47352_WYNN, PHILLIP_20060803

❑CAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit #
❑New ❑Modification El 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 15A NCAC
❑ Rules attached.
Applicant Name P L
Address
City; L
Phone # ( - ) "
Authorized Agent
State ZIP
Fax # O
Affected ❑ CW DEW El PTA El ES ❑ PTS
AEC(s): ElOEA ❑ HHF ElIH ElUBA El N/A
ElPWs: ❑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
Shoreline Length
SAM 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
rolect ocation: County
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # ( ) River Basin
Adj. Wtr. Body (wit Jr /unkn)
Closest Maj. Wtr. Body —
P,e U'Vri At%% 4/
],
Agent or Applicant Printed' amef R
Signature Please read compliance statem on back of permit Issuing Date
I JCM
ApplicationFee(s) Check# Local PlanningJurisdiction
(Scale: I` ,. ` )
See note on back regarding River Basin rules.
Jig[
Expiration Date
Rover File Name

4
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 consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
F 1 Tar - Pamlico River Basin Buffer Rules El Other:
FJ 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)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Morehead City District Wilmington District
400 Commerce Ave 127 Cardinal Drive Ext.
Morehead City, NC 28557 Wilmington, NC 28405-3845
202-808-2808/ 1-888-4RCOAST 910-796-7215
Fax: [phone] Fax:[phone]
(Serves: Carteret, Craven, Onslow -above (Serves: Brunswick, New Hanover,
New River Inlet- and Pamlico Counties) Onslow -below New River Inlet- and
Pender Counties)
Revised 06/29/05

Locality
Ocean Hazard Estuarine Shoreline
GENERAL INFORMATION
LAND OWNER
Name: Phillip V. Wynn
Address: 113 Bimini Court
City: Havelock State: NC
AUTHORIZED AGENT
Name: Same
Address: Same
City: Same
Permit Number
ORW Shoreline Public Trust Shoreline Other
(For official use only)
Zip:28532 Phone: [phone] or Cell 252-725-5319
State: _ Zip: — Phone:
LOCATION OF PROJECT: (Address, street name and/or directions to site. If not oceanfront, what is the name of the
adjacent waterbody.) Take NC 101 east from Havelock turn left on Temple Point Road turn right on Blades Road turn
left on Clubfoot Creek Road and another left into the Moornings Subdivision My house is located on Clubfoot Creek
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) Redesign an existing dock.
Remove an 8' section off the north end of the dock and move it to the south end of the dock.
SIZE OF LOT/PARCEL: _ square feet 1.5 acres
PROPOSED USE: Residential X (Single-family ❑ Multi -family ❑) Commerical/Industrial ❑ Other ❑
TOTAL ENCLOSED FLOOR AREA OF A BUILDING IN THE OCEAN HAZARD AREA OF
ENVIRONMENTAL CONCERN (AEC): _ square feet (includes all floors and roof covered decks)
SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT -UPON 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.)
Choose the AEC area that applies to your property:
(1)within 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 Permit issued 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.

OTHER PERMITS MAY BE 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 treatment system), Building,
Electrical, Plumbing, Heating and Air 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)
X an owner or record title, Title is vested in +, see Deed Book 1580
page 852 in the Craven County Registry of Deeds.
❑ an owner by virtue of inheritance. Applicant is an heir to the estate of
probate was in _ County.
❑ if other interest, such as written contract or lease, explain below or use a separate sheet and attach to this application.
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.
(Name) (Address)
(1) Duane Usa _ Lot 10
(2) Dante Chinni _ Lot 8
(3) _
(4) — —
FOR DEVELOPERS IN OCEAN HAZARD AND ESTUARINE HAZARD AREAS:
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.
This the 1 st day of August 2006
ndowker or person authorized to act as his agent
for purpose of filing a CAMA permit application

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
❑ Label local setback lines
❑ Label any and all structures and driveways currently existing on property
PHYSICAL CHARACTERISTICS
❑ Draw 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)
If you will be working in an estuarine shoreline area:
❑ Draw and label landward limit of AEC
❑ Describe terrain (slope)
DEVELOPMENT PLANS
❑ Draw and label areas that will be disturbed
❑ If a house is to be placed on lot, describe location of house
❑ Note size of piling and depth to be placed in ground
❑ Draw and label all areas to be paved or graveled
❑ Describe composition of surface
❑ Note and list fully all trees and vegetation to be removed or relocated
❑ 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?
FOR STAFF USE
Site Notice Posted Final Inspection Fee Received
Site Inspections
Date of Action: Issued Exempted Denied Appeal Deadline (20 days)

