47823_GALLHER, ROBERT_20070201

CAMA DREDGE & FILL
GENERAL PERMIT Previous permit#
L;New ❑Modification ❑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
❑ Rules attached.
Applicant Name + " Project Location: County
Address Street Address/ State Road/ Lot #(s)
City r;_ ; i� ; State ZIP - -- --
Phone # (_ ) Fax # ( ) Subdivision
Authorized Agent City___ - l
Affected D CW DEW ❑ PTA ❑ ES D PTS Phone #
AEC(s): D OEA ❑ HHF ❑ IH ❑ UBA C N/A Adj. Wtr. Body____
❑ PWS: ❑FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) length_
Platform(s)
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__
i
I
i
i
i
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 by: _
Notes/ Special Conditions
I
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
__- ZIP_
River Basin
(nat /man /unkn)
(Scale: A,1 �--5
See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Date
Expiration Date
Application Fee(s) Check # Local PlanningJurisdiction 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 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 howto complywith 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

i
AMA /❑ DREDGE & FILL y jr O 4 7 8 2 3 C
ENERAL PERMVT Previous permit #
ew ❑Modification ❑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 ar a of environmental concern pursuant to 15A NCAC /
'tjkules attached.
Applicant Name fJ��'�"f Project Location: County CLCI� �� t'�
Address' 'l611 efy-y/I Street Address/ State Road/ Lot #(s)1
City K kAJ t 0 'A State /," G Z!P
q ,
Phone # (dt�—)ZT / %yrU Fax # ((^) Subdivision
Authorized Agent 0AI-% `V ee i S CityA ZIP_
Affected CW f W L: ' A ❑ ES ❑ PT5 Phone # ( ) (River Basin <- d, (./��
))
!
AEC(s): El oEA ❑ HHF ❑ IH USA ❑ N/A Adj. Wtr. Body i-t) iA K
ElPWS: OFC:-' na man unkn
ORW: yes / k PNA yes /16'o� Crit.Hab. yes / no Closest Maj. Wtr. Body —
Type of Project/ Activity r X �� o
(Scale: 417-'j )
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length_
avg distance offshore_
max distance offshore
Basin, channel
cubic yards__
Boat ramp /
Boathouse/ oath _�j—_
Beach Bulldozing
Other
Shoreline Length I T J t./ I
SAV: not sure yes
Sandbags: not sure yes
Moratorium: n/a yes tno
Photos: yes
Waiver Attached: yes
A building permit may be required by:
Notes/ Special Conditions
or Applicant Printed Name
i
Sign lure **Please read compliance statement on back of permit **"
Application Fee(s) Check #
2 �C'>L-1 VL
t
❑ See note on back regarding River Basin rules.
G4.�1G'rIIP✓'
Perm+ +c r' Sign ture
Issuing Date Expiration Date
Local Planning Jurisdiction Rover File Name

NCQENR
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
February 1, 2007
Intracoastal Marine Const.
PO Box 298
Atlantic Beach, NC 28512
To Whom It May Concern:
Attached is General Permit #47823C.
In order to validate this permit, please sign the permit as indicated. Retain the white copy for
your files and return the signed yellow and pink copies to us in the enclosed, self-addressed
envelope. If the signed permit copies are not returned to -this office before the initiation of
development, you will be working without authorization and will be subject to a Notice of
Violation and subsequent civil penalties.
We appreciate your early attention to this matter.
Sincerely, XJIJ44
q a_�A_ �
Ryan Davenport
Coastal Management Representative
lsb
Enclosures
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] \ PAX: 252-247-3330 \ Internet: www.nccoastalmanagement.net
An Equal Opportunity \ Affirmative Action Employer— 50% Recycled \ 10% Post Consumer Paper

