60391_BROOKS, BARBEL AND AL_20120815

'CAMA/ DREDGE & FILL
NO. 60391
GENERAL PERMIT
Previous permit#
New 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
]Rules attached.
Applicant Name
Project Location: County —
Address l-�
- Street Address/ State Road/ Lot #(s)- -
Y
City - � •', � , ` _State..- - -_ZIP
Phone # ( ) Fax # (. )
Subdivisions ,
Authorized Agent
City ZIP
CW - EW PTA DES OPTS
Affected
Phone # ( ) River Basin
-
OEA LJ HHF ❑ IH ElUBA �' N/A
AEC(s):
Adj. Wtr. Body _ (nat_/man /unkn)
PWS: FC:
ORW: yes / no PNA yes / no Crit.Hab.
yes / no Closest Maj. Wtr. Body _
Type of Project/ Activity
i
Pier (dock) length
Platform(s) j!
Finger piers)
Groin length
I �
�
number
Bulkhead/ Riprap length
-
#
-
avg distance offshore
r
_t
��
max distance offshore
it
Basin, channel
.'
I
AV
I
cubic yards + "i
Boat ramp -
Boathouse/ Boatlift
Beach Bulldozing _ -
i �
Other
Shoreline Lengtht
SAV: not sure yes no
i
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
Signature ** Please read compliance statement on back of permit
(Scale: )
y
I
rC
kz
—
See note on back regarding River Basin rules.
r
Permit Officer's Signature
Issuing Date Expiration Date
Application Fee(s) Check #
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 [)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:
U 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.
(Serves: Carteret, Craven, Onslow -above
Raleigh, NC 27604
New River Inlet- and Pamlico Counties)
919-733-2293
Fax:[phone]
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)

applicant: �/�
// 7 r'e 91(l
Date:
f
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
C h 1v Co '
Dredge ❑ Fill ❑ Both ❑ Other
�~
W
Dredge ❑ Fill ❑ Both ❑ Other
7a:KDredge
❑ 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 0 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 ❑
Is
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N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date
RECEIVED,
Name of Property Owner Applying for Permit: AUG 04 2012
DCM-MIM CITY
Mailing Address:
TAVwth - N c. a&57-26
I certify that I have authorized (agent) RM—!EW V-�E-635 to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) >OC-4
at (my property located at) I I I Ft�R "t4 CI'I?y —15=�
This certification is valid thru (date) I2� 3 (— ( pL
Property Owner Signature
Date

Adjacent Riparian Property Owner Statement Page 1 of 1
Adjacent Riparian Property Owner Statement
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to (�E L -r TRc c ks 's
Name of Properly Owner
property located at l i ct T J RSe Aj Ct ►2 C C F E x T- ,
Lot, block, road, etc. %
on —T® GccS - ©cc) t� , in X)FW Jca2 All C �8 S , NC
Waterbody Town arWor 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 do not wish to waive the setback requirement.
I do wish to waive the setback requirement.
Description and/or Drawing of Proposed Development
(To be filled in by the individual proposing development)
�I
O�
�oPE,r
x/
Signature
WIZ L /AM /1? . J o ly CS
Print or type name
!7l9- 1n37 -- �/ 6
Telephone number
rrU_
Date
http://innerbanks.biz/arpos.htm 7/19/2012

■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
j ■ 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:
��ffl JQ�O�� i�0'i vQ
i Ca't/L
,,5 33
2. Article Number
(transfer from service label)
LPS Form 3811, February 2004
A. Signature
' ❑ Agent
X1 - ❑ Addressee
B. eceive y (Printed Na C. D to of D livery I
D. i / i i -/%z 5JI k.L�
D. Is delivery addresYdifferent from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Se ice Type
Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
7010 1,060 0001 3622 9493
Domestic Return Receipt 102595-02-M-154o

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 •
N _�RfR�S0L�iZ00�'cS
�/I� 76f4R, oOAJ CIRCLE R
�/VEhl,Pak ! ! A) c

Adjacent Riparian Properly. Owner Statement Page 1 of 1
Adjacent Riparian Property Owner Statement
(FOR A PIER/MOORING PILINGS/BOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to Pr919-C L , ',eFR00 kS is
Name of Property Owner
property located at A4 EARSON C1JeCLE Fx i A1EW PDl2 l NC -�zS
Lot, block, road, etc.
on -Zp -S kE �O u t'J b , in iJ EW P aR t 09U � CP�wx4YC
Waterbody Town and/o 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 do not wish to waive the setback requirement.
I do wish to waive the setback requirement.
Description and/or Drawing of Proposed Development
(To be filled in by the individual proposing development)
�S zo 3%
Signature
Print or type name
Telephone number
Date
http://innerbanks.biz/arpos.htm 7/19/2012

TURNER MARINE CONSTRUCTION
P.O. BOX 1885
MOREHEAD CITY, NC 28557
II PAY
TO THE
ORDER OF
Kt
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66-1 12/531
DATE
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