52949_KILLINGSWORTH, BRENDA_20081014

l-.
L�DAMA/ pDREDGE & FILL 10"Z7-6S/S6
GENERAL PERMIT 110 Previous permit#
ENew ❑Mollification ❑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
(Rules attached,
Applicant Name s / , t -;_;. ; " r i i ` " Project Location: County Ca HP fp-j
Address i Street Address/ State Road/ Lot #(s)
City � , ng r �1� (�- State IrZtP
Phone # Fax # () Subdivision WN
l
Authorized Agent ��� City Hoac�t i � ., }-� ZIP Ci
Affected ElCW RTEW APTA p.ES ElPTS Phone # (IQ -)River Basin Tp a
AEC(s): OEA ElHHF ElIH ❑ UBA ❑ N/A Adj. Wtr. Body ^ ri iffi-a'himan unkn
❑ PWS: ❑FC: r ^
ORW: !yes,,/ no PNA yes /nn) Crit.Hab. yes / no Closest Maj. Wtr. Body
Type of Project/ Activity KcrQ 1w Q"
D�-G'i'PC."F-on i
�f
(Scale:
Pier (dock) length _ _
Platform(s)
Finger pier(s)
Groin length
--_.i
­'�Gl1iJ�
number
Bulkhead/ ipra lengthr�
avg distance offshore
max distance offshore
Basin, channel
I
-- ---�
-
-
cubic yards
/
bA
Boat ram P �
Boathouse/ Boatlift
r •
-
I
-
Beach Bulldozing
i
I
Other
Shoreline Length �..
SAV: not sure yes no
_ _._ -•
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
k
fa
\ }''rT
-=--/!/i!
�'
f ,
`ems _
__1 G'
Waiver Attached: yes no
—
A building permit may be required by:
Notes/ Special Conditions
.:
r-�
rtu a^'
❑ See note on back regarding River Basin rules.
;-Cirf r n � v..
�O
Agent o plican ~rinted ame
Signature 4- Please read com li nce statement on back of permit /
Application Feels) Check #
Issuing Date 9 Exp tion Date
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 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/ 1-888ARCOAST
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

J�.AMA / VJ DREDGE & FILL N? 52649 G
GENERAL PERMIT Previous permit#
YNew ❑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 15A NCAC —% J4 , 11 iL�Jc�
Rules attached.
Applicant Name1�-Cr' <. 1 - CJ Project Location: County
Address �,« 2 � Street Address/ State Road/ Lot #(s)
City s-
State !!{C,, ZIP
Phone # ( Q iZ41- 1J,;3 Fax # (�) Subdivision 1'
Authorized Agent 41774 City K'ZL"Lr;r Cr) ZIP
❑CW(EW APTA 5 ❑PTS Phone # () — River Basin
Affected ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
AEC s : Adj. Wtr. Body ro�� na man unkn
❑ PWS: ❑ FC: ,
ORW: (yes / no PNA yes / now} Crit.Hab, yes / no Closest Maj. Wtr. Body +�°�=
Type of Project/ Activity
Pier (dock) length _ _ —
Platform(s)
i
Finger pier(s) I r —
;� y
Groin length
number - —i
Bulkhead/ ipra length t ix
avg distance offshore
i
max distance offshore I�-- ---
Basin, channel --'
i-
cubic yards
Boat ramp I -
Boathouse/ Boatlift
I i
Beach Bulldozing_ --
Other
Shoreline Length
SAV: not sure
yes o
Sandbags: not sure
yes no
Moratorium: n/a
Photos:
yes no
yes no
\ ,_
Waiver Attached: yes no ----- rt��-�'--- ---
A building permit may be required by:���' t
Notes/Special Conditions 11 �ji
az
Agent or pplicaff rinted Name
Signature "Please read compliance statement on back of permit **
Application Fee(s) Check #
(Scale: �U )
i 0
/ry};
oo
V,
❑ See note on back regarding River Basin rules.
r
emu^ ✓w: ef,l:n ,
PermitOfficer' ature
"
to
Issuing Date
Expi
tion bate
caffe.r' Ia
�10io0g,I;
Local Planning Jurisdiction
Rover File Name

