58805_MOORE, J ED_20110906

❑CAMA / 1:1bREDGE & FILL
s 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
❑ Rules attached.
Applicant Name
Address
City State ZIPLi'
Phone # O Fax # ( )
Authorized Agent
Affected ❑ CW ❑ EW ❑ PTA
AEC(s): ❑ OEA ❑ HHF ❑ IH
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger pier(s) ;
Groin length =�
number i
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
yt
SAV: not sure
yes
no
Sandbags: not sure
yes
no
Moratorium: n/a
yes
no
Photos:
yes
no
Waiver Attached:
yes
`no
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City
ZIP
❑ ES ❑ PTS Phone # ( ) River Basin
❑ UBA ❑ N/A
Adj. Wtr. Body (nat /man /unkn)
Crit.Hab. yes / no Closest Maj. Wtr. Body
(Scale: f)
■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■
'.I.Mi■■■■■■■■■■■■■■■11■■■■■■Ii■■■■■■■■■■■■■■■
■■
■■
MMMMM
WO
F%
�■■■■■
■N
No
Ninffm
OEM
OE_M
■■■
■_■_■_■
_____
�::::�:::■■■■
��''■'.■::'.:'.■
�■■■■■
■■■■■■■■■■■■■■■■■►'Tim'■■■■■■■■■■■■■
A building permit may be required by: %y
Notes/ Special Conditions
Agent or Applicant Printed Name
❑ See note on back regarding River Basin rules.
Permit Officer's Signature
Signature "Please read compliance statement on back of per it � e,
ApplicationFee(s) Check#
Issuing Date
Local Planning Jurisdiction
Expiration Date
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 [)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 Morehead City Headquarters
Mailing Address: 400 Commerce Ave
1638 Mail Service Center Morehead City, NC 28557
Raleigh, NC 27699-1638 252-808-2808/ I-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

JOHNEMOORE 1750
MICHELE J MOORE
PH.252-637-7811 66-112/531
120 STILLWOOD COURT C� / �' 01901
NEW BERN, NC 28560
`PAY /Vt
BB&T um . /
BRANCH BANKING AND TRUST COMPANY -
NEW BERN, NORTROLINA
i:OS3LOLL20:SL97709 Ii' III 750

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
I hereby certify that I own property adjacent to I�:c r �'� �c>SL� 's
(Name of Property Owner)
property located at NI C e-
J
(Address, Lot, Block, Road, etc.)
on in C fZA..VEI`? ����,L=r,' N.C.
(Waterbody)
Agent's Name #:
Agent's phone #:
(City/Town and/or County)
Mailing Address:
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
v y s T"t'1 L.L. / d S ©,�` i %Al f7l e2 t3 v I- i < r-I rr A � L/ . r1� 8 0 �- �'�. �05 G o
V� A L-L ��,� c e D .4 T i i/� /SEA /� o r- Est I S J"i.vl� %mooC-i� F30 Z-Kiie-Q D
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Diu © IF --T I A E Lt< 1-1 E.4 D PA tz R L- L L L-� T,•) E Fi o Pt IZ T
en),= wiLL- BaTIZsiD To R
2o c k w t.t,
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at www.nccoastalmangement.net/contact dcm.htm or by calling 1-888-4RCOAST. No
response is considered the same as no objection if you have been notified by Certified Mail.
(Property Owner Infor ation)
S ature
C
®/tom
Print or Type Name
Sn LL J ­�V 0T-D CT'
Mailing Address
City/State/Zip
2-51-Z4137 7911
Telephone Number
Date
(Riparian Property Owner Information)
Signature �/ , / j
)i2I1nIS �T !��'IVi�n
Print or Type Name
1215 kJ i I k es S`J-,ce"C
Mailing Address
� I £ Y"Ci 6r r V k 2-2,3 1
City/StatelZip
7t -3 - U-7 - 4 7 C-2
Telephone Number
n rw r Lf , 201 I
Date
--Z—

DiVPISION OF COASTAL MANAGEMENT
AQJACENT RIPARIAN PROPERTY OWNER N TIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
I hereby certify that I own property adjacent to _ 92r i -- 's
(Name of Property Owner) If
property located at _ i'
(Address, Lot, Block, Road, etc.)
on in C R- 6& E ro cs sJ P^ i" Yam' _ .r N,C.
(Waterbody) (City/Town and/or County)
µgent's Narne #:
.agent's phone #:
Mailing Address:
He/She has described to me as shown below the development he/she is proposing at that location..
and I have no ol)jections to the proposal.
-.._-.._______ __________________..__.m__-___ __
DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
.1 S -x--1 ti.. ' �' f-' ,� s£s S Ai 1:1 err-?, 13 tJ 1- 1 < 1-4 t✓ /a PE r e i'� a� G �'•x �L�<5 '
W t✓ I:��r c. ,� ' -"` T.s�= s'� s9 �� t"x r S x-s.v'Z)ta'c3LKE3i
- 14 '. 7 %.tee r r= ✓? Ut.'., .,1 q t�L V t.._. L C3 G �'� C; � LD 4 r � � G� /�� i2.� N
�� 0' - _: t � 0 c_g l-4 E A I� F-!'. iz A L- L LL � �//�� ����.PC 6ZT� � �.v�
"�..'; �_ _ �:> L. i+ k ¢a iJ \,t. s C l L7 +moo Jr t ! L ,
C, it 14"e A, 0 0 tJ 1,- er—, c�. , %µi��� �� 1 r r/a' C 0C',k LL,
f< �4erA :Yi41E� it-t z-
Ifyou have objections to what is being proposed, you must notify the Division of Coastal Management C
(DCM) in writing within 30 days of receipt of this notice. Contact information for DC M offices is
available at www.nceoestaimengement.notleontact-dcm.htm dcm.htm or by calling 9-888-4RCDAST. No
wage is consicred thra sr�raze as no objection if�yore have been notified by Cerhfigcd liL
(Property Owner Infos atIon)
�.�r9
Gesture
Print or Type ►Maas
Mailing Address
C,ity/state2ip
Telephone Number
Nte-�-J----------
(Riparian Property Owner Information)
�7
Sig, to � - —
Print or 7ype Name
/ 2�2- - - ��-OL,1?4 6?'--
Mailino Address
/l/r "I�&& A[(- �,?z 6
Date