53379_HENDRYCH, ED_20090422

❑CAMA / ❑ DREDGE & FILL 00 1St
GENERAL PERMIT \/} Previous permit#
New ❑ 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
❑ Rules attach
Applicant Name
Address
City
Raw.- ZIP
Phone # O
Fax #-
Authorized Agent
❑ CW
❑ EW ElPTA ElES ElPTS
Affected
ElOEA
AEC(s):
ElHHF ❑ IH ElUBA El N/A
❑ PWS:
❑ FC:
ORW: yes / no
PNA yes / no Crit.Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # ( ) _ River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale:
-
)
Pier (dock) length
Platforni
1 ,
Finger pier(s) f i
Groin length
number
Bulkhead/ Riprap lengthI
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
!` ^
Boathouse/ Boatlift
Beach Bulldozing
Other
- - -
-
-
-
-----
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Shoreline Length
SAV: not sure yes no --
'
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
-
ti
I
! I
-tt-
! See note on back regarding River Basin rules.
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
Permit Officer's Signature
Issuing Date Expiration Date
,r
Local Planningf urisdiction 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, 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 howto complywith 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 252-808-2868/ 1-888ARCOAST
Location: Fax: [phone]
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
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

IT CAMA / F-7 DREDGE & FILL
GENERAL PERMIT Previous perrinit #
)New ElModification ElComplete Reissue El Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources -7 U4 �2)OO
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
MRules attache
Applicant Name
Project Location: County 1(
Address— Ai Street Address/ State Road/ Lot #(s) q rJ4
City- amp1 State ZIP
A S
Phone # Fax # Subdivision.
Authorized Agent L_2_44e S City b&0 1)17ZIP
Affected El Cw �EW E PTA E] ES L PTS Phone# River Basin
AEC(s): 0 OEA 0 HHIF DIIH 0 UBA F_ N/A Adj. Wtr. Body -T,) 0 "'9 m1c�le'4-' 'tia�)Iman unkn)
El PWS: 0 FC: L_ A
ORW: yes / FO) iia) PNA no Crit.Hab. yes Closest Maj. Wtr. Body —
Type of Project/ Activity
Pier (cloek) length
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
0
(Scale: r) Cf 1'0-
-T
7
cubic yards
Boat ram
P 7 7!
Boathouse/
YP
Beach Bulldozing
Other
Shoreline Length
SAV: not sure yes yfo->
Sandbags: not sure yes --f4
Moratorium. Lo
Morato-
yes noIf.,
r
Photos: N7)
yes Z_
V
Waiver Attached: yes no
A building permit may be required by: a See no te on back re;� 1n'f River Basin ru,
.1 f
,�ecial Conditions \J3 0 N Tt� /�S M cnl:�iac 7�-
rc�� r RIP. Q k 4A, 61
kjib I
n Applicant Printed NaPermit Officer's SignaZ re
0 9
Siglpqture '0'** Please read compliance statement on back of permit" Issuing Dai Expiration Date
A
Application Fee(s) Check # L aPlanning,-,.-dictionRover File Name

AGa
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 l - a l `" n �
Name of Property Owner Applying for Permit:
6A w o.w-J, H ?- In a r,1 Gt
Mailing Address:
39ib E. RoJk(edgf-
R�
aka e-iti k , A --a-- 'WSoL4H
I certify that I have authorized (agent) A 1 �� - IV e- Tr. to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
l I ,1
install or construct (activity) �0 &+ l I 4 S �f-p a e wyl P I oLf 1 '� (-A ,
at (my property located at) a 314 Tonq 9, u e S �r Ae-rri M o rs Aj (
C 13ea" fo r +- %
This certification is valid thru (date)
Property Owner Signature
8-�-01
Date
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] \ FAX: [phone] \ Internet: www.nccoastalmanagement.net
An Equal Opportunity \ Affirmative Action Employer - 50% Recycled \ 10% Post Consumer Paper

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGS/BOA TLIFTIBOAff THOUSE)
I hereby certify that I own property adjacent to Ed W o-fck oy- ✓lj r j &� 's
(Name of Property Owner)
property located at d 314 10 vtctc�u ,' n S Dr; ✓e-
(Lot, Block, Road, etc.)
on fvARb L., JA5 Creek ,in &rT`-r-rLk Co,,.»�% ---°N.C.
(Waterbody) (Town and/or County)
Applicant's phone 019 Mailing Address: 3gl0 AA
If
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. (If you wish to waive the setback, you must initial the appropriate blank
below.)
I do not wish to waive
I do wish to waive that setback requirement.
------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development) N
?roeosed -frq-SC4
LA/Y'o, I'S' Y.131
54-r-p dawn 1A 2.Xi 5+1 \� Wt-TllSlit
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(Information for Property Owner Applying
for Permit)
3y10 E, 4ckl�d9 c
Mailing Address
PAOe-yli x
City/State/Zip
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Telephone Number
�dwtvl�(J 1~a1-oq
Signature Date
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Exlsfi 5 r` o,
(Riparian Property Owner Information)
Signature
Print or Type Name
41 o ~4-3�--
Telephone Number
Z � �
Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to Ed w"A-fd- 0 *. fj r l c� 's
(Name of Property Owner)
property located at a344 Jo ►ac ts,'n j J7r; ✓e-
(Lot, Block, Road, etc.)
on ,Tvnay QJ'A5 Creed ,in 6rrtrik /'.rJJ ,N.C.
(Waterbody) (Town and/or County)
Applicant's phone #-&2- - ao;5 Mailing Address:__ �fl o � iro le�Qd
ph"i x
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. (If you wish to waive the setback, you must initial the appropriate blank
below.)
I do not wish to waive
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development) N --�
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--------------------------
(Information for Property Owner Applying
for Permit)
3y10 E, Qocklydg t
Mailing Address
PAoe-vi1 q
City/State/Zip
--------------------------
(Riparian roperty Owner Information)
a!
—� Signature
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Print or Type Name
(60 0 33 x - a-t> 3 s- q/ 290
Telephone Number Telephone Number
Signature Date , Date

NOE CONSTRUCT
P. O. BOX 2012 PHONE:
BEAUFORT NC 28516
& SERVICES, INC.
728-3966
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66-1246/531
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Back.

MONITORING & COMPLETION REPORT
s
[CANIA Major Development &State Dredge &Fill Permits]
PERMITTEE'S NAME: &J ff6�1 A-'
� PERMIT # 5-33`/
LOCATION: o' GZ N SDt V FIELD REP.
B"t fJ— MONITORED BY J• �rl/1�/�
PHONE: �JDATE REPORTEDLY COMPLETE:
DATE OF INSPECTION �`CO
1) Do the easured dimensions of the development differ from those indicated in the permit and workplat?
YE O [circle one]. y� I
COMMENT: ,DuI a s oev. �I I � (bmt) ��i'
2)
3)
SEDIMENTATION & UAOSION CONTROL: Has Permittee seeded, grassed, or otherwise stabilized all
disturbed areas? YE"[circle [circle one]
needed?
COMMENT:
Is further investigation or enforcement action