:
AV I
RCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor James H. Gregson, Director William G. Ross Jr., Secretary
October 14, 2008
Brenda Killingsworth
1628 Pelham Road
Winterville, NC 28590
Dear Ms. Killingsworth:
Attached is General Permit 952649 C to construct Rip Rap for shoreline protection at 886 Island
Road Harkers Island, NC
In order to validate this permit, please sign the permit as indicated. Retain the white copy for
your files and return the signed yellow and pink copies to us in the enclosed, self-addressed
envelope. If the signed permit copies are not returned to this office before the initiation of
development, you will be working without authorization and will be subject to a Notice of
Violation and subsequent civil penalties.
We appreciate your early attention to this matter.
Sincerely,
"
Barry Guthrie
Coastal Management Representative
lsb
Enclosures
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] \ FAX: [phone] \ Internet: www.nccoastalmanagement.net
An Equal Opportunity 1 Affinmative Action Employer— 50% Recvded 11o% Post consumer Paper

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city, state, ZlF>A
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PS Form 3800, August 2006
See Reverse for Instructionx—
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U.S.,.,Postal erviceT.
'CERTIFIED MAIL,. RECEIPT
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(Domestic Mail Only, No Insurance
Coverage Provided)
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Certified Fee
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�---------------------------------------
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PS Form 3800, August 2006
See Reverse for Instructions

C"
J
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT aP 7fi08
I hereby certify that I own property adjacent to ce"Xi o, "k I 1 D C M
(Name of Properl ner)
property located at �' _I S I a rij
(Lot, Block, Road, etc.)
on Su U CJ in a -re (S 10.('lJ N.C.
(Waterbody) (Town and/or County)
Applicant's phone #; 25�-✓' i '� 53 7 Mailing Address: t (ooZ'3
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal.
RACK SOUND
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by property owner proposing development)
Description: Ptace rprap (2 to 1 slope) in front of bulkhead and backfill behind bulkhead.
Bulkhead length
88'2
8'6"
Riprap - 2 to 1 slope; Height of bulkhead (top to sand) 4'3"; length of rock from bulkhead 8'6"
Mean High Water Line of bulkhead (26" below top of bulkhead)
(Information for Property Owner Applying
for Permit)
g Pe
Mailing Address
City/State/Zip
252-3q/-153---�
Telephone Number
Aig a Date
(Riparian Property Owner Information)
Signature
Print or Type Name
Telephone Number
Date
4'3"

E
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT 4qk
I hereby certify that I own property adjacent to'
(Name of Property er)` ~`- S° : pity DCM
property located at
(Lot, Block, Road, etc.)
on in
(Waterbody) (Town and/or County)
Applicant's phone #: - Mailing Address:
N.C.
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal.
BACK SOUND
DESCR) PTION P" "OR DRAWING Cm .?,'F SSEID 7`77VE LOPIVIENT:
(To &s °v"ir. bYpr®t eny mpner proposf-; develop rer#
Description: Place riprap (2 to 1 slope) in front of bulkhead and baddit) behind bulkhead.
Bulkhead length
8V -
Rlprap - 2 to 1 slope; Height of bulkhead (top to sand) 4'3"; length of rock from bulkhead 8'6"
Mean High Water line of bulkhead (26" below top of bulkhead)
(ffi for- ? atie" for PH'£*,pe 3` CFFI'-- � -7)1y2„rram_
for Permit)
Mailing Address Signature
City/State/Zip Print or Type Name
Telephone Number
Signature Date
Telephone Number
Date
4'3"

