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❑ .AMA / ❑ DREDGE & FILL �l
GENERAL PERMIT Previous permit#
❑New ❑Modification ❑Complete Reissue El Partial Reissue Date previous per
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 I SA NCAC
❑ Rules attached.
Applicant Name_
Address
City
Phone # ( )_
Authorized Agent
Affected ❑ CW
AEC(s): ❑ OEA
❑ PWS:
ORW: yes / no
State
Fax #
ZIP
❑ EW ❑ PTA ❑ ES ❑ PTS
❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ FC:
PNA yes / no Crit. Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # ( ) River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr, Body
Agent or Applicant Printed Name Permit Officer's Signature
a �...,,hoa(i City E)CM 7
Signature Please read compliance statement AMM o permit Issuing Date Expiration Date
tM 7151K 6337115
ApplicationFee(s) Check# Local Planning Jurisdiction 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, certifythat this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
j__] Tar - Pamlico River Basin Buffer Rules F I 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 (252-946-648 [)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
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax: 919-733-1495
Elizabeth City District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
Fax: 252-264-3723
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
400 Commerce Ave
Morehead City, NC 28557
202-808-2808/ 1-888ARCOAST
Fax: 252-247-3330
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: 252-948-0478
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax: 910-395-3964
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 06/29/OS
■ Complete items i, 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:
C�5��
A. Received by (Please Print Clearly) B. Date of Delivery
!v�
C. 9;ureg'e'a
X❑ Agent
❑ Addressee
D. I elivery ad ess different fro -Yes
If YES, enter delivery addre bel
3. Servic TypeL,kU
ertified Mail
❑ Registered
l�5
❑ Express�l I
❑ Return Receipt for Merchandise
❑ Insured Mail
❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article umber (Co from service label)
COW '7 aOV �-5/ D�.25D �"�'7S
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PS Form 3811, July 1999 Domestic Return Receipt 102595-99-M-1789
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 •
kA, �P_U/'o T Ma-not'n i,
I 05- &,tytfp
?I? 111111d,di-1111????1!11HIM
We will redeliver OR you or your agent can pickup your mail at the post office. (Bring this form and proper
ID. !f youragent will pick up,'sign belowin item 2, and enteragent's name here):
1, a. Checkallthatapplytn POSTMASTER
section3; . . 3500 BRIDGES ST
b. Leava his non 2 ticewhbelow, MOREHEAD CITY NC 28557-4234
c. Leave this notice where
the carrier can see it,
2. Sign Hereto Authorize Redelivery or
to Authodze an Agent to Sign for You:
PHONE: (919) 726-4186
Signature
3.11 Redeliver (Enter day of week):
X
(Allow at least two delivery days for
Printed
redelivery, or call your post office to
Name
arrange delivery.)
❑ Leave item at my address
Delivery
Address
(Specify where to leave. Example:
'porch',"side door'. This option Is not
available If box is checked on the
front requiring your signature at time
of delivery.)
❑ Refused C3 i arwatrl 'i
PS Form 3849, November 1999 (Reverse)
Delivery Section
USPS NIIIIIIIIVIIIIVI�IIIIIIIINN
5293 0166 4044 5111 0
United States Postal Service
Sorry We Missed Youl WeIP"Deliver for You
ppqr8t:
Available for Pick-ul
— Post Office (See back)
Date:p�a I
Letter
For Delivery: (Enter total number of items
— Large
delivered by service type)
envelope,
For Notice Left: (Check applicable item)
magazine,
catalog, etc.
— Express Mail (We will
—Registered
Parcel
attempt to deliver on the
—
next delivery day unless
— Insured
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Delivery
you Instruct the post
to holdit.)
Return Receipt
Perishable
— Certified
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Item
— Recorded
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Delivery
Signature
Firm Bill
— Confirmation
Article Requiring Payment
Amount Due
❑ Postage Due ❑ COD ❑ Customs
Is
❑ Final Notice: Article will
be returned
to sender on
PS Form 3849, November 1999
y's Date I Sender's Name
t�
r
Time: •
If checked, you or your agent must be present
at time of delivery to sign for Item
Article Number(s)
i®o�{o�sooc�od 7�sv 7�9�
'16 lU M
Customer Name and Address
0,3 ,-1
Delivered By and Date
Delivery
r
Date: /-4 1, Q �;z A a
To whom it may concern:
I consent to having no objection to the installation of a dock and seawall at 145 Shore
Drive, lots 8 and 9, Shell Landing in Beaufort, NC.
This consent shall not expire. I am aware that CAMA requires all individuals to obtain
consent of adjacent landowners prior to obtaining permits for dock and seawall
installation. This signature below indicates my consent to the installation of a dock and
seawall as presented to me by Kevin Mancini.
0 _ E Mr. Joseph D. Eudy
Printed name
hZT_�T Date
I/
�r�
7004 0550 0000 7250 7099
DR PLACE STICKER ATTOP OF ENVELOPE TO THE RIGHT
KMN J. MANCI T �
DR AINA C MANCINE
"i
105 CAMP MOREHEAD ► / ^ ^ } �tP� PQp- -"
MOREHEAD CITY, NC 28 * * �..
