52349_PINER, J.W_20080911

❑CAMA / 0 DREDGE & FILL
GENERAL PERMIT Previous permit #
❑New ❑Modification ❑Complete Reissue ❑Partial eissue 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
❑ Rules attached.
Applicant Name
Address
City State
Phone # O Fax # (!)
Authorized Agent
El CW ❑ EW ❑ PTA
Affected
AEC(s):
❑ OEA ❑ HHF ❑ IH
❑ PWS: ❑ FC:
ORW:
yes / no PNA yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
ZIP )
ZIP_
❑ ES ❑ PTS Phone # () River Basin
❑ UBA ❑ N/A
Adj. Wtr. Body (nat /man /unkn)
Crit.Hab. yes / no Closest Maj. Wtr. Body
Subdivision
City
Type of Project/ Activity
(Scale: i )
Pier (dock) length
I
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length S
--------_._.
----.-..---
_.
_
_
avg distance offshore
max distance offshore t
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
si
Shoreline Length
SAV: not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes n
Photos: yes r%
Waiver Attached: yes) no
n
A building permit may be required by: ` ❑ See note on back regarding River Basin rules.
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
PermitOfflcer's Signature
Issuing Date ' Expiration Date
1�f ( f .
Local Planning Jurisdiction Rover 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, 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/ I-888-4RCOAST
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

T) T
C71
(FOR A
J- I�ERI L�ly 0 T/Z�P,--ED 85,1-1)Ak T Z 1p�T)
77
ss,
-u
c�
Prn-,Per-y' lcczced ac t
Black, Road, etc.)
(2A I- A L -
2t er -�o d Y)
N C.
(To--M and/or County)
He has desc--ib-1 to M,=, as snothe deve!op�7ent he
lc,Taton, and, T have ,10 objecbons to IS proposLn�, at t�,ac
his P-r0c'Os-21- f Ulders=d 1�.ac a pier/uricove,-�4'boat Lf:.
Must be Set back a minimum distance of fl-I-Let'n, fcf�--L, 15') from my' M)a -u-i ac�
waived by me, za or —=sE ufLlts-
S
1W
10 —rjot wish CO
JUL 2 1 .2008
1 do ;;"Sh to Waive that setback recuLr-eme,-It.
Morehead City DGM
-------- - ---------- - ------- - ---
-DF-SCR=0-IN A-ND/OR DRAWENG OF PROPOSED---- — --------- — ---------- -----
;: DEVELOP-NM-,I-T:
(To be felled in b v iadiy&z4aj
------------------------------------------------- - -------------
C-) le �
Signature
V
Print or Ty-„- P,ia-rmt
-T�-it6)hont -Numb'

91
IJ
proper—,, loczle,,� at
(L-ot, Black, Road, etc.)
on Av ,q L U°C u C cam— -- c
('water odv) h.C.
(Town and/or) Couuty)
He has desc<-ib�-_i to me a-; shown be'ori
4he deve,opr�ent he is proposing at that
must he se
locadon, and, I have no ooj�:tions to his pro��os:1(. I understand Ghat a pieriuncovered boat li
t back minimum distance or riiiern rat (i5') from rnvarea -i aritun ac ss unless
waived by me. r
— I d t wish to waive , , o the sz . ace
.JUL 2 2008
_ I do wish to waive that setbact recui�ement
+ M®rehead City npM
---------- --
DESCRIPTIO�i AND/OR DR 'Wr G OF pROFOSED;DEYELOp?�M.�;Z: ---
(To be jwed in bt iruzividu�l prnpoaing devel{7prnent)
+
- - - - -----.- --------
natLr� -
Vt� V 14 L)bsN\?(
Print or Ty-„, i�+wine
Telephone I�iume� r

s
Z A
M
I`IQlih Cdi'ulii?z 8r8 i"(ie 1, of ERVfru—n- ent and �` a+Liru Pesources
coastal Manags-nnzz
Michael != Easley: Governor
Charles s. Jones, Diractor William.G. Ross Jr., Secret iry
Date I bcs
j
A,pplacant ;Mamie
[' afnur Addraess
'
I certify that I knave aatbO-izcry �a�c�nt.' ) t� act ���
be -half, fan the paarpcasc of applyingN- for and obtaining all CAL� peymits necessary to at (location)
This cert-cati®�a as La}A�rl tluu (da. e)

fi'o
;. J
JUN 3 0 2008
Morehead City D(CM
r j ..a �. i .i i=i-r. i �A �:..".i '.{ $�h L t �f a" ..: t �' r' i - . •} i n i_ T'l r-, '
(FOR A
E %.I v ,_F. FD .MCA .T LIPT
proper:' ic�.,ated at � A lJ LS / .
L---q�g
(Lot, ioc4, Road, etc.) - --
on
i�.C.
(Tol-n andior� County)
He has descnbe-i to nr, IS shown , i
be.ov; Ghe deve!opr;�ent he is proposing- at tl;at
location, and, I have no obj cons to his rocosa!, r
F undersca'ld ghat a pieriuncovered boat lir
must be set back a minimum distance Of iron my jaiea of t-ipazian acc=ss unless
waived by me.
1 do not wish to waive the setback re:uirement.
V I do wish to waive that setback r equLr� �"t moment.
DESCRLpTLOI-A-ND/OR DR.Aw-L iG OF PROPOSED DEV-ELOP_ ~--------
(To be jWed in by irdivtducj proposing Bevel pmPnt) �?
C� �L
P �L '
----------------------------------
----Signaturev

ill
JUN 3 p 2006
Morehead City OGM
r'- . 1 it ( r. Y- .-_ - -•. ,„ _ _
...�.... :.�.:_ f : . 1/ q1.i ('`rr; ; -
J..A y I �� f�. �� y t ' F��
(FOR A�lE_WUr�% J iFD BOAT ZIT,—
prozrer"-.y IccaCed at L6-r
(Lot, Mack, Road, etc.)
on (2A+.3 AL el �G— sex�o�Q a V �h ���e- ,
0raterb<�dy)andiariCounty) T N.C.
He has described to m_, as S►zolwn be?on v
the de.e'opr7ent he is proposinI- at rtat
location, and, I have no Objections CO his prot,e�;t. I understand &haC a pier/uncovers boat lit mu*st be set backa minimum distance or ii��era rat (I�') from my a<w�
waived by me. or riparian at::zss un!es5
I (jt7 Clot Wish Co w2ive the Se )ack tw'C.'Ilement.
I do Wish Co ',naive that setback recuiremernt.
DESCRLP'ITO�ti ND/OR DIRLAWE+iG OF PROPOSED;DEVELOP_'1d= N-T: y
(To be felled In bL ir..dividuel proposing dev4pment)
C PO� IL— — '
�bVC�5t ��"�-- I
� � 3
-------------
1 '
if�
Sign atur

R & J GROUP 1070
ss-112/531
P.O. Box 1885
Morehead City, NC 28557
25272&1253
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c�� $a
v AND TRUST
i i \ BRAfn
NCH
80 BANKING
NK BBT ggT,coC�PANY 0 �^
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