51599_PALMER, RUTH_20071025

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GENERAL PERMIT re vious permit #
LINew DModification LIComplete Reissue ❑Partial Reiss 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
0 Rules attached.
Applicant Name
Address
City—
State
ZIP
Phone #
Fax #
Authorized Agent
D Cw
L1 EW D PTA DES
[-1 PTS
Affected
AEC(s): D OEA
El HHF DIH El UBA El N/A
Ll PWS:
El FC:
ORW: yes / no
PNA yes / no
Crit.Hab. yes no
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision %
City ZIP —
Phone # River BasinVVII ' Adj. Wtr. Body ( )e4 rn-atjgj�okn)
Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale:
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
hl
Shoreline Length
SAV: not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by: El See note on back regarding River Basin rules.
Notes/ Special Conditions
Agent or Applicant Printed Name
Signat _�re, "Please read compliance statement on back of permit**
Application Fee(s) Check #
Permit Officer's Signature
i
Issuing Date . Expiration Date
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
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/ 1-888ARCOAST
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

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ADJACENT RiP'ARIAN PROPERTY O NNER NOTIFICATION/WPUVER FORIO
Name of individual applying for Permit: U Pa I w\Ee
Address of. Property:
2LA ,ay, ►-F-a-P �D2�ve- -,
r1e ,nc) Shc)re�, NC 2a5��
(Lot or Street #, Street or Road, City & County)
.I hereby certify that I own property adjacent to the above refe
individual applying for this permit has described to me as shown o
the development they are proposing. A description or drawing, with sions, shoul
provided with this letter. OCT 2 H Z007
I have no objections to this proposal. Morehead City DCM
If you have objections to what is being proposed, please write the Division of
Coastal Management, 400 Commerce Avenue, Morehead City, NC, 28557 or call (252)
808-2808 within 10 days of receipt of this notice. No response is considered the
same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags
must be set back a minimum distance of 15' from my area of riparian access unless
waived by me. (If you wish to waive the setback, you must initial the appropriate blank
belo )
I do wish to waive the 15' setback requirement.
do not wish to waive the 15' setback renuiremPnt-
P int N me
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Telephone Number With Area Code

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Oct 01 07 12:41 p Barefoot and Sons Inc.
252-24 (-bZbO P.4
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North Carolina Departnim of EnVronment and Natural r-1asources
Division of Coastal Management
Mid13el F. Easwi, Gcvemor James Fl. Gregsl)Il, Director william G. Ross Jr.. Secwwy
Date
APP lic.W. Name e:k l.-L` - I E i,(
Mailing' Add
Y certify that
beha)f, for It
install or coa
at (location)
This certific
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SidDature _
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400 Commerce Avenue, Morenead City, North Carolina 28557
Phone: [phone] FAX: [phone] Interr.at, www.nccoastalrnanagem-2nt.net
An Equal ooportu6iy IAlfirmalive Aclicn Employer - 50% Ravydad \ 10% Purl :;onsurn& H3per

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�CERrIFIED 1 RECEIPT
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M Omestic Afait Only, No Insurance Coverage Provided)
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D-- t,C �75
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Postage $ Postage
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p Certified Fee ',-,2 . 65 L17 ED Certified Fee
E3 Return Receipt Fee Postmark �p Return Receipt Fee
(Endorsement Required) $2.15 Here �t (Endorsement Required)
CJ Restricted i}alWry Fes 7%` EJ Restricted Delivery Fee
(Endorsement Required)=1)1J (Endorsement Acquired)
rq Total Postage & Fees v5.21 i i i/Il a f 2 1[ Irk 2 urn Total Postage & F 1� 11V
C3 j Sent To + . �— "vLy [� ED Sent To I
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.-- ---- ---^-----_- +,�'^r r� Sbeet. Apt No.,
t' Slreet, Apt No.; r) �c'1*) or PO Box No. ( \(}I or PO Box No.
-_--��,v_ ^-..],•_N`�-..`��.._ ...a...,_�0.4..`e : '..i. _ City Sfete,ZlPt-�:! l ---•
City State, 7/P+� /2 hq A rju�
■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
Irm, jS01
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Postmark
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1 CI! i 1.5t`21.1�j�t
A. Signature
❑ Agent
❑ Addresse
B. Recely by hied Na.,) C. Date of Delivei
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
0 C T 2 3 2007 (3. Service Type
❑ Certified Mail ❑ Express Mail
f{ k' -I r' ❑ Registered ❑ Return Receipt for Merchandi!
Morehead City DCM � i U � /01 J ❑ Insured Mail ❑ C.O.D.
✓✓✓ 4 Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7005 1820 0002 4436 7089
(rransferfrom service label) ------ ------ ----_.__.
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-i;
■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
b(Z'
11PO
C.i �J
A.
❑ Agent
B. Received by (Printed Name) C. D to op Delivery
J oN R%(Nle f 1 , 0 i
D. Is delivery address different from item 1? Yes
If YES, enter delivery address below: ©INo
4
3. Service Type
❑ Certified Mail ❑ Express Mail \
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7005 1820 0002 4436 7072