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11
Form DCM-MP-1
APPLICATION
(To be completed by all applicants)
b.
City, town, community or landmark
1.
APPLICANT
c.
Street address or secondary road number
a.
Landowner:
—
P)4 l U (� V CNN
d.
Is proposed work within city fit�its or planning
Name ,
jurisdiction? Yes V' No
Address 3 l 1 N!
e.
Name of body of water nearest project (e.g_ river,
City i� 1/(_ L p L GL State N�
creek, sound, bay) C t-(A 5 Fo a i � C
Zip Z 9 5;-3 2 Day Phone 2'Zsr" 3l
Fax Z y-•Z '7 2 S' _ c.3 c4 Y 1
3.
DESCRIPTION AND PLANNED USE
OF PROPOSED PROJECT
b.
Authorized Agent:
Name 5 �m �=
a.
List all development activities you propose (e.g.
building a home, motel, marina, bulkhead, pier, and
excavation and/or filling activities.
Address
City State
Zip Day Phone
b.
Is the proposed activity maintenance of an existing
project, new work, or both? M�riU jIRcJ
Fax
t= X! �/iu 6 ibo c- /L
c.
Will the roject be for public, private or commercial
use? 2( v
c.
Project name (if any)
d.
Give a brief description of purpose, use, methods of
construction and daily operations of proposed
NOTE.- Perndt will be issued in name oflmdowner(s), mid/er
project. If more space is needed, please attach
additional pages.
project name.
of eve.
r)'t� T b
Z.
LOCATION OF PROPOSED
-r-1-1 - =—Sacs r H
PROJECT
a. County 6-12 l'd%cfIrl)
Revised 03195

Form DCM-MP-1
4. LAND AND WATER
CHARACTERISTICS
a. Size of entire tract
b. Size of individual lot(s)
c. Approximate elevation of tract above MHW or
NWL
d. Soil type(s) and texture(s) of tract
e. Vegetation on tract
f. Man-made features now on tract
g. What is the CAMA Land Use Plan land
classification of the site? (Consult the local land use place.)
Conservation Transitional
Developed Community
Rural Other
h. How is the tract zoned by local government?
i. Is the proposed oject consistent with the applicable
zoning? Yes No
(Attach zoning coMliance cerrificate, if applicable)
j. Has a professional archaeological assess ent been
done for the tract? Yes assess
If yes, by whom?
k. Is the project located in a National Registered
Historic District or does it involve a National
Register listed or igible property?
Yes No
1. Are there wetlands on the site? /Yes — No
Coastal (marsh) Other
If yes, has a delineation been conducted?
(Attach docunun=on, if available)
m. Describe existing wastewater treatment facilities.
n.. Describe location and type of discharges to waters
of the state. (For example, surface runoff, sanitary
wastewater, industrial/commercial effluent, "wash
down" and residential discharges.)
o. Describe existing drinking water supply source.
5. ADDITIONAL INFORMATION
In addition to the completed application form, the
following items must be submitted:
• A copy of the deed (with state application only) or
other instrument under which the applicant claims title
to the affected properties. If the applicant is not
claiming to be the owner of said property, then
forward a copy of the deed or other instrument under
which the owner claims title, plus written permission
from the owner to carry out the project.
• An accurate, dated work plat (including plan view
and cross -sectional drawings) drawn to scale in black
ink on an 8 1 /2" by 11 " white paper. (Refer to
Coastal Resources Commission Rule 7J.0203 for a
detailed description.)
Please note that original drawings are preferred and
only high quality copies will be accepted. Blue -line
prints or other larger plats are acceptable only if an
adequate number of quality copies are provided by
applicant. (Contact the U.S. Army Corps of
Engineers regarding that agency's use of larger
drawings.) A site or location map is a part of plat
requirements and it must be sufficiently detailed to
guide agency personnel unfamiliar with the area to the
Revised 03/95

