54601_FROST, PATRICK_20090820

41
❑ CAMA / ❑ DREDGE & FALL ( 8 Z Q c! /Sd y r
r. GEw�rEPIAL PEF(MtT 1 _ Ua1
�Y (� Previous permit # j
E]New ❑Modification ❑Complete Reissue El Partial Reissue ,Ij// 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
1 Ri.1— ott—h-4
Applicant Named
Address
City. `R. L 1A -J State ZIP '
Phone # 7-6 Max #
t ,
Authorized Agent
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): 0 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 j J it'_- Ci ,. i(7
City ZIP
Phone #,L� ' River Basin
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Agent or Applicant Printed Name
Si aytu% Please read compliance statement on back of pe mit **
Application Fee(s) Check #
Ila
Permit Officer s Signature j
Issuing Date ' Expiration Date
Local Planning Jurisdiction
Rover File Name

A
11*
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
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/ 1-888ARCOAST
Location:
Fax: [phone]
2728 Capital Blvd.
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
Raleigh, NC 27604
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

■ Complete items 1, 2, and S. 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.
i
1. Article Addressed to:
U (�rLU1 �c.• � �� 2�l�Z
2. Article Number
(Transfer from service label)
A., Signature
X — ,� ❑ Agent
❑ Addressee �
B jceived by (Punted Name) C. Date of Delivery ,
D. Is delivery a nt from item 1? ❑ Yes
If YES, V,B A 1 ss below: Q No
41
G cc
3. ice - P
Certifl r rasa Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
7009 0820Jy0002 3711 0967
LPS Form 3811, February 2004 Domestic Return Receipt
102595-02-M-1540�

UNITED STATES POSTAL SERVICE
First-C!ass Mail
Postage & Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
LAC,
z YSs'-/

■ 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: ^ 'o
1!�Vt s AjY DI
2, Article Number
(Transfer from service label)
PS Form 3811, February 2004
A.,
_7
❑ Agent
B. Received by (PntT Name) C. DateYf Delivery
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. ice Type
Certified Mail ❑ Express Mail
Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
7009 0820 0002 3711 0950
Domestic Return Receipt 102595-02-M-1540

UNITED STAT
V;A
• Sender: Please print your name, address, and Zlp+�in-Phis ' box •
T A J

(�I�cGI w - '
AUCI 7 2009
Morehead city pQM
'Camhyna Depai-ment of EnvironmCent and I` � w "Al -1 Resources
(Og ^oastsi Managernant
joy
Divisi'c'n I " I.-
I.nnm Nnnr4, William G. Ross Jr., Secret iry
Mic,haei != Etasiey, Governor
Date d 1) 1
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it
Applicaut Nang P-
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I4,affing Address 041�- P? � fi f 3 66TY f> LI P6 L F
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ertify that I lea— autibo, ,I (agen
behalf, for the purpo, applying ca M for and obtaining all CANiLk PerTnits necessayY tO
.,e if
s CY-
11 tru 4-t (acti v Ity) 6
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This certffica&
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM C��?�
Pit�1+3
'
Name of Individual applying for Permit:4�o4 ri cJ(, `I'n
Address of Property:La I 1 1 7 ��►' b �_A-ter-,
(Lot or Street #, Street or Road, City & County) CD '
I hereby certify that I own property adjacent to the above referenced property. The individual
Q +U'
applying for this permit has described to me as shown on the attached drawing the development !E�o
they are proposing. A description or drawing, with dimensions, should be provided with this letter.
i have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, 400 Commerce Avenue, Morehead City, NC, 28557 orcall [phone] within
10 days. of receipt of this notice. No response is considered the same as no objection if you
have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, boatlift or sandbags must
be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If
you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Applicant Information) (Riparian Property Owner Information)
��h��
Mailing Address
5-1 �c e_ � I
City State/Ziipn
% ) rT p ne Number
Date
Signature
Print or Type Name
Telephone Number
Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE) ��'•
I hereby certify that I own property adjacent to 1��� r1G�C 1` (0�'� �s �
(Name of Property "
(N P tY Owner) %
property located at , 1 of r rvq o n 2
(Lot, Block, Road, etc.) CL
o
p
on , in --8, Ka w
(Water body) ( o n and/or County) cj
Applicant's phone #: 1 4 Mailing Address: % a!tb
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 props eq oo"iner proposing development)
t
t
lfiop fit " {
(Information for Property Owner Applying
for Permit)
y 7 C-k h r / e1
Mailing Address
to .u. sue.
Ci /State/Zip
Telephone Number
Signature
Date
I
i
ZO©'
LoT. #l5
--------------------------------------------
(Riparian Property Owner Information)
Signature
Print or Type Name
Telephone Number
Date
1-oT—p2C

