59396_EDGE, MELYDIC ET AL_20111130

❑CAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit#
El 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
Applicant Name Project Location: County
Address Street Address/ State Road/ Lot #(s)
State ZIP
Phone # ( )_ _ Fax # ( ) Subdivision
Authorized Agent City ZIP
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Phone # ( ) River Basin
AEC(s): ❑ OEA ❑ HHF ❑ IH I UBA ❑ N/A Adj. Wtr. Body (nat /man /unkn)
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body
❑ Rules attached.
Type of Project/ Activity
(Scale:
Pier (dock) length
Platform(s)
Finger pier(s) j
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
-
!
j
i
.�
4
I
I s
Shoreline Length
SAV: not sure yes not
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
I I
Waiver Attached: yes no J4 E,
A building permit may be required by: ® See note on back regarding River Basin rules.
Notes/ Special Conditions *14
Agent or Applicant Printed Name
Signature "Please read compliance statement on back of permit"
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, 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 ❑ 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.
(Serves: Carteret, Craven, Onslow -above
Raleigh, NC 27604
New River Inlet- and Pamlico Counties)
919-733-2293
Fax:[phone]
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

�r
NC®ENR
n North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary
Date 3 % d vl 2.0 11
Name of Property Owner Applying for Permit:
'MGM✓c. Wc�w1• K2v,., l3i�Ny c*.
Q1 -I�Mailing Address: 1
1 l kev T trY W%r. or �'u�sd.lt� r �C-✓Qk �. l-#'��(���
1% S %•tl.v 4Kk (dL ev-+v&-c.; a *4e- -• ary e..
I certify that l have authorized (agent) �• ��.� 6- l+oo, C--L t v to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity)
at (my property located at) 9-1 • ( t f 1 -1 tov 'c X4 e—fe`. UA
This certification is valid thru (date) / Q
Q!/
oc..*
Property Owner Signature Date
1 �04 I (
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internet: www.nccoastalmanagementnet
An Equal Opportunity 1 Affirmative Adion Employer - 50% Recyded 110% Post Consumer Paper
He- ►%)C.

m Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
IN Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
A. Signature
❑Agent
X AJ ` Addressee
B. Received 4 (Printed Name _ I C. Date of Delivery
D. Is delivery address Brent from item 11 'U¢,Yes
If YES, enter deliv
ry address below: �j
NOW Y 6 am
V7: Z.
3. Service Type
❑ Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7010 3090 00O1 3567 5654
(Transfer from service label) — — - — --- _ --
PS Form 3$11, February 2004 Domestic Return Receipt
102595-02-M-1540

C R I B LAM — RETTJ - RECEIPT REQUESTED
DIv-SIoN of COAST_AL NI_A_NAG NT
ADJACF—N--T RIP-k3I-A_N PROPERTY OWNER NOTMCA IOIN[WAIVER
FORM
Name of individual applying for the permit: (i�l�tis� C—
Address of property: Cl/ -I Is l 4J y-I
i Lot or str—' str'e2£ of read) _
.■
S: County)
I hereby certify that I own- property adjacent to the above referenced property. The
individual applying for this permit has described to me (as shown on the attached
drawing) the development they are proposing A description or drowiug, writh
dimensions, should be provided with this letter.
have no objections to this proposes
If you have objections to what is being proposed, please write the Division of Coast
i aflagement, 3fl0 Comr€�ercc Ave., Morehead City, NC 28557 or call [phone]
within 10 days of receipt oft6e notice. No response is considered the same as no
objection if you have been uotified by Cerdfied -_Hail.
Waiver See -don
i understand theta pier, dock, moorinb pilings, breakwater, boathouse; lift or
sandbags must be set back a minimum distance of 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.)
wish to waive the 15' setback rec�jiremen
1 do not wish to waivethe i 5r setback requTerr-,en
12 —Z-b �r
�
Si6rtature � ate
Print NName
c 2 S�2
Telephone number with aria de

f�j vc-z
�� P✓�oPE�l � —
v
v

3.u4A
:071-14-1
4 MCAULIFFE MAURA S &
K071-1 4-2
1.20.%
K071-21
K071-19
1 71-22
4 EDGE MELYDIA 3 ANII
K071-17
K071-18
K071-27
2.s2%
Pamlico County, NC
Parcel Number:
K071-14-1
Deed Book:
269
`r
NC PIN:
7409885147
Deed Page:
387
Owner Name:
BRYAN KEVIN JAMES ET UX
Plat:
if`!�` ' "'r'f
PROPERTY MAP
Owner Name2:
Owner Address:
Owner City:
115 TILLER EXT
MERRITT
Deed Acres:
Land Value:
Building Value:
3
0
0
N
i-
Disclaim-
Owner State:
NC
Value:
0
l' ry
,!
The date provided on this map are prepared for the Inventory of reel property lound vAlhin
The
Pamlico County, NC and ere compiled from recorded plate, deeds, and other public records
and data. This onto Is for Informational purposes only and should not be substituted
Owner Zip:
Situs Address:
28556
115 TILLER EXT
Sale Date:
Sale Price:
[unsupported data type]
70000
R!!li AtR��•
`�
for a true title search, property appraisal, survey, or for zoning —Ration.
One Inch
= 100 Feet
_
Legal Desc:
BROWNS CREEK

3.a4.%
K071-14-1
jA MCAULIFF AURA S &
K071-1 4-2
1.20A
K071-21
K071-19
K071-22
14 EDGE MELYDIA 3 ANE
K071-17
K071-18
K071-2 7
2.82%.
Pamlico County, NC Parcel Number: K071-14-2 Deed Book: 425
•r NC PIN: 7409887029 Deed Page: 681
Owner Name: MCAULIFFE MAURA S & Plat:
PROPERTY MAP Owner Name2: Deed Acres: 1.6
Owner Address: 1104 E WRIGHT RD Land Value: 0
Owner City: GREENVILLE Building Value: 0
,I:, Disclaimer:
The data provided on Wa map era prepared for the Inventory of reel property found wllhln Owner State: NC Value: 0
Pamlico County, NC end are compiled from recorded pleb, deeds, end other public records Owner Zip: 27858 Sale Date: [unsupported data type]
purposes M Situs Address: 97 TILLER EXT
."` end data. This date le for informedons u vey, on end should not be eubshWtad Sale Price: 360000 One Inch = 100 Feet
!1 i:A! � lore hue hda search, praparty apprelsel, survey, or for zonlnB verificedon. Le al Desc: BROWNS CREEK