51099_SENIOR, MARK_20080122

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DCAMA / El DREDGE & FILL
GENERAL PERMIT Previous permit
C New []Modification El Complete Reissue E Partial Reissue Date prev6s 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
ID Rules attached.
Applicant Name Project Location: County-
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Address Street Address/ State Road/ Lot #(s)
City State ZIP
Phone # (_) Fax #
Authorized Agent
Affected [-] CW El EW M PTA OS El PTS
AEC(s): El OEA El HHIF 0 1H El UBA El N/A
El PWS: 1-1 FC:
ORW: yes / no PNA yes / no Crit.Halb. yes / no
Subdivision
City ZIP
Phone # River Basin
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Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
Permit Offit'e'r's-Signature
Issuing Date Expirati6n Date
Local Planning jurisdiction over File NaiWe

4
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 ])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- ) 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 Headauarters
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

A,�)
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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor James H. Gregson, Director William G. Ross Jr., Secretary
Date %b X/0
%
Applicant Name 14"&X 7- :--N, 02 4. w-
Mailing Address 3I11 Cvzf,
Al C 2 71-,' 9
I certify that I have authorized (agent) N//A zoo'.:- to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) �,ro.c.faiat .r%q,�,c.l�►r.o •✓ .+.vv .ficc
at (location) G or V/'0 fNoi I'Pol N r'
This certification isvalidthru (date)
Signature�-
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] \ FAX: [phone] \ Internet: www.nccoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER
FORM
Name of individual applying for the permit: A'� `f ��,. '
Address of property: 6Y �G,,,A j'Q,'„�
(Lot or street#, street of road)
To -A 4�:' Jer-e- I
(F-Iry & Lounty)
I hereby certify that I own property adjacent to the above referenced property. The
individual applying for this permit has described to me (as shown on the attached
drawing) the development they are proposing. A description or drawing, with
dimensions, should be provided with this letter.
1 have no objections to this proposal
If you have objections to what is being proposed, please write the Division of Coastal
Management, 400 Commerce Ave., Morehead City, NC 28557 or call [phone]
within 10 days of receipt of the 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, boathouse, 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 below.)
I do wish to waive the 15' setback requirement q ement
I do not wish to waive the 15' setback requirement
Signs
r--
Print Name
l to - 62Z - `I -7e
Date
I-elephone number with area code

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual applying for Permit: MARK T 4M�Ry Ly�� SENSOR
Address of Property: _ LyT bg t t403 PONT 5yFD\V1S101J
(Lot or Street #, Streetior Road, City & County)
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this letter.
✓ I have no objections to this proposal.
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 [phone] 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, boathouse, boatlift 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 below.)
✓ i do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Applicant Information)
3313 Coiz5itkm Davy
Mailing Address
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Citrate ip
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telephone Number
(Riparian Prope Owner Information)
Signature
MICtt L- W ShllAp tklA
Print or Type Name
33( -1 t 4 2ZZZ
Telephone Number
AN EM 13ft 1 2007
Date

3
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MARK T. SENIOR &L 4768034 66-7704/2531 1353
MARY L. SENIOR NCDL 6335083 08605775657
3313 CORSHAM DR. (�07 & k I-q
APEX, NC 27502-8335 Pc�i vr� DAT . Get 1.2- 2,,V
PH. 919-662-7502
PAY TO j*y e1v
THE ORDER OP
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State Employees' Credit Union
9 Raleigh, North Carolina
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