Mitchell, Billy

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TCAMA El DREDGE & FILL A B 1C D
GENERAL PERMIT Previous permit #
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� evv Elkodification El 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
ED Rules attached.
Applicant Name Project Location: County
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Phone # (-�14) i 111&1h
Authorized Agent
Affected El PTA
AEC(s): E10EA DHHF '011H
D PWS:
ORW: yes/ po-) PNA yes/ no ,
:e _1L ZIP
DES 0 PTS
0 UBA 0 N/A
Street Address/ State Road/ Lot #(s)
V-r
Subdivision
City (iG ZIP C
Phone River
h ne # Basin
Adj, Wtr. Body W (nat /man /unkn
Closest Maj. Wtr. Body J
Type of Project/ Activity L-224;
(Scale:
Pier (dock) length a,,
Fixed Platform(s)
Floating Platform(s)
Finger pier s
Groin length
number
Bulkhead/ Riprap length--
avg distance offshore --
max distance offshore
Basin, channel
cubic yards—.....-".
Boat ramp
Boathouse/ Boatlift I X I
Beach Bulldozing
Other
Shoreline Length
SAV-. not sure yes no
Moratorium: n/a yes no
Photos: yes 'no
Waiver Attached: VPC no
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A building permit maybe required by:
CIT)
El See note on back regarding River Basin rules.
Note Local Planning jurisdiction)
Notes/ Special Conditions # c C
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Agent or Applict Printed Name Permit Officers Printed
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SignaturePlease read compliance statement ck of pern�jt Signature,
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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, 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 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/ 1-888-413COAST
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

NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory Donald R. van der Vaart
Governor Secretary
May 20, 2015
Billy Mitchell
4620 Cherry Bark Lane
Raleigh, NC 27616
Attached is General Permit #65430C to install a 13' x 13' boatlift for the property at 326 Old Causeway
Road in Atlantic Beach, NC. In order to validate this permit, please sign the permit as indicated. Retain
the white copy for your files and return the signed yellow and pink copies to us in the enclosed, self-
addressed stamped envelope. If the signed permit copies are not returned to this office before the
initiation of development, you will be working without authorization and will be subject to a Notice of
Violation and subsequent civil penalties.
We appreciate your attention to this matter.
Sincerely, �
Heather M. Styron
Coastal Management Representative
Enclosures
RECEIVED
MAY 2 7 2015
E9�npw�r7�x �fN�
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] \ FAX [phone] \ Internet: www.nccoastaimanagement.net
An Equal Opportunity \ Affirmative Action Employer — Made in part by recycled paper

Y

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
hereby certify that 1 own property adjacent to t,, Ilu m4cWl is
(Name of Property Owner)
property located at 3Z(o 0t-p Ctiuse�o.a ��
(Address, Lot, Block, Road, etc.)
on IAoOnj.�hk Q&H ,in Allenhe &AcL N.C.
(Waterbody)
Agents Name #:
Agents phone #:
(Cityrrown and/or County)
Mailing Address:
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal. ;
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
RECEIVED
MAY 14 2015
DCAu-MHE) Cm
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 http://www.nccoastalmanapement.net/web/cm/staff-listing or by calling 1-888-4RCOAST.
No response Is considered the same as no objection If you have been notified by Certified Mail.
(Property Owner Information)
A1W
Signature
(Riparian Property Owner Information)
a C
SignatuYe
hECEIVED
gib Zd1*W-011-f
Print or Type Name Print oa�rTy Name MAY 2 7 2015
L4(-Ozo Cke(r �urlG LN `I'//74 1
Mailing Address Mailing Address
RAI e l� h
City/State&ip City/State0p
4!9 (037-2�74 �;IlymIi,hol -15 hOf.coM 33L'Z75- 91dZO
Telephone Number/Email Address Telephone Number/Email Address
-2015
Date
�5-3-15
Date
(Revised: Aug. 2014)

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
hereby certify that I own property adjacent to l y M JC h f 11 's
(Name of Property Owner)
property located at 3 2Cp 0 G 1D C A USe-KJk y Kd
(Address, Lot, Block, Road, etc.)
on Moo„L, b-V Bay ,in L141)+IC geticl► N.C.
(Waterbody) (City/Town and/or County)
Agent's Name #: Mailing Address:
Agent's phone #:
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
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 athttn://www.nccoastalmanagement.net/web/cm/staff-listing orby calling 1-888-4RCOAST.
No response Is considered the same as no objection If you have been notified by Certifed Mail.
(Property Owner Information)
&
Signature
3;I1 M11
Print or Tyke Name
y(vZU Che-trybtivlc Ln1
Mailing Address
IZA/ ,qt,
City/StataZp
(Riparian Property Owner information)
Z6-" ".4
'Signature
Print or Type Name
Po Ia z
Mailing Address
City/Stateop
RECEIVED
MAY 2 7 2015
RECEIVED
MAY 14 2015
DCM-MHD Cnv
111 (p37-Z&,79 -b;hjv,;�,6elt 7SLo c`ISZ- S6o-/r/S EI "e.ldlo,2ool�
Telephone Number/Email Address lr,,c . cow, Telephone Number/Email Address
Z O 1 s
Date Date
(Revised: Aug. 2014)

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