41168_GILES, MICHAEL_20050415

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❑CAMA / 1--'.DREDGE & FILL
43ENERAL 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
/ O Rules attached.
Applicant Name 1 L b ( ''' `' Project Location: County I " ( c
Address Street Address/ State Road/ Lot #(s)
City State c- ZIP
Phone # 7 `i i5'G Fax # ( )
Authorized Agent U �- ' �% ��-1 t
Affected Z CW NMW �TA ❑ ES ❑ PTS
AEC(s): l OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
ORW: yes / no PNA yes `/ no Crit. Hab. yes / no
c
Subdivision f �l r'dE., , [', e E k
City - ZIP �' 9
G�
Phone # (' t_) '. (, i 1, River Basin f.
Adj. Wtr. Body t c� �:. t , L gnat /man /unkn)
Closest Maj. Wtr. Body' P ''
Type of Project/ Activity - ti ii } ti r!� -r . V-
T, (Scale: ti Y 5
Pier (dock) length --� is k�- `? �,v� c1 �-
� — tiE t j� t� 1 +
Platform(s)- k z f
Finger pier(s)� /
Y
Groin length
number
Bulkhead/ Riprap length 4
avg distance offshore�f)
max distance offshore �.
Basin, channel
cubic yards
t
Boat ramp j
— — - -- —
Boathouse/ Boadift
Beach Bulldozing
Other—
I
V,
Shoreline Length , r
SAM not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
❑ See note on back regarding River Basin rules.
Permit Officer's Signature
7- r r,
Issuing Date Expiration Date
ii L
Local Planning Jurisdiction Rover File Name

W
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:
0 Tar - Pamlico River Basin Buffer Rules Other:
_I 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 (910-395-3900) for more information on how to comply with thesebuffer rules.
Division of Coastal Management Offices
Central Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888ARCOAST
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)
Morehead City District Wilmington District
151-B Hwy. 24 127 Cardinal Drive Ext.
Hestron Plaza II Wilmington, NC 28405-3845
Morehead City, NC 28557 910-395-3900
202-808-2808 Fax:[phone]
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
www.nccoastalmanagement.net
Revised 10/05/01

C,Ltq Yj"�6W6�)

r
MAR-29-2005 TUE 03:54 PM NC DIV OF COASTAL MGMNT FAX NO. 4
P. 03
�� �.� :� 1{' �'-_._L�Zt �J�....• x I:t1, Ii 13 '_.1 5'LED
DIVISION or COASTAL MANAGEMENT
AI),IACTWr 1-tJPARIAN PROPLRTY oNYNER N'OTIFICATIONAVAIVER FORM -
.. Name of Individual applying for Permit_
Ac{&oss of I'roperty:-
(L,nt or street #, street or Road, city & COWALN')
I hc.rcby cc that t own property a(ljacc;nt to the at)ove referenced property. The individual
applying for this permit has de.sc:ribetd to rile as sllowtl on the attached C1ra�vin� the development
tl'Iry are rroposinv. A description of drawing, with chiliensions, should be provided with this
lctt�'r.
i have no objections to this proposal.
if you have obi'!Ctiortc to ;►,Heil is heirirt proposed, Please write Me [Xvision of Coastal
Afana erneat, lktrtzri Plaza 11, 151-11, llstiy. 2.1, Aforeltead City, NC, 28557 or cast (252) 808-
2808 1s'it7tirt 70 cirtya of receipt of tltis notice. iVo response is cons -tared the same as no objection
i%,yYoir I1arc-1,ecrt rtoti�ccl by CQrYiftecl Mail -
WAIVER SECTION
I LtnclUstalld that a pier, dock, moorin�o pilings, breakwater, bolt llOL1St, lift or sandbags must be
set hack; tY rtliniriusnl di5tat,cc of 15' frolll my area of riparian access unless v"?, ed by me. (CE you
,wish to waive the setback, (O�l rnllSt initlitl tl1G 1ppropriate blank below.)
dU `4'1.h to waIVC tilt' 15' setback recluircnlcnt.
1 L10 110 wish to waive the 15' setback requirement
it n ere hate
lephonc Number With Al ca Code.

