54304_HIDDEN HARBOR HOA & LAMB, JANET_20090708

❑CAMA / ❑ DREDGE & FILL
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 I SA NCAC
+ j 0 Rules attached.
Applicant Name 1 +- ..� r'/ ;_ Project Location: County
Address Street Address/ State Road/ Lot #(s) '
City-: t State. ZIP__ �`
Phone # (� - �" t Fax # (;-•�----�---�--••'" Subdivision
Authorized Agent y' %,' 1t �� nI` City ZIPi;
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Type of Project/ Activity
Pier
Platf
Fingi
Groi
Bulk
Basic
Boat
Boat
Beac
Oth(
Shor
SAV
Sand
Mor
Phot
Wai)
Phone # O River Basin r /
Adj. Wtr. Body ! ",q 7 41 V --6" 9 'GO c ---I -(nat (man: /unkn)
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A building permit may be required by: ^ 2\r r, � �/ � See note on back regarding River Basin rules.
Notes/ Special Conditions rn;
Agent or Applicant Printed Name
Sjgnature Pjease read compliance statement on back of permit**
Application Fee(s) Check #
L
0
n Date
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
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

A7�LA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Govemor James H. Gregson, Director William G. Ross Jr., Secretary
Date `Z oq
Name of Property Owner Applying for Permit:
4iogew �,2 oA
Mailing Address:
22 f 7
A/6
I certify that I have authorized (agent) / ,2V t i Io�c to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) &k, L/I/GT ji �i - — l,(/ UFiC
at (my property located at) A161q �/0O&W f7' ,?, DR- ,A4%Vn--7UQ4Jr- 2PS?2
This certification is valid thru (date) /0/ ' 1Oc/
PdA
61zs
Proyerty Owner Signature Date
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internet: www.nccoastaimanagement.net
An Equal Opportunity 1 Affirmative Acton Employer — 50% Recycled 110% Post consumer Paper

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to W 166on Hoer-ip o r H 0 A d &d e t r C
(Name of Property Owner)
property located at 141 cad e n } Ctr)V r Q�--
(Lot, Block, Road, etc.)
on Ht c'iden Had r Wct*n,�, in ,.i ew 3el-n . Nc— , N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: q94-&43- 63i9gMailing Address: 150Z 0-LAr, %Ck C-e
dew Ge tic ;,-8S&Z
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)
56'C' (ATAct+ 0:b DgAw.UG
(Information for Property Owner Applying
for Permit)
150Z -Zur tcC , PL-ace-
Mailing Address
New z r-,t .0c zbs(�?
City/State/Zip
4164- 04 3 - (a 3 (a
Telephone Number
� ►�iAl.Min Lack "zoo
Signature Date
(Riparian Property Owner Information)
Signature
Print or Type Name
7.5y -
Telephone Number
7-6-o?
Date

l hcmbN certi6- own property adjacent to
(Name of Property Owner)
property facated at �7
(W. Mock, Road. tic.)
artcc(�. in --4-�I�NC
Waterbody) (twaaaalor 00,yl
I le has dewtibed lo me. as, Shown below. 0W devvIOPOWAt he is FwOposing at dwt 10caliOn. rand. I
have no objections to his proposal.
UFSCRIPTIOAN ANWOR DRAWING OF PROPOSED 0EVRLOPMENT:
(To .be fitted in by prWto,o it-ner preposing d-cwtopowrd)
AvAct4" DCAw-*46,
(information &r Property Own Applying (Riparian Property Owner laffirmation)
Cyr Permit) L
15-0i: -aurlcl,
ailiny Addrm
$14ew cScr-^ f4c
kiy-�
City N'ateMip Print tw Type Name
Signature
Date
'I'c1cphon,c Nunther
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BARRY G MORLOCK
66-112/531
CAROLYN C MORLOCK
1502 ZURICH PL
NEW BERN, NC 28562
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