55010_HOESSLE, DAVID_20091023

❑CAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit# l✓
ONew ' ❑Mrification ❑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 t
N Rules attached.
Applicant Name !Avt d � p P 3 Project Location: County 't\'_,c
Address + % :7 1101 n I r' r C P e Street Address/ State Road/ Lot #(s)
1
City State ZIP
Phone # ( Fax # (! ) Subdivision
1 � i
Authorized Agent i oo i %c UP, - City f a h: r ZIP
Affected ❑cW �,EW PTA ®ES ❑PTS Phone # (!IQ )�i�-(a'I River Basin 1y�,.�it ^ C
❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A 1 ,!
AEC(s): El PWS: ❑FC: +/'+^ Adj. Wtr. Body C : c rfi� t'Yat man unkn
ORW: yes / no PNA `yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) length
Platform(s) ON
. 4& '7 0
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
r 1
Boathouse/ oatlift) X
Beach Bulldozing
Other 1 Z
Shoreline Length
2))'
SAV: not sure
yes
no ---.-
Sandbags: not sure
yes
jno
Moratorium: n/a
yes
L0;
Photos:
yes
(h—o -
Waiver Attached:
yes
Eno --
A building permit may be required by: _
Notes/ Special Conditions
7�gent pr Applicant Printed Name'
��i��4`4oz13
Signature ** Please read compliance statement on back of permit n
Application Fee(s) Check #
(Scale:
See note on back regarding River Basin rules.
"
Permit Officer's �& ature
I
Issuing Da fe Ex rati n Date
I '
Local Planning Jurisdiction Rover File Name

1,
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
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/ 1-888-4RCOAST
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

10/09/2009 17:02 9105773000 ANIMAL HOUSE PAGE 01/01
OCT-09-2009 04:0$ PM F.02
-.. �� ,.v■,1 ww.wv rrom:u m r»il 'jY To, 93q:%j'; ; PI4t:t?�3
h /ram TPRL. t* TV OWNM
ATORNT
I hmeby cm1 f� Chat I c on pmpemy adjamu to a A� 1 fl� E g&,.LN p, H p�F&%S
{ftme orproperty Owner)
perivs st I� HcisE�-CREEK �ZD
ax1 in 1 u_.es�- R,.-" N.C.
(Waterbody) crmm sm"r County]
Appliatst'# p� �s.�q ►Dr?�5-U�t�i� Mititl�tE A�Idrpr; e G.� �%o � �.
Hr hu describtd mane, as t hVM below, the developmmt he is pmpttsiftg at that location, and, I
have no objeatkm to his pm tpow.
DBSCID,lTION e1!'i MR DRAWING Of rROP08ED DBV,MmTM:
(Ti ie bd k by propov seer popm&g deve%Pamm)
0
(Ishrtesttlas tarAraperl Owsw Appt*g (Rlparj m pr*rmty 0*0*p jaforntt =")—
for p'"if)
1-7-7
Mailing Addfm
'relephone Ntmtbep
' L 4 tit'` (0 -tam
�Jf�ilB:tdip ~ate
signature
f'tit:t or'ypt Name
zo C)
I'eleovne mums er
Date

h�� N
� wfv-

MAY-29-2009 09:29 From:DCM MIDCTY
To:939.36146 Pa9e:1,'3
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue, Governor James H. Gregson, Director pee Freeman. Secretary
Date
Applicant Name Ravi
MaOing Address 1 7 7 H QSP_ j C V C(Ce
Haber � NC Z353q
14crtify that I have authorized (agent) Q kk a
1 lC, LA to act on my
behalf, for the Purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) 0 a V 'o. J c-A- (�
at (location) t�
This ecrtification is id thru c)
Signature �'° —�
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone. [phone] It FAX: [phone] Internet: www.nccoastalmanagement.net
An Equal Opportunily l Affirmative Action Employer - 50°% ReCYCIM k 10°% Post Consumer Paper

AUG-26-2009 14:28 From:DCM NHDCTY To:93936146 Pa9e:1/1
RT1Fl
PT
TE'D
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER N0711171CA710N!'tMAIVERFORM
Name of individual applying for Permit: D ,.�� �) - - � c�� sS le
Address of Prcpert'y:
(Lot or Street #, Streot or Road. City & County)
I hereby certify that I ow property adjacent to the above referenced property. The individual
applying for this permit halt described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this letter.
I. have o objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, 400 Comm' rce Avenue, Morehead City, NC, 28557 or call [phone] within
90 days of receipt of this7notice. No response is considered the same as no objection if you
have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, boatlift or sandbags must
be set back a minimum distance of 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 wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Applicant Information)
C LeCe )CcS
Maffing Address
CitylStateizip
&6— <'w 101 V,d/��
Telephone Number
Date
i
i
(Riparian Property Owner Information)
Signature
Print or Type Name
Telephone Number
Date
c)q-� 3�)30

USPS - Track & Confirm
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Label/Receipt Number: 7009 0080 0002 0519 6641
Class: Priority Mail®
Service(s): Certified Mail"
Return Receipt
Status: Delivered
Your item was delivered at 12:13 PM on October 22, 2009 in
MAYSVILLE, NC 28555.
Detailed Results:
• Delivered, October 22, 2009, 12:13 pm, MAYSVILLE, NC 28555
• Unclaimed, October 21, 2009, 9:40 am, HUBERT, NC
• Notice Left, October 06, 2009, 10:32 am, HUBERT, NC 28539
• Arrival at Unit, October 06, 2009, 8:27 am, HUBERT, NC 28539
• Acceptance, October 05, 2009, 1:04 pm, SWANSBORO, NC 28584
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