58315_EDWARDS, DAVID_20110831

❑CAMA / ❑ DREDGE & FILL P's C..
GENERAL PERMIT Previous permit #
❑New ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources .7/ i /
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
2tftlgs attached.
Applicant Name A tJ I u'' �-� �-..JC-� Project Location: County <�. cl-i- C
Address f �'��'` Street Address/ State Road/ Lot #(s)
4 �
City:• State'`' ` ZIP
Phone # (� } Fax # (,) Subdivision c
Authorized Agent City ZIP '5
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / (no" Crit.Hab. yes / no
Phone # ( ) River Basin 6.J, i tOVA f
Adj. Wtr. Body ! ( r �'`�"� ` ' (nat %man /unkn)
Closest Maj. Wtr. Body
■■■■■■ ■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■ ■
. ,• ...
■■■
■0■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■■■■■■■�■■■■■■■■■■■■■■■
■■■■■■�!�■�i■■■ICE■I�lilCr■■rii■■■■■■■■�I■■Yt■
■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ONE ■■■
■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■�
■■■■■■■■■■■■■■■■■■■■■■■■■■■■■,N ONE
■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■
Agent or Applicant Printed Name
Permit Officer's Signature
Signature Please read compliance statement on back of permit Issuing Date
Date
Application Fee(s) Check # Local Planningjurisdiction 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
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.
(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)
Revised 08/09/06

- SAMMIE E. TURNE"
MARINE CON' ;TRUCTION ACCT
252_725-3416
P.O. Box 1885
MOREHEAD GITy, NC, 28557
PY A
To THE KI L
ORDER OF r,> R�
BRANCH 13ANK ANBOTM131-1*'
ST COMPANY
ING ANK
DATE -
5281
66-112/531

aL .
Norih Carolina Department of Errvironment and 1",datura! Resources
DMIsion fc) Coastal Manzagement
Nlichze! F. Easley: Governor ion -es, Director William G. Ross Jr., Secret s{
Date / - / ! - 1 1
fkpplicaxlt NameAPI ) 6)tlA ��
.ailinag Address
/t�
I eertafv that I have a�atl'noa-izec;9 (agent)rldl3lk W F— 91?> to act On lw
behalf, for tine purpose of applying for and obtaining all CANIA Permits necessary to
install or construct (actr'"ty)
at (location)
This cer I ficatioan is "alid thro (date)
�A�;rAa�SAre
RECEIVED
AUG 0 1 2011
DCM-MHD CITY

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to. � I D *6 bi R (2,PS 's
(Name of Property Owner)
property located at _"S Ll P -* 4 1-OE :WEPT
(Lot, Block, Road, etc.)
on N(a rN�4- C-Nd - ) in NE- f�� o R� h ET , N.C.
(Waterbody) (Town an /or County)
Applicant's phon hiR' &q'b -;�i??Mailing Address:
� y
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
LA
1.1I> 1i1
a
RECEIVED
3 4U G 01 2011
DCM-MHD CITY
(Riparian Property Owner Information)
Signature "A
h 2, �i ,��4V�4�✓Q-� -Q— R
Print or Type Name
90 q - 6 4 -s-L
Telephone Number
Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to b-M I D fVWA RDLS 's
(Name of Property Owner)
property located at ,Sw P *A- 4 Hi -OF 4T Rct4 N4 ,
(Lot, Block, Road, etc.)
on MP-RIbIP, C°144t L , in —� 4/`% 11JP0R I , N.C.
(Waterbody) (Town and/or County)
Applicant's phon� ` �-� ,7� Mailing Address: P 6
to `-_
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)
0
I" �rl 1
RECEIVED
0
IDC
G 0 1 2011
M-MHD CITY
(Information for Property Owner Applying rian Proper Owner Information)
for Permit)
Mailing Address
I
City/State/Zip
Telephone Number
Signature Date
ignature
or Type Name
Telephone Number
Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 'DR J LD 4'1(b S 's
(Name of Property Owner)
property located at e JAERC t4 lay its N IN S"L IF-* -' L ,
(Lot, Block, Road, etc.)
on N.W W At. C,PYR-IFRE-E , N.C.
(Waterbody) (Town and/or County)
Applicant's phone �� ���l�2! 79 Mailing Address: F>C> �'� �45'
�IY1C`74A L2� 151� t� e..
He has described to me, as shown below, the development lie 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 rleveloprnent)
(Information for Property Owner Applying
for Permit)
Mailing Address /
NL
City/State/Zip
asp - o f/& a i79
Telephone Number
Signature Date
k RC141 1r=: Psi C'r-:—!
�Q�oS�U
ti
0' .0
(Riparian Property Owner Infdrmation)
Signature
P'� 671�
Print or Type Name
ZSz 3q-3 42 q5�
Telephone Number
A� , 7- 2-0 �1
Date
bA14 i t$ 604s�-:n

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
Z hereby certify that 1 own property adjacent to 'Da 0 tD fWb> s is
(Name of Property Owner)
property located at e.- 1415ROP4 E 2nq M [�& 1 N 1a 5-L-1f'-` `I ,
(Lot, Block, Road, etc.)
Oil t' l NR>10 A�:- , c-IYRi1 R1Z-r � N.C.
(Waterbody) (Town and/or County)
Applicant'sphone f;R$��/- ^ �l'1�Maiiittg Addtess: P� 4� ��
�IY1�}3A L� is iI� rJ�
41
He has described to me, as shown below, the development lie is proposing at that location, and, I
have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DFVBLOPMENT:
(To be filled In by property owner proposing development)
(Innfornnatiou for Property Owner Applying
for Permit)
Mailing Address
City/State/Zip
T le ne Number
Signature Date
,ARc141 � PAC(=
iZQFQS�OG
tiles
a
----------- --- A ----------------------
(Riparian Property Owner Information)
--4114JV
Signature
-bAV1 b �o��n
Print or Type Name
Telephone Number
Date

r
3v
C/I 0 do