*4
■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ 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:
f'
f
A
X JV
z ❑_Agent . _
�- ❑ Addressee
B. Recei by (Print;Name) C. Date of Delivery
ivery address different f m item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) Q Yes
2..Aransferftornle 7004 0750 0002 5452 8384
(transfer from service label)
PS Form 3811, February 2004 Domestic Return Receipt 1 o25s5-02-M-154o

UNITED STATES POSTAL SERVICE First -Class Mail
Postage & Fees Paid
USPS
'�) z
° Sender: Please print your name, address, and ZIP+4 in this box •
cse
Re
96Y 3 Y �
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iffli�Itt�!flf�!)l1��f1�l3��ttttt��±itlltl!�ifi f f l f l li!!! l t�li

MAR'29-2005 TUE 03:54 PM NC DIV OF COASTAL MGMNT FAX NO. 4 P. 02
EL �.LUE
DIVISION OI' COASTAI, MANAGENTENT
AWA(,FNT IZTPARTAN PROPLRTY OWNER N0T1F'1CA'TI0NIIVAIVI R FORM
-- :{1^rtc of Individual applying, for Permit:
lei �^
11L-
pawress of Property;
(Let or Strut N, street or Road, City County)
I horeby certify that 104vn property adjacent to the above referenced property. The individual
al�plyin� for this perntit has d�.scrlhcc1 [o me- s shown on the attached dra�tiing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
lector. Ttq
c I have no objections to this proposal.
If You have objections to what is being proposed, please write the 1Ji►ision of C'oasaal
Ajrlrral;Frrtcnl, 1lestrort 1'IaVj 11, tSl-1j, 11tvy. 24, Aforeltea(I City, NC' 23557 or call (9 8a8-
2808 tuithilt 10lrgys of receipt of this rtotice. /Vo response is cortsiriered the same as rto objection
if you have l)ceri rtotifted by Certified Mail.
NVAIVER SECTION
1 uridersLand that a pier. Clock, nloorin- pilings, breakwater, bolt house, lift or sandbars must be
set back: a rtiinirtftiitt distance of 15' front my area of riparian access unless ,.valved by me. (IF YOU
wish to Waive the setback, you must initial the appropriate blank below.)
_ _ 1 tl wish to wziivc the 15' setback reCluirement
It If 1 tlo stet wish to waive the 15' setback requi,fement
n,l�turc i�atc
On
Print Name
%Cl'elC(1110ne Number With Area Cade

■ Complete items 1, 2, and 9. Also complete
item 4 if Restricted Delivery is desired.
■ 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.
S 1. Article Addressed to:
ature ' i
J
❑ gent
` Addressee
q. Received by (PH, ed Na a C. Date of Delivery
c n�� 9C10
D. Is delivery address different from Rem 1? ❑ Yes
If YES, enter delivery address below: ❑ No
r
Service Type
i rtlfied Mail ❑ Express Mail f
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail 0 C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
-2.. Article Number
(Transferfrom service fabeo 7004 0750 0002 5452 8377
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540

UNITED STATES POSTAL SERVICE
O First -Class Mail e
Postage & Fees Raid,
uses
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
off

;N
.K 29, PAGE 248
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EDDY MYERS REAL ESTATE BT 2214
131 MIDDLE
8-131 E Branch Banking and Trust Company
131 MIDDLE LANE 66-112/531
P.O. BOX 389 4/15/2005
BEAUFORT, NC 28516-2111
U
A
C
O
PAY TO
ORDEROFE NCDEHNR �**100.00 0 ~.
One Hundred and
NCDEHNR
MEMO:
Middens Creek
0 0 2 22 11,
EDDY MYERS REAL ESTATE
NCDEHNR
1:0S310 11 2 0:S 1993343890
4/ 15/2005
DOLLARS
N
8
2214
100.00
EMRE General Middens Creek 100.00