53071_HAILEY, JAMES_20090217

CAMA / ❑ DREDGE & FILL
LLIGENERAL PERMIT Previous permit #
6WXNew Wodification El Complete Reissue ❑Partial Reissue Date previous permit issued �z_ 1ht-� lic, 3
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 <O 4
r
Rules attached.
Applicant Name
oa.^D ^ j-!
Address tit
City }/ti C
., State
�LC ZIP
Phone # ( Im", - Ci'St,C. Fax # ( )
Authorized Agent
❑ CW
❑ EW ❑ PTA DkES ❑ PTS
Affected
❑ OEA
ElHHF ElIH ElUBA ElN/A
AEC(s):
❑ PWS:
❑FC:
ORW: yes P. no
PNA yes / io Crit.Hab. yes
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp } -.)- K' 1
Boathouse/ Boatlift
Beach Bulldozing
Other
E �• i
Length
rShoreline
SAV: not sure
yes o
Sandbags: not sure
yes
Moratorium: n/a
yes
Photos:
cm no
Waiver Attached:
yes Go
A building permit may be required by: ,
Notes/ Special Conditions
Agent afr Applicant printed Name
Signature Pleas6 read compliance statement Qn back of permit
Application Fee(s) Check #
Project Location: County c f is
Street Address/ State Road/ Lot #(s) q'i
Subdivision 4 t k h n crn�
City �#= If l TANG ZIP 28511
Phone # (q 1))S- �'G,t River Ban i
Adj. Wtr. Body r r `� t 4 +� ` nat a unkn
Closest Maj. Wtr. Body i r
(Scale: )
j
i I
--
See note on back regarding River Basin rules.
PermitOfficert Signature
IssuingDatel Expiration Date
wft^tnl C(.,�
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
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
Raleigh, NC 27604
New River Inlet- and Pamlico Counties)
919-733-2293
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

66-46/531 2767
JAMES R. HAILEY 000017220B634
P.O. BOX 14164
DURHAM, NC 27709-4164 DATE
a b•. G� 1
PAY TO THE /;'� s oo
ORDER OF
• �j e DOLLARS
SI-U� A BUST ACH RT 061000104
A
.+ :.fi - •� aim '� -� nR
MEMO '� �• --- — .. — -----
1:0 3 L005 r:`0 001722018111 276 7

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to plc rn 6?-C 141 L 's
(Name of Property Owner)
property located at_ / (y, Z 1�, ;- V e ,
(Lot, Block,,Rooad, /etc.)
on Iq L ;�1!2 , in a✓K s�J S�h , N.C.
(Waterbody) —T, (Town and/or County)
Applicant's phone #: �f19�'S�g`�VIailing Address:
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) %% �%
—0 fit' l�
T7
60ri------------------------------------------ls'-��-++-----------------------------------------------------------
nformation for Property Owner Applying (Riparian Property Owner Information)
for Permit)
Mailing Address Signature
L(,(r a "7 "—S//
City/State/Zip 7 �y U Print or Type Name
Telephone Numberr/y/ ,?05-- 0 -T6� Telephone Number
S' ature 'Date Date
_J

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 15 rn es 4; / / 's
(Name of Property Owner)
property located at
(Lot, Block, Road, etc.)
on Ge e_.� , in Ate✓ K e ," , _LS�"h N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: y/�'� "-��B�VIailing Address: �)V,0.
(C J SOS' --036't — 0aee-1�
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)
•,4� , C ^ Q t f eJ i S
r 4A z lvPs
'1-7
� � T � •� i i' �f �� � �� Gi2�
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
/Z�0 g�
Mailing Address
/)0r /I u
City/State/Zip
��iphone ��9-3���� ll
Number?/- V �Os'_ 0.366Number?/- V �O"S"- 0 366
S' ature 'Date
Signature
Print or Type Name
Telephone Number
/-/y--d
Date

