49099_BRIANARD, MARY & ROBERT_20070718

❑ CAMA / ❑ DREDGE & FILL O
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 15A NCAC
Q Rules attached.
Applicant Nameii''•.�� * fit' :� Project Location: County
1
Address I �' Street Address/ State Road/ Lot #(s)
City ' C: State_ ZIP
Phone # O ':.� t' - g 5 -3 Fax # (
Authorized Agent
❑ Cw ❑ Ew ❑ PTA
Affected
AEC(s):
❑ OEA ❑ HHF ❑ IH
❑ Pws: ❑ FC:
ORW:
yes / no PNA 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
❑ ES ❑ PTS
❑ UBA ❑ N/A
Crit.Hab. yes / no
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: Cp CW e,,—
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature Please read compliance statement on back of perm)
I Ll D
Subdivision 1
City t . c ZIP
Phone # O River Basin
Adj. Wtr. Body (nat'/man /unkn)
Closest Maj. Wtr. Body
(Scale: )
See note on back regarding River Basin rules.
.I - ///�, -, 4/
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 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
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:2S2-264-3723
(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:910-39S-3964
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 08/09/06

Jul 12 07 08:47p Audrey ARNOLD,, ,
252-726-3018 p.1
AT1*15
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor James H. Gregson, Director William G. floss Jr., Secretary
Date — /3 d
Applicant Name'
Mailing Address �/'-�s
I certify that I have authorized (agent) �' /tti to act on m
g ) � y
behalf, for the purpose of applying for and obtaining all LAMA Permits necessary to
install or construct (activity) _ " -yla'- f' .
at (location)
This certification is valid thru (date) -rr
Signature Y, - 2xr �cc rc�r
,�R
A � /r ,
y
II:I_ f 3 2007
MoretjOad Cit C
Y CM
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] ! Intemet: www,ncceastalmanagement.net
An Equa Opportunity 1 Affirmative Action Employer- 60% Recycled I IV6 Post Consumer Paper

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
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(FOR A PIERIMOORING PILINGSBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to N <:z r S : W) Y' , vNg Y' J 's
(Nam f Property Owner)
property located at J �- v `- 1-�� " ' 4-
(Lot, Block, Road, etc.)
on
�Q-, in C- r c� V N.C.
(Waterbody) (Town and/or County)
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse
must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless
waived by me. (If you wish to waive the setback, you must initial the appropriate blank
below.) C 1 S-{ v V )env Z
�-'� - v� O L
I do not wish to waive A+t eti c a4o
✓ I do wish to waive that setback requirement.
---- --------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development) vA 40
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Signature
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Print or Type �Na`m�
for p- �o �-�� og a � �-�15 -z3J I
G� Telephone Number
Date: % oZ / ' 02

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to Y `_ S : ��'�''� % nrJ Y' �+ 's
(Nam"f Property Owner)
property lo
cated at5 `` �c,�a L� v
� US `� ' \,' Q , in t.. c� vn �_ �.�� , •� , N.C.
(Waterbody) (Town and/or County)
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse
must be set back a minimum distance of fifteen feet (I 5') from my area of riparian access unless
waived by me. (If you wish to waive the setback, you must initial the appropriate blank
below.) C �,� S�r Uc_' 0)." ©W--v
I do not wish to waive
l" I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
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Signature
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Print or Type Name
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Telephone Number
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ROBER T B BRAINARD
MAR USE HARBOUR RBOUR BLLVD 1466
NERAINARD
W BERN, NC 28560-8407 66-112/531
BRANCH 01901
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BRANCH BANKING AND TRUST COMPANY
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