R&JGROUP 1412
P. O. Box 1885
Morehead City, NC 28557 6e-112/531
252-721253 ("3 _6
ate �jj
F.aNes
� t omede o
Beck.
` BRANCH BANKING AND TRUST COMPANY
1-SDO-BANK BBT BBT.com
FOR
1100000 14 12110 I:0 LO 1 L 2 0:000 5 29 768 79 2 311'
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_ 7
North Carolina ,Department or environment and Matural Resources
Coleen H. Sullins, Director
Chuck Wakild, Deputy Director
BUFFER AUTHORIZATION CERTIFICATE FOR PIER ACCESS .
A riparian buffer authorization is required for an approved access way through the Tar -Pamlico
& Neuse River Riparian buffer per Division of Water Quality (DWQ) regulations 15A NCAC
02B.0233 & .0259.
Activities covered by your Coastal Area Management Act (CAMA) permit are deemed to have
a Buffer Authorization from the DWQ as long as the project can meet ALL of the conditions
listed below. If ALL of the avoidance and smbn�l subm submittedtion guidelines
using a Pre -Construction Noted below cannot ification met,
(PCN)separate buffer authorization request mu
(PCN) application to DWQ at the address below.
A PCN application may be obtained on the DWQ site http://h2o enr state nc.us/wet_lands.html.
Any questions regarding this process should be directed to the wetland/buffer staff of the DWQ
in the Washington Regional Office at 252-946-6481, or the 401 Oversight Unit in the Raleigh
Central Office at 919-733-6893.
A written authorization from DWQ MUST be received prior to any construction activities in the
riparian buffer, including land clearing. Failure to secure a Buffer Authorization prior to
construction &/or land clearing shall subject the property owner & the party (contractor)
performing the construction &/or land clearing to a civil penalty of up to $25,000 per day per
violation.
o Pier access must cross the riparian buffer perpendicularly (which is defined as between
75 and 105 degrees). The alignment should also be located to minimize the removal of
woody vegetation to the greatest extent practicable.
❑ Walkway/access shall be made of pervious materials like open -slatted wood, mulch, or
grass. The use of impervious materials
zationrAeequest for a, pavers, or n imperviousravel will guire a
walkway
PCN review and a separate Buff
shall include a justification of need.
❑ The width of the access is limited to six (6) feet or less. A width of greater than 6 feet
wide shall require a PCN review and a separate Buffer Authorization. A request for an
access greater than 6 feet shall include a justification of need.
❑ Please submit a project map of your property indicating the location of the pier and any
requested walkway/access.
Intemet: wwv' nc�vaterguality.orR One
North Carolina Division or Water Quality N phone: [phone] ; hCarolina
943 Washington Square Mall FAX [phone]��
Washington, NC 27889
An Equal opportunitylAffirmative .Action Employer — 50% Recycled/10% Post Consumer Paper

This Buffer Authorization is not considered approved until the DWQ has received both
this signed form AND the project map.
Submit the requested information to:
Division of Water Quality
Attn: Surface Water/Buffer Program
943 Washington Square Mall
Washington, NC 27889
By your signature below you agree to be held responsible for meeting ALL of the above listed
conditions and verify that all information is complete and accurate. Please be aware, violations
of the above -listed conditions are subject to civil penalty assessment of up to twenty-five
thousand dollars ($25,000.00) per violation per day.
— C�r__�
Applicant/Agent's Signature
CAMA General Permit Number:
North Carolina Division of Water Quality
943 Washington Square Mall
Washington, NC 27889
54V1 C
Internet: www.ncwateraualirv.org
Phone: [phone]
FAX [phone]
An Equal Opportunity/Affirmative Action Employer —50% Recycled/10% Post Consumer Paper
��M
Date
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oithiCaroiina
Natt(rally

