47175_GRESKO, GARY_20070110

❑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 ResouPes
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A
❑ Rules attached.
Applicant Name—,.'- :,(A f Y� s e �+ o Project Location: County
Address L) r Street Address/ State Road/ Lot #(s)
City State ZIP
Phone # ( ) l �' Fax # ( )
Authorized Agent
Affected E CW El EW O PTA ❑ ES ❑ PTS
ElOEA ❑ HHF ❑ IH ElUBA ElN/A
AEC(s):
❑ PWS: ❑FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no
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
Subdivision
City-{~..)f r �-k ZIP 1 1
Phone # ( ) - t' l J - River Basin
Adj. Wtr. Body (naV/man /unkn)
Closest Maj. Wtr. Body
(Scale:
Prim
This Facility ►s located within a Primary Nursery
Area, and is not for boating use. No slips are
- permitted for vessels -motorized, sail, or other.
— Any kicking or prop wash will be considered a
violation of this permit, and of the CAMA and
D&F Act.
�—
Shoreline Length
SAM not sure yes
Sandbags: not sure yes o _
Moratorium: n/a yes n �—
Photos: yes
Waiver Attached: yes no
'Yi' I See note on back regarding River Basin rules.
it may be required b C p � ga g A building berm y � y �.
Notes/ Special Conditions 3
i
0"1
Agent or Applicant Printed Names
Signature Please read compliance statement on back of permit"
631
Application Fee(s) Check#
l/
T
I /0 () _7 i/- /> - J 7
Issuing Date Expiration Date
,LL)
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 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
Central Office Elizabeth City District
Mailing Address: 1367 U.S. 17 South
1638 Mail Service Center Elizabeth City, NC 27909
Raleigh, NC 27699-1638 252-264-3901
Location: Fax: [phone]
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
400 Commerce Ave
Morehead City, NC 28557
202-808-2808/ 1-888-4RCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico 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 06/29/OS

Locality
Permit Number
Ocean Hazard Estuarine Shoreline ORW Shoreline
(For official use only)
GENERAL INFORMATION
LAND OWNER n
Name
Public Trust Shoreline Other
Zak r/ e' c K&c
r�Q�b/vISI�
Address +�-1— �/ ~� Qe
City
State Zip G-7-r9l Phone CI '—
AUTHORIZED AGENT'Y ;r
'\e a d ,
Name _ s/J✓�1 � �: `r' 0 ?6nr
Address
City,
LOCATION OF PROJECT: (Address,
adjacent waterbody.) _
nt2 Doe,'
DESCRIPTION OF PROJECT: (List all
a r.// , 'e i / , n
State Zip
Phone
and/or directions to site. If not
M
what is -the name of the
e6LZI-K cs-mo-tJL G itl
and land disturbance.)�-
SIZE OF LOT/PARCEL: uare feet Z— acres
PROPOSED USE: Residentia (Single-famil Multi -family ) Commercial/Industrial
Other
TOTAL ENCLOSED FL REA OF A BUILDING IN THE OCEAN HAZARD AREA OF ENVIRON-
MENTAL CONCERN (AEC): square feet (includes all floors and roof covered decks)
SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BU L - SURFACES IN THE
COASTAL SHORELINE AREA OF ENVIRONMENTAL CONCERN (AEC)• square feet
(Calculations includes the area of the roof/drip line of all buildings, driveways, covered decks, concrete or masonry patios,
etc., that are within the applicable AEC. Attach your calculations with the project drawing.)
Choos the AEC area that applies to your property:
ithin 75 feet of Normal High Water for the Estuarine Shoreline AEC
(2)within 575 feet of Normal High Water for the Estuarine Shoreline AEC, adjacent to Outstanding Resource Waters
(3)within 30 feet of the Public Trust Shoreline AEC
(Contact your Local Permit Officer if you are not sure which AEC applies to your property.)
STATE STORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to a State Stormwater
Management P i sued by the NC Division of Water Quality?
YES NO
If yes, list the total built upon area/impervious surface allowed for your lot or parcel: square feet.

