Best, Henry

`K,CAMA / ®DREDGE & FILL NO. 60188
GENERAL PERMIT Previous permit#
&New, ❑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 15A NCAC
JrI�D Rules attached.
Applicant Name Project Project Location: County
Address— t . n. yt Street Address/ State Road/ Lot #(s)
City c(. Q State t ZIP -Sir V`LJ� 6�u�t,►i'r,;/C
Phone # O 751`j• Ll 15 Fax # O `Subdivision
Authorized Agent City �,^n£�tG L v - ZIP :zs5ciLI
--- —� /
Affected ❑ CW V EW M PTA AS ES ❑ PTS Phone # (910) 3 j'S��Jr`I Rive' Basin t de
AEC(s): ❑ OEA ❑ HHF [IIH ❑ UBA El N/A Adj. Wtr. Body _.. ,a `C. � na man unkn
❑ PWS: ❑FC:
ORW: / no PNA yes /G Crit.Hab. yes / no
Closest Maj. Wtr. Body c
�e
Type of Project/ Activity
Pier (dock) length
Platf
Fing,
Groi
Bulk
Basil
Boat
Boat
'Bea(
Othi
Shor
SAV
Sanc
Mor
Phoi
Wain
N l�
(Scale: IL
)
_MMMMMMMMMIMMMM
it
1111111
ME
ourn!
M
Mr,
i length.,
MINE
MIN
INErIIIIIIIIIEWMIP01
NMI
1P1WMMH
cubic yards
ramp
MEMMMMMMOMMEMMEMM11
NEW
NONE
OEM
NINE
EMM
M
I
-
-
,i Bulldozing
ME
ME
ME
fill
fline Leng . th 772—#
0
not sure yes
rags: notsure yes
ME
MEMEMMENN
MEMMOMME
NEON
A building permit may be required by: n r- 1) E ANote�sj/ Special Conditi ins _ 3�-,,, 4. r, r, 1�r. ( 1��4' �� Lit ,,r)
❑See note on back regarding River Basin rules.
IN) , nn— ,., r ,t,,,)-rr,n .3 )%, I
!�Se PPI`icz t Printed flame Permit fficer's Signs re
p
e.
Signature Please read compliance statement on back of permit * , ' Issuing`Datb , Expirat on Date
00
Application Fee(s) Check # Local Planning jurisdiction 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
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:
❑ 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 Morehead City Headquarters
Mailing Address: 400 Commerce Ave
1638 Mail Service Center Morehead City, NC 28557
Raleigh, NC 27699-1638 252-808-2808/ 1-888-4RCOAST
Location: Fax: [phone]
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
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)

DIVISION OF COASTAL MANAGEMENT
dEi;EL 3Lfa ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED C11O`Z�/''bo�5
LIN( 0 12017
I hereby certify that I own property adjacent toC4,/ 's
DMA-MiiD CrfY Name of Property Owner)
property located at �5 q
�' I- n r1 QTz .
�C(" (Address, Lot, Block, Road, etc.)
on in , N.C.
(Waterbody) (City/Town and/or County)
Agent's Name #:
Agents phone #:
Mailing Address:
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)
Owl-) -T-V 4 T-:� L L tk-14 9 AD 71D 9z+S'L
C—OS l O CO or) OU i2
i�nc�T�c-� -Owi' K-L4-e Ott e
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(I)CM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at www.nccoasta/mangementnet/contact dcm.htm or by calling 1-8884RCOAST. No
response is considered the same as no objection if you have been notified by Certified Mall.
Owner Information)
H 6-e—,J
�i
runt or l ype Name
Mailing Address
��dCity/State/Zip
a.5Q�---�s�-�1s3
Telephone Number
��). 20 l 1
Date
(Ripari roperty Owner a n)
4
Signhfur6
60 el- dq 7,,Q.c
Print orType Name
"I (2Aan
Mailing Address
Pf UG
City)State/Zip
45 d-ds�
Telephone Number
&A--t d , a d
Date

L
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
1 hereby certify that I own property adjacent to A4's
( me of Property Owner)
property located
(Address, Lot, Block, Road, etc.)
on Lo m �� _ �` . N.C.
(Waterbody) (City/Town and/or County)
Agent's Name #:
Agent's phone M
Mailing Address:
He/She has described to me as shown below the development he/she is proposing at that IocAtlttrt;Hn cITY
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)
.0'QC P 40
&&-e 40 0 5 S
ou� 46 'eAaslo
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 is
available at www.nccoastaimangement.neticontact dcm.htm or by calling 1-888-4RCOAST. No
response is considered the same as no objection if you have been noted by Certified Mail.
(Property Owner Information)
44
S' nature
7;hZ--M M 19J<1-)
'Tint or Type Nam
City/State0p
c;2 5a 351 41 S3
Telephone Number
a 62:"e �i 'Pol
Date
(Riparian- Property Owner information)
gJk:: Q w
Signature
Print or Type Name
L'qz 0"'e
Mailing Address
(A zcis ✓V.0 -
City/State&ip
Telephone Number
Date