59385_NORTON, RONNIE_20111219

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` ❑CAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit#
❑New ❑Modification ❑Complete Reissue El 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
O Rules attached.
Applicant Name `' I
Address
City
..
State
" - i ,.,_� 1_ ,
- ZIP —+J
Phone # (_)
` j jj ' �_, Fax #
Authorized Agent
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
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP %1
Phone # ( River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
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Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit **
Permit Officer's Signature
� I
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, certifythatthis 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

QY I i
11 A.0plicant: Kr -
Date:
Describe below the FIABITA disturbances for the application. All values should match the name, and units of measurem t
found in your Habitat code sheet.
Habitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
ternimpacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
ternimpacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
ount
1
redge ❑ Fill Both ElOther ❑
i
4
Dredge ❑ Fill ❑ Both ❑ Other
Dredge ❑ FW ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ ' Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ . Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
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�■Ort 25 11 11:14a Bill and Bonny Thomas
■
919-471-6014 P.1
■� L ,S �� ADJACE NT WARIAN PROPERTY OWNER STATETMENT
t
�G I hereby certify that I own property adjacent t l t IC _114Cq7ll 14 Is
/ (Mime ofPrcperty (hvver)
property located at
(Lot, Block, Road, etc,)
ou LLl uU ILl l t`3 F`N in � C l �At-tt"Cc- s c-t %
(Waterbody) (�o�ttand/or Co�7nty)
Applicant's phon1Mailing Address:
He has described to me, as shown, below, the development he is proposing at that location, and, I
have no objections to his proposal.
DESCR lPTION AND/OR DRAMgN'G or, PROPOSED DEVFLO.RWNi':
(To be filled in by property owner proposing development)
i IS'C1T41 �Clef
IL
(li�foruia i
for Fermit'
oa for Pro Owner Applying (Riparian Pr
Mailing Address
City/S tate/Z ip
Telephone Number
Signatwcc Date
�c
ty Owner In rMation)
1 Signature
Print or Type Name
1f G,f`{
Telephone Number
AM QHW-WDCI Date
IIOZ L 0 AON-
GaAMU
Received Time Oct,25. 11,OOAM

� r
r
-A
Ike
No�th Garollna Department of Environment and ;` atura! Resources
D;i A jo.�j (c) casIL Msnae-n
Michael F. Easley: Governor Cha�la� S. Jones, Director William G. Ross Jr., secret jry
Date / a- /- /
Applicant dame
A4aidaxag Ad dress o�i yot '(31--b OS :Lt)1qq Q
i LR, LI�JTi
d certify 'hat f have authorized(agent) ga -G 1J to act On AXl'
behalf, for the purpose cif applying for andobtaining all CANIA Permits necessary to
tD
install or construct 61eti'VifY)
at (location)
This certification is val-A d filwu (elate)
�— RECEIVED
A�AAatd re _ __--
OCT 13 2011
DCM-MHD Cry

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to. RbNM F /`lp�a74 is
(Name of Property Owner)
property located at (i p © L_D CF1 o5iEG-- ftq { Q-
(Lot, Block, Road, etc.)
on M-b-t.NL KtIT :B iA l• , in -�LR 0-qe-T�065( , N.C.
(Waterbody) (Town and/or County)
Applicant's phone 33�'JS�`6-D l�{g Mailing Address:.:?Ya6Ll C19 L-194 it
PmLf]1T1 C t� N C
aRZETIa
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` befilled in by property owner 12ro development)
1-.
e4>s-rn�
---------------------- ------------- ---------------------------------- -- =- - ---------------- -----
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
Mailing Address
City/State/Zip
Signature
/ LF�
Print or Type Name
jf__S __�i�
Telephone Number D Telephone Number
OCT 13 2011 l�-
Signature Date Date
DCM-MHD CITY

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Rc*)tj I [ Nd F,, 1 0 's
(Name of Property Owner)
property located at o2 �- O 1-. b C p�OS J�-Wh-1
(Lot, Block, Road, etc.)
on `N')CxDt4--16-H7— � in ATLNNti c Z3C4, Ct�4��t N.C.
(Waterbody) (Town and/or County)
Applicant's phone 6-336o I6 - 014/& Mailing Address�qaQL.D ci 05EWiq-� �
+� LLftirI c 8c4+ ri1C
BSI
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 property owner proposing developmentLXr-
.6-! -f ���
Q I` ff:H-S /t-V- 5�..�,P� U--
---------------------------------------------------------------------- if ------- : ------------- t -------------------
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
Mailing Address
Signature
City/State/Zip Print or Type Name
Telephone Number Telephone Number
RECEIVED
Signature Date OCT j Date
zor�
DC'�l �='ND CITy

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IE
SAMMIE E. TURNER
MARINE CONSTRUCTION ACCT
252-725-3415
P. 0. BOX 1885
MOREHEAD CITY, NC
28557
TAY
O THE �1C1:)
ORDER OF
5479
66-112/531
DATE C
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s BRANCH BANKING AND TRUST COMPANY j
1-800-BANK BBT BBT.comFO
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