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SITE DRAWING/APPLICATION CHECKLIST
Please make sure your site drawing includes the following information required for a CAMA minor development permit.
The drawing may be simple and not necessarily to scale. The Local Permit Officer will help you, if requested.
PHYSICAL DIMENSIONS
Label roads
Label highways right-of-ways
babel local setback lines
Label any and all structures and driveways currently existing on property
PHYSICAL CHARACTERISTICS
�' raw and label mean high water mark
Draw location of on -site wastewater system
If you will be working in the ocean hazard area:
Draw and label dune ridges (note height)
Draw and label toe of dune
Identify and locate first line of stable vegetation
Draw and label setback line under CAMA
Draw and label topographical features (optional)
Ifyou will bg&orking in an estuarine shoreline area:
it w and label landward limit of AEC
Describe terrain (slope) F(A7 A�UUT 7 l G
DEVELOF,�T PLANS
7Draw and label areas that will be disturbed
IfIf
a house is to be placed on lot, describe location of house
te size of piling and depth to be placed in ground
Draw and label all areas to be paved or graveled
I Describe composition of surface
js Note and list fully all trees and vegetation to be removed or relocated
6' Show landscaping
NOTE TO APPLICANT
Have you:
• completed all blanks and/or indicated if not applicable?
• notified and listed adjacent property owners?
• included your site drawing?
• signed both application and statement of ownership?
• enclosed the $100.00 fee?
• completed an AEC Hazard Notice, if necessary?
Site Notice Posted
Site Inspections
FOR STAFF USE
Final Inspection Fee Received
'. F.
OCT z00b
Moreheto City DOM
Date of Action: Issued Exempted Denied Appeal Deadline (20 days)

OTHER PERMITS MAYBE REQUIRED: The activity you are planning may require permits other than the CAMA minor development
permit. As a service we have compiled a listing of the kinds of permits that might be required. We suggest you check over the list with
your LPO to determine if any of these apply to your project. Zoning, Drinking Water Well, Septic Tank (or other sanitary waste treat-
ment system), Building, Electrical, Plumbing, Heating andAir Conditioning, Insulation and Energy Conservation, FIA Certification, Sand
Dune, Sediment Control, Subdivision Approval, Mobile Home Park Approval, Highway Connection, and others.
STATEMENT OF OWNERSHIP:
I, the undersigned, an applicant for a CAMA minor development permit, being either the owner of property in an AEC or a
person authorized to act as an agent for purposes of applying for a CAMA minor development permit, certify that the
person listed as landowner on this application has a significant interest in the real property described therein. This interest
can be described as: (check one)
an owner or record title, Title is vested in , see Dee o
page in the Y / Co County Registry of Deeds.
an owner DJ
Applicant is an heir to the estate of ,
probate was in County. Q ( T
if other intefest,as written cont ct or lease, explain below or use a separate sheet �pliGation.� p n
NOTIFICATION OF ADJACENT PROPERTY OWNERS:
I furthermore certify that the following persons are owners of properties adjoining this property. I affirm that I have given
ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit.
(1)
(2)
(3)
(4)
FOR DEVELOPERS IN OCEAN HAZARD AND ESTUARINE HAZARD AREAS:
t"
I acknowledge that the land owner is aware that the proposed development is planned for an area which may be susceptible
to erosion and/or flooding. I acknowledge that the local permit officer has explained to me the particular hazard problems
associated with this lot. This explanation was accompanied by recommendations concerning stabilization and floodproofing
techniques.
PERMISSION TO ENTER ON LAND:
I furthermore certify that I am authorized to grant and do in fact grant permission to the local permit officer and his agents
to enter on the aforementioned lands in connection with evaluating information related to this permit application.
This application includes: general information (this form), a site drawing as described on the back of this application, the
ownership statement, the AEC hazard notice where necessary, a check for $100.00 made payable to the locality, and any
information as may be provided orally by the applicant. The details of the application as described by these sources are
incorporated without reference in any permit which may be issued. Deviation from these details will constitute a violation of
any permit. Any person developing in an AEC without permit is subject to civil, criminal and administrative action.
Landowner or person