57879_BRANDES, RHONDA_20110502

❑ CAMA / ❑ DREDGE & FILL g
GENERAL PERMIT Previous permit #
❑New 21Modification ❑Complete Reissue El 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
Address
City
Phone # ( )_
Authorized Agent
Affected ❑ CW
AEC(s): ❑ OEA
❑ PWS:
ORW: yes /(90
State ZIP
Fax # ( )
❑ EW ❑ PTA ❑ ES ❑ PTS
❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ FC:
PNA yes / (9 Crit.Hab. yes /�Q
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
CityZIP
Phone # (^) River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
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MEMEMMEMMEMEM
III
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit"
z
Application Fee(s) Check#
Permit Officer's Signature f%
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 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 Mail
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

RHONDA W BRANDIES
5109 SKY LANE DR 3545
DURHAM, NC 27704 68-54/514
PH 919-682-3379 BRANCH 18186
Date
Pay to the
order of $ POO,
- 77� 'D ff r--4— Dollars
(1)
Fow.
mii= WACHOVIIA
Wachovia Bank, N.A. 7y
wachovia.com
For It" NP
1:05 140051,91:10 1003 236 Mite
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RECEIb'ED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM MM 2 2011
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
0 DCM-MHD CITY
I hereby certify that I own property adjacent to A,y a s
(Name of Prgperty Owner)
property located at 7 � A +
ti
Z-4
(Address, Lot, Block, d, etc.
on �'�ti �`
in � �a N.C.
(Waterbody) (City/TownInd/or County)
Agent's Name #: 040 fikV C!e) Mailing Address:
Agent's phone #: 1 �� Du lr�ka La
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
rpoef4tkv,
cf r bV
AA x' a LA C'I S
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at www.nccoastalmangement.net/contact dcm.htm or by calling 1-888-4RCOAST. No
resnonse is considered the same as no obiection if you have been notified by Certified Mail.
1(—/
Prope Owner I rmation)
Signature
�A, p N�v���S
Print or Type Name
s1Io
Mailing Address
-T) I't -C k a t-
City/StaWZip
Telephone Number
,5- 71 h/
Riparian ro erty
caner Information)
Signature
Print or Type Name
7 / -7 Jq
-�—
Mailing Address
City/State2i
/,
Telephone Number
Date rDate

r" RECEIVE!)
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
I hereby certify that I
property located at
own property adjacent to
MAY 2 2011
DCM-Ww crry
f
100\^f Gt �461A"s Is
(Name of Property Owner)
(Address, Lot, BI , , Roa etc.) !!
on '!° �( v-e , in I ' `*l 0,1 N.C.
(Waterbody) (City/Town and/or County)
Agent's Name #: a ? Meiling Address: �U % p LgPi e
Agent's phone #: .IDL t Y �C L C ;) - -7oq
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
-----------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
F I t)
J t �,e r U (.e
ILI k elt a v- c LL s
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at www.nccoastalmangement.neticontact dcm.htm or by calling 1-888-4RCOAST. No
response is considered the same as no objection if
you have been notified by Certified Mail.
(Property Owne ormation)
(Riparian Prop rty Owner Information)
Signatu e
&L) i)' S-5
Sig ature
Print or Type Name
Print or Type Name
M() ) 0 f ailing AddrassAa C 0 t(
Mailing Addre�
BhA�27n,),
City/State/Zip .
CitylStatelZip
Telephone N mb r
Telephone Number
Date
Date

Fax Send Report
Date/Time : APR-28-2011 10:34AM THU
Fax Number
Fax Name DCM MHDCTY
Model Name SCX-5x30 Series
No. Name/Number
StartTime Time Mode Page Result
244 919196889283 04-28 10:33AM 00,53 ECM
Division of Coastal Management
AN
NCDENR
North Carolina Department of Env'ronment and Natural Resources
Beverly Eaves Perdue, Governor
James H. Gregeon, Director Dee Freeman. Secretary
FAX COVER
DATE:
q l hl
To: Mrs,
�i1tp[I�a fan 5
OFFICE:
FAX 4:
TELEPHONE P
TOTAL PAGES INCLUDING
COVER SHEET: /.
FROM:
�jCq�Q �nnP 1�
Morehead City Office
400 Commerce Avenue
Morehead City, North Carolina 28557
Phone: [phone]
FAX: [phone]
www nccoastalmanaaemenl net
ho
r n a at �
002/002 O.K

Division of Coastal Management
WCDENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary
FAX COVER
DATE: `7 I agI ll
TO: lUlrs1 � l,►imAtA t�,�ndp-5
OFFICE:
Fie C9(q)63d �a>
TELEPHONE
TOTAL PAGES INCLUDING COVER SHEET:
FROM: 0A co a
Morehead City Office
400 Commerce Avenue
Morehead City, North Carolina 28557
Phone: [phone]
FAX: [phone]
www.nccoastaImanagement.net
RE: (� s ��` t ' War Y d
�2 I:fi
T•�Fa� (�nvar n�nn

Division of Coastal Management
A7,A.
WCDENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary
FAX COVER
DATE:
TO:
OFFICE:
FAX #:
TELEPHONE #:
TOTAL PAGES INCLUDING COVER SHEET:
FROM:
Morehead City Office
400 Commerce Avenue
Morehead City, North Carolina 28557
Phone: [phone]
FAX: [phone]
www.nccoastaimanagement.net
RE:
r U:— rn„o, nnne

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to IS6oAa b co-o e-e; is
(Name of Property Owner)
property located at
p (Lot, Block, Road, etc.)
on !V Pi(.(t`vPi �� (� in e+0 f , N.C.
(Waterbody) (Town a d/or County)
Applicant's phone #: � Mailing Address: K� ��-
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 AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by property owner proposing development)
-----------------------------------------------------------
(Information for Property Owner Applying
for Permit)
Mailing Address
City/State/Zip
Telephone Number
Signature Date
(Riparian Property Owner Information)
Signature
Print or Type Name
Telephone Number
Date

DivisionNC Coastal N19t. HabitatImpact Computer Sheet
Applicant: Rhonda Brandes
Date: May 2, 2011
General Permit #: 57879C
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
Habitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
OW
Dredge ❑ Fill ❑ Both ❑ Other ®
128
128
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
fS,.;:.r 'h-