44527_KENSELLA, PETER_20060222

4
CAMA / DREDGE & FILL
GE11II L PERMIT
❑New odification ❑'Complete Reissue ❑Partial Reissue
As authorized bygetate of North Carolina, Department of Environment and Natural Resources
and the Coastal Resources Commission in an aPea of�environmenntal concern pursuant to 15A NCAC
-(-a �Sh
Previous permit #
Date previous permit iss e
n
Applicant Name
I I r
Project Location: County k,', : F'r e4
j�"F
Address �"
tr'yt ^ -'t f''`
„Ja `' �• l� `
Street Address/ State Road/ Lot #(s)
City ` '/n, .� r
State/
ZIP
u -
Phone # (_) r' l -- J� Fax # O
Subdivision
Authorized Agent ..''�
)'' :._.
�,� f'�
City �_:t�
�:.✓ ZIPi) !(
Li CwW
OTA [IES
ElPTS
Phone # ( )
Rived Basin (') ' ` %r%!
Affected -1 OEA ❑ HHF
AEC(s): -
❑ lH ❑ UBA
❑ N/A
Adj. Wtr. Body
�J i L �'t nad
�1 /man /unkn )
11 PWS:
❑ F
�n
Closest Maj. Wtr. Body
ORW: yes / no PNA
yes Crit.
Hab. yes / no
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Ripraplength _
avg distance offshore
max distance offshore
Basin, channel
cubic yards _
Boat ramp _ 2
Boathous / Boatf l
Beach Bulldozing
Other
Shoreline Length 7
SAY: not sure yes Pne
: -
Sandbags: not sure yes
Moratorium: n/a yes
Photos: yes
Waiver Attached: yes CIO
A building permit may be required by:
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature t Please read compliance statement on back of permit
Application /)
Application Fee(s) Check #
(Scale: )
T
E See note on back regarding River Basin rules.
Permi 1c��er'sSignaIre
r� 06 1' t;t)
lssuing,Date Expi tion to
j ,r 7o2211`10
Local PlanningJurisdiction
Rover File Name

410
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
Central Office Elizabeth City District
Mailing Address: 1367 U.S. 17 South
1638 Mail Service Center Elizabeth City, NC 27909
Raleigh, NC 27699-1638 252-264-3901
Location: Fax: [phone]
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
400 Commerce Ave
Morehead City, NC 28557
202-808-2808/ 1-888-4RCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico 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 06/29/05

'Deau�rt,
ealt�
Donnie McCall
325 Front Street
PO. Box 659
Beaufort, NC 28516-0659
[phone]
1-800-548-2961
Fax [phone]
Home [phone]
Mobile [phone]
email: [e-mail]

•ENDER:
■Complete items 1 and/or 2 for additional services.
I also wish to receive the
■Complete items 3, 4a, and 4b.
following services (for an
■ Prir: your name and address on the reverse of this form so that we can return this
extra fee):
card to you.
■Attach this form to the front of the mailpiece, or on the back if space does not
1. ❑ Addressee's Address
permit.
■Write'Return Receipt Requested' on the mailpiece below the article number.
ai
2. ❑ Restricted Delivery N
■The Return Receipt will show to whom the article was delivered and the date
..
delivered.
Consult postmaster for fee. S
R
3. Article Addressed to: 4a Articic KI . h-,
JOnI ct�r9'1�GJ/� 7005 0390
4b. Service Type
❑ Registered
/� L� l C' oZ 7f� ❑ Express Mail
❑ Retum Receipt for
5. Received By:
6. Si . atur . (A
PS Fq& 3811, December 1994
0003 9059
0758
Certified 2
Im
❑ Insured
andise'p�COD �
7. Date of Deliverf
c
8. Addressee's
and fee is M
'd ess ( if re uesod
1.
mestic Return Receipt

First -Class Mail
UNITED STATES POSTAL SERVICE111111 Postage & Fees Paid
uSPs
Permit No. G-10
• Print your name, address, and ZIP Code in this box •
D®AWIE AIL L
x�FOE- zElqz__�Y
FEB 1 5 COO6
�'� 4 � Ittll��tii!E�f I11�il�IifiEt!!fE!if iltlfltt!!!!!{flf lt!?3t?tl

■ 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.
Article Addressed to:
A.
X
IB. Received by (Printed N ¢7 I : Date f Delivev
D. Is delivery address different from item 1?
If YES, enter delivery address below:
3. Setvice Type
X❑Gertified Mail ❑ Express Mail
Registered ❑ Return Receipt for Merchandise
❑ Insured Mall ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number
(Transfer from servii 7005 0390 0003 9059 1373
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-154d

UNITED STATES POSTAL SERVICE First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
7 o9
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FFB 1 5 200G
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Morehead City DC
Title Line 1
Parcels
Roads
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3 zQ, 16 "Qec-p
1 in. = 74.9 feet

DONALD A. MCCALL
SUSAN H. MCCX-L
DL 21115032 DL. 29315020
324 WINDING WOODS WAY
5642
PH. 252-728-7432 E3EAUFORT, NC 28516
66-112/531
0220 1
Bm
T4
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BRANCH BANKING AND TRUST COMPANY
BEAUFORT, NO /fTH CAROLINA
':OS3 10 112 it :S 114 2 So JIB
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1 1120
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