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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, certifythatthis project is consistentwith 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 howto complywith these buffer rules.
Division of Coastal Management Offices
Raleigh Office
Morehead City Headquarters.
Washington District
Mailing Address:
400 Commerce Ave
943 Washington Square Mall
1638 Mail Service Center
Morehead City, NC 28557
Washington, NC 27889
Raleigh, NC 27699-1638
252-808-2808/ I-888-4RCOAST
252-946-6481
Location:
Fax: [phone]
Fax: [phone]
2728 Capital Blvd.
(Serves: Carteret, Craven, Onslow -above
(Serves: Beaufort, Bertie, Hertford, Hyde,
Raleigh, NC 27604
New River Inlet- and Pamlico Counties)
Tyrrell and Washington Counties)
919-733-2293
Fax: [phone]
Elizabeth City District
Wilmington District
1367 U.S. 17 South
127 Cardinal Drive Ext.
Elizabeth City, NC 27909
Wilmington, NC 28405-3845
-
252-264-3901
910-796-7215
Fax: [phone]
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
(Serves: Brunswick, New Hanover,
Dare, Gates, Pasquotank and Perquimans
Onslow -below New River Inlet- and
C
Counties)
Pender Counties)
Revised 08/09/06

CAMA / Y DREDGE & FILLn�
GENERAL PERMIT. Previous permit #
,XNew ❑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
Ruies attac d. -
51
J
Project Location: County.. _
Street Address/State Road/ Lot #(s) ?AsP'f
Subdivision
., . City ZIP
1 �J CW , PTA S PTS # River Phone Basin
Affected O
OEA HF ❑.IH ElUBA ❑ N/A
AEC(s): El❑ H
Adj. Wtr. Body i ". n t an unkn
❑ PWS: ❑ FC:
ORW: yes / no PNA 6 ^
/ no Crit.Hab. yes ' no Closest.Maj. Wtr. Body - � R-
,r^ 1Y
Type of Project/ Activity k,ocn3erj ?
Pier(dock)length
Platforms) '"
Finger pier(s)
Groin length
JF—
number ,
4-1—IT —
max distance off
Basin, channel
■■■A■t1{�1■1�\►■�►■■iTi
(Scale. ) .
A I _ ► n
A building permit may be required, by: M a �'; - ❑ S e note on back re ardin
NotpTs/ Special ConditionsR
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■ 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 1he mailpiece,
or on the front if space permits.
1. Article Addressed to:
,4 . �, L; c�
[5 q l-iA' Pn-G1'* L1°
Ne,wF--f+ NG 28570
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2. Article Number U
(transfer from service labeo Y
A. Signa re e,.V ss
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sa
B Received by (42-)—
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D. Is delivery addderent fain dfr&?' l
If YES, enter address below: ` No
3. ;:pfice Type
IW Certified Mall®
❑ Priority Mail Express'"
❑ Registered
❑ Return Receipt for Merchandise
❑ Insured Mail
❑ Collect on Delivery
4. Restricted Delivery? (Extra Fee) ❑ Yes
[1,3 1090 0000 4124 1311
Ps Form 3811, July 2013
Domestic Return Receipt

-UNITED�QiL
`PR :.S .
• Sender: Please print your name, address, and ZIP+4® in this box*
SQ A A-11�
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■ 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:
m A,,,
1410
WAOF yrf Nc- 2-857D
A.
B.
D. Is delive �I different from item 1?
If YES, en 0 li address below:
3.
IBCertified Mail® 0 Priority Mail Express'"
0. Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ Collect on Delivery
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number (7 013 1090 0000 4124 1328 _ transfer from service label
PS Form 3811, July 2013 Domestic Return Receipt

UNITEDL31;Mg
iVIVP P2015 ' IIY
' Sender: Please print your name, address, and ZIP+4 In this box•
S,.V - �
1$ ? 146Lw
Iq ,w? rfi NC 2. 8 5-70