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GENERAL PERMIT Previous permit # 'f New ElModification ElComplete Reissue []Partial Reissue Date previous permit issued
7
1-1
As authorized by the State of North Carolina, Department of Environment and Natural Resources 1
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
ED Rules attached.
Applicant Name 1 1 Project Location: County
Address Street Address/ State Road/ Lot #(s)
City State ZIP
Phone #
Mail
Authorized Agent
Affected 0cw
AEC(s): 0 OEA
El PWS:
01RW: yes / Ro,i
PTA 'TA [3 ES 0 PTS
0 HHF [3 lH 0 UBA ON/A
PNA yes /,no
Subdivision
Ci ZIP t
ty
A
Phone # River Basin
Adj. Wtr. B ody -W
�nat Iman Junkn)
Closest Maj. Wtr. Body —
Type of Project/ Activity f1i J4, 1
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(Scale:
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Agent or Applicant Printed Name Permit Officer's Printed Name "I
Signature plRase read comp llan�e'statement on back of permit'* Signature
Application Fee(s) Checi# 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 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.nett
Revised 08/27/14

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
hereby certify that I own property adjacent to -.ls
(l�afie o�f Property Owner)
property located at j_ G a`= f` S' & %'<5
(Address, Lot, Block, Road, etc.)
on �P, cv;�' 1 in ;` -�r �r`s ` za� N.C,.
' (Waterbody) (City/Town andlor County)
The applicant has described to me, as shown below, the development proposed at the above
location.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill In descripfion below or attach a site drawing)
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. pf you
wish to waive the setback, you must initial the appropriate blank below.)
1 do wish to waive the 16 setback requirement.
t do not wish to waive the 15 setback requirement.
(Property Owner Information)
Signature
i ri r"vti C-r� "`r".i"f�,-ruri`.PSi'. S� �w` i %►�...-� ? �
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Print or Typ Name, .
Mai fng gdc(r�ass ;
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C f y/statwip
Telephone Number
Date
(Adjacent Property Owner Information)
Si lure r'
+r
Print or Type Name ;
u ,rrw .
A9ainddrey,� H ,t t t-
F . , ) ram+" a n:._. a.%'-' vc.:....i% .r f : r �.... *:i+' i ....�
�Ctty/State�ip f ..�
Telephone -Number
Date
(Revised 0812012)

JACENT RIPARIAN PROPERTY OWNER STATEMENT
A
I hereby certify that I am property adjacent to
(Nhmo of P(operty Owners..
property located at J b 2" - i- P
(Address, Lot, Block, Roao,, etc.),,
on r/-i in • N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
lo
ca!, I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must rill In description below or attach a site drawing)
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
back a minimum distance of 16 from my area of riparian access unless waived by me. (if you
wish -to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the IT setback requirement.
I do not wish to waive the IS' setback requirement.
(Property Owner Information) (AdJac nt Property Owner Information)
7t-
Signature
11:6 C
Print t or TWA e- ame Priqt or Type Name M$fng Addr6ss Mailing Address
es�
cft,Y/Statamp C?I)Matamp
Telephone Number Telephone Number ,/Zz�&—s
Date Date /
(Revised 08/2012)

1 ;.
MONEY ISLAND TOWNESR` — PROPOSED DOCK IMPROVEMENTS
EXISTING 6' DOCK WITH FINGER
PIERS TO REMAIN WITH REBUILT
JOIST AND DECKING.
57.95' _
r�
5' -�{ 6'
6'~.
o PROPOSED FLOATING DOCK TO BE JOINED
N N to N TO EXISTING STATIONARY 6' DOCK
13.25' 11.7' 13' 174
4'x10' EXTENSION
OF FLOATING. DOCK
3'x12' ALUMINUM
GANGWAY W/ RAIL
1n
of
to
RELOCATED EXISTING
STATIONARY DOCK
WITH REBUILT JOIST
AND DECKING
PROPOSED 6'x174' FLOATING DOCK
G�
4'x10' EXTENSION
OF FLOATING DOCK
3'x12' ALUMINUM
GANGWAY W/ RAIL
EXISTING STATIONARY DOCK WITH
REBUILT JOIST AND DECKING
6' �--
RELOCATED FISH
CLEANING TABLE
RESIZED TO 3'x6' ON
STATIONARY DOCK
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Owner/Contact Info:
MONEY ISLAND TOWNES, HOA
c/o Jerry Williams
110 Brooks Street
Atlantic Beach, NC
Phone: [phone]
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Drawn: CPT
Design:
Checked: CPT
Approved:
Date: 1/8/15
Scale: I' = 20'
C1.2
Sheet 2 of 2

LEGEND:
DR = DRIVE
EX = EXISTING
N = NORTH
NTS = NOT TO SCALE
SFT = SQUARE FEET
ST = STREET
EXISTING 6' DOCK
WITH FINGER PIERS.
(TO REMAIN)
5' �- --I 6' If
MONEY ISLAND TOWNES — EXISTING DOCKS
DOCK AREA CALCULATIONS:
AREA OF EXISTING DOCK PRIOR TO IMPROVEMENTS: 2.097 SFT
AREA OF DOCK AFTER IMPROVEMENTS: 2,051 SFT
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GRAPHIC SCALE 1 "=20'-O"
G IJARY DOCK
Owner/Contact Info:
MONEY ISLAND TOWNES, HOA
c/o Jerry Williams
110 Brooks Street
Atlantic Beach, NC
Phone: [phone]
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Drawn: CPT
Design:
Checked: CPT
Approved:
Date: 1/6/15
Scale: 1' = V
C1.12
Sheet 1 0f