54302_GURGANUS, SCOTT_20090817

11 CAMA / 0 DREDGE & FILL
GENERAL PERMIT Previous permit #
E]New' EModification OComplete Reissue El Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural �rces
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
[D Rules attached.
Applicant Name Proiect Location: Coun-
Address
City 0" t State
Phone #Tia) L-/ =W
." --2 Fax #
Authorized Agent —
Affected D Cw El EW C] PTA
AEC(s): 0 OEA 1:1 HHF D lH
11 PWS: 0 FC:
ORW: yes / no PNA yes / no
ZIP
F1 ES El PTS
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Crit.Hab. yes / no
Street Address/ State Road/ Lot #(s)
Subdivision J-". i V c
City_ ZIP
Phone# River Basin; /6
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Agent or Applicant Printed Name.
Signature Please read compliance st&ement on back of permit"
Application Feels) Check #
PermitOffice I r s,signature
Isguing Date Expiration Date
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, 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
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
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

---------------------
UNITED STATES POSTAL SERVICE
t
First -Class Mail
Postage & Fees Paid
LISPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box (•
v a Y10
S 71

r
■ 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:
Da o 6p i
1566
❑ Agent
ec ved by (Printed ame)
C. Date ory
D. Is delivery address different from '
m 1?
❑ Yes
If YES, enter delivery address below:
0 No
%
n
{
3. Service Type
❑ Certified Mail
❑ Express'MO
❑ Registered
❑ Return Receipt for Merchandise ,
❑ Insured Mail
❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7005 1820 0004 6653 1756
(transfer from service label)
� _ 5
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
t

-ATMA..
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor James H. Gregson, Director William G. Ross Jr., Secretary
Date
Applicant Name S�a1t V Uk�
Mailing Address b 0
I certify that I have authorized (agent)
�-hhtr��lhlLs �G�,l'�W1C G1��1i�•
to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) V t4A, Y'k ev-
at (location) S'►Vy\&
This certification is valid thru (date)
Signature
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internet: www.nccoastaImanagement.net
An Equal Opportunity 1 Affirmative Action Employer - 50% Recycled 110%a Post Consumer Paper

Page 1 of 1
BLOCK
113
PARCELNO
MV3-36
SITEADDR
1106 OYSTER POINT
SITUSADDR
106 11
11 SITUSROAD OYSTER POINT EXEMPT
LEGDESC1
LOT 36 MARINA VILLAGE
LEGDESC2
PCA 149-3
TOTACRES
0
CRNTTOTUSE
10
CRNTTOTDEF
0
CRNTLANDVA
142500
CRNTBLDGVA
0
CRNTOBLDGV
0
TOTCRNTVAL
11142500
FIRECODE
S
I[HOUSECODE
SEWERCODE
SALEAMNT
11250000
11SALEDATE
5/16/2007
SALEDATE2
75,379
SALECODE
S
ROADNUM =1
1317
PCTCOMP
0
WILLBOOK777-:-7
0
WILLPAGE
0
DB PG
496/527
DEEDBOOK
496
DEEDPAGE
527
PLAT
PCA 149-3
II MOBHOME 110
http://www2.undersys.com/scripts/testadv/usiwebpc. dll/usi?formis=ptmap&MouseX=484... 8/19/2008

Jul 06 2009 10:16 PJM Realty 919-467-8460
P.1
CERTIFIED MAIL • RETURN OECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Narne of Individual applying for Permit:77
cc
Address of Property: 0 ,r'ew�" 5 1
(Lot or Street #, Street or Road, Ulty & uoumy)
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
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 or call [phone] within
10 days of receipt of this notice. No response is considered the same as no objection if you
have been notified by Cerfiffied Mail.
WADER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, boatlift or sandbags
must be set back a minimum distance of 16 from my area of riparian access unless waived by
me. ((f 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)
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Telephone Number
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Print or Type Name
Telephone umber
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INNERBANKS MARINE CONSTRUCTION, INC. 8
P.O. BOX 190 PH# [phone] Q 66-30/531
ORIENTAL, NC 28571 DATE V 472
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