Mattson, Edna

QL LAMA / DREDGE &FILL N: 62761 C
GENERAL PERM I Previous permit #
jgNew ❑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 rip
�uesattached
Applicant Name Project Location: County.
P 1 v
Address:n AA-4 , Street Address/ State Road/ Lot #(s)
;Ci f r`� State_ ZIP l�, 41 (c �'uci
tY --,—
Phone #`1� ax # (_) Subdivision
Authorized�Agent i City f ZIP
TAW �-N
Affected El Cw `' 14P A �VES ❑ PTS Phone # (. ) � 4 !r River Basin L i
❑ OEA ❑ HHF ElIH ElUBA ❑ WA nat� man unkn
AEC(s): Adj. Wtr. Body
❑ PWS: ❑ FC:
ORW: yes / o PNA yes / o Crit.Hab. yes / no Closest Maj. Wtr. Body
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.1U4 11■ See note rarding River Basin rules.
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/jgent or-4�li 't Printed Naime
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Permit Officer's Si }lure
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Signature Please read compliance statement on back of permit *
Issu' g Date /
Application Feels)
Check #
Local Planning jurisdiction

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)
Revised 08/09/06

C'
✓
(-4
Applicant licant.
Date:
76
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
RI
Habitat Name
A If
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applifd for.
Disturbance total
includes any
anticipated
restoration or
temp impacts
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount)
F(a
Dredge [I Fill Both 0 Other D
Dredge ❑ Fill ❑ Both [I Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge 0 Fill E] Both ❑ Other ❑
Dredge El Fill [I Both [I Other [I
Dredge E] Fill E] Both'[] Other 0
Dredge El Fill [I Both 0 Other 0
Dredge El Fill [I Both 0 Other [I
Dredge [] Fill[] Both [] Other E]
Dredge [I Fill [I Both 0 Other 0
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill [I Both 0 Other El
Dredge [I Fill El Both El Other [:1
Dredge El Fill [I Both [I Other [I
Dredge El Fill 0 Both 0 Other 0
'); W 32-'1108-2308 :
frevized. 02103110

1
C
HCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary
Date
Applicant Name
Mailing Address
.0')l a 1) e—"" .T X>'� tq
I certify that I have authorized (agent)ea4,w4'Ato ct on my
behalf, for the purpose of applying for and obtain g all CAMA Permits necessary to
install or coi
at (location)
This certification is valid thru (date)
' Zw
Signature. �o cGv�¢- I
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internet: www.nccoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer— 50% Recycled 110% Post Consumer Paper

JUN 2 8 2013
DCM MHD CffY
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I HERBY CERTIFY THAT I OWN PROPERTY ADJACNET TO
mg, ���"`-�
v (NAME OF PROPERTY OWNER)
P OPERTY LOCATED AT
(LOT, BLOCK, ROAD, ETC.)
ON c� �
,IN NC
(WATERBODY) OW�a&/�ORCO�UZ��
HAS DESCRIBED TO ME AS SHOWN BELOW, THE DEVELOPMENT HE IS
OSING AT THAT LOCATHON AND, I HAVE NO OBJE TIONS TO HIS
PROPOSAL..
DESCRIPTION AND'OR DRAWING 6F PROPOSE
DE Y ELOP1YIENT (TO BE FILLED IN BY INDIVIDUAL PR Pj
ig
t'
7
signature
L
J� print or type name
� a:52-72.70033
1 x
" 'Telephone number
DATE �(,2�1`Q � 3

RECENMO
JUN 2 8 2013
ADJACENT RIPARIAN PROPERTY OWNER STATEMffl�r
I HERBY CERTIFY THAT I OWN PROPERTY ADJACNET TO 4!d a llhl dfi� J
-v (NAME OF PROPERTY OWNER) .
PROPERTY LOCATED AT/I.AO' `a&,i
(LOT, BLOCK, ROAD, ETC.)
ON. Xz- alw� JN li9�r NC
(WATERBODY) O AND/OR COUNTY)
HE HAS DESCRIBED TO ME ASSHOWN BELOW, THE DEVELOPMENT HE IS
PROPOSING AT THAT LOCATIION AND , I HAVE NO OBJEACTIONS 104M
PROPOSAL..
`�DTESC7�RIPT�I+ON AND OR DRAWING OF PROPOSED
DE VELOPMEN 1 (TO BE FILLED IN BY INDIVIDUAL PROPOSING DEVELOPME )��
J
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=-
IfIRM
x
print or type name
x AS�) -a ve_ a asp
Telephone number .
XDATE 6-a 8- / 3

Jul. 3. 2013 9:05AM CARTERET CO WESIHN OFFICE REC1; & 1+u5r+ r. I
ao13- o00 q1.3 JUL 15 Z013 N°
62761a
J�ti AMA / )&OAFD©E & FILL $ 15, a-o
GENERAL PERMIT �/ Previous permit#
Aew ❑Modification l7Complate Reissue C7. Partial Reissue Da�(ffm(� lilt Issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources -
0
and the Coastal Resources Commission in an area of envir nmental concern pursuant to I SA NCAC
e's Attached
Applleant.Name ' • "
project Location: County J PA
Address .. Street State Road/ Lot #(s)_-
_ /A�dddrress/
' �j
O [ �J1IJ I� r iJ_`�.
City : State ZIP _
-• —
Fhone ; ' 4 • ' ' ni Subdivision
Authorized Agent //�� J , n r �(�ICY•
ZIP -
SqRlverBasin
CCw D4w J(P A 'gES ❑PTS Z_4l Phone# (
Affacted
AC 's); D OEA 0 HHF C IH ZILBA C WA Adi. Wtr. Body_ _ G
man unko
❑ PWS: ❑FQ
ORw: yes / o PNA yes / o Closest Mal. Wtr. Body
Crit.Hab. yes / no
-
FType of project/ Activlty,
J 02
tale:
Pier (dock) length_.... r ' -
Platfarm(s) ICS��
Finger pier(s)
fiGroin length
bet apleulkhea th �N}�d G �V• I % I �,., I
avg distance ottshore�_ � 1' • !
�y t • `(x
nuz distance offshore,�_;
i
Baia, channel ( i i
cvbIc yards .. :V , l-c '� i �: , ! j I I - i_
:l '
Boat ramp
Boathousol Boadift r
Beach Bulldozing �`� l�i� • �q j , j --
Other. I �I�. ,t•
-U_�--
I i !
Shoreline Length
SAY: not cure yes no j • ..... -- • _ i .... 1 • — =�nF — — .— —' f i--
Sandbags: hot sure• yes no
Moratorium: n/a yes no
photor yes no
WalverAttached: yas no—
f �
A building permit maybe required by: ❑ Sea note on back regarding , River Basin rules.
Notes/ S eclat Co dltlgns
t�
Slgnawre i',•�loasereadcompliancestatementonbackofper� 3� I►s p'te Grp ;ubnC
d --.�
AppiiadonFee(a) CheckN LoalPianningjur{sdictlon RdverFQeN
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