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AMA /D DREDGE FILL
ENERAL PERMIT Previous permit #
ew DModification' E]Comple,te Reissue DPartial Reissue Date previous permit issued
As authori:ied by'the State of North Carolina, Department of Environment and Natural Resources
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.and the Coastal Resources.Commission in an area of enViro mental concern pursuant to I SA NCAC // 6
2.
ddress Rules attached.
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'ApplicantName 1/ 1 - W6
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Project Location: County-
t 114-41 Street Address/ State Road/ Lot # s
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City State A
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Phone # Fax # Subdivision
�uthorizecl Agent Mr Alv 11 city ZIP
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EIL A:DV :,.O"A [I ES El FTS Phone # River Basin
Affect6d,
0 OEA 'D HHF 01 H 0 UIBA' El N/A *
AEC(s) : Adj. Wtr. Body 6a"t�*/man /unkn)
El PWS: OFQ
ORW: no PNA yes no Crit.Hab. yes' no Closest Maj. Win Body
Type of Project/ Activity 3 X13 e" /4 44
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Scale:
Pier (dock) length
Plat"
Fing,'
Grofo,
Bulk
Basi
B
oat
Boat
B Be e
Ot h
Shor
SAV:
Sand
Mo
Phot
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rm(s)
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r pier(s)
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MEMEME
lead/ Riprap length.
MESON
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avg distance offshore
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1
UNIONS
OEM
Iliimmmmm
max distance offshore
MOMENNO
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ME
MENMEN
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w
WMAUUMM11MMEMEMENMEEM
ONE
Channel
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0
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c U,bic�ards
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IN
ramp
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im
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MEN
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INERIMMEMMEMMEM
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NEI
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MMMRIMMMMMMNMMMMEMMM
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MENNIMMOMMENEMEMEMOM
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Bulldozing
MEN
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III
MEMININIMME
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SEE=
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IM
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not sure no)l
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not su re yes
No
SEEN
torium: n/a yes
10
MEN
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no
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IN
lrFAMENSON
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r Attached: yes ;n
No
MEN
KIL
FACUMMEMN
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ONE
building permit may be required ,by: ......
Notei[Speclal Conditions L
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❑ See note on back regarding River Basin rules.
�Agentt or Applicant Printed Name Permit Ofci?i Sjjnatur'6`---.--.,
A
Sikn�fture Please read compliance statement on back of permit" Issuing Date Expiratioh Date
Application Feels) Check # Local Planning Jurisdiction Rover File Name
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, certifythat this 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 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
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:919-733-1495
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888ARCOAST
Fax: 252-247-3330
(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:252-264-3723
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: 252-948-0478
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax:910-395-3964
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 08/09/06
,•r
NC®ENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Pat McCrory Braxton C. Davis
Governor Director .
RECEIVED
Date 1�o
Applicant Name
Mailing Address
Z.
SEP 2 5 2013
DCM MHD CITY
John E. Skvarla, III
Secretary
F ON (Z-
oo
P°
4-
Mf �( h) iVJC @�7 0
I certify that I have authorized (agent) / c—)ol 4 NC V1 to act on my behalf, for the
purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity)
o A e— d�,q t-. -�- -E-- , at (location)
This
Signa
is valid thru (date)
400 Commerce Ave., Morehead City, NC 28557 One
Phone: 252-808-28081 FAX: 252-247-3330 Internet: www.nccoastaimanagement.net NoNa&rally
1'tthCarohna
An Equal Opportunity 1 Affirmative Action Employer
N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date �3
Name of Property Owner Applying for Permit:_ _
Mailing Address:
I certify that I have authorized (agent) to a t on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) %,jo o� �' / 7C7/-- ,
at (my property located at) —5
This certification is valid thru (date)
Property Owner Signature
Date
741
F
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that 1 own property adjacent to &/ 's
(Name of Pro eriy Owner)
property located at SSA/ /���. l�%s�
(Address, Lot, Block, Road, etc.)
on 'yq"e- v116/ , in /c/ 's '--, X/G , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
locatio .
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 description below or attach a site drawing)
a �
6 • Del+ / 4F
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.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adlacent Property caner Information
Signature Sign ure
%7ic�tycl lf% �y�✓ l� U�
Print or Type Name Pt j Tv'F2,, , ` lI -
Mailing Address Mailing Address)
�/pia 4,
City/State)Zip City/State&ip
9f9 �ZS�S� 32A
Telephone Numb r Telephone Number
Date Date
(Revised &IW012)
qco 645
P
fceU t'+` PaiK e...