01./18/2007 12: 06
.J..a ri 1 + U! ,, lJi nt4f
12525278353
KINSTON PULMONARY
p.2
PAGE 05/0c'
)DIVISION OF (",tJASTA};, K*NAGEWNT
AIDJ ,M!" 'T RIPARIAN M[F'PEyt OiA'i k�R'g0TI)T)CAT1CyDl.11�A1'%"r R
r—�---
1.
�lAixlte
Address at W,.. _ ...� .
(Lot or stnCEt , trrtct af Cond)
� IMJ
(city & C:atalzkv'i
Al
i Ihtrabw cortify the I onwn proparky Adjacent to the FAblg"O >rp�ttxrtsand px+t►periy. The
j"dlYidaml mpfil' tog for thlt< permit has det deed to ma (as xltowt, on the sttacixed drewaAr
I'lAe dcvclo'ffmg� nt they era proposing, A dwtoflon or dr%-,ving, with darneneinln$� should ba
provided whit this lc*kAtr
'k/j have r10 absectionz, t0 thi^. T+ropvSal
Ar you hive obj�eacinsuc t4 w1Gx'c i" bt ink propr�.,e;d. p]=Wa wr: t►s 6C tsFvia4ola of (;�astsl
!4 0Asg;gwetctt, 400 �rmeme Ave., Mo:rekaand City, NC 7�.457 or �a1i f2Sutj 8tid�:for swim
dA dlys of raceiFt of t'he notic*e ?fin reSPMl4e is can!"ered *bv sutttx. n.�a ><!fi gbjcccFvr+ 11f you
bnve begxl no 910d Dy +C'*r W'd M- Af"
�Vetitiec SectlQx,
X underlft xcl t1121 a pie,,, dock, tnGoxiis pi�izttts► e.akwatcr, boAthouse, tsft or wood
mtaCt, bt set brsale A mireiunuza diSlgttce Of 1 ' Frum mtmt nitial ttSc A}p ra rtAt bt tdc bola T�
by me. (Try+ou VAsh to "'elve the60LOuck, p pp Q
1,io with t,x w;oa the 15' setback ecvi .txeat
I 1 net wish to. wane tht I--" set ck Acamerta
27-
n '5tgncrC lea c
arc ,r„�f �.h�,Ti,•� hti,,rpt :�Cs;i. Shf�rirtf��nC 1�r •�"
in`1 54)
Triep),10ac numtb"r with area code ��C,07wlf
lti;ItY W iea 6a e —
_.._.___.. ♦..T»•�w.... nr,s,riunSetb4OWdiWM13dr
C, 130/Y6
CO 39tid NOSNIS06 Z60694.e'. 9b:TT. ; 01aZ/tVT0

