50104_RODENHOUSER, DICK_20080224

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❑CAMA / ❑ DREDGE & FILL TIC tC4 (
GENERAL PERMIT Previous permit #
❑New ❑Modification El Complete Reissue [-]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
O Rules attached.
Applicant Name
Address
City
State ", ZIP
Phone # O
Fax # ( )
Authorized Agent
�
Affected ®CW
❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA
❑ HHF ❑ IH ❑ UBA ❑ 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 ZIP
Phone # O r:- -'r River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity ` V.,
(Scale: i ' )
Pier (dock) length
Platform(s)
Finger pier(s) - ;
� r
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
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
Notes/ Special Conditions
4
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17
by:
ri
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See
note
on
back
regarding
River
Basin
rules.
_�
Agent or A'?plicant Printed,Name
Signature "Please read compliance statement on back of permit"
Application Fee(s) Check #
Permit Officer's Signature
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, certifythat this project is consistentwith 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

KCD
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 D ct ':� Dc- ' 1 c Fo cn house v--,?
Mailing Address
I certify that I have authorized (agent) ( h� �, )r)r-----to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity)
at (location)
This certification is valid thru (date)
Signature
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internet: www.nccoastalmanagement.riet
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper

PRESCOTT'BROTHERS INC
141 TARA TRL
GRANTSBORO, NC 28529
PAY
TO THE
ORDER O
4160
DATE 66-30/472
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■ Complete iter.-is 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 mailplece,
or on the front if space permits.
1. Article Addressed to:
C�c�
❑ Agent
❑ Addressees'
C. Date of Delivery ,
e.. Is delivery4addressrdi4erentfrom item 1? ❑ Yes
_-4i YES, enter delivery address below: ❑ No
p
3. ,Service Type
ertified Mail ❑Express Mail
I
❑Registered ❑ Return Receipt for Merchandise
❑Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7006 2150 0005 5858 5401
(Transfer from service label)
PS Form 3811 February 2004 Domestic Return Receipt a I„ �^, nn Av 1 102595-02-M-15401

UNITED STATES POSTAL SERVICE
First -Class Mail
Postage & Fees raid
USPSI
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
PYe54ott F'YotveYS, I VLC
p0 goX 274
o ewtaL, NG28571-

■ 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,
i or on the front if space permits.
! 1. Article Addressed to:
A.
Agent
Addressee
B. Received by ( Printed Name) /j C. Date of Delivery
I ,
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. re e Type
Certified Mail ❑ Express Mail
❑ egistered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7006 2150 0005 5858 5418
(Transfer from service label)
PS Form 3811, February 2004 Domestic Return Receipt[ n i 102595.02-M-1540
V l� i

UNITED STATES POSTAL SERVICE
First -Class Mail
Postagg & Fees paid
LISPS.
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
Prescott B>rotMrs, Iwo
po go)( 274
ar%ewta�, NC28�j 2