53624_HARRIS, JOSEPH & MASON, KEITH_20090424

�i LAMA / I'rOREDGE & FILL "N /S �36j
GENEA-L PERMIT �U� Previous permit#
❑Partial Reissue Date previous permit issued -
As
❑Modification ❑Complete Reissue
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
(] Rules attached.
Applicant Name K '� t f Project Location: County
Address � `f"'�. ,$�'X � Street Address/ State Road/ Lot #(s)
l � 4
City ('.{ , State :..ZIP : /
Phone # (_y`� `j rFax # ( ) Subdivision
t . - ZIP .� ,��
1 l r -
Authorized Agent (.. i I ! City ,
❑ CW IAEW' DJ TA ❑ ES C PTS Phone # ( ) ' iver Basin
Affected ❑
AEC(OEA [I❑ 5 HHF IH UBA N/A Adj. Wtr. Body i 7� �� (nat /man /unkn)
❑ PWS: ❑FC:
ORvs / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body
W e
Type of Project/ Activity
(Scale:
rv:%
71 )
Pier ( h
Platfo
Finger
Boat
Othe
Shor
SAV:
Sand
Phot
i�
A building permit may be required by:
Notes/ Special Conditions
0 e note
on back
regarding
River
Basin
rules.
i`
dock length I I
P O X
II
length
number I
ead/ Riprap length -- I --�--
avg distance offshore t i
max distance offshore
channel -, .- - - - ----�---r--
cubic yards
ramp
' �
Boatlift
I
I i
i 1
h Bulldozing
z
eline Length
I I l
not sure yes no
bags: not sure yes
no _ I
atorium: n/a yes no
I ♦ii
os: yes no
I
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
1 ! t
PermiiOfficer's Signature
Issuing Date Expi tirDate,
i 1j tIJ , I
Local PlanningJurisdiction over File Name
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
1 ! t
PermiiOfficer's Signature
Issuing Date Expi tirDate,
i 1j tIJ , I
Local PlanningJurisdiction over File Name

0
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, certifythat 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/ I-888-4RCOAST
Location:
Fax: [phone]
2728 Capital Blvd.
(Serves: Carteret, Craven, Onslow -above
Raleigh, NC 27604
New River Inlet- and Pamlico Counties)
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

t
Morehead City DONS
North Caroiiria Department of Environment and Natural Reesources
Division(c)jI Coaattal
Michaei F. iEasley, Governor Charles S. Jones, Director William G. Ross Jr., Secret,ry
Date 4 :/l ' O q _
or Ap is"cs<aat aaaae � S �11 A s O t o S! N M h �� 4
c. 2ff f70
to act or'i m r-
1 certify that I ha— e aaatborized (agent)
behalf, for tlae paarpose ea —;applying for and obtaining all LAMA Permits necessary to
install ®r construct (r-th-i) Aat (location) _____ __ =�—! �AJ
This cer flficatio�n is � �aNial tlas �a (date)
Sigaaataaa-e

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
' (FOR A PIERIMOORING PILINGS/BOA TLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to d�6_ 1) w 1 �� � °s
(Name of Property Owner or Applicant)
Mailing address if different from location address
(town, state and zip) 6N�0 A
phone numbers you can be reached at 9 )
property located at Tr' 01rl-5 rD ". �'vAlT LA APR
r U9
_n � �., (Lot, Block, Road, etc.) N AOreheaci cit
on r I ©d,�/c G y r ✓)/ 'f , in (./z Y"F- RC T � a lu A) 7- LA N.C.
(Waterbody) (Town and/or County)
He has described to me, as shown below, the development he is proposing at that location,
and, I have no objections to his proposal. I understand that a pier/mooring pilings/boatlift/boathouse
must be set back a minimum distance of fifteen feet (15) from my area of riparian access unless
waved by me,
I do not wish to waive the setback requirement.
—' i ials
I do wish to waive that setback requirement.
initials
--------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To he filled in by individual proposing development)
Signature
ILL/ Iri i�1 /T- UlL'
Print or Type Name
q1 1 L.�/ -'-_�0'j
Telephone Number

