52347_PINER, J.W_20080710

❑CAMA / ❑ DREDGE & FILL
GENERAL PERMIT iI Previous permit#
❑P ew IJModlflcation El Complete Reissue ❑Partial Reissue 1 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
El Rules attached.
Applicant Name Project Location: County
Address
Ciry State ZIP
Phone # O Fax # O
Authorized Agent
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # () River Basin
Adj. Wtr. Body Lat /man /unkn)
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
l
I
_
r I
Shoreline Length j 4
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: ❑ 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 #
PermitOfficer's Signature
NA/
Issuing Date 'EkpfratioilDate r
:77 7---'
Local PlanningJurisdiction Rover FileNa e

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/ 1-888-4RCOAST
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

='ro ram; =rj
r^�r^� lCc2Cc� a. 1 C-_ _f��
(`L�t Black, Road,
on j�wA� �O 'cJ4r
('Y p p- J—b odv) (T O?=II and/cci Couut J)
He has deSC:ZD j to fil?, a : show"n belo+v, the he is proposins at tl 3.i
lacadon, and, I have. no obje-:cions to his prccoszj. I understand (Oac a pier/uncovers 'boat lit-
must be sit back a minimum distance or (15') tram myi
waived by me.,�x
i do rot wish to waive the seiback rec:uirement. F:. ° s
J LJ L. 2 1 20003
V I do wish CO waive that setback recuLremenC.
Morehead amity (; 'f
DESCRIPTION A-ND/OR DR I� FEiG OF PROPOSED DEVELOP-NM',,-T:
(To be jWed in by iadiY u zd prap os-ing deve0pmerzt)
f�
I
--------------------------------- ---- ------------ - -------------
Signature
V VIA
Pant or Ty-i,e !`iulilc
eiernone L� umc"rc

ISaij. (1-- . ;- -
.. ,` r1 a -: • i t � . �t .11." '� �i� ii • `' i /� A I �. �3 _
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! _.. -U �� i
H Tz—
L-0nt, ;.Ica=:, Road, etc.)
` 1�uC avL� �n Atj\!c- !s nC
cY;;ter i5dy) /� • i'+•C
FTO-M and/ori County)
Fie has desc_lbrj to me, a. show-n be'
o nee deve,optnent he. is proposing at Ct a.t
location, and, I nave no obje;;tions to his proprh
proposal. I understand ',.t a pie.iuncover1 boat
r
n1usC be slit back a m.irnimum distanct o5') from my;ar-
waived by me. .: P access un"les-
I ,: ,
--�� I do not wish to waive e ,
th se bac re�Lir�m�nt. 4,
JUL
I do wish to waive that setback recuLremenC.
--------------------------------- -------------------------" e
- -----------------------------------
T., 'f !;.Y;j
CRIPTIUL A-ND/OR DR.Aw1�iG OF PROPOSEDIDEYELOP?4MNT:
(TO oe filled in by indiviccce4l prupo,5 na- devel�7pment)
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5 LJR
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L nature
Princ or17
Tyo_ i lam-
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T - -hone i�iumb:�r

JUN a v �008
Morehead City ®CM
North Carolina Department of Environment and Natural Resources
Urmsion of Conti Manags nt
Michael F Easley; Governor Charles S. Jones, Diracter William.G. Ross Jr., Secret,ry
Date
Applicant vial-ne J , VV-�1 (�l���y
[''ailing Address � c), O 2 l CU'L
�I certify that I lia�;e aatlizs�r aged �ageiat) � �7�1� � IN � try act ��a ra�3.
behalf, for the purpose na applying for and obtaining all CAMA Permits necessary to,
install or construct (activity)
at (location) DA v s _ ��L� AT( Ary \ ) C--
��-�s�
This certification is valid thru (d
Signature 2�7. Ll�.

•
i
J U N 3 0 2008 4'
Morehead City DCIV
a lka q -E�
(FOR A IYE-V
B 0A T ZVF7)
Proerler:y1ccaced at is
§-L4 -At k) C
BICCR-, Road, etc.)
on
N. C.
(To,-'qm a-udior'County
He has de5C-ibctd to f,-,,=, IS show-n belo,n, die dey0!0Pr)llCn( he is prOPOSM,-, at tl� ac
location, and, I have no obje~dons to his roux' . 1 under-sto-nd ghat a pier/uncoverzd boat Lf.-
--nusc be back a Minimum distance of F, - ' Sal
M--n re--Il (15') from myi'ar---4 or riparian acc--,-,s Rijn es -
waived by me.
lio —not wish to Waive C'ne --- bacs re,,L-
I do wish CO waive that setback -req!jii-eme,,jt.
-------- — -----
DESCR-LMO.,N AND/OR DRAW-DiG OF PRO by POSEDTEVELOPME-4-T:
(To beFdZed inby;
proposing de"?4PMEnt)
V
i5-t (S"n
- ------------

R
A
G�
SUN 3 0 Zoosx'a.
MOreheiRd C4 DCM
�
'�—•air +J�
?' l IE,lUr;�CCYFPFD uCa -7�
n .( L li-T
aalac Sri- f_^ �R
r rorer`Y located aC
i3�v4
t"Lot, Black, Road, etc.)
on L)/aYuA QOuctF Sacs RJb Ln AA� i J e Lit= t�
(�aterbody) ?v.C.
(To—n andlorl County)
He has desc:abed to me as shoWn be'o,�, Ghe de
ve!opr7ent he. is proposing at tha.[
location, and, I have no objections to his pro�OSai. I understand (Oat a pier%uncovered boat lit must be set bacic a minimum distant✓ or rj--n
from my;'
area or riparian acczss unless
waived by me.
I do aot wish to waive [tie setback reCuire,rnent.
✓ I do wish to waive that setback reauLrement.
------------------- ----
DESCRIPTION; -AND/OR DR WD- i G OF pRO POSED:: DEVEL0E-NM',,-f
(To be filled i,z by individucl proposing Bevel pmerzt)
C 'A-N�
p i Q�S LSD
I I i a
�L srt
SiC*nature
AJ
Print or Tyx iva n

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R & J GROUP 1070
P.O. Box 1885 66-112/531
Morehead City, NC 28557
252-726-1253 Este
�a
Beck.
` BRANCH BANKING
K BBT BT eomMPANV G� V
FOR -�
11000 107011' v1:053 01120:0005297687923"l
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