Best, George W Jr

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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, 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
Neuse River Basin Buffer Rules
FA Other:
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 complywith 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/ 1-888-4RCOAST
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, Berde, 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

NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: George Best
Date: 2/24/11
Permit #: 57135C
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
Habitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
ternimpacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
Open Water
Dredge E3 Fill ❑ Both ❑ Other El
1458
1458
Low Marsh
Dredge ❑ Fill O Both ❑ Other ❑O
270
270
Highground
Dredge ❑ Fill ❑x Both ❑ Other ❑
1430
1430
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
252-808-2808 :: 1-888-4RCOAST :: www.nccoastaimanaaement.net revised:02/03/10

I % A I- ADJACENT RIPARIAN PROPERI"t OWNER STATEM[ENT
I hereby certify that I own property adlacent. to
(Name -of Property Ow-ner)
Property IOMQ4 at � 6-7— T Kt �
(Lot,
on
(Waterbody)
Applicaut'a phone #:of 44- 40 0,
(Town and/or County)
Railing Andrea:
He has described to me, as shown below, the development he is proposing at that location, and, I
have no obiections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: .-.J-!��.?V
(To befl&d in by property owner proposing dm1qpnwnt)
Ire\- 11
C
ecox-J —(c Q AA 1 40
=jC!j IL
� ILI
r
�cc
40
- - ------------------------------ - ---- - --- - ------- - --------------
(10hrmation for Property Owner Applying
for Permit)
/,b zQ�'
Mailing Address
't-k-fg-j ove- axss/
City/state/dip
0?5a- ?V-q-0(ty
Tel phom-N-umber
DaW Sight U
(Riparian Property Owner Information)
Signature
V Print or Type Name
o
Tetephqpe NuMber
Date.

ADJACENT RIPARIAN PROPERTY OWIqE-R ST-ATEmEN T-
I hereby certify that I own property adjacem to "'ec' C. lc)
Mzme of Property OU,.WX)-
property located at
(Lot, Block, Road, etc.)
on I sms in
N.C.
(Waterbody) (Town and/or County)
Applicant'& phone, MafliugAddrm: PO -410V Jz 6
2 La—l= --- c
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 DETVT.L0
(To belkd ht V'Y-- prop" owner proposing development)
ROCK
V
(information for Property Owner Applying
for Permit)
Mailing Address.
City/ate/zip
--Ve Nu - mbor
S i g-naWW Date
i I
saw'— ---
(Riparian Property Owner information)
Ignauve
Print or Type Name
-1 S - &— a - 1 -4- -- - - - - - - - - - - - - � -
Tekeph-on,e Number
Date