56985_HADNOTT, DOROTHY_20101125

❑ CAMA / El DREDGE & FILL
dGENERAL PERMIT Previous permit #
E]New ❑Modification ❑Complete Reissue ❑Partial Reissue k, 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
Applicant Name
Address
City
State ZIP
Phone # ()
Fax # ( )
Authorized Agent
0 CW
❑ EW O PTA ❑ ES ❑ PTS
Affected
AEC(s): El OEA
❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
❑ FC:
ORW: I es / no
PNA yes / no Crit.Hab. yes / no
0 Rules attached.
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
CityZ v ZIP Y `1
Phone # ( K)) 540 v S 115 River Basin 4-
Adj. Wtr. Body 1.1 hl (nat /�ia'n/unkn)
Closest Maj. Wtr. Body 14
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Agent or Applicant Printed Name
Permit Officer's Signature
Signature ** Please read compliance statement on back of permit **
Issuing Date
Application Fee(s) Check # Local Planning Jurisdiction
Expiration Date
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/ I-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

N° 56985 c
. CAMA / G DRE G &FILL
�a GENERA ERMIT Previous permit#
New ❑Modifica on/ ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State c, r-ty Carolina, Department of Environment and Natural Resources j
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC [Rules attached.
Applicant Name e
As
Address 2 ) -, r City State
i
zip
_� -�- - --- `—
Phone # Fax
Authorized Agent
Affected D CW 5uw APTA DES ❑ PTS
AEC(s): ❑ OEA ❑ HHF D IH D USA ❑ N/A
D PWS: ❑FC:
Project Location: County 0i , -Ie' J
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP-3
Phone # (0i le) ��`��y " '� i River Basin Vf
N A «:
Adj. Wtr. Body (nat / rt�ian /unkn)
t"In[PSt Mai- Wtr. Body
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Agen'or Applicant Printed Name
Signature Please read compliance statement on back of permit
4 OC7 10k) .
A—Nrarinn FPeftl Check #
Permit ff s Signature
Issuing ate ,] xpi tion ate
CV\v 1e',y ,v� i2.3i3P'
Local Planning Jurisdiction Rover File Name

NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: Dorothy Hadnot
Date: 11/29/10
Permit #: 56985C
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
Habitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
Shallow Bottom
Dredge O Fill O Both ❑ Other 0
60
60
High Ground
Dredge ❑ Fill ❑ Both O Other ❑
300
300
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
252-808-2808 :: 1-888-4RCOAST :: www.nccoastalmanagement.net revised:02/03/10

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Oc I If, J ns,;w 's,, !' , )
(Name of Property Owner) 2�`'� � IA :.
property located at 1,�- +Cg- DIV, '
(Lot, Block, Road, etc.)) "Ink -
on , in 1� �� �� I U rv� Ic �� , N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: `i`10 - I Mailing Address: 0-
,3 i
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 property owner proposing development)
(Information for Property Owner Applying
for Permit)
)I)- W A"W i}-v Dr
Mailing Address
/VC.,� 3 l
City/State/Zip
� l0
(Riparian Property Owner formation)
.n
0J
Signature
Print or Type Name
5/U -22r _-5213 3S�
Telephone Number Telephone Number
/Jt< ' /o.tsaa S iU
Signature Date Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to &A &dvc, it is
(Name of Property Owner)
property located at
(Lot, Block, Road, etc.)
on G �� , in tr��jC Cr �,r'S /c+cc J , N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: q1t) " � "-5;2 t3 Mailing Address: W
2 -� 3cL
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 property owner proposing development)
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit) 4T Jj� s
nr
Mailing Address Signature
City/State/Zip Print or Type Name
©-3.)LL-3�2i3
Telephone Number
Signature I Date
Telephone Number
Dl
Date

NCDENR���
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary
Date l d ` `1 d / 0
Name of Property Owner Applying for Permit:
Mailing Address:
I certify that I have authorized (agent) �3� �- �� , ✓ _ �_A to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) ,
at (my property located at)
This certification is valid thru (date)
Property Owner
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

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B AND B MARINE CONSTRUCTION
1168 COREY DRIVE
WILLIAMSTON, NC 27892
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54

Fax Send Report
Date/Time : APR-12-2011 02:34PM TUE
Fax Number
Fax Name DCM MHDCTY
Model Name SCX-5x30 Series
No. Name/Number StartTime Time Mode Page Result
209 919105410526
04-12 02:32PM 01a 36 ECM
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�VA'
81DRERALMIT^^••DModfintion hComplete Reissue ❑Partlal Reissue /r Date previous permit issued
As authorized by the Sato of North Carohna. Dopa+vrent of Eovim—rt and Neal Resources
and the Cemtal Resources Commisalon.in an area ofonva\nmenal carrcem P—t ro ISA NCAC H • ) I a C
aes sosd,ra.
protect Location: Co—y f1,,.lov,f_
""'"'' •, ' "n Street Address/ State Road/ Lot #(s)
y '�. �' •2. tS 2iZ 11.i r�r�w/h � 3
one:' Subdivision
City _ .6-1 zip 2853`i
,AR—d 0 A aPTA„ Ces r,Pn Phone# (3p) SNO S135 RiverBasln,,, as k
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GE & FILL
E PERMIT
.New
❑Modification
El Complete Reissue
L]C
VN5
OPartial Reissue
fill
Previous permit #
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 I SA NCAC It . .1
[N Rules attached.
Applicant Name__Project ot-
P Location: County n.wfj
Address
61 V�, q71 i I - 6--
I Street Address/ State Road/ Lot #(s)
Cl{tyState Jw, zip 1! r �J ",I
;
Phone —)--# Fax#CSubdivision
Authorized Agent City zip 29531
'N EW ['NPTA El ES Phone # (10
0 C Ll PTS 13.5 River Basin
Affected 0 OEA 0 HHF 0 1H El USA 0 N/A
AEC(s): 11 PWS: DFC:
ORW: Cei / no PNA yes / (n-�) qrit.Hab. yes / no'
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