29867_KHOURI, IBRAHIM_20070823

9 4 �' �� a 7r
OCAMA / O DREDGE & FRILL
GENERAL PERMIT Previous perm
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
e L ! El Rules attached.
Applicant Name ! •� 11 l�j I' ,�� (d C i Project Location: County -� t i L
Address ! %. u �. o 12 " Street Address/ State Road/ Lot #(s)
City f' iAl State!` ZIP y,r
Phone # ( ) f '7 I , Fax # O Subdivision �' i•, t r'1 �'� �� Y'�
Authorized Agent i cfsit 6:5 • City ZIP 7 r '
Affected
O CW EEW YPTA S ❑ PTS Phone # ( ) - '� 1 I River Basin /JCS ! ��
a
AEC(s): ElOEA ElHHF ❑ IH El USA El N/A Adj. Wtr. Body i ; fA rf 1 E - (nat /man /unkn)
El PWS: ❑ FC: Jp� ' -
ORW: yes / no PNA yes /,no Crit.Hab. yes / no Closest Maj. Wtr. Body IyjN id�'c� ys
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 t-
Other
�'
Shoreline Length '
(Scale: j'10
SAV: not sure
yes"9
Sandbags: not sure
yes
n
Moratorium: n/a
yes
I i1
Photos:
yes
_ --
Waiver Attached:
yes
Ono
building permit may be required by: y
See note on back regarding River Basin rules.
Notes/ Special Conditions
r.
OR
�Aget or Applicant Printed Name
Si ature Please read compliance statement on back of permit
Application Fee(s) Check #
1
Permi�cer' Signature
Issuing Date
t1fin I ; c�C .
Expiration Date
MCI" ti 115A
Local Planning Jurisdiction
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
landowners).
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:
ar- Pamlico River Basin Buffer Rules ElOther:
euse River Basin Buffer Rules KNN
s
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 J�-97� 46-648_1) 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/ 1-888-4RCOAST
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

VAA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor James H. Gregson, Director William G. Ross Jr., Secretary
Date (/ 2 J
Applicant Name ►�1/ Y'j�'� ( �.
Mailing Address �r7 U S'L I T-)
a_�
I certify that I have authorized (agent) ��� � '��1 a, �C to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) ^'o
at (location) �q UPI -D 61 Oh I rl
This certification is v i hr (date) V ( 11IV6,2jI 6t
Signature
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internet: www.nccoastaimanagement.net
An Equal Opportunity1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper

L
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to JaAg1 M c �� RA- k rT0 's
(Name of Property Owner)
�52 '2' L11- 1512-
property located at
5
(Lot, Block, Road, etc.)
on lacz C�Uy-- ,ino 6 VV1aI ,TCx"Jl1 C� (3. ,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.)
I do not wish to waive
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by*
idaal proposing development)
Ao e c2-0-0
boCk- /? P�A-f
s' 2D c�o
Print or Type Name
p �Telephone Number
Date: `� /

aUG-20-2007 13:41 FROM UACC:ON COMPANY, INC. 1-50E?-359-0177 TO:12522490394 P.2
AWACEW WARUN PROPERTY +C W-NNK STATEACM
(FOR A PL9&WWJUMA0&MGS1B0ATLffl7BOA7'r}MUSA3
I hereby Geeti£y Out I own pmpeffty sijart to � i� H" �PIAUN 's
ploperW J2LOGabadW
0-44 Wbdk, It"[, CV.)
�tv�a '? - N.C.
(Waftrbedy) Cry medlar cam9)
Ho has desoibed to mey as dwvm below, the clevel he is PToposin al that Jeca i , and, I
have no object-k" to bb pow. I tmdw s a pi ring pHi , ; WAM { boWhouse
== be 3d a minim dim of EAmm fset (13) fiam my ar ii of acmes uolew
waived by mc- (Hyes w" t* sr*iv*ffia ss&mJc, ytw ==6t i2UW the xrrepaista hI=k
bekw)
1 ft eat wish to waive
f do wish W waive &at WbWk Mqu MMWt
PAW or 1ype Namc
sj
- — - _ Talephome Number
Date_ vliT _