49868_ORIENTAL PLATATION POA & OSMANSKI, TOM_20070823

❑ CAMA / E'ORhEIIGE & FILL L y'�?
GENERAL PERMIT Previous permit #
❑New ❑Modification El Complete Reissue ElPartial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources ./
and the Coastal Resources o �1�j ion an area of nvi nmental con e� pursuant to 15A NCAC
D C- 1 e-n I j �G�r]" CA jC�j �Q� �j'f� 0 � Q Rules attached.
Applicant Name Project Location: County I i'
Address i"A I ti Street Address/ State Road/ Lot #(s) "• i
Cityi t e State; ZIP
i
Phone # ( )L ,!(' ` ` Fax # ( }
Authorized Agent -4,
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
ram, 11 11 tt
Subdivision ! . , ;,= f,-i. , t j" 1, f+ I "o
City ZIP
Phone # O ,'; �'� l River Basin ' ' `
y� F
Adj. Wtr. Body /man /unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale: )
Pier (dock) length
Platform(s)
Fingerpier(s)
Groin length
number
�^
"OD i
Bulkhead/ Riprap length
avg distance offshore"
"__ _ _ __• _��
l �-
max distance offshore
Basin, channel
--
cubic yards
i
J7t
Boat ramp
Boathouse/ Boatlift
i
--- - --- - - -- ,f
Beach Bulldozing
Other
Shoreline Length
SAV: not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes
- -
- -All-
Photos: yes t no
_
Waiver Attached: yes rno
A building permit may be required by:
—
❑ See note on back regarding River Basin rules.
Notes/ Special Conditions
Agent or Applicapt Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
Permit Officer's Signature
Issuing Date Expiration Date
Local Planning Jurisdiction Rover File Name

r
40 1-
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, certify thatthis project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
❑ Tar - Pamlico River Basin Buffer Rules
❑ Neuse River Basin Buffer Rules
❑ Other:
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 Citv 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

L �►
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Tom Osmanski
Property located at Boat slip # 22, Oriental Plantation Boat Owners Association on
Lot 12 — 70 Marina Court
(Lot, Block, Road, etc.)
On Smith Creek, in Oriental / Pamlico County, 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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
✓[7,-n.7- Ll F I
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F=rKr,-ER
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el
Signature f
Print or Type Name
012 XF-.20 9�
Telephone Number
Date: 7 / '� — (�5 7

N
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Tom Osmanski
Property located at Boat slip # 22, Oriental Plantation Boat Owners Association on
Lot 12 — 70 Marina Court
(Lot, Block, Road, etc.)
On Smith Creek, in Oriental / Pamlico County, 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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
5
-V 2
(C)
Sign t re
Print or Type Nam
Telephone Number
Date: 7z cT 07

July 23, 2007
CAMA
To whom it may concern,
Mr. Thomas Osmanski has the permission of the "Oriental Plantation Marina
Owner's Association" to install a boat lift at his dock, slip #22 at Oriental
Plantation Marina.
Sincerely,
oseph Harris
President of the "O.P.M.O.A.

fSe_r rrr ty a hnn crd document_ S ee Lnck.—
PRESCOTT BROTHERS INC 3871
141 TARA TRL
GRANTSBORO, NC 28529 J�� 66-30/531
DATE / 472
PAYTO THE
ORDER OF � $ (�(J
DOLLARS
00A01711ST CITIZENS" 8(d
G
www.firstciOzens.com
FOR
u'00 3B 7 Lu i:0 S 3 L00 300i:00 L, 7 L LO 2 S 4 2 9ii'

Prescott Brothers
Marine Construction
To: Brad Copuefl PO Sox 874
Oriental, NC 28571
252-249-0149 (phone)
252-249-0384 (fax)
Date: 8/23/2007 bobb ottmarineconstruc ' (er*ii)
Regarding: LAMA Permit #49868 — 4smanski
Comments:
::.
Here is the signed Authorization Form for the above mentioned Permit
Thanks,
Brandi Prescott -Robertson

s
North Carolina, Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor Charles S. ,tones, Director 1' imam G. Ross Jr., Secretary
Date
Applicant Name.
Mailing Address l
I certify that I have authorized (agcnt)—Olii4to act on m�
behalf, for the purpose of apptying for and obtaining all CAM A Permits necessary to
install or constrao (activity)
This c� js valid thm (00 U� ""-�•
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] fntemet, www,nocoastalmanacgement.net
An Equal opportunity 1 Affirmative Action Employsr — 50% Recydsd 110% Post Cansurner Paper