Oceanana Resort, LLC

4AIVIA / ❑ DREDGE & FILL
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ENERAL PERMIT
Previous permit#
�/D
Clew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As author ed by the State of North Carolina, Department of Environment and Natural Resources'
R
and the Coastal Resources Commission in an area of environmental concern pursuant
to 15A, CAC
Rules attacNQ.
Applicant Name, r T,� r w f i ° 3 4E k,° '
A t t (,.#.. Protect L tion: County
PP . �%...
Address tt`'; a +;t ..�
Street Address/ State Road/ Lot #(s)r;"'.
eX
'y
City, �'^' i' E F {. State I ZIP
0 1
Phone #,(+.,�)...i /a,�. t, ..._
,F,-Mail
Subdivision
Authorized Agent (
I
City ; :; t 3 x i 4- ZIP y
)
Affected �] W
AEC(s): OCEA
❑ PWS
EW PTA ❑ ES ❑ PTS
❑HHF ❑1H ❑USA ❑WA
ORW: yes /('nbF PNA yes /
Type of Project/ Activity�3 .l
Bulkhead/ Riprap length-°"
avg distance offshore ----
max distance offshore —
Basin, channel •~--"-."-�-°
cubic yards, ------
Boat ramp
Boathouse/ Boatlift,--
%ft— r
Beach Bulldozin.�-�
Other " "' f .a A
Phone # (: ;
Adj. Wtr. Body!
Closest Maj. Wtr. Body
t r
e 4.
rERiver Basin
MENEM MEEMMMMIXEMEMERFAZ M
ME NONE INENSWEEIRAM111
Shoreline Length
SAV: not sure yes no
Moratorium: n/a yes no
Photos: yes lc3
Waiver Attached: e1 no
A building permit may be required by: . f
( Note Local Planning Jurisdiction) +
Notes/ Special onditions
(Scale:
n'rules.
•
Agent or Applicant Printecj:,Name Permit Officer s Pririted Namur '
Signature "'Please read compliance statement on back of permit" � Signature W /
Application Fee(s) Chet # Issuing Date "Expiration Da
ir7ii. mmmmmm mI
INEMMOMME1
1■M■MMEII�N01
NOMME®®®®NI
i }
rrs �
f (, ❑ See note on back regarding River
n

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:
El Tar - Pamlico River Basin Buffer Rules 0 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/ I-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

Nf,-CAMA / 1:1 DREDGE & FILL
6 6
ENERAL PERMIT 7 A B C D
Previous permit #
ew ElModification ElComplete Reissue OPartiall Reissue
Date previous permit issued
4author ed by the State of North Carolina, Department of Environment and Natural Resources
I the Coastal Resources Commission in an area of environmental oncern pursuant to I 5"CAC
Rules a- hed.
�1 q'i I At It 4 Ll LQ L ion: County �licant Name a
Street Ad
Idress
I . - - - 1, �-, - Jr t-
ress "r) dress/ State Road/ Lot #(s)
Stae I �,
7. tz I P DO- i!L& L-�,Vn A�j - �j A-12
me. M a i 1, Subdivision
J
h6rized Agent
w �
ENW
acted
�(Oc
OEA
>�PITA 0 ES 0 PTS
❑ HIF
.(s):
El 0 USA 0 N/A
❑ I
7PNA./
yesW.-yes
pe of Project/ Activity
City
Phone #
Adj. Wtr. Body -110"
Closest Maj. Wtr. Body
Basin
(Scale:
Platfbrm(s)--�
0
MEN
111101I.F/2ZHIMME
ONE
"I
0
MIN
MIN
F-1
MORE
rig Platform(s)---
u
,r pjerw--:�.
11
INN
i.le
number
11111IN1111111111111
.iead/ Riprap length-----"'
.
■
MENOMONEE
avg distan ce offshore
max distance offshore-----'
H
H1111111111111111
channel
7-
cubic yards__ --
in
M
mmmmumommolmumummmmi
ramp
-louse/ Boatlift------.
ENE
M
oil
llitoome
MEN
M
No
il BuIldozinj------
ME
RuM
WE
am
-swum
rJor
1111"O.1.51=
No
MEN
MEN
NO
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11131ME
Mel!GKINW-RIMEW
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11MONEW
*lding permit may be required by:.
4,6.te Local Planning jurisdiction)
4est Special conditions
)�(-,'JJEI See note on back regarding River�asili'Vrules.
Vt
�41
it, or, Applicant PrintecLName
Permit Okce7r's ted Na'
7
kur6 lease read compliance statement on back of permit
Signature
ter, i
nation (s) 'Chelk#
Issuing ate
"upiration Date

t
b�ENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Pat McCrory Braxton C. Davis John E, Skvarla, III
Governor Director . Secretary
Date 5I3 l
Applicant Namel
Mailing Address
I certify that I have authorized (agent) 'er; c. L l / S to act on my behalf, for the
purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity)
at (location)
This certification is valid thru (date)
Signature
400 Commerce Ave., Morehead City, NC 28557
Phone: [phone] FAX: [phone] Internet: www.nccoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer
RECEIVED
MAY 2 6 2016
DCM- MHD CITY
RECEIVED
. JUN 17 2016
DCM- MHD CITY
One
Northi:Carolina

I hereby certify that. I own property adjacent to
r lJVVNt K b r AA 1 CINICN ! �,
ia
�� Coo ���
(N rule of Pr6perty Owner)
I
propel L located at
(Address, Lot, B oc�, Load, etc.)
on , J-11 � "U in N.C.
(Waterbody) (City/Town and/or 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 PROPOSE® DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
JUN 17 2016
WAIVER SECTION
DCM- MHD CITY
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.)
I do wish to waive the 15' setback requirement. RECEIVED
I do not wish to waive the 15' setback requirement. MAY 2 6 2016
(Papperti0v er Inform n) (Adjacent Property Ov "®r t' )CITY
6aocr-
r or
M�I�dres�
C,, ify/S�ltat�i�,,,
Telephq�N�m�er
Date
Si tune
Print or Type Name
70 3 4A- -r
Mailing Address
City/state'
2 0 12
Telephone Number
Date 4(2g; /! &,
1/ (Revised 6/18/2012)

ADJACENT RIPARIAN PROPERTY( 9WNER STATEMENT
(/ I hereby certify that l own property adjacent to %� �� is
V (Name of Property Owner)
M
propert located at . .
(Address, Lot, Bloc l Road, etc.)
on a( in L Fc , N.C.
(Waterbody) (City/Town and/or 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 gust fill in description be/ow or attach a site drawing)
/n'4 r 5.1 -izc7r /2/5- Er t/ X 4i c d/
rofrr +Y
DCM-� MHD CI
WAIVER SE FT�10!�N
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 n'te. (If you
wish to waive the. setback, you must initial the appropriate blank below.)
JUN 17 2016
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement. RECEIVED
Telephones `Nur�ber
I
Date
Edo��� -u � ■
i
Print or Type Name
Tt+?'& A►1e y
Mailing Address
4,
City/State/Zip
Wfvlr, NG
Telephone Number
XS ZLf 1�0
Date y/, Q//6
(Revised 611812012)
is