Bailey, Jeff & Rosemary

QCAMA / ❑ DREDGE & FILL I
GENERAL PERMIT
Q14New
Previous permit #
❑Modification ❑Com lete Reissue ❑Partial R)issue
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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 ` �• C '
Applicant Name -- j i j J
Rules attached.
Project Location: County
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Signature * Tease read compliance statement on back of permit*
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:Application Fee(s) Check#
Local PlanningJurisdiction
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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, certifythat 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/ 1-8884RCOAST
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

N.C. DIVISION OF COASTAL MAMA
AGENT AUTHORIZATION FOI
Date it, i71 +
Name of Property Owner Applying for Permit:
Mailing Address:
W,14Tj=-,2t/Ju. E. �2 R'Gq p
I certify that I have authorized (agent) _ -5�#c�y t3 t2pdpK.5 to act on my
behalf, for the purpose of applying for and obtaining all CANIA Permits necessary to
install or construct (activity)
at (my property located at) SIC'> C 047-uE Sa), . r>RW �F—
This certification is valid thru (date) 1 30 "'J
Owner
Date
RECEIVED
NOV 2 6 2014
DCM-MMn e-ffv

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
I hereby certify that I own property adjacent to JsrF f Rgsr-tO2�y 8#4q-ey
(Name of Property Owner)
property located at 31 0
(Address, Lot; Block, Road, etc.)
on SR- G�t'C in N.C.
(Waterbody) (City/Town and/or County)
Agent's Name#: _ WLZy BRt DK-S Mailing Address:
Agent's phone #. J�52 - l 44-302, 0�I�i9!7�
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)
a PAS ra la 1*0 QM Lk Pc TTFbi
If you have objecdons to whatis being proposed you moat notify ft Drvlaton of Coastal lUanagwnw#
(DC/N) In wrfdng within 10 days of recelpt of this notice. Contact information for DCH offle" Is
ava/lable at www.nccoasta/mangernentnedconWi dcm.htm or by calling 1488-4RCOAST. No
response Is considwvd the same as no oblocdon if you haw bow noditd by CertiRed A/aN.
(Property OwnW Information)
s4na
JE;R= g4l
Print or Type Name
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Msiling Address
City/statamp
Telephone Number
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(Riparian Property Owner Information)
Signature a
_?�-j e m�� 'p7L 1>,
Print or Type Name
!(J7 PI-ub Gi
Mailing Address
City ate/Zip
i973
Telephone Number
J / `� t RECEIVED
Dale Nny 26 7rfr

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION F()RM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
I hereby certify that I own property adjacent to ism f ROSEr�(.��Y' 61%]E T
(Nam© of Property Owner)
property located at 3t0 8 6&ke "'''a paoq--
(Address, Lot, Block, Road, etc.)
on 5Z C iWL=-K , in C4pe- C+Rrajl'r=1�- , N.C.
(Waterbody) (City/Town and/or County)
Agent's Name #: _ i�Rt Mailing Address: D � C(9,
Agent's phone #: 2 %4�P-3212. 1JG1W}',*t`T' .*J C- Z,Fr5i,
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 rill In description below or attach a site drawing)
a�V11PIT—
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If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of recelpt of this notice. Contact Information for DCM offices is
available at www.nccoestaimangement.neticontact dcm.htm or by calling 1-8884RCOAST. No
response is considered the same as no objection if you have been notified by Cued Wait.
(Property Owner i a n) (Riparian Property Own t'TMform ionj
Sign S' slurs
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Print or Type Name �� Pant or Type Name
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Mailing Address Mailing Address
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cityistatwrp
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Teie umber
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Date
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CitylstatelZip
Telephone Number
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Date
RECEIVED
,Nnv 2 6 2014
DCM-MHD C17Y