Osborne, William

Q-> CAMA ❑DREDGE &PILL ��� `� a/
GENERAL PERMIT 05' Previous permit # A B °
PNew ❑Modification 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
G] Rules attached.
Applicant Name <' i '`' -' �'r ` Project Location: County
R _
Address �.� i r%f # Street Address/ State Road/ Lot #(s)
{, J
CiState ZIPf) �l . 1'
Phone # (��` i ` C Jr=� j ` E-Mail Subdivision
Authorized Agent City r+ .f L,.� ZIP
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❑
4EW ,.QPTA
Affected
AEC(s): ❑ OEA
❑ HHF ❑ IH
❑ PWS:
ORW: yes / tno')
PNA yes no
Type of Project/ Activity
Pier
Fixes
­B4
Fingi
Groi
Bulk
Bash
Boat
Boat
Beac
Othi
Shoc
SAV
Mor
Phoi
Wain
DES ❑ PTS Phone # ( )_ River Basin '—J bt tt,
❑ UBA ❑ N/A
Adj. Wtr. Body (nat man /unkn)
Closest Maj. Win Body -j '^ i
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(Scale: fL,� "If )
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length
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number
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iead/ Riprap length
MENMMMIMMMWIEMMMMMMMMMMMMMOEMMMM
avg distance offshore
max distance offshore
cubic yards
ramp
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A building permit may be required by:
( Note Local Planning Jurisdiction) r
Notes/ Special Conditions ,, a .1 / 67 L. i
1.
Agent or Appli t Printed Name
Signature ; Please read compliance statement on back of permit*
Application Fee(s) Check#
Permit
❑ See note on back regarding River Basin rules.
Signature
i r
Issuing Date' Expiration Pate

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/ 1-888-4RCOAST
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

1 3 }�-oLL Pra•� �0 `-�
RECEIVED
(�S%E�P1<�77�( �2015�
, RECEIVED
SEP 0 2 2015
Fite,➢C"ii/lybr", ���?;

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT ~ ��
hereby certify that. I own property adjacent to 9ALL=tA2, s ,
(Na a of Properly Owner) l -
v_.::- ... , .�PrypettX.lac�teo�2�t°. �^�.�,_....,�.��. :'..�.t...C.��:.��....��...... 'c�_ �t�._'T.'" ":y..2 ..���tv��
(Address, Lot,Blobk, Road,
on UL T$ ; in
(Waterb y) (City/Town and/or Cou ty)
The applicant has described to me, as shown below, the development proposed at the above
location
I haveno objection to this proposal
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
_ f
a
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. (If you
wish to waive the setback, you must initial the appropriate blank below.)
do wish to waive the 15' setback requirement. RECEivEo
i do not wish to waive the 15' setback requirement.
SEP 0 21U15
N
(Properly owrker Information)
(Adjacent Property Owner Inforrtmation)
2
Si ture
V IU,VC1 cwi s r—Aa zo
3i fl&VC �� . t4
i4q
PPt�Ty Name
i t.�i-dvt�
Print or Type Name
L43 t T nn.)q Q r
MN,*ng Address /� s/' ^j
� - 1 AUK fD� �l
Mailing Address}
4J © Z>D a 0-L V G=z
RECEIVED
s (�j
j
City/State/Zi
SEP 17 1015
ho
Tp rJ�r-
Telephone. Number
Date
Date
(Revised 6/18/2012)

I hereby certify that. I own property adjacent to UNk W KeAA,6n 0 nQ%r' Is .
( me of Property Owner)
�.�.:._... , .�Tr¢et.jocted:at°.-,-:2.�5��....-
(Address, t, Block, Road, tie)QUADPI-
on +R Al in A-01G4WWOT
(Waterbody (Clt lTo and/or County)_
The applicant has described to me, as shown below, the development proposed at the above
location.
have -no objection to this proposal
have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must till in description below or attach a site drawing)
'SAC)q1-7 46r-f G 0 lit ;fit LV
ma's G vA LL, F" 4!5 °7c 1 v)1 irt-t 77i-5'A-/)YD-f POV
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. (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.
SPP 0 2 2015
(Property Owner Information) (Adjacen Property Owner InformatiorOk-t,,,_,,,,Hrku
i afore Ala t.AmA� Si— Q�
P "nt o Typ ame Pri p or Z 7(r am C�
i�, 10 .� RECEIVED
Ming Address l M ng Ad ress ',, j
.1 �8/Z. �%� afZ��lto 2� r't 1"L - SEP 17 1015
F / ,
C"`y'7e2��
Tele one Number /
Date
(Revised 6/1WO12)

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RECEIVED
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SEP 17105
RECEIVEC -"H9 OW
SEP 0 21015

ConnectGIS Feature Report Page 1 of 1
�CONNECTGIS 2015 Cart
Printed September 03, 015
WEB HOS71NG See Below for Disclaimer
Address Points
(4.: zbtia ..Y f
Parcels - Updated 08-20-2015
Centerlines
NC Railroad Right of Way
1 13
County Boundary~• k ' Other County
,,
all othervalues>
_'.a , ai f Cart
PIN
N. Acreage
' Parcel Dimensions
Lot Number
RECEIVED
_d
i SEP 17 20b
�. k)e"Aswo fdam
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he information displayed by this website is prepared for the inventory of real property found within this jurisdiction and is compiled from recorded deeds, plats, and other
ublic records and data. Users of this information are hereby notified that the aforementioned public primary information sources should be consulted for verification o
le information contained on this site. Carteret County assumes no legal responsibility for the information contained on this site. Carteret County does not guarantee that
,e data and map services will be available to users without interruption or error. Furthermore, Carteret County may modify or remove map services and access methods a
ill.
http://carteret.connectgis.comIDownloadFile.ashx?i=_ags_map621109e8bOcc450caa4cdbfc... 9/3/2015