Bolding, Steven

All
rCAMA 0 DREDGE & FILL
e 2 A B
GENERAL PERMIT Previous permit # b
G
XNew OlModification ElComplete Reissue El 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 j 77
[NR(jles hed.
Applicant NameOld, ;ao, Project Location: County.
Address r Street Address/ State Road/ Lot #(s) City. State P�''"ZIP .",.
Phone # E - M ai I Subdivision
Authorized Agent ri 71P
Affected A -CW _[ktEW -kPTA _-,_A%S AftS
AEC(s): El OEA El HHF 0 lH El UBA 0 N/A
1-1 PWS:
nab 'no;,
ORW: yes/ INA yes/"^-')
Type of Project/ Activity rV
Fixe
Float
Fing
Groi
Bulk
Basil
Boat
Boat
Beac
Oft�
Shor!
SA 0)M
Pho
Wal
Phone# River-Bas in vol `l
rl Adj. Wtr. Body /J "'Y ct nl2hpan lunkn)
Closest Maj. Wtr. Body
(Scale:/ __60, )
JUs(,�oatlift��I�NIIO��I������:�::Cp���Is
length
number
INN
U11
PAF
M
wa
ME
E
ead/ Riprap length
N
U
I
11
avg distance offshore
max distance offshore
,channel
cubic yards
ramp
r■oe�i■■■���■emu■w�■�ss�■■■■�■■,
line Length
not sure yes no
torium. n1a n:o,
y n 0
111111111111IRTM
0
MMUMEnN
MMEMMEMEMEMMEM!
Pr-4,T-.6ed: Vas T.
A building permit may be required by: F-1 See note on back regarding River Basin rules
Note Local Planning Jurisdiction l f AlCd" J�,,
N tes; Special Conditions
J(OY) A, A'1,
0](�
7�1
,
/V
Agent 4or.
1�plic
t P Name
PermitOfficer's Printed Nam
Sign re "Please read compliance statement on back of permit"
Signatu
79
7
App!icationFee(s)
Check
Issying1btef
nDate

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 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 howto complywith these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ I-888-4RCOAST
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

kICAMA / ❑ DREDGE & FILL
GENERAL PERMIT5�� A B D
Previous permit #
XNew ❑Modification ❑Complete Reissue El 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' l y f
`5 E Rules anached.
Applicant Name - Project Location: County
_.
Address Street Address/ State Road/ Lot #(s)
city I( 'i Stat _ZIP ,. '-1
Phone # y ---
E-Mail Subdivision
Authorized Agent "" City ZIP
'CW —&VW A PTA ]�"S I TS Phone # ,
Affected k ( ) ver Basin 3 Si t ' e
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A r+ ,� /"': �`• ! r
AEC(s): Adj. tr. Body !'iu '�� i� 'C 1 t , ... n an unkn
❑ PWS: , ;
ORW: yes n PNA yes / fn Closest Maj. Win Body =
Type of Project/ ActivityC` n ~ L`i ',
i 9 )
_Pier (dock) length . (Scale: /""
,
FixedPlatform(s) t
Floating Pllc
atforms — „ — —
Finger piers)
Groin length --#+4
----- 4ZT--
number j
Bulkhead/ Riprap length
avg distance offshore
max distance offshore - { _-_ — -- -- -
Basin, channel
cubic yards
Boat ramp q
Boathous / Boatlift
Beach B lid
Other 7 1
Shoreline Length '� 5
SAV: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
( Note Local Planning Jurisdiction
Notes/ Special Conditions
wwo
.F ❑ See note on back regarding River Basin rules.
ai.'
Agent or qLplight Printed Name
Signs rree, Please read compliance statement on back of permit
Application Fee(s) Check #

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to e 1-WE-►J f) C14" L BOLD, K) s
(Name of Property Owner)
property located at 2,3E Rt LD0l.P H Off- B SI IJ C Z R�5/%
(Address, Lot, Block, Road, etc.)
on NEOP0271- R l \JEEfL— , in B IE3}LIE�92'1 ffj-24�b� , N.C.
(Waterbody) (City/Town and/or Coun )
The applicant has described to me, as shown below, the development proposed at the above
location.
�_ I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
WAIVER SECTION
I understand that a pier, dock, mooring pilings, 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
6TL'\1 G b LAO i!J C�
Print or Ty e Name
a3.a ZERO
Ma&--auevax
Address
City/State/Zip
Telephone Number
Date
(Adjacent Property Owner Information)
S&*2e
2d T. Aed f irS © Af
Print or T3 VuI©l dA
Y,
M fling Adf dress A
?a yerj"--
CttylStatelZtp
,2_,5;z 7Y5 0
Telephon e JVumper
Date
(Revised 611812012)

CERTIFIED MAIL •RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name: of Property Owner.
Address of Property: H Ltb t5 L PH - 604u
(Lot or Street #, Street or Road, City & County)
Agent's Name #: Mailing. Address:
Agent's phone #:
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, must be provided with this letter.
,If have no objections to this proposal. I have objections to this proposal.
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 or by calling 1-888-4RCOAST. No
response is considered the same as no obiection if you have been notified by Certified Mail.
WAIVER SECTION
(.understand .that a pier, dock, mooring pilings, 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.)
RECEIVED
I do wish to waive the 15` setback requirement. JUN 2 9 1015
I do not wish to waive the 15' setback .requirement.
(Property Owner Information)
Signature /
Print or Type Name
Rai)OLPH -DP,-
Mailing Address
Ede 1 y. 2 &56
City/State/Zip
Telephone Number
""° — 1-5-
Date
(Adjacent Property Owner Information)
Sig a Are a J .
Print or Type Name _T
-1,11009 B
Mailing Address
LOW" 190 �.
City/State2ip
V 3 - G.�� - 2T
Telephone Number
Date
RavicAri a11R1,9n1,?