CAMA / ❑ DREDGE & FILL lrQ 53071 c-
r. GENERAL PERMIT Previous permit# Sl�jlC
❑New l%Modification ❑Complete Reissue []Partial Reissue Date previous permit issued Ifi o
As authorized by the State of North Carolina, Department of Environment and Natural Resources •-�'' ii
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
Rules attached.
Applicant Name m-i iy y t� Nt;� -Zz q.
Address _
City-1C- ZIP 2-7 0
Phone # (qt'N) ';g" - C Fax # (-
)-Authorized Agent
Affected ❑ CW ❑ EW ❑ PTA DkES ❑ PTS
AEC(s): ElOEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / �J Crit.Hab. yes / Q
Type of Project/ Activity f`
Project Location: County
Street Address/ State Road/ Lot #(s)
i
Subdivision
City ONO ZIP
Phone # (�t�) �1;�'C �C� River B in_.
�ir .
Adj. Wtr. Body nat a unkn
Closest Maj. Wtr. Body c '4i
(Scale:
Pier (dock) length
-- - ---- -i — --- - - --- -
Platform(s)
...
Finger pier(s)
Groin length
number`----------'----�--_...__�-------
'----------...—__.---------- ----- ------------� -- -- --
-.
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
+
Basin, channel
cubic yards
Boat ramp
i
i'1 Oily 1�!X �J •
Boathouse/ Boatlift
� p,Ao r I ��� � 'Th2. �an wo�CJ-�
V�thl7
Beach Bulldozing
J i
Other
Shoreline Length-
I
SAV: not sure yes n
T
-._- -- _ - --� -- ---- -- -- -- --- - - --- - — .. .
Sandbags: not sure yes o
I.
Moratorium: n/a yes no
I
Photos: K J no
(ad
Waiver Attached: yes -- - --
--- — - —� ---------- —
A building permit may be required by:
f`` cv ❑ See note on back regarding River Basin rules.
Notes/ Special Conditions p
O- io nd 4J: Ej 12
Agent r A t •Hnted.Na ne
Permit OfficeOfficefj Signature
Signature **Please read compliance statement on back of permit"
' o/:L7 U
Application Fee(s) Check #
Issuingbate' -ir
Expiration Date
C',r-tP'V ' CO u � 0)1-Lilt,
Local Planning Jurisdiction Rover File Name

A��
A�
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary
February 18, 2009
James R. Hailey
P C Box 14164
Durham NC 27709
Dear Mr. Hailey:
Attached is General Permit #53071C to construct a modification of ramp size as shown in
51217C, an additional 12'xl5' concrete pad is authorized at the 'landward portion of the existing
ramp located at 142 Westmouth Bay Drive in Harkers Island, NC
In order to validate this permit, please sign the permit as indicated. Retain the white copy for
your files and return the signed yellow and pink copies to us in the enclosed, self-addressed
envelope. If the signed permit copies are not returned to this office before the initiation of
development, you will be working without authorization and will be subject to a Notice of
Violation and subsequent civil penalties.
We appreciate your early attention to this matter.
Sincerely, / /��
� -6,
Barry Guthrie `
Coastal Management Representative
lsb
Enclosures
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internet: www.nccoastaimanagement.net
An Equal Opportunity l Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper

MONITORING & COMPLETION REP
.q
[CAMA Major Development & State Dredge & Fill Permits]
PERMITTEE' S NAME: &mQ, -S c'� , 14
PERMIT #
LOCATION: I L [Z W 3 Yt M'J, l �G �r , FIELD REP
��('q1 C
11.2
dC' ; _i�1�� O
MONITORED BY 6
PHONE: �'6 — 1S0 S•- U
DATE OF INSPECTION
T
DATE REPORTEDLY COMPLETE: d 17 G i
1) Dot easured dimensions of the development differ from those indicated in the permit and workplat?
YES" [circle one].
COMMENT: R
tNM i A G,
2) SEDIMENTATION & EROSION CONTROL: Has Permittee seeded, grassed, or otherwise stabilized all
disturbed areas? YES/ [circle one]
COMMENT:
3) FUTURE MO TORING & ENFORCEMENT ACTION: Is further investigation or enforcement action
needed? YES/ [circle one].
COMMENT: ��

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