53396_GUTHRIE, JOSIE_20080428

17ICAMA / DREDGE &FILL
-. GENERAL PERMIT Previous permit#
&New ' ❑Modification ❑Complete Reissue El 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 N (t
Rules attached.
Applicant Name Project Location: County
Address L4 0s c O"ino C' l L Street Address/ State Road/ Lot #(s)
City c�1� I�iC State NC ZIP
Phone # O Fax # (_) Subdivision t
Authorized Agent ' he -k,c,j LG Wpt"\C4 City l� v�Pir �Q r�� ZIP
S fiver
❑ CW ' EW ❑,�]PTA ES _ PT5 Phone # (7�) D9 )- Basin
_� R
Affected AEC(s): ❑ OEA HHF ❑ 1� Y IH ❑ UBA N/A Ad Wtr. Bocl na man unkn
❑ PWS: ❑FC:
Closest Maj. Wtr. Body
ORW: 'yes / no PNA yes / �dJ Crit.Hab. yes / no -
Type of Project/ Activity
Pier (dock) length
Platform(s) -
Finger pier(s) _
Groin length !
number
�".�" ► -,--
BulkheopRipraplength
avg distan a offshore
max distance offshore
Basin, channel
cubic yards_
Boat ramp
Boathouse/ Boatlift
4�
(Scale: N Q )
-I
\41-
Beach Bulldozing
Other \
aFr�
Shoreline Length
SAV: not sure yes n
Sandbags: not sure yes n - --�
Moratorium: n/a yesno I
Photos: yes lns - - — - - -- - - -- - -
Waiver Attached: yes �in
^ �I
A building permit may be required by::� V VYNP- to r Lt t
Notes/ Special.Conditions i !y'S4 f"C;-4 t�t oC
` ek or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
❑ See note on back regarding Riiver Basin rules.
Permit f' Signature
'A 0� 2f �
Issuing ate Exp ratio Date
TUOgOt It g
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 (9 l 0-796-7215) 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
252-808-2&18/ 1-888ARCOAST
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

HCDENR
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 Z/- /- D j
Name of Property Owner Applying for Permit:
Mailing Address:
wog c�p� sinek�-rw ,yaw
Voeh/cl —7-5A,, a �YS 4K
I certify that I have authorized (agent) / /( 0iK kS L 0,.>re,*., cc to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) 41xieeb)6 am4 j'T ,
at (my property located at) o �' (�*oe FX. ero a Laos
This certification is valid thru (date)
2 as Q
P>rVperty Owner Signature Date
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internet: www.nccoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper

• ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to e 6')tt 2 /2-iE, I
(Name of Property Owner)
property located at C%111E C%27 e k.�/�
(Lot, Block, Road, etc.)
on l7 cc; LcE -�)c w n d , in L� P, /c' i2 2 N.C.
(Waterbody) (Town and/or County)
AppIicant's phone #: Mailing Address: 14 o ,' C
He has described to me, as shown below tql*6014�Ulf i proposing at that location, and, I
have no objections to his proposal. o�
0
DESCRIPTION AND/OR D
n (To be filled in by p
1G OF PROPOSED DEVELOPMENT:
ownerproposing devel pment)
0 -� K
°`ems `
I It
------------------------- --------------------------------- ----------------------
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
LAC✓ � C r1-ni,�-, -
Mailing Address
City/State/Zip
.2-3�'(/-')I& i
Telephone Number
Sl ature Date
Signature
Print or Type Name
- SL� — �� 7
Telephone Number
Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to e �� 2 i E_ 's
(Name of Property Owner)
property located at ( 11111E ��� e k /r! �G�f?
(Lot, Block, Road, etc.)
on n in �,e 2 e , N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: 25d --3S4 -126 7 Mailing Address: 0�' �'A�e_ 67m,9R/al lcc�v
He has described to me, as shown below, the developr�r�J((ethe is �vp . at that location, and, I
have no objections to his proposal. �„ o S G v ,
DESCRIPTION AND/OR
n (To be filled in by
as;�
�ect d
F PROPOSED DEVELOPMENT:
owner proposing de
'"9
r-� 1-f
------------------------------------------------------------
(Information for Property Owner Applying
for Permit)
, iC) � off, eym U
Mailing Address
City/State/Zip
.z-S�,q- )1)&�
Telephone Number
1�e� -04
S' ature Date
(Riparian Property Owner Information)
Signature
fir- b Jam"► �. If :� k)�`"c,
Print or Type Name
Telephone Number
V- /- o?
Date

MONITORING & COMPITION REPORT
[CAMA Major Development & State Dredge & Fill Permits]
PERMITTEE' S NAME: , j �; } Q PERMIT #
LOCATION: tl�� mm0 L:�wsc� X I_ ncn FIELD REP.
MONITORED BY sc
PHONE: DATE REPORTEDLY COMPLETE: py
DATE OF INSPECTION '� -� I G c\
T
1) Do th easured dimensions of the development differ from those indicated in the permit and workplat?
O YES/ [circle one].
COMMENT:
2) SEDIMENTATIO EROSION CONTROL: Has Permittee seeded, grassed, or otherwise stabilized all
disturbed areas? E NO [circle one]
COMMENT:
3) FUTURE MO TORING & ENFORCEMENT ACTION: Is further investigation or enforcement action
needed? YES [nci'rcle one].
COMMENT: i v'1 4

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