60353_BUTTS, TIM_20120730

r -CAMA / L-1 DREDGE & FILL NO. 60353
GEN RAL PERMIT Previous permit #
❑Newy �djficati "Complete Reissue Partial Reissue Date previous permit issued
As authorized b the St t rth arolina, 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 Project Location: County
Address Street Address/ State Road/ Lot #(s)
City State ZIP
Phone # () i_ Fax # (�)_ Subdivision
Authorized Agent City____ -
---------------- ZIP- —
CW L—j EW ❑ PTA 3 ES PTS Affected Phone # (_. _ River Basin
-------- --
AEC(s): 0 OEA FJ1 HHF F IH UBA N/A Adj. Wtr. Body,---------- (nat /man Junkn�
71 PWS: AFC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) length_____________
Platform(s)
Finger pier(s)_ __
Groin length
number___^
Bulkhead/ Riprap length
avg distance offshore
max distance offshore r
Basin, channel
cubic yards
Boat ramp _ ,r
Bo Ouse/ Boatlift
Beach Bulldozing _
Other
Shoreline Length
f
l SAV: not sure yes no
Sandbags: not sure ye no
Moratorium: n/a no
Photos: ,\� no
Waiver Attached: es 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
Application Fee(s) Check #
f
1Al)tU Q P1k1 6/ 1rl C S
C' See note on back regarding River Basin rules.
Permit Officer's Signature
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 El 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 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)

TURNER MARINE CONSTRUCTION
P.O. BOX 1885
MOREHEAD CITY, NC 28557
DATE -7
1236
66-112/531
PAY
TO THE
ORDEROF
DOLLARS
mBRANCH BANKING AND TRUST COMPANY
11-800�-BA�NKKBBT BBT.Com
FOR 1 t k i-o + �-'-- - �3� _- ^&E
11"0000 1 2 36111 ':0 5 3 10 L 1 2 11:000 5 103 L L 304 20
x A

;oGlicant: T j J'V \
Date: �� y
qni'
Describe below the HABITAT disturbances for the application. Ail values should match the name, and units of measurement
found in your Habitat code sheet.
Habitat Name
DISTURB TYPE
ChooseOne
TOTAL Sq. Ft.
(Applied for.
Disturbar--e total
includes any
anticipated
restoration or
ternp impacts)_._impact
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
tern im acts
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
Dredge ❑ Fill Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
bredge ❑ 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 ❑
u ;2•%3v.. ' J` 'i: COAST

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to. I TT S `s
ame of Property Owner)
property located at cl �J
(Lot, Block, Road, etc.)
on Pa r4 b , in t LI�__ f.T ' C.. `B c.4-, C�L`L-t N.C.
(Waterbody). (ToLi and/or ounty)
Applicant's phonk'#'.l l'D'/';t1--" f --15 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 AND/OR DRAWING OF PROPOSED DEVELOPMENT:
V (To be foiled it property owner proposing development)
t4 5 `- If
A.LID QIUM-I iD(1
s �r� P-M ztoz z t �n�
� l
- ------------------------- 01------ ------------------ -----------------=-----
' �nfor tion for Property Owner Applying (Riparian roper ner nformation)
for Permit)
Mailing Address Signature
City/State/Zip Print or Type Name
Telephone Number Telephone Number
Signature Date Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent torn (�s 's
o iD G� v,,.(N4me of Property Owner)
property located at
lip I
(Lot, Block, Road, etc,)
t.
on_ 77t ta-E ebt4D , in l ii�I11c g �� �{-Q� N.C.
(Waterbody) (Town and/ r County)
Applicant's phoneiI�7i2-S Mailing '�a 1I�f?$
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 p_Lopea gwner proposing development)
i 2 2012
! �-+ -10 d:
------------
------ =` =- '---------------- - o E----------------------------------------
t
-- -
er Applying (Ripariane t5' Owner information)
for Permit)
- r
Mailing Address Signature
City/State/Zip
Telephone Number
Signature Date
Print or Type Name
Telephone Number
.l'l.,"1,.
Date

