61027_CABIN CK HOA_20120919

JCAMA / C' DREDGE & FILL I' NO. 61027
GENERAL PERMIT Previous permit #
❑New ❑Modification CJComplete Reissue I-, 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 Project Location: County
Address Street Address/ State Road/ Lot #(s)
City _ State ZIP -------------- - - —--
Phone # (_ ) Fax # () ' Subdivision
Authorized Agent City_ __- --- -_-- _.--- ZIP
Affected ❑ CW L-i EW ❑ PTA ❑ ES El PTS Phone # (_ -_-) River Basin
AEC(s): - OEA - HHF IH - UBA _ N/A Adj. Wtr. Body- ,--_,_ (nat /man /unkn
i- PWs: "FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body --
Type of Project/ Activity
(Scale: ) I
Pier (dock) length_____�-
Platform(s)
Finger pier(s)`
Groin length
t
number -
I_
Bulkhead/ Riprap length j r
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other_ - - -
4
Shoreline Length
SAV: not sure yes
no
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
i
Application Fee(s) Check #
_- See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Date Expiration Date
Local Planningf urisdiction 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
landowners).
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:
J Tar - Pamlico River Basin Buffer Rules ❑ Other:
L ] 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/ 1-888-4RCOAST
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)

B PRESCOTT MARINE CONSTRUCTION
PO BOX 874 252-249-0149
ORIENTAL, NC 28571
PAY
TO THE
ORDER OF
First Citizens
Bank col 64- t _ (x, a �
FOR B:j d Ct4kk-
3237
j r 66-30/531
472
DATE
Z1V_ j 7
p see°my
Features
_DOLLARS
r�JM 'm
v00 3 2 3 7u■ i:0 5 3 L00 300t:00 4 7 L 20 20 4 9 ?V

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date S I U n� 1 U. 20 I �`—
Name of Property Owner Applying for Permit:
R�- - � L1A-hr5
Mailing Address:
erri-H-ti\IG 25�55(�
I certify that I have authorized (agent) �. Pl((SC Q1 M aV.1 h e GPS+. to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) A, CD nC V C +C� D 1(-r ,
at (my property located at) -�1?l r(A kf n C rec v- RA.
This certification is valid thru (date)
Owner Signature

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CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner: � 6 n+ k( `SC al 0l ti- V O c n � C
Address of Property: C ` 9 Ca b [y-) Cr e e C C J .l L u � 10L Pfta\ ( (o (c).
(Lot or Street #, Street or Road, City & County)
Applicant phone #: 2,5'Z - ')-/I C 1 J `1 (71 Mailing Address:
I hereby certify that I own property adjacent to the above referenced property. The individual
appiying for this permit has described to me as shown on the attached drawing_the development
they are proposing. A description or drawing, with dimensions, must be provided with this letter.
I have no objections to this proposal. I have objections to this proposal.
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-IRCOAST. No
response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift 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.)
l I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Pro rty Owner Info a 'on)
Signature
1/:z /1)C � W /' CL C
Print or Type Name
r
/("-/ i G'� ✓;� /L�r l ��
Mailing Address
22C
City/State/Zip
Telephone Number
to _�J',
Date
(Ri rian Property Owner Information)
Signatu,*
k:s�v( d-e- l Cc
Print or Type Name
lam- C20'-�r' �-r s
Mailing Address
City/State/Zip
Telephone Number
Date

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner.
VnSr Y-n �t �- v n 1 C
2 I 11 �1 1
Address of Property: �'>�C b I n Cie C �_ �(t -� ! `�i t ( f t-t Pna� I (C n (C> .
(Lot orStreet
l#, Street or Road, City & County)
Applicant phone #: 2-52 J �Z'l�' -0 (� \f + Mailing Address: n COX �1
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing with dimensions must be provided with this letter.
I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must nobly 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.nccoastaimengementnet/contact 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.
WAIVER SECTION
i understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift must be set back a
minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to
w ve 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 O r Information)
Signature
r
Print or Type Name
k z7 14--Jou L^a
Mailing Address
Q1
City/State2ip
Telephone Number
Date
(Riparia op Owner Information)
Sigmmatu�
Print or Type Name
Mailing Address
COIState/Zip
Telephone Number
Date

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: � f I iq ( r n
Or, V11( v
2 C� j 1
Address of Property:, 6 I ca y'� (1'1 �'1 e e V— ��( •i �� f 1( `r ( � 'Paw h( n (0,
(Lot or Street 1#, Street or Road, City & County)
Applicant phone #: 2-52 5 — ��I` f -0 + Mailing Address: �CX & -1
0(.I(�ita ICI 2�5I i
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing with dimensions must be provided with this letter.
I have no objections to this proposal. I have objections to this proposal.
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.nedcontact dcm.htm or by calling 1-888-4RCOAST. No
response is considered the same as no objection if you have been notfied by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift 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 Inforrmma_tr'Q
'C L_
i a re
vi
Print or Typd Name
Mailing Address
L 7 i
City/State2ip
Telephone Number
Date
(Riparian Property Owner Information)
Signature
Print or Type Name
Mailing Address
CO/StatelLip
Telephone Number
Date