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to ks
(Name of Property Owner): erg J lg C)CM
property located at
on
(Waterbody)
Applicant's phone #" -
(Lot, Block, Road, etc.)
in
N.C.
(Town and/or County)
Mailing Address:
jL;
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal.
--
DESCRIIFTI[ON P 'r" N MR DRAWING OF PROPs'3SED 77Vl✓T! OP + NT:
(To 76a' Dr by property mpner propos , &vekp�2rt)
Description: Place ripkap (2 to 2 slope) in front of bulkhead and bac fill behind bulkhead.
Bulkhead length
4'3"
9ACKSOUND
8'6"
Rlprap - 2 to 1 slope; Height of bulkhead (top to sand) 4'3 length of rock from bulkhead 8'6"
Mean High Water line of bulkhead (26" below top of bulkhead)
Vflllu e: f3t}T ^fin for I2II°eperg >
for Permit)
Mailing Address Signature
City/State/Zip Print or Type Name
Telephone Number Telephone Number
Signature Date Date

Date:
Adjacent Property Owner:
Mailing Address:
City, State, Zip Code:
Dear Adjacent Property:
8/31 /08
Jimmy Scott
P.O. Box 909
Rendleman, NC 27317
This letter is to inform you that 1, Brenda Killingsworth, have applied for a CAMA General Permit on
my property at 886 Island Road, Markers island in Carteret County. As required by CAMA
regulations, I have enclosed a copy of my proposed riprap project drawing as notification of my
proposed project. No action is required from you or you may sign and return the enclosed no
objection form. If you have any questions or comments about my proposed project, please
contact me at 252-341-1532,or by mail at the address listed below. If you wish to file written
comments or objections with the CAMA General Permit Program, you may submit them to. -
Division of Coastal Management
Morehead City Headquarters
400 Commerce Ave.
Morehead City, NC 28557
252-808-2808 / 1-888-4RCOAST
Fax: [phone]
Sincerely,
Brenda Killingsworth
Property Owner
1628 Pelham Rd, VVinterville, NC 28590
Mailing Address

0
ADJACENT RIPARIAN PROPERTY OMINER STATEMENT
i ;
I hereby certify that I own property adjacent to 'sf �Ol)
(Name of Property Owner)
property located at �ltv(;
(Lot, Block, Road, etc.)
on in N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: Mailing Address: ;
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 A�- 3)''OR DRAWING f" —_7.-T'")SEID 77VE LOPME T:
(To bps 7Ted to by pToperty owner propos. ~, devakpw_,ent)
Description: Place rfprap (2 to 1 slope) in front of bulkhead and baddiii behind bulkhead.
Bulkhead length
88 2
4'3"
BACK SOUND Current Pie
8'6" —
Itiprap - 2 to 1 slope; Height of bulkhead (top to sand) 4'3"; length of rock from bulkhead 8'6"
Mean High Water Line of bulkhead (26" below top of bulkhead)
( ilA��" Yihig fear Prl_,p+e$ e r' L^ ^�
for Permit)
Mailing Address
City/State/Zip
Telephone Number
Signature Date
Signature
Print or Type Name
Telephone Number
Date

Date:
Adjacent Property Owner:
Mailing Address:
City, State, Zip Code:
Dear Adjacent Property:
8/31 /08
Klutz Piano Co. Inc. Eta[ Kiker
P.O. Box 305
Granite Quarry, NC 28072
SF LI21008
Moreheac
This letter is to inform you that 1, Brenda Killingsworth, have applied for a CAMA General Permit on
my property at 886 Island Road, Harkers Island in Carteret County. As required by CAMA
regulations, 1 have enclosed a copy of my proposed riprap project drawing as notification of my
proposed project. No action is required from you or you may sign and return the enclosed no
objection form. If you have any questions or comments about my proposed project, please
contact me at 252-341-1532,or by mail at the address listed below. If you wish to file written
comments or objections with the CAMA General Permit Program, you may submit them to, -
Division of Coastal Management
Morehead City Headquarters
400 Commerce Ave.
Morehead City, NC 28557
252-808-2808 / 1-888-4RCOAST
Fax: [phone]
Sincerely,
-� L
Brenda Killingsworth
Property Owner
1628 Pelham Rd, VVintervilleNC 28590
Mailing Address

