61057_MAZZA, JEFFREY_20120910

C-CAMA / DREDGE & FILL rt/ W4 No. 61057
GENERAL PERMIT Previous permit#
C�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 I LG
_] Rules attached.
Applicant Name ,`d p ,-�� +fey ; Q Project Location: County
Address
1
City } t� , cv cr
State NC ZIP=?
Phone # ( )
Fax # O
Authorized Agent
R IA
.,I N' 6 t , ,
Affected C CW ❑ EW
0 PTA AES ❑ PTS
AEC(s): ❑ OEA ❑ HHF
❑ IH ❑ UBA ❑ N/A
❑ PWS:
❑FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Street Address/ State Road/ Lot #(s)_
Subdivision
�� �1 . ZIP`�`'�; f City � :� c';� � �
Phone # River Basin d
Adj. Wtr. Body f� tir, nat man /unkn CC r�f� f l )
Closest Maj. Wtr. Body
Type of Project/ Activity
i�o
(Scale: � 0 1 )
Pier (dock) length f
Platform(s)
Finger
Bulk
Basin
Boat
Othe
SAV:
Sand
Phot
WaiverAttached:yes no
A building permit may be required by:
Notes/ Special Conditions
-
River Basin rules.
1
'
�: ' c' ' I c , . ;`� - FSee note
on back regarding
piers
or Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
I,
PermitOfficer's Signature
Issuin Datel Expiration Date
Local Planningf urisdiction ? 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, certify that this project is consistent with 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/ 1-888-4RCOAST
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)

pep, 5, 2012 2:05PM No, 0246 P. 1
AF A-
NCDENR
North Carolina Department of Environment and Natural Resources
Divislon of Coastal Management
Michael F. Easley, Governor James H. Gregson, Director William G. Ross Jr., Secretary
Plate
Applicant Name
Mailing Address / -F-5-
I certify that I have authorized (agen tea°' to act on my
behalf, for the purpose of applying for and obtaining all CAM.A, Permits necessary to
install or construct (activity) a-'f ' — T� , " `l ';;�'r'r
at (location)
This certification is valid thru (date)
Signature
400 Commerce Avenue, Morehead City, North Carolina 28557
-Zo,04 G;,v,t-AId Phone: [phone] FAX: [phone] Intemet: www.nccoastalmanagement.not
�� Q `' C vherc j 0 L)r. An 5gval Opporiunily 1 Affirmative Aclion Employer, 50% Recycled l 10% Post Consumer paper

$ep, 5. 2012 2.05PM
_,_, No. 0246 P. 2
(FUR A F1,8#1Mf)Ux1N(; PILINGSIBOATLIFTIBOATHO USE)
I hereby certiJF
fy that I own propeily adjacent to
\ (NAME of Properfq Owner or ,4ppllcint)
Mailing address if different from location address
(town, state and zip)
h'
p one numbers you can be reached at 2— �41,,�)—
property locatt:d at
IT i sl '
0
o , ock, Ragd; etc )
(w$cerb,D;Jr) , in
(Town�gnorCounty) ' N'�'
He has described to me, as shown below, the development he is,proposing of teat location, `
and, I have no objections to his proposal. I understand that a picriznooring pilings/boatli{tlboathause
waived by me•
must be sek back a minimum distanco of �lfffEh fee (IS�rotn �y area of riparian access uziles,5
Z d� wish to waive the setback requirement.
I do wish to waive that setback requirement,
-DESC:RPTZON ...__---- •--- --- --- ------------------------------------------------ ---- --- ---
AND/O DRA WIN(; OF PROPOSED DEVELOPMENT -
(TO be filled in by individual propost'ng development)
�x `yct3 l6 3h1
A*V'r Aq'� - .
'" � SlHnetute
PI or Type None
Telephone Number

Sep. 5. 2012 2:07PM
k 0247 P. 1
in Complete items f , `, and 3. Also complete
�` Item 4 If Re§moteti Delivery is desired.
Pr1nt your name and address on the reverse
so that we can return the card to you.
R Attach this card to the back of the mallpiece,
or on the front If space permits
1. Article Addrt33 to:
ti�d�� Sir
2. Article Number
A slgnaturo
X ,�% .. ❑ Age11t
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B. Received by (Printed ntnme
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PS Form 3811, February2o04 ' Domestic Return Recalpt
1 o26P5 o2-A� t 540
■ Complete items 1, 2, and 3. Also complete
Item 4 If Restricted Delivery Is daslred.
■ Prfnt your name and address on the reverse
so that we can return the card to you.
d Attach this card to the back of the mailpleoe
or on the front If space permits.
1- Aril re Addressed to:
I ;
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cl
A. Signature
X
B. Recelved by ( ed Name) ¢tei
D. Is dellvery address &ferent from item i7 %.'
If YES, enter delivery addrt-- below: No
3,
W Mail ❑ e press Mail
❑ RagiaterW ❑ Retum Receipt for Merahandlse
❑ Insured Mail ❑ C.O.D.
4. RestrfcW DejNwy? (Extra Fee) ❑rqy�':
2- Article Number _.....
(Tmnsrer fmm swoce lab q' 7011 1570 U 0 ❑ 2 8 81i la 2 7.4 8
PS Form 3811, February 2004 Domestic Ratum Receipt
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NORRIS MARINE CONSTRUCTION & LANDSCAPING 9112
BILLY M. NORRIS, OWNER LLC 66-30i531
B 252-393-8646 H 252-393-8810 C �j- 331
42
S NORRIS LANDING 84 DATE
SWANSBORO, NC 28584
PAY
TO THE
ORDER O
DOLLARS °
First Citizens
Bank G J
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