56082_JONES, GUY_20100728

❑CAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previouspermit#
❑New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources -'7 r
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC `� '
r, (Rules attached.
Applicant Name \ ?idil i '1 Project Location: County
i ry r,
0 )A G� i, t t
Address f T� O{} / Street Address/ State Road/ Lot #(s) ��" `? a t `
City State NC ZIP t�R �f'�(O . C.-I -X c- c-F � -
Phone # (�)7J� Fax # ( Subdivision ---�
A t
Authorized Agent I)&- i 'OW3 City i 'r } ZIP
Affected ❑ ElElCW EW PTA] ES ❑ PTS Phone # ( ) River Basin
OEA HHF ❑ IH ❑ UBA ElN/A r, I
AEC(s): Adj. Wtr. Body: = t : �c ��-. (nat /man /unkn)
❑ PWS: ❑ FC:
Closest Maj. Wtr. Body
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Type of Project/ Activity iil0y-1
(Scale: �� )
Pier (dock) length
Platform(s)
Finger r�=r(s)
Groin At. race
Aer�`tt° � r nott °care -
Bu a �ckinoP °d f°r yes for b°�t/ `'tvrl d r `d
ftbIs rA *0 Sets O °�° Use ``,llafy
Aer t a a as w,l1 "/2eQ, SaNO S fil as t e! y
Basin, cir�. fthe CA�IA°� r QIav er 9r
D&F °jatl�
cubic yards` Ct
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing —'
Other 0
Shoreline Length 7 ✓�C
SAV: not sure yes (no'
Sandbags: not sure yes -
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
n
ru
k 2 „--f
Agent or Applicant Printed Name
Signature Please read compliance statement on backofpermit**
Application Fee(s) Check #
i KJ
Q
�® See note on back regarding River Basin rules_
c C o(� 1 nt11
ire
/07
Ting,bate J /Expiratfon Date _
Local Plan ningjurisdiction 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 (252-946-648 I) or the Wilmington
Regional Office (9 I 0-796-7215) 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.
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

IPEG Image, 1700x2338 pixels) hops://mail.google.com/mail/?ui=2&i1--247bd25bf8&view=att&th=...
e��
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue, Gowernor Jarnes H. Gregson, Director Dee Freeman. Secretary
e
Date
Name of Property Owner Applying for Permit:
Mailing Address:
14
//Ietyl //
certify (fin)
I ce that I have authorized t �"' � "� �� �_ <
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity)
at (my property located
This certification is valid thre (date)
—Z 7--10
Property OwnerlSignatere Date
400 Cornmerce Avenue, Morehead City, North Carolina 28%7
Phone: [phone] FAX [phone] Iris www. net
An Equal OpporW* 1 AffrmeSe Ac§m Empow - 50% Rwyded 110% Post Caaww Paper
707061 () 5_ 14 PM

ADJACENT RIPARIAN PROPERTY OWNER STAT ENT
I hereby oertify that I own property adjacent to el l) U "l nof5 is
(Na&e of Properly Owner)
Property located at AM :�-O hd w s .
(IA*, BbX*, Read, etc.)
on r0 LAi VI S (:Vec �1 , in _ M �_ . rr -H, `Pam l i c o , N.C.
(W y) (Town sower county)
A p icaut's phone#: —7r5 - 3 J b'4 MsWWg Addre= '6-1 D SGw), tte ' S Pd
Vr N C 0M(19
He has described to me, as shown below, the development he is proposing at that loca i and, I
have no objections to his proposal.
for
"n jxw "perry vwffer1413"(Rkwrinu Prop" Owner)
Mailing Address
City/StatelZip
- Telephone Number
Signature Dale
Print 6r Type Name
Telephone Number
s
Date

f c, 4lVER: COMPLETE THIS SECTION
r
■ Complete items. 1, 2, and 3. Also complete
item 4-if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
i
i
bl
a
2. Article Number
(Transfer from service label)
A. Sign ture
X ❑Agent
Liiz P---u41!-1(-1L0 Addressee
B. Rec 'v cj by�Prind�Name) C,f� of live
�!/ —l7
D. Is d address di m item 1? ❑ Y
If enter delivery ad No
JUL 0 7
3. Servi �e 9�
Certifie -Express Mail
egistered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
7007 2680 0002 8365 1438
PS Form 3811, February 2004 Domestic Retum Receipt
102595.02-M-IUO

UNITED STATESiPb�74L'ERVIC�-:
is <:'.�:L.i.:
• Sender: Please print your name, address, and ZIP+4 in this box •
`d�•'ar Il31{llfil?!lilili!FlflJlllitiJl?il tlii313ilsll ii3lllJt113?!11

■ Complete items 1, 2, and 3. Also complete
1 item 4 if Restricted Delivery is desired.
`i ■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
1
or on the front if space permits.
Article Addressed to:
l L &aic ,tom
A. Signature
Xtz,,"
❑ Agent
B. Received by (Punted Nam) I C.
Date & Delivery
D. Is delivery address different from Rem 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
*Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
{ 2. Article Number 7007 1490 0002 5320 8299
(transfer from service label)
PS Form 3811, February 2004 Domestic Return Receipt `i; 102595-02-M-1540

UNITED STATES POSTAL SERVICE
• Sender: Please print your name,
Pe1-
,-PC
�!!iill�lk�i1�4'ii!lF�iliitil!!3lli�!{iiili�!ll�i!l�i�Fl��ilk{�

B PRESCOTT MARINE CONSTRUCTION
PO BOX 874 252-249-0149
ORIENTAL, NC 28571
PAY
TO THE OR
ORDER OFY--
2017
DATE f� 66-30/531
472
t�f /'
8 a;;ft`.
OLLARS D:w°
®First CitizensC>S
Bank l
firstcitizens.com ^
-
�/
FOR (1 i - _/ IC CG L84 Q�ir fE' ✓��u NP
Jim
00 20 L ?iia ':0 5 3 L00 300l:00 4 7 L 20 20 L, 9 7ii'

NC Division of Coastal Mgt. habitat
Applicant: Guy Jones
Date: July 28, 2010
General Permit #: 56082C
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
TOTAL Sq. Ft.
FINAL Sq. Ft.
TOTAL Feet
FINAL Feet
(Applied for.
(Anticipated final
(Applied for.
(Anticipated final
DISTURB TYPE
Disturbance total
disturbance.
Disturbance
disturbance.
Habitat Name
Choose One
includes any
Excludes any
total includes
Excludes any
anticipated
restoration
any anticipated
restoration and/or
restoration or
and/or temp
restoration or
temp impact
temp impacts)
impact amount)
temp impacts)
amount
OW
Dredge ❑ Fill ❑ Both ❑ Other ®
80
80
LM
Dredge ❑ Fill ❑ Both ❑ Other ®
10
10
HG
Dredge ❑ Fill ❑ Both ❑ Other ®
60
60
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