Ital 246 LLC

CA A / ❑ DREDGE & FILLEIK
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GENERAL PERMIT
Previous permit #
1New ❑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
Rules attached.
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Applicant Name��- }�,-'"�`` �'
Project Location: County ! i t (
Address . { ' _ t
Street Addres`,s/:State Road/ Lot #(s)
City State i ; ZIP
Phone # { / ' •"''�j � E-Mail ~�--=----------
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lI
Subdivision
Authorized agent i i _ ;"
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City ? i,� t x , ; ; ZIP
O CW \b E�IV p PTA' ❑ ES ❑ PTS
/
Phone # t J+) 1
t t { 1 River Basin
Affected ❑ OEA ❑ `HHF u IH ElUBA ❑ N/A
AEC(s)
r' ''
Adj. Wtr. Qody - K, (nat /man `/unkn)
❑ Pr:
Closest Maj. Wtr. Body
ORW / PNA / o
yes o yes
� f
Type of Project/ Activity "tie ?' f i t ,.; ;,t
Pier '
Fixe
Float
Fing
Groi
Bul
Base
Boat
Boat
Beac
Oth
Shore
SAV
Mohot P
w'
(Scale:
Plength-­­
MEN
number--
ead/ Riprap length
loom
NEON
avg distance offshore--
max distance offshore�
channel
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1,
—
cubic yards
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ib � -
wi
Elln
WINE
MENE
AINNEW11111WEE
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IMME
Bulldozing
Length. 11),
Cno)
not sure yes
INSIM-0-
yes �Lqo
0
MEN
A building permit may be required by:� ( j 1 ? t i f, t 1 f '�
❑ See note on back regarding River Basin rules.
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( Note Local Planning Jurisdi i n)
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Notes/ Special Conditions/ Y- ;f
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Agent or Applicant Printed Name j r'
PermitOfficer s
Printed Name
i )!
r( Si ature *,(* Please read compliance statement on back of permit ** Signature.
'
Application Fee(s)
Check # Issuing Date
'
/Expiration Date

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 ❑ 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 how to complywith these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST
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

AGENT AUTHORIZATION FORM FOR PERMIT APPLICATIONS
Name of Property Owner Applying for Permit: --)-Al 2 '- t-L�
Mailing address �•�. X �2. i
jZa&A L
Telephone Number:
I certify that 1 have authorized C—dLA �►-''A%' _ _ (agent/contractor),
to act on my behalf, for the purpose of applying and obtaining all CAMA permits
necessary for the proposed development of + -ib
at my property located at _ -boo - CAU3 CAWm �►-�
This certification is valid through 2-1 1 ! Zo (date).
(Property Owner Information)
00��
Signature.
Print or Type Name
Title, co. owner or trustee for property
2— ), , ?.p
Date _
"q-&—
Telephone Number
We, L. . C't�, rn
Email Address
9
RECEIVED
JUN 17 2015
R�:CENED
101 b IMS

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
i hereby certify that f own property adjacent to
(Name of Property Owner)
property located at 3dD ti e- "4
M /G ��� (Address, Lot"ZZ17
c Road etc.) ,�1C� �� , N.C.
on ,� _,g cif , in G !-'
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
locatiion./'
I have no objection to this proposal.
I have objections to this proposal.
.DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development muss fiffin descrlpt on below or attach a site drawing)
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, 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.)
11 1 do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
of 0WVr (nfopp (Adjacent Property Owner information)
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Pit o �rypg Arav�
l r71rgddres/s5 L 2 �-.
Telephone Number/e ail address/a aff address
�I rR*r►a �, irnS� iQ1D�►
Date �� � ,� � ?►f� � �- eo M
`Valid for one calendar year after signatue
Signature
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P�'gt or Type Name
ro,D.r\�baa
/05'K
M g c�dyes
Rave il.
clfy/Sfaf ?
Telephone Number/email address
� �
� � �
Date*
RECEIVED
(Revised Aug. 2014)JUN 15 2015

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Bellingham
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181' TAS wood Mom
CarNpe?.ft A#.*. Bidder
14' 28• 32• 32 36' 18•
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3•_6• DiV Slon
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6•-2•
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PROPOSED ADDITION
r CAUSEWAY MARINA
Atlantic Beach, NC,
PROPOSED DOCK
JOB # PS
28' 32' �. 32• 8 2 _
. y Sapp: NotToS
3•-6• CkEw 1uM4703S
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MIR M1•I50E1A-
}` 30• Sheet 10E1
BOAT LLFTS NOTES
re V (N
PRE RETAINER LOCATIONS AND QwNT M UMN TOR ESNDAATNG PURPOSES ONLY.
BEL NGHAM MAFOM "AS NOTPERTORMED ANY ►RE DEAGN ENGNEERNG SERVI(t5.
BELLNGINM MARNNE RECOMMENDS RETAV" A PAOFMK* AL ENGNEER TO PROV01
ANCHOR PRE ENS[CAN SERVICES PRORTO CONSTRUCTION.

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
i!'ros S Lt/r!/ 's
/- , (Name of Property Owner)
property located at 5©[/ Ge (4 aG wu
�n (Address, Lot, c k oad eGc.)
on %y%t� �c� e-IL , N.C.
(Waterbody) (City/Town andlor County)
The applicant has described to me, as shown below, the development proposed at the above
location. �-
have no objection to this proposal.
I have objections to this proposal.
-DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must frill.in description below or attach a site drawing)
WAIVER SECTION
I;understand that a pier. dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set back a minimum distance of .15' from my area of riparian access unless waived by
me. pf yau` ish to waive. the setback. you must Initial the appropriate blank below.)
I do wish to %valve the 15' setback requirement. R�CE1vEO
I do not wish to waive the 151setback requirement.
(Pro O r Info (Adjac ope o atlo
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Srg ur ,Ar L. Z 4i
P t orTypa pq�e
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0 /SCE �C � �Z.�'S sy ©i, 75
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c, /star racy tatr� .. g �-o
Telephone Atumbarfarziall address Telephone Number/email address
Date Data; . .
(Revised Aug. 2014)
'Valid for one calendar year after signatue
RECE1v�D

1— 14' 20'----j
DATING MARINA
14'
A N
PROPOSED ADDITION
V
281'
32* —32, 36' 18— T-hm- b e —F
D
V-2'
7
aar
25'
28' 32' 32' 2.
S.-G.
30, 30,
21'
BOAT LVZ
16'-2
v -T
PRFRDELLNGMM MARINE HAS NOTPOWORMEDANY ME DESMNUMIEMMSEPAU
DOLDRHM MARNE MOWS= RETAV"A PAOFESMM ENMNMR TO PROM
ANCHOR PRE OEM SIRVXJS PRIOR TO CONSTRUCM)N. dl
CAUSEWAY MARINA
Atlantic Beach, NC
PROPOSED DOCK
JOB # PS
O� n br. MG
SCOT NotTOSWO
Ckft J.M 4 2W
MIN W-MOSSA
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