53640_HUDSON, JOEL_20090507

IJICAMA / C1 DobC*, FILL
-. GENERAL PIERMIT Previous permi #
❑New ❑Modification El, 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 attached.
Applicant Name I ) Project Location: County
Address Street Address/ State Road/ Lot #(s)
City _ State ZIP
Phone # ( ) Fax # Subdivision
Authorized Agent , c City _ _ ZIP_
Affected L� CW EW =; PTA E7 ES ❑ PTS Phone # ( ) River Basin
AEC(s): a OEA HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body _ nat Lman unkn
❑ PWS: CI FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) length__- _
Platforms)
Finger pier(s) -
Groin length
number
Bulkhead/ Riprap length
avg distance offshore I j
max distance offshore
Basin, channel
cubic yards
i
Boat ramp
Boathouse/ Boatlift : 1'
Beach Bulldozing
Other
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
Agent or Applicant Printed Name /
/�/1
Signature ** Please read compliance statement on back of permit
r
Application Fee(s) Check #
(Scale:
Arca, and is not for boating use. No slips are
permitted for vessels -motorized, sail, or other.
Any kicking or prop wash will be considered a
violation of this permit, and of the CAMA and
D&F Act. /
See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Date Expiration 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 I) 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

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■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
1 ■ Print your name and address on the reverse
so that we can return the card to you.
S ■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
X Lov�5 K-Joc,k.
07 L-O-% of.
097.53
A. Signature
X
B. Received by ( Printed Name)
_—I
❑ Agent
C. Date of Delivery
D. Is delivery address different from item 17 ❑ Yes
If YES, enter delivery address below: ❑ No
3. S
yvice Type
19 Certified Mail ❑ Express Mall
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. (Transfer
nsferle umm 7007 1490 0002 5320 5120
(transfer from service label) �
r ;
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540

UNITED STATES POSTAL SERVICE First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •

IBX
MARINE CONSTRUCTION INC
PETER OVERGAARD
PRESIDENT
Phone [phone]
Fax [phone]
P.O. Box 190
Oriental, NC 28571
NC License #55828
www.innerbanks.biz
Email: [e-mail]

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Individual applying for Permit: �o�l
Address of Property: 5 C0--y1\ \\ z Ci1'Jz �� b ":t���� , 1 vC. ),� S
(Lot or Street #, Street or Road, City & County)
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has 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 no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, 400 Commerce Avenue, Morehead City, NC, 28557 or can [phone] within
10 days of receipt of this notice. 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)
70 �t'x l�e
Mailing Address
City/State2ip
Telephone Number
3I 1
Date
(Riparian Property Owner Information)
Signature
X
Print or Type Name
Telephone Number
k
Dale

►NNERBANKS MARINE CONSTRUCTION INC.
P.O. BOX 190 ORIENTAL, NC 28571
OFFICE [phone]
WEB SITE wwwAnnerbanks.biz EMAIL info%%innerbanks.biz

72�

Apr 27 09 02:17p Susan Hudson 7047841975 p.1
- - -- - %0
Michael F. Easley, Govemor James H. Gregson, Diredor William G. Ross Jr., Secretary
Date q lo ol
Applicant Name 30CA T 5U5KV\ �AV�SCV
Mailing Address 177
I certify that I have authorized (agent) IvNy%c�����3 ��v� �L �w0���+ to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) Z�-
at (location)
This certification is valid thru (date) k - --�L `1- 0'--
Signature �A

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to
property located at 5 )`5 Ghh,e CoJC
(Lot, Block, Road, etc.)
30'�., �')soh
(Name of Property Owner)
on_I t,6 hv.w , in D�, -e-W�"INN , 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 do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
CTo be filled in by individual proposing development)
gx�7-
s
(Applicant Information)
�vvntJb�hkS �" h
Mailing Address
Yo V50y, \ 010
City/Stale/Zip pp Q
)3571
Telephone Number
�- 50-14 Ct- 14 aA
Date
34+1
(Riparian Property Owner Information)
Sig ur
k -:�46- t✓L� C C.iJ-lam s N
Print or Type Name
k')51�-;)-gL1-) .3 �
Telephone Number
x ' 31 /6 9
Date

