58327_ABBRUZZESS, FRANCES_20110821

11 CAMA / 1-1 DREDGE & FILL
GENERAL PERMIT
EINew ElModification DComplete Reissue Ll Partial Reissue
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
Previous permit #
Date previous permit issued
EJ-Rul attached.
Applicant Name Y) 'D Project Location: County
Address —I "I V1 Street Address/ State Road/ Lot #(s)
City i-..J S.. ZIP
Phone # Fax #( Subdivision
Authorized Agent T; f-7 r I M C".j City ZIP
Affected D Cw El EW EJ PTA El ES D PTS Phone# River Basin
AEC(s): D OEA D HHF Ll 1H El UBA 0 N/A Adj. Wtr. Bod (nat /man Junkn)
E PWS: [7 FC:
ORW: yes / no PNA yes / no Crit.Hab. yes no Closest Maj. Wtr. Body
NONE
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Agent or` Applicant Printed Name
Signature ** Pleaseread compliance statement on back of permit
Permit Officer's Signature
Issuing Date Expiratiori 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 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 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

FIRST CITIZENS BANK
OUTER BANKS MARINE CONSTRUCTION, INC
1501 FIRST AVE
M17RFHEAD CITY NC 28557
I
4517
66-30/631
137
[phone] 8/ 1 /2011
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0
PAY TO THE "
ORDER OF D.E.N.R. I $ **200.00
a
Two Hundred and
DOLLARS
D.E.N.R.
MEMO �s-1�q
i1'004 5 L ?ill 1:0 5 3 100 3001:00 13 12 18
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711'
AUTHORIZED SIGNATURE

APR-17-2008 16:04 From:DCM MHD
2522473330 To:252 247 6332 P.1/1
WA
As
HCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Govemor James H, Gregson, Director William G. Ross Jr., Secretary
DaP-22--- I
Applicank Namc�,�
Mailing Address Io hoop
i certify that Y have authorized (agent) ! (VYi r Z�
Y—<- to act on my
behalf, for the purpose of applying for and obtaining all CAMA permits necessary to
install or construct (activity) 1--)a
at (location)
This certification is vatic! thru (date)
Signature
RECEIVED
AUG 2 2 2011
DCM-MHD CITY
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internet: www.nccOastalmanagement.net
An Equal Opponunily 1 AflirRiahve Action Employer - 50% f9ecycled k t 01% Post Consumer PaQer

ouwm BANKS
ISM rwa Ammume,, #Aow"lwmd Cam, MC 28557 DOM - SEEI NAU.S - DUCKS �
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER(M00Rl7YG PH flVGS/BOATUFTIBOATHOUSE)
I hereby certify that I own property adjacent � G u m 's
(Name of Property Owner)
property located at �q `ice -�
(Lot, Bloch, Road, etc.)
onin 4 , N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: 1172.8 Mailing Address: lf7`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. I understand that a pier/mooring pilings / boatlifi / boathouse
must be set back a minimum distance of fifteen feet (l S) 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 not wish to waive
I do wish to waive that setback requirement
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filed in by individual proposing developmen)
1
(Information for Property Owner Applying
for Permit)
1qq� GP Mailing Address
City/State/Zip
(Riparian Property Owner Information)
ignature
�i�a�r e �• U �l�d ! P
� y
Print OfType Name
11 216 20
Telephone Num Telephone Number
> _ Z�
$ ire Date
J!Y
��1

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOOREVG ��3 � 's
PLLIIVGSBOA�T`L'IFTBOATHOUSE)
/J�I hereby certify that I own property adjacent to� V
f (Name of Property Owner)
property located at to
I 1 , - (Lot, Block, Road, etc.)
on �-+� 1C1 Cl�1-`, in , N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: "7Z.!a Mailing Address: ) C-) L� "n,
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. (If you wish to waive the setback, you must initial the appropriate blank
below.)
I do not wish to waive
I do wish to waive that setback requirement_
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
CNA I �
(Information for Property Owner Applying
for Permit)
Mailing Address
City/State/Zip
Telephone Number
Si afore Date
(Riparian Property Owner Information)4A
Signature
Print or Type Name
Telephone Number
Date