LOCATED IN FLOOD ZONE AL
BASE FLOOD ELEVATION 7.0'
COMM. PANEL III: 3720-740800J
EFFECTIVE DATE: JULY 2. 2004
FOR COVERING DEED SEE DEED BOOK
206 PACE 271, PAMLICO COUNTY
NORTH CAROLINA REGISTRY.
FOR RESTRICTIVE COVENANT SEE DB
249 PACE 101. PAMUCO COUNTY
NORTH CAROLINA REGISTRY.
MATTHEWS SURVEYING PLLC
Professional Land Surveyors
111111am E. Matthews R.L.S. L-1282
1280 Wintergreen Rd,
Cove City, N.C. 28523 0
Phone [phone]
Fax [phone]

5910
BROAD CREEK CONSTRUCTION s
PH. 252-745-4252
11 CREEKVIEW CT ^
MERRITT, NC 28556-9572
BB&T
BRANCH BANKING AND TRUST COMP79v
1 -800-BANK BBT �-COM,
;O QLl20: '0005 29 2 846 101"1 910
66-1 - 1
BRANCH 01901
qcff