..04
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT , r.
I hereby certify that I own property adjacent to Sn
(Name of Pro g1 2008 ` Property Owner)
property located at,�
(Lot, Block, Road, etc.) y OCM
on ,in 1 ., N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: Mailing Address:_ - t
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal.
DESCRIMON ??' 'Ol IlJnAINVI G C7 n 1-IT SED 77V EI LO1PIWE1\117:
(To bs --led k by progeny mPner proposI- • devetl P mer*)
pescripdan: Place riprap (2 to 1 slope) in front of bulkhead and baddll behind bulkhead
Bulkhead lertgth
88'2
4-3-
BACK SOUND Current Pie
8'6' -
Riprap - 2 to 1 slope; Height of bulkhead (top to sand) 4'3'; length of rock from bulkhead 8'6"
Mean High Water Une of bulkhead (26' below Lop of bulkhead)
'_---_-------- --- —_'--'_—w_-�-
(We"�'�:dVer for PropB , y 0--=.,. ' , " • ��t2° ii? ':' ,� - ttt'� -,^r V- ` t , -
for Permit) V
Mailing Address
City/State/Zip
Telephone Number
Signature
Print or Type Name
Telephone Number
Signature Date Date

BRENDA L KILLINGSWORTH , t
1628 PELHAM �'--� ,
WINTEFiVILLE, N 'I545
NC 28590 66-112/531
BRANCH 74501
---------------------------
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BB&T
BRANCH BANKING AND TRUST COMPANY
1-800-BANK BBT BBT.00m
I:053 10112 0:00051970053 7
01110 1545

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AUUNITEDSTATES
POSTAL SERVICE. Home I Help
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Label/Receipt Number: 7008 1140 0002 0396 1974
Detailed Results: Track & Confirm
• Delivered, October 03, 2008, 10:38 am, GRANITE QUARRY, NC Enter Label/Receipt Number.
28072
• Notice Left, September 30, 2008, 2:59 pm, GRANITE QUARRY, NC
28072
• Acceptance, September 29, 2008, 2:43 pm, GREENVILLE, NC
27834
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LISPS - Track & Confirm Page 1 of 1
2 UNITEDSTATES
POSTAL SERVICE. Home I Help
Track & Confirm
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Label/Receipt Number: 7008 1140 0002 0396 1950
Detailed Results: Track & Confirm
• Delivered, October 03, 2008, 11:31 am, RANDLEMAN, NC 27317 Enter Label/Receipt Number
• Acceptance, September 29, 2008, 2:43 pm, GREENVILLE, NC
27834
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®qw
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1� / )i;�
MONITORING & COMPLETIO REP
[CAMA Major Development & State Dredge & Fill Permits]
PERMITTEE'S NAME: �� r� �� r �� I l�n t s +,r 0r4 PERMIT # S'2 G L,I q C
LOCATION: FIELD REP. 4, 6
Ac-c 6 r r :1 4„ 1 MONITORED BY RC
PHONE: '_�L1 1- I S'3 2
DATE OF INSPECTION ::�2 iz2, Fk (,
DATE REPORTEDLY COMPLETE: M CL_
1) Do th easure , dimensions of the development differ from those indicated in the permit and workplat?
YES [circle one].
COMMENT: & :4 110 i N WIC c GP
2) SEDIMENTATI� )N & OSION CONTROL: Has Permittee seeded, grassed, or otherwise stabilized all
disturbed areas? YES/ O circle one]
COMMENT: IN
3) FUTURE MO ORING & ENFORCEMENT ACTION: Is further investigation or enforcement action
needed? YES [circle one].
COMMENT: A41

1