50649_RAY, LARRY_20080410

❑CAMA / ❑ DREDGE & FILL A J0649
—C-—
GENERAL PERMIT / Previous permit#
❑New ❑Modification ❑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 15A NCAC
❑ Rules attached.
Applicant Name
Address ci `i o
t
City 4-ca\e.� �•.
State j-' C- ZIP
Phone # (`1►'t);t
1-,� 3 Fax # O
Authorized Agent
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Affected ❑ CW
I] EW
❑ PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA
ElHHF
❑ IH ElUBA ❑ N/A
❑ PWS:
❑ FC:
ORW: yes / no
PNA
yes / . no Crit.Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision —
City vv%c. o_1 ; i S\ c. ZIP
Phone # O River Basin
Adj. Wtr. Body (Z !} tug (nat /man /unkn)
Closest Maj. Wtr. Body- 0 i^
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Agent or Applicant Printed Name
Permit Officer's Signature
Issuing Date Expiration Qate
Local Planning Jurisdiction Rover File Name
Signature "Please read compliance statement on back of permit
Application Fee(s) Check #

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
Raleieh 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.
(Serves: Carteret, Craven, Onslow -above
Raleigh, NC 27604
New River Inlet- and Pamlico Counties)
919-733-2293
Fax:[phone]
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

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor Charles S. Jones, Director William G. Ross Jr., Secretary
Date
Applicant Name La(r Rai/
Mailing Address
Rq 1'e(q k tj C- 27415
I certify that I have authorized (agent) / 0 to act on my
behalf, for the purpose of applying for and obtaining all CAMAPermits ,necessary to
install or construct (activity) QW'R/ jolod � 4 t-r
at (location)
tDrt lti e
This certification is valid thru (date) 5 Z-
Signature W
(S
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] \ FAX: [phone] \ Internet: www.nccoastalmanagement.net
An Equal Opportunity \ Affirmative Action Employer — 50% Recycled \ 10% Post Consumer Paper

(FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE)
�A
I hereby certify that I own property adjacent to l461V s
(Name of Property Owner or Applicant
Mailing address if different from location address_ "1� r
(town, state and zip)
Aic 2? 6
phone numbers you can be reached at_
property located at 5-2-b 1 1 _�V Dle C—
ot,Block, Road, etc.) '
on B� SIDU^ in iheta4 I l , N.C.
(W terbody) (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
wI l ed y me.
1
4ia1
I do not wish to waive the setback requirement.
ls
initials
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
------------------- - ---- - ------------------------
Signa
o ell1 S
Print or Type Name
2sr2.- 3EY-7fj
Telephone Number �}
Date: -S V
www.nccoas talmanagement.nedPermits/ADIACENTRIPARIANPROPERTYO WNERSTATEMENl'.pdf

(FOR A PIER/MOORING PILINGS/BOAT LII;'7'IBOAT HOOSL)
I hereby certify that I own property adjacent. to LqOrr ti IS
(Name of Proach-cr��
PJ Owner or Applicant)
Mailing address if different from location addressq4 b - -_
(town, state and zip) PW-h !VC- _ 27 4 d 5
eq
phone numbers you can be reached at.__
property located at 57%a d T 4 SbL't�-
(Lot, Block, Road, etc.)
on �aC So"0,o ,in E--olvx11i l0� s1e._ 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
st set back a minimum distance of fifteen feet (15) from my area of riparian access unless
V by me.
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
initials
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
t( 5 e"a 4di 91
------------------------------------------------------------------------- ----- --- - ----------------------
Signatur
L
Print or Type Name
Telephone Number
B Date: .7 Z6 o
www.nccoastalmana.-ement.net/Permits/ADJACENTRIPARIANPROPERTYO WNERSTATEMENT. p

LARRY W. RAY DL 2503592
MARGARET W. RAY DL 3572718 --4-tv
� 1428
PH. 919-732-9761
6515 NEW SHARON CH. RD.
ROUGEMONT, NC 27572
TO THE AL (I
�� _ $
ORR TO
OF _--
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GENTELCO FEDERAL CREDIT UNION
214 PACIFIC AVENUE
DURHAM, NC 2
1:253 L755 L71: 439 2r.SO L4 28
66-7551/2531
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DOLLARS