56884_HILL, MELVIN_20101012

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❑ CAMA / ❑ DREDGE & FILL
r. G9NERAL PERMIT �'U Previous permit#
L4New ❑Modification ❑Complete Reissue El 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
VR
ules attached.
A licant Name Proi1ect Location: County
PP
Address
City State ZIP
Phone # O Fax # (�)
Authorized Agent
❑ CW ElEW ElPTA
Affected
AEC(s):
ElOEA ElHHF ❑ IH
❑ PWs: ElFQ
ORW:
yes / no PNA yes / no
ElES [IPTS
❑ UBA ❑ N/A
Crit.Hab. yes / no
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
Pier (dock) length
Platform(s)
Finger pier(s)
(Scale: )
_...__
j
Groin length
number
Bulkhead/ Riprap length
avg distance offshore_
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAV: not sure yes no _
Sandbags: notsure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A buildingpermit may be required b :
P Y 9 Y
Notes/ Special Conditions
i
i
— -- —
I
'
❑ See note on back regarding River Basin rules.
8a 8
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
r %
Permit Officer's Signature
Issuing Date
Expiration Date
Application Fee(s)
Check # Local PlanningJurisdiction
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 focal 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 thatthis project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
❑ Tar - Pamlico River Basin Buffer Rules
❑ Neuse River Basin Buffer Rules
❑ Other:
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/ 1-888ARCOAST
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

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APplicagnt: J `v
Date: � n
I
Describe below the HABITAT disturbances for the application. All values should atch 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 im acts
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
Dredge ❑ Fill 0,16oth ❑ Other ❑
(001
/
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 ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑

aAr
RECEIVED
��_...�,.. t41or@tt@4d Ci
ii ly AGM
North Cai,ollina Department of Environment and ��atura! Resources
Michael F. EasiFy, Governor charjes S. Jones, Direactor William G. Ross Jr., Secret,ry
Date q ' 1 10
LL
E�ppkant dame { 1 1�_ Jl �__ i—_'_(
MailingAddress
ddressD�-
>,jj5-1D 5Q l i,c, L) C> 0 - -7139
l certify that have a�atii2oB izecl (agent) to act On Ml v$�1
behalf, for the paaa-pose ef applying for and obtaining all CATMA Permits necessary to
install or construct (actiAty) _ _S<Pt
at (10cation) H i
This cer•tRfication is valid tlar-n (date)
.,M /_ - r . t? o
Signature

RECEIVED
MAreheacf City DcM
rl !vier 2Qlc r;i r•
prorY�r y )c._-2tcd at
(L�t, Black, Road, etc.)
on U-1 0AQA;cll r
�.
CT2a an County)
�---_
he has desc.Zbej to me as shown be'o`r, the deve!orpr�ent he is proposing at chat
iccaLion, and, I nave no objections to his ropos^
p .3[. I understand (;fiat a pier/uncovered boat lir-
rust be set bat'_{ a minimum distant✓ or ri��e�n.r t (I5') Tom myiarea or riparian ac :s, unless
waived by me.
1 do gat wish to waive ch'e setback recuiremenc.
do wish to waive thlat setback re�,-uirement.
------------------------------------------------------------------------I-----------------
DESCRII (D., AND/OR DRA-W-L•',i G OF PROPOSEDi DEVELOP?fE; -T:
(TG be filled in by individual prapo,s-inj develi�pment)
C-A,J A I
Z
i
k c)
Sri
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Print or Type i ial
All
v ���Z

RECEIVED
r
Z��
Morehead City ©CM
IN JILE.
(j 1P ail �Z/Lily; v✓n-( t ? j,
e
pccp-r . Icc-ate-d at y D ,
(n� (L-0t, Blac Road, etc.)
on — Cc�x Ln
(^'aterbodv) �� N.C.(T `zn and/or' Cow tv)
He has desc_ibli to ne a= Sholvn be'ow, the deve!oprhent he is proposing at t( at
location, and, T have no obj�--:tions to his proposal. I undersrand ghat a pier/uncoverer; boat li
rust he s. t back a minimum distance or rii --n rat (15') tom myjarea or riparian acczss unless
waived by me.
T do pot wish to wain the se�bacs reruirement,
I do wish to waive that setback reGuLrement.
---------------------------
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-------
------------------------
DESCRIPTIO� A -D/OR DR IrTEtiG OF PROPOSED';DEYELOP a;'�,-T:
(To be fcded in by inrtividugl Proposin; devel�ipmenl)
MAP
erTq
Sr- ill a/
GA
Prim or Typ- i,iz';

a
SAMMIE E. TURNER
MARINE CONSTRUCTION ACCT
252-725-3415
P-O. BOX 1885
MOREHEAD CITY, NC 28557
PAYTO THE
ORDER OF
4885
66-1 12/531
DATE
I $ Dd as
DOLLARS B $8Cuf11y
as
BRANCH BANKING AND TRUST COMPANY
11�80�0-B.ANK BBT BBT.com
(I'000 88511' �:053 LO 2 11:0005 2 1058406611'