45235_WILEY, LORI_20060501

E'CAMA / 1:1 DREDGE & FILL
GENERAL PERMIT Previous permit #
DNew LIModification LIComplete Reissue E 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
Applicant Name
Address
City
State ZIP
Phone #
Fax #
Authorized Agent
Affected 0 Cw
D Ew D PTA DES Ll PTS
AEC(s): El OEA
1:1 HHF Ll lH El UBA El N/A
El PWS:
El FC:
ORW: yes / no
PNA yes / no Crit. Hab. yes no
Project Location: County_
Street Address/ State Road/ Lot #(s)
Subdivision
City— ZIP
Phone# (—) River Basin
Adj. Wtr. Body (nat /man /unkn
Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale:
Pier (dock) length
Platform(s)
TT -
Finger pier(s)
Groin length
number
Bulkhead/ Riprap'Ilength
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
i+
Boathouse/ Boatlift
4
Beach Bulldozing
'IV
Other
—T—
F�=
Shoreline Length
SAMnot sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no,
Photos: yes no
Waiver Attached: yes
A building permit may be required by:
El See note on back regarding River Basin rules.
Notes/ Special Conditions
VIA,
IN
1111Z
Tvr) MAY 2 200
Agent or Applicant Printed Narnef
..................
mh -cl
Signature Please read compliance statementcity
Application Fee(s) Check #
Permit Officer's Signature
Expiration Date
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, certifythatthis 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
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
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)
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 06/29/05

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11 dY PMk G'1, dOlOb !U OF t
h 11.L, Utl`lK
Su r+v G5G-yra^drib Ib4(r resist= C��
f�wrti.,
I hereby certify thatX own property adjacent to _ ( ttme of�Properiy Owner}
their property is located at _ (�
(Lot, Block, Road, etc.)
in
(Waterbody) (Town acid/�ounty)
North Carolina
i he applicant has describtd to me, as shown below, the development proposed at the
above location. I understand that any construction, roust be set back a minimum distance
of Fifteen feet (13') from my area of riparian access unless waived by me. The (15')
setback does not apply to the following: bulkheaWriprap, boat ramps, upland boat
basins, utility lines and attendant structures, temporary suuctures, ripmp for wetland
protection, or upland development.
I have no objection to the project a proposed, but do not
will, to waive the (15') setback requirement.
I have, no objection to the project as proposed and do wish
to waive the (15') setback requirement.
I object to the project as proposed,
ESCitl A R RA U ON E h S~
(To be filled in by individual proposing the deve1opment)4X-61 Gt�
P INT OR TYPE NAME � 113NATURE
3(A�L
TELEPHONE NUMBER
2/7 OP. aa6
T'd 6t7622i762S2T:Oi 28286922Tt7
DATE
AUC:W06J d2T:)-0 9002-82-NJU

APR.24.2006 8 35AM 1111. NADEP CHERRY POINT NC (P2 DIU);_• :,ry.,�, i,�; N0.672,r�� P.3i4�
�. .11 Jl 1'll-yfG ell L:35 iL• +.�� /.��• ✓�i �•� ...� ._
ADJACENTRIPAR.IAN PROPERTY QW4`1A�'�wfE�
I hereby certify that I own propetty adjacent to Let, 9V ni-•-
(N,irn n of Property Owr,cr)
their property is located at
(Lot, Block, Road, etc.)
on ctl fi?.,—y in 44 UN_ W
(Waterbody) (Tovm andlor C:mnty)
North Carolina,
The applicant lens described to me, as shown below, the dei'81O?reent proposed at the
above location. I understand that any construction, roost, be sct back a mini,rrium distance
of fifteen feet (15') fro. in my area of riparian access unlzos waivedby me. The ().5•)
setback does riot apply to the follo%ving: bulkhea.d_ii'ripr,a.�p, aorrt upland boat
ba.9ins, utility lines and :attendant stnictures, temporary atTuoture+, ripro-ip for Vvetilld
protection, or upland development.
_ I have no objections to the project. art proposed, lnat dog not
wish to waive the (15') Setback mquirem ant
[p(� I have no objection to the project as proposed acid do wish
to waive the (15') setback raquir,a,Mc }
I object to the project as proposed.
DESMPTION A.N !OR ' OF PROP RV�'G�'LOPM :N L
(To be fillcd irk by individaal proposing the developfxicnt)
PRINT OR PE NAME
rr1sk- LS9 ` � (0 1 J
TELEPHONE NTUMBTFR
RC
�-IVQ

APR.24.2006 8:35AM NADEP CHERRY POINT NC (P2 DIV)
i
NO.672 P.1/4
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APR 24,2006 09:12 Lorri Wiley 252-636-5585 Page 2
MM LQ: OFI-ICE, nP
AixthorjzW Agent. ("onsent jkgrecinent
ef I'
7-3
-raA to act oil
my b,;1m)f in obtdnitit� CAM Aly rnliV f"r thu I(),;,,soon Jjqtcd below.
Property Addrtw,:
- rN
Properly ()wj10r4s.111faijjjjf' '\(Idress;
I Projimly Owner's Sij'maLurr.
Authorized Agent Sigliatu"Q:
ALIR 24,2006 09:ut
P ; i q; F :?

T.J.'S CUSTOM BLDG. INC.
118 CATNIP POINT
BATH. NC 27808
PAY TO THE
,. ORDER OF
FIRST SOUTH BANK
WASHINGTON, NC 27889
66-7162/2531
13046
,rO o
DOLLARS �`•"';':
MEMO
11'0 L304511' 1: 2531? LF. 211: 0000 L5866711'
1