Ajax, Martha

Y. ... .... ..
MCAMA El DREDGE & FILL
N" 674152 GENERAL PERMIT Previous permit # A B we D
KNew ElModification El Complete Reissue ElPartiall 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
[2Mules attached.
tc
Applicant Name if 11"t •Project Location: County
J Address Street Address/ State Road/ Lot #(s)
City State ZIP
Phone # E-Mail Subdivision
Authorized Agent City ZIP
Affected El CW ,,n EW 1❑:1 PTA DES 0 PTS
AEC(s): 11 OEA 0 HHF 0 1H 0 USA 0 N/A
0 PWS:
OIRW: yes , no- PNA yes
Type of Project/ Activity
-7-7, �7,
Phone# River Basin
Adj. Wtr. Body hat.1man /unkn)
Closest Maj. Wtr. Body'
t 'J
0
ONE
MEEMENI
IMEMENNIESEENEENEENIUM
INNIENINNNEINIONEENNINEEN1
(Scale:
E] See note on back regarding River Basin rules.
x,
C.,
Permit Officer's Printed Name Agent or �Oplicant'Printed Name
Signature "Please read compliance statement on back of permit" Signature
ApplicaticknFee(s) Check # Issuing Date Expiration Date

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 andvoid.
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, certifythatthis project is consistentwith the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
El Tar- Pamlico River Basin Buffer Rules 0 Other:
0 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 Resources. Contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the
Wilmington Regional Office (910-796-7215) for more information on how to complywith these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -
North of 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 - South of New River Inlet -
and Pender Counties)
http://www. nccoasWmanagement.net/
Revised 08/27/ 14

1 1CAMA /❑ DREDGE &. FILL A B j D
GENERAL PERMIT Previous permit#
XNew (]Modification El Complete Reissue 0Partial 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
f Mules attached.
ApplicantName11A_ta Project Location: County G?�`
Address ,t7t Street Address/ State Road/ Lot #(s)
City , O �lla State Of ZIP
Phone # (t i) %"°�Il�i
-� E-Mail Subdivision
Authorized Agent Ci / ZIP
❑ CW �.� EW �J PTA ❑ ES ❑ PTS Phone # River $asin 1 � '
Affected () f`' $`
AEC s : ❑ OEA ❑ HHF ❑ IH ❑ UBA ElN/A ,� j
❑ PWS: Adj. Wtr. Body • / t j' '7 na man unkn
ORW yes /� PNA yes ///n Closest Maj. Wtr. Body'`
Type of Project/ Activity
',fit Sp
A
Pier (dock) length
Fixed Platforms)
i
Floating Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length—
avg distance offshore
max distance offshore TEI
Basin, channel
(Scale:
M .
Mi•
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INIONEINION ......■...■..e■.■■■.......
- -
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1
Agent or rplicat)fPrinted Name
PermitOfficer's Printed Name
G
/"?
Signature Please read compliance statefnenion
back of permit `
Signature i
l
Application Fee(s)
Ctheck#
ISSuOg Date
Expiration Date

•
C J
•
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY QWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
1 hereby certify that i own property adjacent to :�ov7r-i A4KR4A 7A\-ivkX 's
(Name of Property Owner)
property located at i2 d }4-ADE4 La4Nt-
' (Address, Lot, Block, Road, etc.)
on—bvGvi`. So�..ii� , in S4L vj�2 J--A,-i? , N.C.
(Waterbody) (CityITown and/or County)
Agent's Name #: M /,4 Mailing Address: IJIA
Agent's phone #: V1�A
He/She has described to me as shown below the development he/she is proposing at that location,
and 1 have no objections to the proposal.
DESCRIPTION AND/011 DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill In description below or attach a site drawing)
1. A *Ntw PuNGS
RECEIVED
MAR 121015
if you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCAf) In writing within 10 days of receipt of this notice. Contact information for DCM offices Is
available at htto://www.nccoastaimanaaement net/web/cm/staff-listing orbycalling 1-888-4RCOAST.
No response Is considered the same as no oblection If you have been notified by CertMed Mail.
(Pzpjr�
or Information)
Si natures
56orr-r. A3,4)(
Print or Type Name
s Giefk.AlkAy CA(W K-
Mailing Address
CARY, ilc 275-/8
City/StateMp
q1q-7.5-7 -g060
Telephone Number/Email Address
Zo i A • 11.14-
Date
in Property Owner nfo n)
i
Print or Type Name
Iot 0. Z 6
Mailing Address
City/Statw0p
As2, 3-Ln-32,20
Telephone Number/ Email Address
/, -- � y
=r -
(Revised: Aug. 2014)

v`J
2 new 10" pilings
located outside of
and bolted to
current stringer
0
0
2 new 10" pilings
(won't be visible as
they will be covered by
eck planks
Description:
New Moat lift and 4 new
dock pilings
Address:
124 Headen Lane
Salter Path
Date:
2014-11-13
Scale:
1/8" =1'
Contact:
Scott Ajax
919-757-MO
[e-mail]
�12'-6'"-----�
zo
New 12,000 lb boat lift:
- 4 10" pilings
- 2 top (lift) beams: 6" x 12'-6"
- 2 cradle beams: 6" x 12'-6"
- 2 electric motors
RECEIVED
MAR 12 2015

