Barbour, Joe & Barbra

0"
4AMA L1 DREDGE & FILL.
1400 $7042 A B. D
QENERAL PERMIT Previous permit #
Mqew ElModification ElComplete Reissue El Partial Reissue Date previous permit issued
As autho iled 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 15A NCAC
Rbles attached.
Applicant Name C), L.'Project Location: County
Address Street Address/ State Road/ Lot, #(s)
City41a,L4 IV 6 i 5tate ZIP 'It v I Phone # A A r M-;1 Siffirlivision i I
Authorized Agent
Affected El Cw )kw
00EA OHHF r1HA
AEC(s):
0 PWS:
ORW: yes/ ko# PNA yes/
Ty
pe of Project/ Activity
Pier (dock) length
Fixed Platfo rrn(s) V7
Floating Platform(s)
Finger pier(s)_.`!!�-'"
Groin length" ---
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore.'
Basin, channel
cubic yards
Boat, ramp lift\
BoathouskBoati!9
Beach Bulldozing
Other ik r"
Shoreline Length i
SAV: not sure yes n
Moratorium: n/a yes . .. ....... ...
Photos: yes
no Waiver Attached: yes
A building permit may be required by:
( Note Local Planning Jurisdicti(?rq ;-
El ES El PTS
El UBA 0 N/A
hil
City
Phone # (qJ) 55
Adj. Wtr. Body
Closest Maj. Wtr. Body —
� ZIP
River Basin
Y (nat' n
El See note on back regar
rules.
\'tenf or Applicant jimnted Na mePerini Officer's P19tad N
Cc-e
gn ature ft
*Please read compliance statement on back f Signat7 1 -q Si o�ermi
L
Applicapop Fee(s):' Check#
I" Date. Expiration, ate
E

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, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
F1 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/ 1-888-411COAST
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.nccoastalmanagement.net/
Revised 08/27/14

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to��"
t 1 Name of Property Owner)
property located at ACAD
` (Address, Lot, lock, Rcck�aad, etc.)
on z(�e,.'1�aG,� , in G` �"tL G o0 N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
�ocafion.
19 I have no objection to this proposal.
1 have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Indnr dual proposing development�miist fi11:in description:below or..aitach asite drainiing)
SIGI 7 ti d3S
a3nI]OR
. WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse; lift, or groin
must be set back a minimum distance of 15' from my area of riparian access unless waived by
me. (If you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature
Print or Type Name
Mailing Address
City/StatelZip
Telephone Number/email address
Date
*Valid for one calendar year after signature*
djac nt P petty Owner Informatic
Signancr�i
Print or Type Name 1�
ailing Ad re z
t r te161y9 qr
Telephone Number/ email address
Date*
(Revised Aug. 2014)

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Sep 21,.,1 511 �2a
I hereby certify that I own pro adjacent to
Prop" located at • OO
! (Address
on _ 7t51'Ni� CA+e A _ in
The ap. p ' nt has descried t<a me, as shown below, the tier
.. loca o
1 have no objectlon to this proposal.
i� -- I have objections to this proposal.
DESCRIPTION NDIOR DRAWING OF PROPOS
ikt vi kW *0006ft,deve tipnis f millet &lit. de.5,640 ion
I understand that °a' pier, dock, mooringW�Es, E ramp
must be setback a minimum distancof &&from my area of ril
me. Of you v4sh to waive the setback, you must initial the apPrc
- - i do wish to waive the I V setback -� r'equirenent.
I do not wish to waive the 15' setback requirement.
(Pn►perky info flan) (Adjacent Pi
Sigxatur ,'1 i �,e,., ftnatrae
print T D Priit
Msul'uxg Ada ' &)( Ve Addh
a�
ea Tf
Telepho Number! atldrm" �.--_.........
��
Date
Tam*
Proposed at the above
ora#ta . *fie" ' ' , ,
sFa �C'.��Fo
At
r, boathouse; lift, or groin
access unless waived by
blank below.)
Owner
Valid far one ceiender year sft skna,Wm. � {Revised Artg. �Ai�)

Sep21 1511:13a
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Sep.23. 2015 1:29PM No.8226 P. i
N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date
Name of Property owner Applying for Permit:
Q
Mailing ,Address:
Ito �3 .
04IQ, tA c�
I certify that li have aut4orized (agent) I ' '1 mP,S to act on my
behalf; for the purpose of applying for and obtaining all CAM,A Permits necessary to
install or construct (activity) ^ 11 T- +
at (my property located at) 9b (y
u ,jLN
This certification is yatid tlrru (date)'—
Property Owner Signatare Date
d77• i n c i c7 d