49767_COLLETTE, RICHARD_20070720

❑ CAMA / [-]DREDGE & FILL
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 1 SA NCAC
❑ Rules attached.
Applicant Name' " .r.f' Project Location: County
Address r _L '_ ' /k. ilP` Street Address/ State Road/ Lot #(s)
City r; i a C C- 1 State : ZIP
Phone # ( ) if!r Fax # (�) Subdivision { U-..<
Authorized Agent "'" City ZIP _ c
❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Phone # (� ) River Basin
Affected ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
AEC(s): El PWS: El FC: Adj. Wtr. Body (nat /man''/unkn)
-
Closest Maj. Wtr. Body r 11i
ORW: yes / no PNA yes / no Crit.Hab. yes / no I
Type of Project/ Activity
�- Pier (dock) length
Platforms)
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
Shoreline Length
SAV: not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes fno
Photos: yes `�o
Waiver Attached: yes / no
A building permit may be required by:
Notes/ Special Conditions
Agent or,AppUcant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) (1 / Check #
(Scale: '` ' -' � )
See note on back regarding River Basin rules.
Permit Officer's Signature
IssuingDate
Expiration Date
Ail"l lJ l7,1A
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 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

Receipts for
Certified Mail
(Staple Here)
Date
4 1D.T'
Adjacent Property Owner
MailingAddressy
City, State, Zip Code
Dear Adjacent Property:
This letter is to inform you that I, IA_
have applied for a CAMA Minor
Property Owner
Permit on my property at 9 c1 /!! &/-- , in Carteret
Property Address
County, As required by CAMA regulations, I have enclosed a copy of my permit application and project
drawing(s) as notification of my proposed project. No action is required from you or you may sign and return
the enclosed no objection form. If you have any questions or comments about my proposed project, please
contact me at / 5;- 's3 7 6, or by mail at the address listed below. If you wish to
Applicant's Telephone
file written comments or objections with the Carteret County CAMA Minor Permit Program, you may submit
them to:
Local Permit Officer for
Carteret County Planning & Development
Courthouse Square
Beaufort, N.C.. 28516
Sincerel
Property Owner
36)—) SSG "o, 4-o 9W —
Mailing Address
City, State, Zip Code

ADJACENT RIPARIAN PROPERTY OWNER
STATEMENT FOR CAMA MINOR PERMITS
I hereby certify that I own property adjacent to 's
�� (Name of Property Owner)
property located at .3 z 2,- `�eja, /e/ ,
Address, Lot, Block, Road, etc.)
on C' in x,-,'c , N.C.
(Waterbody) (Town a/or county)
He has described to me as shown in the attached application and project drawing(s), the development
he is proposing at that location, and, I have no objections to his proposal.
(APPLICATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHED)
Si nature
Print or Type Name
Telepho a Number
7� L
Dat

RICHARD A COLLETTE
JOYCE V COLLETTE
303 Isiand Dr
Beaufort, NC 28516
252-728-7024
3624
66-21/530
BRANCH 45377
0 / DATE
PAY TO THE AI //-7 D ��
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