01/18/2007 12:06 12525278353 KINSTON PULMONARY PAGE 04/W
01/18/2007 09:06 2527262072 DR GEOPGF SUTTON DDS PAGE 07-
Jan 17 07 101290 P.3
fFQ
I hatiCny ccrtii), that to—
(Nikma At PrOPM-11 O*OF pf �vatkarf)
1�a,, in rddre�s i� dat•Cc>`cztt x;ratxt l4carfr�ri asaci�sa�L-�=��
(tG1wX1ti atRtc and xip)
12
phone stumlrexs ycsu r w,, be:"ched JJ . ° / ry "(.� / p (j )y\ ,
property 10raze,a a',
(Lai. Blom anw, ova
nr _�i, i
n
tW&*b04Y) (Town xpdv r Coue O)
14G has dcsc ribcd to Me. uq shown below, the dcvelopz tAt he is pnpcsirt at that 10C!ltictl,
r-nd, I bave W 017j VAiDnS to his MOM'-'U''l&rSt=d that A pWlMca 4 F (YlYl�S1�2�i�t�74�hoUsa
must I)a sot back a minimum &stare© o� �iJ"tecm feet {I5j f):Om my arm of xlpm'x% acres uzrtexy
waived by mc.
i !tl„sot, Wisib to waive tha 511,tbalrk rcgtiaz I=t.
_ Ida Wi3h t4 vrasva that 90tMCk TcquiraraMf,
WWI v
Dy,SCx2.XM0N A.Ni;i1>ORI)pA"►�'jNG ()FPROPOSED DFNF ,0►PMW_.,_
T
fr,v hQ jwad ift by inctividual ;prapo sing + Tt�Ame;at)
• i I � a � n y, �. � -. .- ..,
------------------------- ...--............---- --•--- -- - r"-`---
9;Rlk,ctti:c
Prht trr Type Nam-,
5sa.My ",
:7779bot+e Numb`*
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01/18/2007 12:06 12525278353 KINSTON PULMONARY PAGE 03/1is
01/18/2aFl7 09:06 2527262072 DR (5,EORGE SUTTON DDiS PAQE di
Jan 17 07 1 0 t ega p• P
I
W-VISTON OF COASTAL MANAGEMY'o
ADJACENT WA,ktI,fw.N 1PROVEIM gwNMNOT111C� T.XON[WAM R
W)FNamt of latdivioum uvpb4ng for the pem,,W,2iab
Aaan ms of
()rot or ArUt#, $tra l of Irbad7
M ail!»g *ddrese;_1a1 i...
(City & C"Aty)
i,2el GN6CCi � s) �cs7► �trl t�s 4k! �1ti
I ltcrjeby cortifjr the I own ptVtM Adjacent to the aboyt r4ft"'"4 prrsporty. rho
Individual AppWag for Ws permit bas clwribed to me (as abovm on the attpsbod dralgiara)
the docalopn�►eztt th,�y M+r propr�gng, A �jeacriollon or drhwint, with dimcafivmt allauld be
pro, rjdtud vVt Haas letter.
—Z-� b*v* as obj0tioes tv thin pr"Mftlt
If you b*ve ONO.etyotte to v►hat lr being prop"64, Per v.rW the INvisian of Co"tal
Mt111 e1noni, 400 Cctln,aaserCe A ", TMatrhtad City, NC 28557 or gall (2�) $0B•2s(t8 �tMin
IQ darv,af r&-*5pt of the notice. No resyaansc is cOP9WAMil the wane ns rao Obitdion if you
hnve bm natifit-d b�T Ca rtiF O4 WWI.
Wa4ver Sacdot
I understaod *hot a Pier, dock, Cnboting; 0"198e px,ea<kvtater, boathoust, ll t or VRvdbsp
artist br set busk a minirAUM dista'tute Of 15' From Hale' area of pjprnp unless,osived
b9 Mt. ¢c you twt,h to waive ttie ojomckt, you must initial me approprlste blxak below.)
✓ Ida wish to wawa the IS' :tctbacic rnquitemestt nc i
I de afj wish toweivt the !S" setback require,=ta
SiR�htre , ��,v� "°"� i �t?� Shart,i'r•►�
`;�'�el%t: A I�hr.,►•�,f R.ohrj'�15C�r� �.di,,�,:�,f�y_.�.
Print Name
tCIGpti(MC , jrnbmr -ith vubA aadr-
f)UMber with xt�
_�......+..t.M4w�ni.rwnrt.nr.4/parm id/RfttaefhalSotbACklkQlYtx.pol�

4/18/2007 12:06 12525278353 KINSTON PULMONARY PAGE 02/0
North rerolina Department of t ironment and Natural Resources
Division of C009 1 NlanggOment William G. Ross jr, snoretary
Michael F, F_esl,oy, Governor Charles S. .ones, Director
'Date —Li la " d ,f --
A.pplicspt Nti me-
' cY. ,. �
Mailiog' ,address � .,, -) 1 C9
-. i-E-5�bUIn :
((�� ��,,�r��
)� certiry t1lat Z llav�e jutljoriized (argent) to act an my_ .1 e
bobalf, foar the purpose of applying for and obtainiltiig all C AMA. rermiu necessary to
install or constnict (a.ctivity)
at Oocati*
This certifii catiom is wifid thru (date)
Signature
400 commerce Avenue, Wrehead City, North Carolina 28557
Phone: [phone]M FAX: [phone] Intemet: www•nccoastalmanagement,riet
An Equal opporhinity � Affirmative Action Eniptoy2r — 50`>h Recycled 110% Pont Consumer Papor

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