Herndon, Robert

No. 611790-
GnIVIA / 26 DREDGE & FILL
?11ENERAL PERMIT Previous permit #
Nevv ❑Modification ❑Com lete Reissue Partial Reissue Date revious ermit issued
P ❑P
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
X Rules attached.
Applicant Name to Project Location: County o, !
;Address> f ti rn r,h i Street Address/ State Road/ Lot #(s) ,
r City ►� c. ! { . State l�.j ZIP . xa L- k ram, n
{ �f 1 i`..
Phone # O Fax # O Subdivision
Authorized Agent ' City - Grp ;,rit ► » (,, ZIP
PTA. ES '_ --❑ PTS -Pho
4 ne _( .�.:, - �Ri4er'Basin - 'r�+h;
Affected x f
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
m c
nman unknAEC(s) Adj. Wtr. Bodn2
,.
ORW: yes / no PNA yes / cr Crit.Hab. yes / no Closest Mal. Wtn Body"
Type of Project/ Activity 1-% % � I� � P A r" ? I c f 11en 0
!t t
(Scale:
Pier (dock) length
Platform(s)
Fi�.P?r6
Groin length,
`number iiQt
ulkhea� 'prap length-
avg distance offshore
max distance offshore !f
Basin, channel
cubic
Boat ramp
Boathouse/ Boatlift
�s
Beach Bulldozing -- — —i—
Other
Shoreline Length` I
SAV: not sure yes o
I
Sandbags: not sure yes To;
�
Moratorium: n/a yes
Photos: yes o' ', l
i
I
I
j
Waiver Attached:. yes
v
A building permit may be required by:
p 4 A(i F s il~.
o ; ❑ See no ` on back regarding River Basin rules.
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Notes/ Stpecial Conditions
z t r.
A' ls�
ent o �pplicanj Printed Namg/
PermitOfficer s Signajure
Signature PI a read compliance statement on back of permit"
Issuing I Date
Expiration Date
eL-
ApplicationFee(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 I) 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 consistentwith the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
F]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.
(Serves: Carteret, Craven, Onslow -above
Raleigh, NC 27604
New River Inlet- and Pamlico Counties)
919-733-2293
Fax:[phone]
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)

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CERTIFIED MAIL -• RETURM RECEWT REQUESTED
JAVISION OF COASTAL MANAGEMENT
D JAC-ENT RIPARIAN PROPERTY OWNER NOTIFICATiONJINAWER FORA
i iome n� ,.t Property
j
� --'� ,�� .�'�� ,•:�'`s-:-%� � i.''f. Wit.% '✓ .
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A.ddrsss of Property: _ �'� �L!` 7'� �.` ��. �- _ ' ,5
(Lot nr Streei #, Street cr Road, City & CouniY)
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 roposing. A description or drawing with dimensions must be provided with this letter
no objections to this proposal. I have objections to this proposal.
1 have � p P
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. Correspondence should be mailed to 400
Commerce Ave., Morehead City, NC, 28557. DCM representatives can also be contacted at (252) 808.
2808 No response is considered the some as no objection if you have been notified by Certified Mail.
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.)
T1 I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
f
Signature
/��z1- - 7 � G ?�?IVCZel tom%
Print or Type Name
Mailing Address
City/Statemp
ol
Telephone !Number
z�,- /5 -- /2—
Date
(Adjace roperty ner nformation)
i c-
Signarur '
h%Vrus _ F U, f b1fi,1 —
Print or Type Name
060RI)A) AVE.
Mailing Addres
City/Statemp `
ell -
Telephone Number
if b�
Date
Revised VIW012

CERTIFIED ?MAIL — RE, TURN RECEIPT REOL' E STED
DIVISIONOF COASTAL NMA AC7L1fE\T
-DJACEtiT RIPARI_kN PROPERTY OW-,N ERN i IOaN ti�-.3L E
A
FORM.
itianie of individual applying for permit: _
Address of property:
(WA or suet 9, street or road)
(City & County)
' I hereby certify that I own property adj acent to the above referenced property. The
individual applying for this permit has described to ► e. (as shown on the attached
drawing) die development they are proposing. A description or drawing, with
dimensions, should be provided with this letter_
I Have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Managentent, 400 Commerce Ave., Morehead CiCv, NC 28557 or cell [phone]
icithin 10 days of receipt of this notice. No response is considered the t'alne as no
objection if you Itave been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock. Mooring pilings, breakwater, boathouse, Iift or sandbags
must be set back a iriiniinuto distance of 15' from my area of riparian access unless -.
waived by tne. (if YOU wish to waive the setback, you must initial the appropriate blank
below.)
g ,
L F tZ do wish to waive the 15' setback requirement.
I do) I of wi_h to waive the 15' setback recqui eirtent.
signatur� Y.Ile '
Print Name
Telephoue Number With Are:t Cole

6)ORIPPY
I

Sep 101207:27p_ Brown&Curtis, LLC 2527642797 p.1
- - ............�.c..yn.y 1b25D44744 p.1
CERTIFIED MAIL: RETURN REMPT REQUESTED
DIvISIGN OF COASTAL MANAGEMENT
ADJACENT RiPARJ(A\N PROPERT'; OWNER NOr-FICATiCNAHAIVER FORM
F':dGi"92,S3 Di Art; er'y: LAID b 1r _'r_rYtz t" cam\ � �'� � j� C `Fi f 9
(=01 cr street #. Street Cr Road. !:ity 8 Count j;
AQent's Narre-9: _%1'1 i 5 ©G (+L- lWailirgAddress: I d 3 f .."i wo-o
Agent's phone #t: �-S2 -tea 3 -1 S%3 _�►ti-{-�.a(� �5�)VC ,7,8 J' y
I hereby certify that I own property adjarent to the above referenced property. The individual
applying for this permit has desto me as shown an the attad*.ed drawing the developanent
they am proposing A 902999990 or dravuina with dmens}orrs must be provided with this letter
Z I have no objections to ties ProposaE I trove objections to this pmposat.
Nyouhaveebf= aystowhat&b8&Wp+opoSV4younsustnoDfytheDivjsihnofCaasbfMarragernent
(DCM) iR 9 wdhin 1D days ofr+aceipt of tfirrs rratice CemeVPondesre should be rmtled to 400
CommemeAve, WreheadCrlfjr.NC, 2W57. DCl6/represevrtatnresCan 21sobecontactedot{252)808-
281a8_ Ato re�arzsse is ton�sidered.2lse sameas as objaetior: ifry�havabeesr no�rfisd byCeltii'ed Malt
WAWR SECTION
I understand that a pier. dodo, rroodng piftgs} breakwater. boathouse, lift or groin must be set
back a miniffum distance of 15` from my area of riparian =cess unless waived by me. Of yo:,
wish to waive the setback. yournust initial the appropriate bfank below.}
! do wish to waive tt!e 15, setback requirement.
I do, not visit to waive the 1 S setback requi.-ement
(Propedly Owner Information)
SPgriadure
Prur,orType Nam
'2b2 D,J, cc,(� 1�r
�ailiegAddress
Teteahane Nwnter
Dale
(Adjacent Property Owner Information)
Sigrtatrse /
PrW cr Type AW=
Teephone Nuaber
Dine
Revi, d 6/1w012