CJ
•
•
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARM PROP98TY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
I hereby certify that I own property adjacent to ���r�t iy`'� ,A\,kX' 's
(Name of Property Owner)
property located at (2 4 4f-Aokr-4 ).AN F
(Address, Lot, Block, Road, etc.)
on 'b'�Gv� Sa�Nn in 2- 'j�A�`t'-I{ N.C.
(Waterbody) (City/Town and/or County)
Agent's Name #: t--I A Mailing Address: N%
Agent's phone #: _ NL
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
---------------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAVWNG OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
I . A 1` 14-1,J P I uQ6S A bn IF ,O -D tP xi
,2-. FOA-r Lli-T-
t) Ef- Alt-4CgE0 b(A 6eA;(�
RECEIVED
MAR 19, ?
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 1s
vallable at httpJlwww.nccoastalmona_a_rement net(web/cmistaff-list i� or by calling 9-888-4RCOAST.
oesponse /s co11 I eyed the some as no obiection if you have been notified by Certified Mail .
(Pro;7Owner information)
ax'
Si nature
_ 5dol-1- A14)(
Print or Type Name
1 oS GiefztL/kAy 0Vf4L-6oK
Mailing Address
- etvJ A& Z75"I26
City/State/Zip
qtq-75"7 -0060
Telephone Number/Email Address
Zo1A-i1.14-
Date
(Riparian Property Owner Information)
Signature
Print or Type Name
Mailing Address
City/5tatelZip
Telephone Number/Email Address
Date
(Revised: Aug. 2014)

0
J
0
2 new 10" pilings
N (won't be visible as
they will be covered by
W E deck planks)
S
2 new 10" pilings
located outside of
and bolted to
current stringer
n
U
Description: New boat lift and 4 new
dock pilings
Address: 124 Headen Lane
Salter Path
I Date:
I Scale:
1 Contact:
0
Scott Ajax
919-757-8060
[e-mail]
New 12,000 lb boat lift:
- 4 10" pilings
- 2 top (lift) beams: 6" x 12'-6"
- 2 cradle beams: 6" x 12'-6"
- 2 electric motors (220AC)
RECEIVED
MAR 1 21Q15
O.,01YArIk 1�0

jkfilml fill I I tj ft,* I th- '"(4111111 oil i
105 Greenw'y 3 ve ;I 2o T Cary, NC 27518
U.S. POSTAGE
PAID
CARY.NC
27511
JAN 27,15
7014 1200 0000 2991 1377 AMOUNT
l000 16.49
28575 00105412-14
5)
I/A/c W�Q5 SCANND VFsst NOTICE
-rA -41 nd C,- s:,—E ......
U, 2
L
'�ax 73
< -773
*4 RETURN TO SENDER
UNABLE TO FORWARD
i�iF046i' 2 7 SS 3 1111111111111

44
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PRQPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
I hereby certify that I own property adjacent to <� co'q--1 A4f&R4A 7 t\,:,kX -s
(Name of Property Owner)
property located at i2 4 { Af-AoE„( )-ANt-
(Address, Lot, Block, Road, etc.)
on �1�vGv� So�,.rLJ , in R. �A t'a ( , N.C.
(Waterbody)
Agent's Name #: ►-� ��
Agent's phone #: _ 14 f +�
(City/Town and/or County)
Mailing Address: 1JIA
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
--------------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
I . A * Ntu,j P L1-Q(,_S .461) f-0 71 x/ s'-7v,,G 7oGIC
2. )�oAT L i f-T-
SSE ,47t4egf O NA 6eAM
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 oiilcJs
�vallableath J/www.nccoastalmanai7ement.netlweb/cm/staf►-listinaorbycgJPW-f-8iS4RC4AS ',„
(Pro Owner Information)
OL
Si nature
5darl- -r, A3,4,)'
Print or Type Name
1 os 6'KfAEA1kAY 0Vfz[wK.
Mailing Address
emr, fye 2?S7io
City/State&ip
q!g-'?5-7 -9060
Telephone Number/Email Address
Zol � • 1 I.14-
Date
(Riparian`
Signature
Print or Type Name
Mailing Address
City/Statelzip
Telephone Number/Email Address
Date
(Revised: Aug. 2014)

i v ESTtk �
IOU -jop`r
-KU,r ) 4440 -0 SEtja Yov
A coeY VIA
MAL, 1 K o(L D E-(Z
G&T i-MF- Ptgm tT RR ouQ
`gn,4T L(F 7
` j NA-t-K5 S-0
Stir q- M-Aem A�-A�

2 new 10" pilings
(won't be visible as
they will be covered by
deck planks)
2 new 10'' pilings
located outside of
and bolted to
current stringer
Description:
New boat lift and 4 new
dock pilings
Address:
124 Headen Lane
Salter Path
Date:
2014-11-13
Scale:
1/8" = 1'
Contact:
Scott Ajax
919-757-8060
[e-mail]
New 12,000 lb boat lift:
- 4 10" pilings
- 2 top (lift) beams: 6" x 12'-6"
- 2 cradle beams: 6" x 12'-6"
- 2 electric motors (220AC)

■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ 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:
vim.-
Po &max 7�
<aJACY-RO-V-�J QU
2-g'5IS
A. Signature
X
B. Received by (Printed Name)
❑ Agent
❑ Addressee
C. Date of Delivery
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: 0 No
3. Service Type
❑ Certified Mail® ❑ Priority Mail Express-
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail E3 Collect on Delivery
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7014 1200
(Tnsfer 0000 2991 1377
rafrom service lab
PS Foirrt 389 T July ki 3 ' S ! Ddmestte Return Receipt,

UNITED STATES POSTAL SERVICE
First -Class Mail
Postage & Fees Paid
LISPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+40 in this box*
(Ylaf-h qi 5.rol .A�c
Ids C�vvrx�a�-