,
... a, ... .., _. j r��ll `. ��..., ri+ .�i;�i�;•fir ' as oL cRo
he t�.UVJtl::rtill, i'a'W Ci ;7'�ii;iy.C_i !:� ;, <`r .'r'�r :f, `3i:1`;'• ��,. 4,,i.,. _..frjf,Qdy'."r� i..,._ ,.l
iOG tl v Bubb f'•... _ 1, (fl.�; .,',iiii J. ,✓ :�,.,i �': ��i:, c�i�vi,_
I have no objection tothis pis procosal.
I have objections to this proposai.
DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
RECETWI)
L"` s �►� ® 'Jul- 3 0 201z
144 46
,DCT Y / six,
"pggA
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
back a minimum distance of 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.)
do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature
Print or Type Name
Mailing Address
City/State2ip
Telephone Number
Date
(Adjacent Pronarty Owner Information)
Sig ature
Print or Type Name
Mailing Address
City/Sta telZip
Telephone Number
'? -IY-l Y
Date
(Revised 611812012)

NZ. DIVISION OF COASTAL PflANAGEWENT
AGENT AUTHORIZATION FORM
Date 2 - r ' f -.Dt-
Name of Property Owner Applying for Permit:
T' 1 �h .i3yTrS
Mailing Address: t
I certify that I have authorized (agent) J�pOeIE W-t-5,5 to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) 54A L,.)ff r LL, •F j'Z5%j*T' LI'F?' ,
at (my property located at) .2..'>, 5 -'a t-.D c-peiJ5y-u. A,.) Ki7fiif+ rr t.H
This certification is valid thru (date) 1.2- -�? I - t --I—
Property Owner Signature
Date
RECEIVED
JUL 3 0 2012
DCM :MHD CITY

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date 0 S'- / 2—
Name of Property Owner Applying for Permit:
yoa.
Mailing Address: Z40� 9 0 NoN
Goa �d►�boe� Wc. Z753Z
I certify that I have authorized (agent) fit o T-cec!Sirs :i to act on my
behalf, for the purpose of applying for and obtaining all CA_VIA Permits necessary to
install or construct (activity)
at (my property located at) -Z`Z9 OL- 0
This certification is valid thru (date)
Property Pwner Signature
Date

,:r?l���a PROPc > J
ii ( �9i 'a PC j=; 11 t1 i�i�{
;,.. �^ -i:- _ ��
M�...i?I :±S'�I S.'�.1. �'il �/% "���.1I �/lJ� ✓ !� ;::�)LJ!'..'7�`7l Vl...))P,i../.
The appilc& i has %ivJ'�i j�,ivsi t. {, C+J �� ll. `I GiGii . .,! 1i6 ��yJ /n i �i ✓`Jv ,
location. ~
i have no ob,aollon to this proplosal.
I have. objections to this prcposai.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
fnAk-x Xkoa+tr""" T),,c..IL���YISi IvS �v�T 6)
--, Sr"Z0
0
L VC
a
E7
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
back a minimum distance of 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 wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner/fnformation)
Print or Type Name
ox �►+75
Mailing Address
�odcls}k,,ti,o- N -� .Z1153Z
City/State2ip
►4 `iZ ( '"1. t'Z5
Telephone Number
1i-5-rZ
Date
(Adjacent Property Owner Information)
ov
Sig ature
Print or Type N e
Cling Address r�
City/State/Zip
L, - �V�l
Telephone Number
Date
(Revised 611812012)

ADJACENT RIPARIAN PROPERTY OWNER STATE,ME'NT.
1 hereby certify that I own property adjacent to J �_. _ _ . 'S
(Name of Property Owner)..
property located at �Z Z t _ v G� 60 o -,m—g
(Address, In t, Mock) Road, etc,)
in L9yt.�i t 1�� e G2 , N.C.
(Waterbody) (City/Town andior County)
The applicant has described to rne, as shown below, the development proposed at the above
location.
Y, I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing. development must fill in description below or attach a site drawing)
ro4lZa.` ton kK i �.�LK? r,� ��i�%1ry , r'os'T 6'2^- i F
,': , -,+1Y�t Dx)L
-�p444 11 L . t
4t-- v--t
0
P-Ect7VED
Nov 0 6 2012
DCAf-MBD CITy
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
back a minimum distance of 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.)
k'Q I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Infhrrpation)
Si
Print or Type Name
y -6" 1 t 4-7 -�
Mailing Address
U
City/State/Zip
Telephone Number
ll �5i 2
Date
(Adjacent Prop y Owner Information)
Si n. ,dire,
Print or Type NaMe
MailigA ddressn
Cit�lyjl/ tatelZip -�tt
,�)2 - ?Z- 7?��
Tel � ¢71N2umber
Date
(Revised 611812012)