166
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2� �' I 4635 $ 04.25 E= 13006� _ _
1 0 1 '4 JACKSONVILLE, NC 2 8 5 4 6
�04 055� 0000 7250 7099
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�TEMPT@TS
N ❑ OTHE SUCH EET
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❑ NO SUCH NUMBER/ STREET
S ❑ NOT DELIVERABLE AS ADDRESSE
UNABLE TO FORWARD .4am
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I
Dr. Kevin J. Mancini
105 Camp Morehead Drive
Morehead City, NC 28557
252-726-7106
Ms. Marita Carol Chadwick
205 North Avenue
Beaufort, NC 28516
February 12, 2006
Dear Ms. Chadwick,
My Name is Kevin Mancini, an Orthodontist in Morehead City. I am married and have
twin boys who are 2 years old and a 7-month-old son.
The purpose of this letter is to inform you that we have purchased 145 Shore drive, lots
8&9 Shell Landing, and plan on installing a dock and a seawall. CAMA requires that we
get consent of the adjacent landowners in order to *proceed with the CAMA permits and
dock and seawall installation.
1 have enclosed a rough sketch of the proposed dock and seawall. Please review the
sketch and the included consent form. Please sign and date the consent form and mail it
to me in the enclosed stamped return envelope.
Please call me with any questions.
Sincerely,
Kevin J. Mancini
Date:
To whom it may concern:
I consent to having no objection to the installation of a dock and seawall at 145 Shore
Drive, lots 8 and 9, Shell Landing in Beaufort, NC.
This consent shall not expire. 1 am aware that CAMA requires all individuals to obtain
consent of adjacent landowners prior to obtaining permits for dock and seawall
installation. This signature below indicates my consent to the installation of a dock and
seawall as presented to me by Kevin Mancini.
Ms. Marita Carol Chadwick
Printed name
Date .
■ 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.
j ■ Attach this card to the back of the mailpiece,
or on the front if space permits.
f 1. Article Addressed to:
A'G
2. Article
A. Received by (Please Print Clearly) I B. Date of Delivery
i
C. Signature
X ❑ Agent
❑ Addressee
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service pe
ertified Mail ❑ Express Mail
❑ Registered Cl Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
W
PS Form 3811, July 1999 Domestic Return Receipt 102595-99-M-1789
UNITED STATES POSTAL SERVICE
Fiat -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
THIS MULTI -TONE AREA OF THE DOCUMENT CHANGES CbLOR GRADUALLY AND EVENLY FROM DARK TO LIGHT WITH DARKER AREAS BOTH TOP AND UU I I URI
1,1j1�TO- J 7
NOT VALID OVER $1,000.00 _
ISSUING BRANCH `�''11 a�3 01-MOREHEAD
I~
MAIN 63379547
DATE Pjr: V :'1 i 2006 93-541/920
PAY TO THE
ORDER OF
�' „' DOLLARS BY SIGNING YOU AGREE TO THE SERVICE CHARGE
AND OTHER TERMS ON THE REVERSE SIDE.
TRAVELERS EXPRESj COWANY, INC. Fr
9476, MINNEAPOLIS, N 55460
FIRST INTERSTATE BANK, HELENA, MT
�aft IT -- c11U t - --------------- - -
11563379547110 1:09 20054 L L1:01?07 1045 109 211,
■ THCS DOCUMENT HAS AN ARTIFICIAL WATERMARK PRINTED ON THE BACK. THE FRONT OF THE DOCUMENT HAS A MICRO -PRINT SIGNATURE LINE AND BORDER. ABSENCE OF THESE FEATURES WILL INDICATE A COPY. ■
THIS MULTI -TONE AREA OF THE DOCUMENT CHANGES COLOR
Y AND EVENLY FROM DARK TO LIGHT WITH DARKER AREAS BOTH TOP AND BOTTOM
NOT VALID OVER $1,000.00 63379548
ISSUING BRANCHt_j<<_ *G]:-t}�1REHlzAC.T MAIN
DATE �'iA 30, =-�1O 93-541/920
PAY TO THE
ORDER OF ry �'
R 2 T In r I C DOLLARS BY SIGNING YOU AGREE TO THE SERVICE CHARGE
Sr-' ANDOTHERTERMS ON THE REVERSE SIDE.
BB&T ,, //��. t ca �sz--
DRAWER: TRAVELERS EXPROS�`C M A'; C - R ASERI DRAWER
P.O. BOX 9476, MINNEAPOLIS,/// N 0 {�1
rDEE: FIRST INTERSTATE BANK, HELENA. MT v ( DggESS C
C(� jy��L- �J�\/�� ���,(/ wu' CITY ,&YSTATE
0633795481" 1:0920054LLi:OL70710451092110
m._nc -IT NAC AM ARTIPVTAI WATERMARK PRINTED ON THE BACK. THE FRONT OF THE DOCUMENT HAS A MICRO -PRINT SIGNATURE LINE AND BORDER. ABSENCE OF THESE FEATURES WILL INDICATE A COPY. 0