Page 1 of 1
Site: 9525 CONNIE COVE RD
ry 66
/ 1081-1-72 61
72 : � �, ���- ba � .o
67
3585
f 0532
as1-l-ss
1081-1-71 - AASizi" --_
81- 436 -7D 2468 $ `'ry 4
M I081-1-69 96,92 '` 52 5
w 71 ,{y
4p 1 A 6-�
� \70 �,�,�-� $a �� 4355 �Tr:
Z 4 fig a �-t 1081-2-51
Property Details:
START
14765
UNIQUEID
4682
ACCTNUM
23793
LASTNAME
HUDSON, JOEL D
FIRSTNAME
ADDR1
CITY
277 BLACKBERRY TRAIL
CONCORD
CAREOF
ADDR2
STATE
ET UX SUSAN C
il NC
ZIP
1 28027
PARRECNUM
1714
NAME
HUDSON, JOEL D
MAPNO
1081-1-69
CONTROLNUM
CLSCODE
IN CFAT
I(1Ri
PIN
DISTTOWN
DBLCIR
D02
l
BLOCK
1
PARCELNO
69
SITEADDR
119525 CONNIE COVE RD
SITUSADDR
9525
IISITUSROAD IICONNIE COVE RD
II EXEMPT
LEGDESC1
SEC 3 LOT 69 BUC BAY WEST
LEGDESC2
CONNIE COVE
TOTACRES
0
CRNTTOTUSE
110
CRNTTOTDEF
0
CRNTLANDVA
31000
CRNTBLDGVA
111120601
CRNTOBLDGV
0
TOTCRNTVAL
11151601
1 FIRECODE
S
II HOUSECODE
ISEWERCODE I
SALEAMNT
133000
SALEDATE
5/3/2002
SALEDATE2
73,540
SALECODE
Q
ROADNUM
0
PCTCOMP
100
WILLSOOK
0
WILLPAGE
0
DB PG
3781920 IF-
DEEDBOOK
378
DEEDPAGE
920
PLAT
PCA 32-1
JI MOBHOME II O
http ://www2.undersy s. com/scripts/testadv/uslwebpc. dl l/usi?formis=ptmap&MouseX=O& ... 3 /24/2009

INNERBANKS--MARINE CONSTRUCTION, INC.
2837
P.O. BOX 190 PH# [phone]
ORIENTAL, NC 28571
DATE �" � � 66-30/531
472
PAY
OR THE s �"" 0
ORDER OFF J' ;T4 . 14 1 v`� 9(J ,p, 00
iJ�()J Cc ���" i� DOLLARS 12
®s 5(_p -6`i Ban Citizens CJ3 (0 3q ; 5 31,o4 t)
r; firstcitizens.com J
FOR-------..---
11400 28 3 7u' i:0 5 3 L00 3001:004 7 L 20 L 28 2 21I'

•
This Buffer Authorization is not considered approved until the DWQ has received both
this signed form AND the project map.
Submit the requested information to:
Division of Water Quality
Attn: -Surface Water/Buffer. Program____ _
M3 Washington Square Mall
Washington, NC 27889
By your signature below you agree to be held responsible for meeting ALL of the above listed
conditions and verify that all information is complete and accurate. Please be aware, violations
of the above -listed conditions are subject to civil penalty assessment of up to twenty-five
thousand dollars ($25,000.00) per violation per day.
Applicant/Agent's Signature
CAMA General Permit Number:
Date
North Carolina Division of Water Quality Intemet: www ncwaterouality org One
943 Washington Square Mall Phone: [phone] NorthCarolina
Washington, NC 27889 FAX [phone]
An Equal OpportunitylAffirmative Action Employer - 50% RecycledMO% Post Consumer Paper Nldmrallaff