a
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to av 14 a r , , 6-Se' ' Mas o r-) " S
(Name of Property Owner or Applicant)
Mailing address if different from location address ,
(town, state and zip)
phone numbers you can be reached at 2 5 Q - 4 L,, 8 R _ S
property Iocated at � 31 M cc, I ; q 1,+ p,-,
s
(Lot, Block, Road, etc.)
on IVlco" 1, r) 1 L1— C� , in A +-icLr,+; c. N.C.
(Waterbody) (Town and/or County)
He has described to me, as shown below, the development he is proposing at that location,
and, I have no objections to his proposal. I understand that a pier/mooring pilings/boatlift/boathouse
must be set back a minimum distance of fifteen feet (15) from my area of riparian access unless
waived by me.
i gals
'N
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
---------------------------------------
CRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development) ,
J ac']
5� w K� ee.11
---LdI
I0a rod V7 UJ I I�-0
---------------------------------------------------
Signature
` 0111 e 5 0 M 0 n ram` S - J r
Print or Type Name
a5�- glob' � S`71 S
Telephone Number

R & J GROUP 1294
P. O. BOX 1885 66-112/531
Morehead City, NC 28557
252-726 1253
Yto the c-� (Z $ aYS O
BRANCH BANKING AND TRUST COMPANY
1-800-BANK BBT BBT.comm , /
FOR KcFr , A,4-
��'0000L294��' �:053LOLL2L�:000529?C8a 9230

` a
MONITORING & COMPLETION REPORT
[CAMA Major Development & State Dredge & Fill Permits]
=A PERMITTEE'S NAME: !,Awn'Ji� dw—�v&� W-0."4.1WMz
LOCATION:
FIELD REP.
PHONE: DATE REPORTEDLY COMPLETE:
DATE OF INSPECTION�� f
1) Do the sured dimensions of the development differ from those indicated in the permit and workplat?
YES/ Mcircle one].
COMMENT:
2) SEDIMENTATION & EROSION CONTROL: Has Permittee seeded, grassed, or otherwise stabilized all
disturbed areas? YES/ O circle one]
3)
COMMENT:
FUTURE MO RING & ENFORCEMENT ACTION: Is further investigation or enforcement action
needed? YES [circle one].

AMA / ❑ DREDGE & FILL
FF ,
53624
G ERAL PERMIT
- Previous permit #
w ❑Modification ❑Complete Reissue ❑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 i
es ached.
i;
Applicant Name'
/
roject Location: County \_ .K/
Address
Street Address/ State Road/ Lot #(s),
NA State Zim 0
n
-6 � "n
City I
Phone # ( ax # O
Subdivision
ZII�T..
Authorized Agent
❑ ES ❑ PTS
City
f,. r/� /
Phone # ) )River Basin",,
,, UL
❑ CW
Affected
C�
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
AEC(s):
Adj. Wtr. Body 13� cat /man /unkn)
El Pws: ❑ Fc:
Closest Maj. Wtr. Body
ORW: yes / r of PNA yes / n Crit.Hab. yes 1 no
Type of Project/ Activity,
t
t
(Scale:
)
Pier (dock) length
Platforms) i
Finger piers)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
----
r
-{--
j
I
I
_
-4E
a
-
I �
i
_
I
S
I
_
cubic yards
Boat ramp144
Boathouse Boatlift
-
-
- —
>
-
I l _
Beach Bulldozing
Other
-
I-
j
+
f
Shoreline Length
i
SAV: not sure yes o
Sandbags: not sure yes
Moratorium: n/a yes n-
Photos: no
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
I
- - -
i
I
regarding
I -
River
Basi
ules.
----
See note on back
IV
Ilei
Agent or Ap cant Printed
dNName
Sign pre ?.Iry
read compliance statement on back of permit
Application Fee(s) Check #