57159_CASEY, PORTER_20110314

Cl CAMA / ❑ DREDGE & FILL
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 I SA NCAC
El Rules attached.
Applicant
Address
City State ZIP
Phone # (,) Fax # ( )
Authorized Agent
❑ CW ❑ EW ❑ PTA
Affected
AEC(s):
❑ OEA ❑ HHF ❑ IH
❑ PWS: ❑ FC:
ORW:
yes / no PNA yes / no
❑ ES ❑ PTS
❑ UBA ❑ N/A
Crit.Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # ( ). -- River Basin
r�
Adj. Wtr. Body _�` ! #/°' ;. (nat /man /unkn)
Closest Maj. Wtr. Body ' {
Typeof Project/ Activity
Pier (dock) length
®N� INEME■NONE E":C:::1
-■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■`4i1■■■■■
C■.l.........y....■
..................■
•.
■C::Cl
MEN
�l::::��::::l::■:l:::�:::::::::
■■■■■■■■■■■■■■■il■■■■■■■■■■■■■■■■■■■■■■■
INNEEM
0
1
will,
MENNEEMEMINNEMMUMMEMEMEN
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit **
Permit Officer's Signature
Issuing Date
Expiration Date
Application Fee(s) Check # 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 [)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 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

NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: Porter Casey
Date: March 14, 2011
General Permit #: 57159C
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
HIS
Dredge ❑ Fill ❑ Both ❑ Other ®
400
400
OW
Dredge ❑ Fill ❑ Both ❑ Other ®
1,088
1,088
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 ❑
252-808-2808 :: 1-888-4RCOAST :: www.nccoastaimanagement.net revised:02/03/10

North (Garollre Departirnent of Crrviror iment and INIatural Resources
Division (D41 coas'Lal Management
Nlichae! F. Easley, Governor Charles S. Tones, Diraator William G. Ross Jr., Secretary
Date 3- a - I 1 —
E,,ppBcant Narne Rbe7-C-g- Ceist1
Mailing Address -Z
I eertify that I have aaatli3orized (agent) fir to act on inn -
behalf, for the purpose c,i applying for and obtaining all CAMA. Permits necessary to
in
install or construct (act Vit.y) '�L
at(location) 3 iP A Ire Gj�o 6-: � �(� car ►J U t-'�.Y�6 E'
5;'D '-� --r 1015'f--
This certification is 1<atild thraa (elate)
Signature

0
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--I- Postage
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$2.80
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(Endorsement Required)
Postmark
Here
$� 111
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(Endorsement Required)
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Total Postage & Fees ?� 11�I1 i1/?1111
Sent To
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p or PC Box No.
PS Form 3800, August 200E

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
r't!Ec f) spy
4-
I hereby certify that I own property adjacent to5A�1 EF s
(Name of Property Owner)
property located at as 3 (A n L,1 C 0 %ok L q —r ' C-t
(Lot, Blsoek, Road etc.Z �\ u6.F
on in 50- I`� �1�'�� G , N.C.
(Waterbody) (Town and/or County)
Applicant's phon��1 M� 553-Ss?`% Mailing Address: -A b0l C_�l�
C!,W?4 rl c 75�:? 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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by property owner proposing develo meat) _
6 �
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I�
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T-T
bf
(Information for Property Owner Applying
for Permit)
Mailing Address
City/State/Zip
Telephone Number
Signature Date
---Vd
(Riparian Property Owner Information)
Signature
Print or Type Name
Telephone Number
Date

SAMMIE E. TURNER
MARINE CONSTRUCTION ACCT
252-725-3415
P.O. BOX 1885
MOREHEAD CITY, NC 28557
PAY
� � TO THE � - H (�--
ORDER OF --- c,-------
---T-u,1
5045
66-112/531
DATE 3 -1 - 1
x�— Security
DOLLARS wO
BRANCH BANKING AND TRUST COMPANY
1-800-BANK BBT BST.com L , `/ \J
Ir0 504511' 1:05310 121,:000521058406611'
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Label/Receipt Number: 7009 1410 0000 1145 4069
Expected Delivery Date: February 12, 2011 Track & Confirm
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Service(s): Certified Mail
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Status: Delivered
Your item was delivered at 4:01 pm on February 23, 2011 in ATLANTA,
GA 30327.
Detailed Results:
• Delivered, February 23, 2011, 4:01 pm, ATLANTA, GA 30327
• Notice Left, February 15, 2011, 2:52 pm, ATLANTA, GA 30327
• Acceptance, February 10, 2011, 3:53 pm, ATLANTIC BEACH, NC 28512
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