59752_MANNING, LEE_20120220

C;CAMA / ❑ DREDGE & FILLrl VC"
,'
GENERAL PERMIT Previous permit#
❑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
n Rules attached.
Applicant Name 1po C
Address_ t`;
City�State_ J C ZIP Z'�'65'%Y
Phone # ( )
Authorized Agent
Fax # ( )
Affected ❑ CW EW K PTA � J ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH Ci UBA ❑ N/A
❑ PWS: ❑ FC:
ORW: e3)/ no PNA yes / no
Type of Project/ Activity
Pier (dock) length_
Platforms)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap lengthUfiA4
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
�c1
Shoreline Length Jig7li
SAV: not sure yes no
Sandbags: not sure yes_; -
Moratorium: n/a yes o
Photos: yes o'; _1
Waiver Attached: yes n`o,
A building permit may be required by:
Notes/ Special Conditions
Crit.Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
b. L 0, tj rl'
Subdivision
--" ;
City Cr..icd S or,o ZIP � , S �`1
Phone # (' ) i.?`d c! 1! River Basin ,' f e 60C
Adj. Wtr. Body AT W nat /man /unkn)
Closest Maj. Wtr. Body µ w w
1
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(Scale: ) '�� 6c..
1 �e ❑ See note on back regarding River Basin rules.
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
t ri v
Permit Officer's Signature
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12o
Issuing Date Exj iration Date
Application Fee(s) Check# 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
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 Morehead City Headquarters
Mailing Address: 400 Commerce Ave
1638 Mail Service Center Morehead City, NC 28557
Raleigh, NC 27699-1638 252-808-2808/ 1-888-4RCOAST
Location: Fax: [phone]
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
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

T D EURE CONSTRUCTION CO., INC. 8B&T 49635
PH. [phone] BRANCH BANKING AND TRUST COMPANY
1-800-BANK BBT BBT.com
P O BOX 650 66-112/531
MOREHEAD CITY, NC 28557 2/14/2012
)THE NCDENR , $ "400.00
10
ar Hundred and
DOLLARS
NCDENR
400 Commerce Ave.
Morehead City, NC 28557
�)
Nancy Lee permit
I�
AUTHORIZED SIGN
II■04963511' i:053 LO L L 2 10000 L 23 L00 24 213
E

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date
Name of Property Owner Applying for Permit:
Mailing Address:
I certify that I have authorized (agent) f,a 7/64kacQrvd0y7
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) Sig kl x,5; L C_ ,
at (my property located at) LZ Y G (%�'�'� LZ—�
This certification is valid thru (date) 2
Property Owner Signature
Date

J ill\ LL LV1L 1V•JV � � V��i•V�.r�. ��. .V�.. .. -ia ��vv�v• •-. �. • .,•.� r. .�
CIVISION aR CC ASTAL MAMAGEMENT
ADJACENT RiPAJRJ.AN PROPERT1 OWNER NOTiFICATION/WA1VER FORM
Marne of lndividu@l applying -for Pa:rrn0,-
A,,�Irtra_� .�f prr'•r.�,r+;/' 1��. _/ // G�t��
of or Street #, Street or Road, City & County)
I hereby certify. that I own property adjacen
applying for this permit has de!sr'ribed to rnr: ;
they are proposing. A description or drawing,
to the above referenced propertyi The individual
; shown an the attached drawing the development
'ith dimensions, should be provided with this let(er.
CL I have no objections to thf s proposal.
If you have objections to what is being ,)posed, please write the Division of Coastal
Management, 400 Commerce Avenue, More ead City, NC, 28557 or call (252) 80&2808 within
90 days of receipt of this notice. No respon a is considered the same as no objection if you
have been notified by Certified Mail,
WAIVE4 SECTION
I understand that a pier, dock, mooring pilings,
be set back a minimum distance of 15' from m:
you wish to waive the setback, you must Initial
I do wish to waive the 15' c
xI do not wish to waive the
(Applicant Information)
Mailing Addross
'� V
CrtylState2ip
Telephone Number
—/-Z
Date
RKwater, boathouse, boatlift or sandbags must
a of riparian access unless waived by me. (if
appropriate blank below.)
requirement,
5'setback requirement.
(Rtparlait Propert Owne Information)
C
Signature
Print or Type Name
Ta/epha ee Number
Date

JAN-12-2012 16:38 From:DCM MHDCTY
To:919103267495 Pa9e:2,2
DIVISION OF C
ADJACENT RIPARIAN PROPER1
kSTAL MAMAOEMENT
OWNER N07F1CATIOI'aNIAIVER FORM
Name cf Individual applying -for Farr -nit,
I hereby certify. that I own property adjacer
applying for this permit has desrribed to me,
they are proposing.. A description or drawing,
i have no objections to t
If you have objections to what is being
Management, 400 Commerce Avenue, Mot
90 days of receipt of this notice. No respo,
have been notified b Certified Mail.
t or Street!, Street or Road, City & County)
to the above referenced property. The individual
; shown on the attached drawing the development
ith dimensions, should be provided witti this letter.
hk prn octal
oposed, please writO the Division of Coastal
ead City, NC, 28557 or call [phone] wiUtin
a is considered the same as no objection if you
W,AiUEp SECTION
I understand that a pier, dock, mooring pilings,
be set back a minimum distance of 15' from m,
You wish to waive the setback, You must Initial
I do wish to waive the 15'
ikwater, boathouse, boatlift or sandbags must
!a of riparian access unless waived by me. (if
appropriate blank below.)
ck requirement,
I do not wish to waive the 15' setback requirement.
(Applicant Information)
Mailing Addross
City/State2ip
Telephone Number
` z 7 12
Date
(Rlparlan Property Owner Information)
Signature
Print or Type Name
z2�_z-5S,�j I I
Telephone Number
Date

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