Caputo, Tony

IV
} JCAMA 0 DREDGE & FILL
'�:41
L3
A B
D
GENERAL PERMIT
Previous permit
New E]Modification El Complete Reissue
OPartial 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
El Rules attached.
Applicant Name
Project Location: County
Address 1- r
7
Street Address/ State Road/ Lot #(s)
City State f ZIP
t
Phone # E-Mail
r is
Subdivision
Authorized Agent t
City ZIP
0 CW DEW 0 PTA [JES 0 PTS
Phone# River Basin
Affected
D OEA 0 HHF OIH 0 UBA ❑ N/A
AEC(s):
Adj. Wtr. BodyF-, (nat
(ma'n'JunUn
0 PWS:
ORW: PNA
Closest Maj. Win Body
yes �, n6 yes /f_;o.
Type of Project/ Activity
Pier (dock) length)
Fixed Platform(s)
Floating Platform(s)
Finger pler(s) ........
Groin length
number
;'Bulkhead( Riprap length
avg distance offshore max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAV: not sure yes no
Moratorium: n/a yes i no
Photos: yes I n./
Waiver Attached: yes I n6
A building permit may be required by:
Note Local Planning jurisdiction)
Notes/ Special Conditions
V 11
(Scale:
= i l Al E:1 See note on back regarding River Basin rules.
PermitOfficer's Printed Name
Sijna@re__ ** Please read compliance statement on back of permit" Signature
Application Fee(s)
Check# Issuing Date J'Expiration Date

t r
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, certifythatthis project is consistentwith the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
❑ Tar- Pamlico River Basin Buffer Rules
❑ Neuse River Basin Buffer Rules
❑ 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 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 comply with 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.nccoastaimanagement.net/
Revised 08/27/ 14

Pier (dock) length
Fixed Platform(s)
" Floating PWorm(s)
Finger pier(s) -�
Groin length
number
Bulkhead:{Zprap length
avg distance offshore
max distance offshore
Basin, channel
r
cubic yards �^
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
r
.Shoreline Length
SAV: not sure yes rno
o
Moratorium: n/a yeso
Photos: yes
Waiver Attached es
y
,
A building permit may, be required by
if.lfl
See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction):
Notes/ Special Conditions 4
c
Mr',
Age can Pr' ed N e ,
PermitOfficer's Printed. Ni e r
Si ure PI ereadcompliance statementonbackofpermit *
Sign ure
Application Fees)
Check# Isswng DateEx
p tion Date

C&EWO
Resources
North Caron �a Departmant of Environment and Natural
Divisicn of Coastal Man, cement John E. Skvarla, !!1
Pat McCrdry Braxton C. Davis Secretary
Director
Governor! .
Date —LJ �6 sue•
Applicant 0 t Name � �
PP ---�j�
f }to
Mailing,&ddress ( L
ct `� ��� e5 — to act on my behalf, for the
I certify t hat I hay. : ar the rued (agent) -
purpose 6f applyv tg i or r.nd obtaining all CA MA Permits nec °ssary to install or construct (activity)
at (location)
Z-
This cettificaf'o D 1 valid thr>a date) ---'
Signatdre ._ _ _ !:
O
460 Commerce .kve , Mci •ehead City NC 28557
R$one: 252-80 t 28i 81 F Ax: 252-24'-3330 Intemet: v ww.nccoastatmanagem:Intmet
M Equal Opoftn to N krrd 's krlon Emp l yer
*,a
ul'ajf

Jan.15. 2015 9:26AM JACKSON & ASSOCIATES No.6105 P. 1
04/22/2007 21:13 2527264092 INTRACOASTALMARIPECO PAGE 02/02
1 DJA:g T-1�P F ROPERTY ;MER S I- M IMI
1 h*Veby cent f'y i ha. I aw'i p -operty adja :ent to rG ^ s
ame of roperty Owr !r)
prajl tyloci tee at t 7 r
/ (A ldre s, Blrjci� Road, etc,) .
on c, C�ohc. �: in ,, J c w c ��, N.C.
(:Na :erbody) (cityrrown
lbell applicar I h u tesodbM to me, as shown lwow, i ie development propose at the above
I •im. a no objection to thi,; proposal.
•im, L- oNecl ons to this 1: roposai.
I. EiM IPTION AND10R.DIMMING OF PROPOSED DE'I ELOPME I'
(Intidual-irmj:o.-,ng,devWupmenlniusttffliudeserFptionbelow oraftch4 ;iced
ni4 G 0Ir
A.
c}C`�
a-ocj
MhLIVER SEC11 ft
I unttlemtand Thal a Fier, dock, mooring l4lings, breakwiller, boathous(t lift, or grc
backia minim,m distance of 15'•frpm niy area of ripar 3n access unk:ss waived
Wish to waive! the sty back;, you must Initial the appropriate blank below)
1 do wc h to waive the •16' f;i►tback requiremcSnt. -- /`
tom) c--. V d
must be set
V me. (If you
I do n--� t v4sh ire waive the 15' setbaok regvi -ement
ftr erty Oiv ncx- In'onmaWn) AdJccent er lhf Owner h jMDaUcn)
lanaure
4 7 jj 14 1 r r.
Addre:K
F�
Te/Amon Number
1-1
Date
(Rer ad Gl18)2012)

ADJAZEVr RIPAiR[ .N PROPERTY FAWNER STATEMENT
V
I hereby cert [y i hai I ow-i p-operty adlaFmnt to _- iG /U d rs
Property-locatec at ,�
_ �- a of Property Own -r}
(Aid s, Lot, Blcic , Road, etc}.
on Go�-� C�� in LB N.C.
ffa:erbady) (Citylrown andl o )
'[heiapgiic:an`. h.is -tesobed tome, as shown blow, tie development Propose attheabave
�' Iac.
I °taue no objection to thy: proposal.
— I I tav a object ons to this F roposal.
E ESUIPT[JN ANDIOR DIZAWIHO OF PROPOSED DEVEL t�iPO EI r
(fn�vidualproarcos,ngctev9opmentmustfillindescripffanbeloworattacha ;ite
Ma—
/--*" voc�s
G � ( G QP��a-�Li
WMVER SECT[OW.
I unrnd Vial a Fier, :lock, rnoonng In ings, breakwater, boathouse lift, or groi must 6e set
b{ack!a minim im dkctanQ: oi` IT.feom rn� area of riparian access unless waived; V me. (If you
wish to waive the se bsa&, Ye)u must initial the appropriate blank behm%)
do wk h to zeaive the-15` sFdbac k requirement.
I do not wisp to waive the 16 setback requi-emett.
(Property Owner In `ormat )
(Adjz.cent Property Owner In )rmation)
Sagn,W Signture
Victor Maynard
loT .�PPitt rrType /ane
101Buckhaven
Ct
Mh 6 Actdeesc� �- lGfaitirri•
dress
�et
T
Date
�T
V
Apex NC, 27502
Ciiylrate
919-ga1 2197 -
Telep.-ione Number
1/1512015
Date
(Revs ?d 6(18/2012)