Form DCM-MP-1
site. Include highway or secondary road (SR)
numbers, landmarks, and the like.
• A Stormwater Certification, if one is necessary.
6. CERTIFICATION AND PERMISSION
TO ENTER ON LAND
• A list of the names and complete addresses of the
I understand that any permit issued in response to this
adjacent waterfront (riparian) landowners and
application will allow only the development described in
signed return receipts as proof that such owners
the application. The project will be subject to conditions
have received a copy of the application and plats
and restrictions contained in the permit.
by certified mail. Such landowners must be advised
that they have 30 days in which to submit comments
I certify that to the best of my knowledge, the proposed
on the proposed project to the Division of Coastal
activity complies with the State of North Carolina's
Management. Upon signing this form, the applicant
approved Coastal Management Program and will be
further certifies that such notice has been provided.
conducted in a manner consistent with such program.
Name (AJk&k�, 0-s a Lc 1, 10
I certify that I am authorized to
fy grant, and do in fact,
Address 1344 MI590,N µ t LIL5 LP. AjoAT1F K 1
grant permission to representatives of state and federal
Phone 43 7 - rC q - tf 7 9 3 G oc� z_
review agencies to enter on the aforementioned lands in
1^' C r�'� �oF S
connection with evaluating information related to this
Name t permit application and follow-up monitoring of the
AddresWUN V0Lye H1c.t, C_n e5u-4con'r—t `lproject.
Phone q10 Z5-0 ?290 A4 t>
7 t o qZ
I further certify that the information provided in this
Name
Address
Phone
• A list of previous state or federal permits issued for
work on the project tract. Include permit numbers,
permittee, and issuing dates.
• A check for $250 made payable to the Department of
Environment, Health, and Natural Resources
(DEHNR) to cover the costs of processing the
application.
• A signed AEC hazard notice for projects in
oceanfront and inlet areas.
• A statement of compliance with the N.C.
Environmental Policy Act (N.C.G.S. 113A - 1 to
10) If the project involves the expenditure of public
funds or use of public lands, attach a statement
documenting compliance with the North Carolina
Environmental Policy Act.
application is truthful to the best of my knowledge.
S�
This is the day ofAU6 u S
Print Name ? 4 I C L k V. (A) (I ate
Signature _Tk�-1° ,
L4 do~r or riled Ageru
Please indicate attachments pertaining to your proposed
project.
DCM MP-2
Excavation and Fill Information
` DCM MP-3
Upland Development
DCM MP-4
Structures Information
_ DCM MP-5
Bridges and Culverts
DCM MP-6
Marina Development
NOTE: Please sign and date each attachment in the
space provided at the bottom of each form.
Revised 03195

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CARTERET COUNTY EM
9YRT _� , — TUJt N RECEIPT i£t?E0 STED
DIMION OF COASTAL MANAGEMENT
ADJACENT RII'kPIAN PROPERTY OWNER NOTIFICATIOI+iA3 AIVER
FORD
t L-L L
Marne of individual appi�ying for the permit., _--
"'�j � �---
Address of prolrert9f: o r Of , ,_.��"
Mot or .crb.20, stater or ro.d)
(City & County) - --- -- — t
1 hereby certify the 101410 property adjacent to the above referenced properrv, 11
individual applying for this permit has described to me (as shown 00, the att.ich .t
drawing) the development they are proposing. A description or drawing, %il,1s
e ions,, should be provided whit this letter.
1 have no objections to this proposal
xf you have objections to what is being proposed, please write the Division of Coca
Management, 400 Commerce Ave,, Morehead City, NC 28557 or call (252) 808-28
within Ifl slays of receipt of the notice. No response is considered the sam a as no
objection if you bave been notified by Certified Mail.
Waiver Section
t understand that a pier, dock, mooring pilings, brnhwater, boathouse, lift or
sandbags trust be set back a minimum distance of 15' From ray area of riparian
access unless waived by me. (Xi' you wish to waive the setback, you must initial ti
appropriate blank below.)
derLishala waive the IS' whack requirement
I wish to waive the 15" setback requirements
Si atur8 ate
.Print Name
Telephone number with area code
PAVE 02
T -d 9S9LOGL-OTi- •00 a0znjaS sa-4eO �,Jue.rj wui,.0:9 gooOG To 2nd

08/01/2006 15:48 2527288459 CARTERET COUNTY EM
hIMUU,tkfr'I=UKA)IUW rax:*1/005839888 Aug 1 2006 14:05
08/01l2©E; �12:0? 25272384�9 CARTERET COUNTY EM
PAGE 02
P. 02
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QFJRTI.FFrJ) MAIL - UTUM xtECFI MQ b
DWISION ()F COASTAL, MANAGEMENT
ADJACENT R.IPA RUN pRO.PEktTY OWNER NOTIFICATIOIN/% AIYER
t
FORM
Tvarrae of individual applying for the permit l Y'
Addregsofproperty: LuY Owe} COuiC
(Lpi or ►treeAF, Itteet o! rwd).
fl vt L o G
(Cty d: CUMAty)
I hereby certify the I own property adjacent to the above referenced prop¢rty- The
1,141vidual applying for thin permit has described to roe (as shown on the attached
drawing) the development they are proposing: A description or drawing, with
Cdi)oote ions, should be provided iWWt this letter.
I have no objections to this proposal
if you have objections to what is being proposed, please write the Vivislon of Coast 1
M.aaegemeat, 400 Co!umerce Ave,, forehead City, NC 28557 or call (252) 808-280
-witbiu 10 days of receipt of me notice. No response is considered the same as no
objection if you brave been notMe.A by Certified Mail.
Waiver Section
I understand that a pier, clock, mooring pilings, breakwater, boathouse, li t or
sandbags .must be act; back A miul►num distance or 15' Froty my area of riparian
access u0jess waived by me. (If you with to waive the oetback, you w ust initial the
appropriate blank below)
Z dowish to waive the 15' setback requirement
I _ip mot wish to Waive the 15" setback requirements
S tarp Date
?rinr Marne
!,'el phone niuttber with area code'
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f
Agrehe d
►amity ,ACM