252-3> 3-(784
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
hereby certify that I own property adjacent toi/a�� Q s 's
(Name of Property Owner)
property located at sal -Z—� &,G/
` (Address, Lot, Block, Road eta.)
on , in 4rncr-1 -Ls/- , , N.C.
(Waterbody) (City/Town an/or County)
The ap licant has described to me, as shown below, the development proposed at the above
locati .
I have no objection to this proposal.
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)
a
:I y
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
back a mini um distance of 15' from my area of riparian access unless waived by me. (If you
wish to ' e the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Ad- ent Property Owner Information)
Signatyre nr�r
Print or Type ame P ' T •�� t
Mailirtc A ldress j
ac
City/StateIZ City/StIaOD n
�/Y- 7- i -Z 5-
Telephon N mb r Telephone Number
T/3
Date �^ Date t
(Revised 6(18/2012)
Sep'19 2013 12:22PM HP LRSERJET FAX
p.2
N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date
Name of Property Owner Applying for Permit;.
Mailing Address:
r�
I certify that I have suthorked (agent) to a t on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) o
at (my property located at) G
This .certification is valid thru (date)
i
Property. Owner Signature
Date
RECEIVED
SEP 19 2013
Sep'1S 2013 12:22PM HP LHSERJET FHX p.3
ADJACENT RIPARIAN PROPERTY.t?WNER STATEMENT
I hereby cartify that I own property adjacent to d4all.
(Name of Property Owner)
property located at
(Address, Lot, Block, Road, etc
on - -,In- 6waw,/W s4, rl1G , N.C.
Waterbodyj (CltylTown and/or County)
The applicant has described to me, as shown below, the development proposed at the above
ioceti i.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Ind(vldual propoaing development must fill In descrlptlon below or attach a alte drawing)
o 4
Sep 1,9
d Z0�3
c�
WAIVQ3 SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, Ilft, or groin must be set
back a minimum distance of 15' from my area of riparian access unless waived by me. (if you
wish twaive the setback, you must lnitlal the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Affwz !.
Signature
wv;c*i.�o G1�rb4y�
Telephone N9umbrr��
Date f •�
(Ad ent Pr�opergr or Information
fAV
S re
ATV L6L)l '
Malling cadres$
CIry/StatwVP
Telephone Number
Date
(Revised &1 &2012)
Sep 18 2013 12:22PM HP LRSERJET FAX p•4
/Ve pq- e_.
zsz-� U-5-ire 1I
ADJACENT RIPARIAN PMPERTY OWNER STATEMENT
1 hereby certify that I own property adjacent toi�iu�� may%►r. 's
(Name of Props Owner)
property located at 5y���- Gc/�f
(Address, Lot, Diock, Road, efic )
on - - Rain -50-0041 , In , N.C.
(Waterbody) (CltyfTown an or County)
The ap licant has described to me, as shown below, the development proposed at the above
locatl .
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must !I'll In description below or attach a site drawing)
e✓ t;
'n
ap 4
WAIVER SECTION .
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
back a mini urn distance of 15' from my area of riparian access unless waived by me. (If you
wish to the setback, you must Initial the appropriate blank below:)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (A ant Properly Owner information)
fA
r ..
Telephone Ngmbor
gate
(Revised QI 92M)
Sep 19 2013 12:22PM HP LRSERJET FRX
BankofAmerlca
Fax Cover Sheet
To:a�vU
Company:
Telephone Number:
Fax Number: a Lf
Date: q��13
From:
Joy Brownlow, , Sr. Mortgage Loan Officer
NMLS ID #589380
EMAIL: Joy.brownlow@bankofamerica.com
Department: Bank of America Home Loans
Telephone Number: 252,354.9949 Office 252.241.9527 Joy Cell
Fax Number: 'Joy Direct Fax, 704.625.5189
Number ofpages including this
cover sheet:
Message:
The information contained In this FAX message Is Intended only for the confidential use of the designated reclplent mimed above. This massage may
contain contractual and proprietary Informstlon and as such Is privileged and confidential. If the reader of this message is not the Intended recipient or
an agent responalbla for dellvering It to the Intended recipient, you lire hereby notified that you have received this document In error, and that any
rwAew, dissemination, distribution or copying of this message Is strictly prohlbhsd, It you have received this communication In error, please notify us
Immediately by telephone and return the rnsaaags to us by malt