Piner, Jim & Anderson, Karl

W
[�CAA/ DDREDGE &FILL No.
IVI
ENEIRAL PERMIT, Previous permit #
: Date previous permit issued
As aut
!w E]Moclification� E]Complete Reissue ElPartial Reissue
by the State of North Carolina, Department of Environment and Natural Resources orized7 1 1
and the Coastal Resources Commission in an area of ncern -environmental 5opuFsuri to I SA NCAC
. _­ I -1 ­., ­. Rule
s attached,
Appli can'
am l,-A )Project Location: County _�,.(,
Address Street Address/ State Road/ Lot #(s) 1.
I.- JI
City S 2
i State ZIPS
Phone Subdivision
ax
Authorized AgentCity ZIP.
Affected
El Cw h(EV WPTA El ES 0 PTS JA V,�Phone # fiver Basin(i(.�,,
AEC(s): El OEA El HHF 01H 0 UBA 0 N/A Adj. Wtr. Body �,f &-jin'at /man kh)
0 PwsDFC: 1 j I
Closest Maj. Wtr. Body
ORW: yes /,;o iiPNA yes no Crit.Hab. yes / no
Type of Project/ Acthfity
l),
(Scale:
Pier (dock) length
AL
Platform(s)
finger pier(s)
Groin length
----
--
number
Bulkhead/ Riprap length
FT
LL
-�, J
L
avg distance offshore
max distance offshore
Basin, channel
cubic yards
NIT
1IN
I
/_4
1
Boat ramp
Boathouse( Bo(atlift>L4�1 -4)
Beach Bulldozing
. . . . . .
Other P I
I C7)
Shoreline Length
yes sure
SAV: not 6;'l
'Sandbags: not sure yes 'q�o i
L; E!
'Moratorium: n/a yes
Photos: yes o90
-Waiver Attached: yes
A building permit may be required by: See note on back
regarding River Basin rules.
Notes/ Special Conditions tions 'i I V r I
t
!7)
-u
ApplicationFee(s) Check# L6cal Plinni6gjurisdiction 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
landowners).
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 consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
❑ Tar- Pamlico River Basin Buffer Rules
❑ Neuse River Basin Buffer Rules
❑ Other:
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:[phone]
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST
Fax: [phone]
(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: [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 -below New River Inlet- and
Pender Counties)

�;oplicant: Ka4
VV►
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
Habitat Name.
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts
FINAL Feet
(Anticipated final
disturbance.
Excludes any -
restoration and/or
temp impact
amount
redge El Fill El Both ❑ Other
i
Dredge [I Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ ' Fill ❑ Both ❑ -Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
,
Dredge ❑ .,Fill ❑. Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ , Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
.4 5 2-302-2 0;8 .. -j-v:34--4;'1 .'n AZ .. SdPsV•:!r.:l t:r;?.;J� :7�.77:�17:'7:Cr.2 Y::sl1YS_n:a'f r:aeaa�c�yi, fi'J�h •1!•J it

A-7A
I ENR
North Carolina Department of Environment and Natural .Resources
Division of Coastal Management
Mxhael F. Easley. Gavemor James H. Greg=, Director ymam D-foss it., Sntary
Date I
� � - �) >�2 Cam- Gi �-•� (�b1�-.: .
. ApplicankiU c
Hailing Address
i< c.rtW that f have authorized (agent)
to act on my
behalf, for the purpose of applying for and obtaining su CAMA Permits necessary to
install or construct (actn►itY) .
at (location)
RECEIVED
This ce t-an is valid thru date}
3 Z%
` MAR 2 5 2013
Signature
I;CM-MHD CITY
400 Commerce Avenue,52 247-33301 Internet www.nccoastahwagemenLnet.
Phone- 252-808 2808 FAX:so9� Recycled % 10.% Pas► t:o SMW paPU
An Equal ^'ly %� ACW F.mP� —

North Carolina Department of Environment and Natural Resources
Division o,11 Coastal �Aanagemant
Nlichael F. Easley, Governor charles S. Jones', Director William G. Ross Jr., secrei,ry
DateS'' a - ��
Applicant Naine -N I
Mailing Address 3 a
S
(, 4�T1
kaB I certify tha I have autln rized (agent)
to act on inv
behalf, for the rpose ,, applying for an ob ining all LAMA. Permits necessary to
install or construct zcti ity) `r
at (location) �_ � c)lS
This certifi ion isali�rl thrate) f �• 31 �--
Signature �
. RECEIVED
MAY 18 2012
DCM-P,IfID CITY

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
t4l,
I hereby certify that I own property adjacent to. P1(51Z 's
(Name 4of Property Owner)
property located at 3 a -,DA J I S BI:V.D
(Lot, Block, Road, etc.)
on mAti MADE c4M*L , in � l clQ1•1'7' (C- 18.c-E-IT��� � , N.C.
(Waterbod�) (Town and/or County)
AppIicant's phonC#!PU, Aq5- Ib l.3 Mailing Address: W 0 a GO Sly:WD Gic
Q-785> • 61//
He has described to- me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal.
------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by property owner proposing development)
=-------------------------------------------------------
(Information for Property Owner Applying
for Permit)
Mailing Address
City/State/Zip
Telephone Number
Signature Date
(Riparian Property Owner Information)
Signature
L ylz�s-
. Print or Type Name
Telephone Number
RECEWED
MAY 18 2012
DCM-MHD CITY
Date

�j
qf:D
a
V�_
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to.p�D"S.w Is
(Name of Property Owner)
property located at F11 JiS 3LY.D ,
(Lot, Block, Road, etc.)
on hAbV. CRfiIAL -,in 4TLA44-0 c, 75, f—a , f MP!Vj- , N.C.
(Waterbody) (Town and/of County)
Applicant's phon(AF6 �`T - 666 Mailing Address: 91A-1-
6 _ 4vlu.� Kt C
-Z-7ksS'- .gel)?
He has described to- me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by property owner proposing development)
(Information for Property Owner Applying
for Permit)
Mailing Address
City/State/Zip
Telephone Number
(Riparian Property Owner Information)
Signature
� I S 7��- �t1 � •
Print or Type Name
Signature Date
RECEIVED
MAY 18 lbl't
I?CM-MHD CITY
Telephone Number
Date