52314_MEWBORNE, JACK_20080625

❑CAMA / ❑ DREDGE & FILL 114
GENERAL PERMIT 1i Previous permit # J
FVf'w1_... F-1nw_-J:r.__-:__
As authorized by the State of North Carolina, Department of Environment and Natural Resources 1
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
Rules attached.
Applicant Name_ '' ; - :,x ;...ft Project Location: County. -
Address Street Address/ State Road/ Lot #(s) `y �•'�
Phone # (_ )
Authorized Agent
Affected ❑ cW
AEC(s): ❑ OEA
❑ PWS:
ORW: yes / no
State ZIP
Fax # ( )
❑ EW ❑ PTA
❑ HHF ❑ IH
❑ FC:
PNA yes / no
❑ ES ❑ PTS
❑ UBA ❑ N/A
Crit.Hab. yes / no
Subdivision
City ZIP
Phone # ( ) River Basin Cl tio'
Adj. Wtr. BodCnat))inan /unkn)
Closest Maj. Wtr. Body Y ='Li • `^�
r
■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■
-
■■■■■■■■■■■■■ire['■:■®■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■
�
ter■■v
�
■�
■
■■■■■■■
■■■■■
�■■■■■■■■■■■�'�
v■■■■■■■■■■i1..■■e..■
■.......■.....
Ou■Eli■i■■■■■!
■■■■■n=on
■■■■■o■■■■■■■■
M■■
IO■!■■■■■■■■■
■■■■■■■■N■■■■■■■■■■N■■■
■■■E■�■■■v ■E■v■■■E■■E■EE■■MEa■E■
- - • ■ rl1lfl■'Jl��ii■1l��J■v' ■■ �i�l©!■■■N.r■i■■■■■■®■■■
• IMMEANUMPERMINUM�/■\�i■J■■■►>■®■■■■■■■■
• �<l4''■`°a■1r`/■`■ilk■■■>� i►�_�.I�I�c_�_����������i■
■■■■■■■■■■■■®■■■■■■■■■■■■■■■■■■■�■■■
Agent or Applicant Printed Name
... z-
Signature "Please read compliance statement on back of permit"
Permit Offic sSignature
.O$
Issuing Date Expiration Date
! -r L (j
Application Fee(s) Check # Local Plan ningjurisdiction Rover File Name

46
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, certifythat 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 howto complywith 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

JUN-20-2007 15:13 From:NC DIU COASTAL MGMNT 2522473330 To:97642017 P.1/1
r�
..�� �.
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor James H. Grepon, Director Wiliam G. Ross Jr., Secretary
Date L 1Zz/c
Applicant Name
Meiling Address i 5 -3-7 �Zg, w %-foci, Q
vauthorized�� �t to ac-t on m
I certify that x have aent d� (agent) _. y
behalf, for the purpose of applying for and obtaining all CAMA Permits necmary to
install or construct (activity) Z -6-.k-x lax l-'s ,
at (location) z g c h ('Ot S t ti
This certif
Signature
400 Commerce Avenue, Morehead City, North Carolina 28557
nt%-- .. haft ono P#ono 1 CA V. 'W11 ne-7 11�en __j

AUG-11-2006 FRI 09:22 AM NO DIV OF COASTAL MGMNT FAX NO, 4 P. 02
0WleE1k S"i'1vC'K' F,N'('
r��'t��x ,{ r'rlsl;hl1f1z1111r�re'j 1'l1,T�i'rS'/Is(1siT1.fT'"r/f�oATHOUSL)
1 1wre---hy t.c,lify that 1 o"vit proporty adj;,cenl to LZe����
(Minic of Property O►vitcr•)
(liUl'�, ty �i►L•itli:il !!t _ ._ � _� U CO _-.. ./ =-`- /-S./ � _.0 �- � ._.-...._ .... .. _ ..------'
(Stred A.ddi ess, ><.r,i, Mack, Road, etc.)
(Towle alld/or County)
. f l+.'Ist,:• l:<<a clLsi:tit,��i tc� i7tu, its shown Ficiciw, ilie dcvcloptncnt 1tc/she is pt'oposin� �tr: that
17caiian and 1 have fit, objecti0j)s I(, t1lis proposal. I uadentantb Quit a pier/mooring
ptiiii!`Il'b oaIhouse Ilisi bo scl bink aminimum distance of I!fleen feet (I T) from my nrc<i of
tiol iaa aoc'ti ";s 1111k'ns vvaivod by me. 1 111vc imicia-d my inLen lops by i►liiillltllg below:
[ ri:: licit ,v,,rco to waivo the 15' setback requireiucnt.
_ _ 1 (13:Lit`e Iv waive tlso 15' setback requirement.
P WN ANn/01-1 fDRAN'iriNG OF PROPOvr)) DEVELOPMENT:
ffo be filled hi by ini vit1wil pi-allosiug d'evelol;m lf)
Sda Powers
- ------ --------------------- -- ---- - -- _-__-----__-�
Signatt�c _
Piint or Type Name
Takpbone Number

AUG-11-2006 FRI 09:22 AM NC DIV OF COASTAL MGMNT FAX NO, 4 P. 02
0 WNEft i`X1t'EM;<+''N,(,
(iP"01? A 1,11511hll0011'INd7 PILT1\'GSIli(JflTUF FIROATHOU,SE)
i 1wrr--11 C-Ql ify that. I t w)L propl-'fly ,uijn-cnl to z-n 's
(i'd.inia t)f Property Ownn')
i'��u�•.�►k,v 1t�t.tLt:tij �'t_. .__� �� �_.. �' S� ` ��'%'_`�-- ._......_ .... .._-.--_—..----'
{,Straet Addi 6s� LM, l;hark, R(jad, etc.)
---
(11T i a Z,i,ttti j (Town ancl/or County)
IIi151� h-,� dosci-lbea to nw, as shown below, ilae tievelopment he/she 'is proposing Ot that
loc'mion and I havu I'm objections to t1lis proposal. I understand that a pier/moorLng
IS'sli��; :/tyoatii!'tillc+a:thaousc tnntit he sct hack a ininimum distance of tiftccn feet (I T) from my nrc<i of
tioaj i;w) ac_c' ;cs 11111ess \v4ivrd by me. I have indicated any intentions by initialing below:
11 { t1c, et.'►t �a;;rea: to FL°,dve the 1 S' setback requircia,ent.
auve to -vtaivv t1.e 15' sctbark nqui.rement~
PRANVING OF PROPOSED DEVELOPMENT;
T;
(1'o 1 aefrllcq iu by indiphifial prollvshkgr develalymcni)
-�rA.�1 � � <i mot- - u '�� o ! 6 s
Signature
Piint or Type Name
%lG- q�t
Too -phone Number

Personal Money Order
u'05L.10 253ii' i:053 L003001:9807994990".
K_
137
66-30/531 Branch No. __.. - --
05410253
June 26, 2008