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IMPORTANT MESSAGE
FOR
A.M.
DATE
TI E P. M .
M
OF
PHONE
❑ FAX
AREA CODE NU BF� ON
(]/�
❑ MOBILE
v
AREA CODE NUMBER TIM CALL
TELEPHONED
PLEASE CALL
CAME TO SEE YOU
WILL CALL AGAIN
WANTS TO SEE YOU
RUSH
RETURNED YOUR CALL
SPECIAL ATTENTION
FORM 3002P I J
MADE IN U.S.A. ' 1 ,

A �PrintGeneral
Page 1 of 2
Usemame: RondaB
CDAITS: General Permit Print
ID SELECTED: 45528
Applicant Info:
Applicant (Owner): Patrick Frost
Addl: 4876 Abbotsburg Lane
City: Syracuse
State: NY
Zip: 13215
Country: USA
Phonel : 315-498-5608
Applicant (Contractor): Robbie Webb
Applicant (Contractor): Turner Marine
City: NOT SPECIFIED
Permit Info:
Permit No.: GP-54601
DCM District.: Morehead City
DCM Representative: Brad Connell
Issue Date: 08/20/2009
Expiration Date: 12/18/2009
Fee Collected: 200.00
Fee Description: General Permit Fee (9/1/2006)
Objections Received: N
MainMenu
Permitted Rules
07H.1200 General permit for construction of piers, docks, boat houses in estuarine/public trust waters
Permitted Activities
Activity: Boat slips
Activity Type: NW
Replacement: N
Dimensions: number
Parameterl : 0
Activity: Pier or dock
Activity Type: NW
Replacement: N
Dimensions: length _width
Parameterl : 250.000
Parameter2: 6.000
Activity: Platform
Activity Type: NW
Replacement: N
Dimensions: length _width
Parameterl : 20.000
Parameter2: 10.000
Site
Description:
Adjacent Waterbody: Neuse River (including Pamlico Sound)
Adjacent Waterbody Type: Nat
Sandbags: N
SAV: N
PNA: N
http://dcm2. enr. state.ne. uslDCMCDAITS/general/viewIGenPrint. aspx?PageTask=Print&E... 2/ 15/2010

PrintGeneral
Page 2 of 2
Critical Habitat: N
ORW: N
Shoreline Length: 200.000
Digital Photos: N
1511 Waiver: N
AECS:
07H .0205 Coastal Wetlands
07H .0206 Estuarine Waters
07H .0207 Public Trust Areas
07H .0209 Estuarine Shoreline
Project Site:
Addl: 117 Garbacon Drive
Subdivision: Merrimon Bay
City: Beaufort
County: Carteret
Local Planning Juris: Carteret County
Riverbasin: NEUSE
Major Waterbody: Neuse River
http://dcm2.enr.state.ne.uslDCMCDAITS/general/viewIGenPrint.aspx?PageTask=Print&E... 2/15/2010

f
MONITORING & COMPLETION REPORT
[LAMA Major Development & State Dredge & Fill Permits]
PERMITTEE' S NAME: a�� i C L vlr PERMIT #
LOCATION: `% lC? Chi b t"A Cr, n FIELD REP. c`7r16 �l
�( Cr &—y MONITORED BY B- ('On n le Il
PHONE:O"� DATE REPORTEDLY COMPLETE: VV 1 f d
DATE OF INSPECTION �©
1)
2)
3)
Is further investigation or enforcement action
e measured dimensions of the development differ from those indicated in the permit and workplat?
YE O [circle one].
I
SEDIMENTATION & EROSION CONTROL: Has Permittee seeded, grassed, or otherwise stabilized all
disturbed areas? YE O [circle onel
FUTUR NITORING & ENFORCEMENT ACTION
needed. YE NO [circle one].