51007_CHIANTERA, DOM_20070828

7141
E] CAMA / 1:1 DREDGE & FILL ►
GENERAL PERMIT C// Previous permit #
ENew DModification E Complete Reissue Ll 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
ETRules attached.
Applicant Name
Address
City
Statei'Y
Zip, Z/
PhoneflO
Fax #
Authorized Agent
Affected El Cw
D EW El PTA Ll ES
El PTS
AEC(s): El OEA
L1 HHF El 1H Ll UBA
El N/A
Ll PWS:
El FC:
ORW: yes / no
PNA yes / no Crit.Hab. yes /,no
Project Location: County t r
Street Address/ State Road/ Lot #(s)
Subdivision
City ---------- I ZIP
Phone# River Basin
Adj. Wtr. Body � (nat /man /unkn
Closest Maj. Wtr. Body -
OEM
M
M.-M.
S00-0
OMEN
mom
■■■:
No
MEN
SEEROMMEMEMEMIRAMMEMEMMIN
- - � ■SEE■■■E■■■SEE■■■E■■■■■■■■■■■E■■■■E■■■■E
: '� MEN■
ON■
ME■
■■E
(.L-,- 1)
Agent or Applicant Printed Nwno—
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
PermitOfficer's Signature
Issuing Date Expiration Date
opq
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, certifythatthis project is consistentwith the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
❑ Tar - Pamlico River Basin Buffer Rules ❑ Other:
xNeuse 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 2�.b481) 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

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 I L 130
Applicant Name D101-4 (f/!/A-r/—r;r. /ZA
Mailing Address Z-4Z 3 ,[ALP ) L / a
I certify that I have authorized (agent)
to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
� install or construct (activity) jc 1L -4--
at (location) LOT l0 jN D5i'%!E�/ f D/NT O'D/05/o/✓
This certification is valid thru (date)
Signature
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

"I"ji- ..rUN i icirA,c, mN imurm Kl x V Wrea , l"A11+aV1ZM17
(FOR A PMMOORING PHMGSBOA17JFIBOATHOVS20
I hereby oatify that I awn property adjacent to y ►mot ('rAi A is �n L) 's
Cimine of Property Owner
pmrmv located at
OLot Road etr•)
m i�pk1 C o-e-zK., , III 1AlF-c�2�"�� , N.C.
Materbody) . (Town an&or County)
He has desc bed to me, as sham below, the develap�t he is piopOsing at that
10cM1006 cad, I have no objections to his pmposaL I mWdm end that a p /mooring
mnsibe setbacka mhftmmm offif = feei (m firma my ama
of r%wdw access waived by me.
I do got wish to waive the setback reqUUCmeflt
I do wish to waive that setback reqwrement
DESCRIPMN AND/OR DRAWING OF PROPOSED DEiPELOPhrffiM.
(To be,fmd in by indivi&d pmpoSpsg def►elolmrent)
PnntorType Name
7-9A
Telephone Number
Date: ,2 2 - Cj

J ; fl t J' ;+!
I hereby cerEify that I own gmpeq ad}acxnt to is
Mine of property ChMe4
pmpertykmdedat % i (s'
(IA14 BM4 Road, tee.)
ala Q u k 1 C- -E c V.. . in iNI ca,2 �- - i , N C.
Materbody) " (Town. and/ak Coady)
He has des'bed to me, as shown below, the develo d he is proposing at drat
- n , and, I have no objedhms to his pa�po®L I n and ti>!at a plierlmo�mg
mustbe setbackambim um ocx offr fM1(M fivm my2Ma
of itpariaa access unless wa ed by me.
I d_d_ o notnowish to waive Ste setback *-•nor_
I &q wish W waive that setback reaniremenL
DESCRWMN AND/OR DRAWING OF PROPOSER DEE DFAIb;NT:
(To be, fi&d is by &fiW&dPwadxg devdpn=9
/PIInt Or Type Name
Te %gwe Number e
I
Date- i)?'� .

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INNERBANKS MARINE CONSTRUCTION, INC. ti -ti r`; "� f �? ' : ; ; �;,�1 ` 2563
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P.O. BOX 190 PH# [phone]./,� r, `r;
ORIENTAL, NC 28571
DATE 472
PAY ^�
TO THE (�,
ORDER OF. $ ZDU +
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® Bank
ffrstcitizens.corn
FOR
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