Putnam, Mike

N�CAMA / ❑ DREDGE & FILL NO. 61152
GENERAL PERMIT Previous permit#
�CNew ❑Modification ❑Complete Reissu I 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 I SA
[N Rules attached.
Applicant Name ' �_ : i`!.:"! ;; ;.� Project Location: County
s Address r V I I t f f m ,+ <,
:; , ;. ��s,r Street Address/ State Road/ Lot#(s)
City l'� � :;� I State 41r ZIP rrN
Phone # (I 15) '7'" ,L t %`! r Fax # (=}'-- - Subdivision j"z~,'.i C f7r ':~ i - 'y r' f
_.
Authorized Agent City 1'
! ZIP
Affected ❑ CW '� EW Eb PTA ❑ ES ❑ PTS Phone # River Basin
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A 7 (� : ; :', ; '�` � AEC(s): Adj. Wtr. Body d.
fnatman unkn
ElPWS: ❑FC:
ORW: yes /'no' PNA yes / tno Crit.Hab. yes / no
Closest Maj. Wtr. Body- /, ,�
Type of Project/ Activity
Pier (dock) length
Platform(s)„
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse Boatlift r `
./—x�_�
Beach Bulldozing
Other
.......... ...._._
r y
Shoreline Length
SAV: not sure yes } no I i
Sandbags: not sure yes no,
Moratorium: n/a yes t` no ` t
Photos: yes,, no
Waiver Attached: yes no
A building permit may be required by ' i •' t r_r `1 /` 1
Notes/ Special Conditions
(Scale:
JOIN -16KREWo -'►�!�fi�r�
DUN

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:
El 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 Headauarters
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)

NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: Mike Putnam
Date: 3-28-13
General Permit #: 61152C
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
OW
Dredge ❑ Fill ❑ Both ❑ Other ®
338
338
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 ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
252-808-2808 :: 1-888-4RCOAST :: www.nccoastaimana-gement.net revised:02/03/10

Mar 21 13 09:11a SEQUENCE INC
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nrar. i�. n�rs 4�1ur�t IOWN OF PINfKNOLL SNORES
9198447272 P.1
PAGE 02104
uc.1957 P. 3
MWN OF PINE KNOLL. SNORES
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PINE KNOLL SHORESNC 28612
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Mar 21 13 09:11a SEQUENCE INC 9198447272 p.2
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. ..... ....... a...u:auo»coip Page: 1
e3r2or2013 12:43 919833284@
DTS SCMARE PAGE 01
eW28/2813 11:57 2523567,14E MIKE PUTNAN
PAGE 02/e2
Mar. 14, 203 4:20PM 7OWN OF P101 DOLL SNORES go.1157 P. I
CERTIFjf MAIL, -1tET,0[iT RECPIPT REQU t8 jEI?
AIYI610N OF COASTAL IVANAUElff 1C4T
ADJACENT RIPARIAN PROPERTY OWNER N071FICATIOMIWAWEFI FORM
Name of f'ropatty 0wgar. -Ak1.k,,.E ,/} �`''�lrs��
Addressof Property: _Pe- 1 i �l.c r-. 'Pr. �
(W orstre ", atmo or toad, CKY a 00vaty) �r� J ✓rc. -
npptfcantphone #: qla 534q RC
L2e� HlaRingAddress: 1� �' i �d rl
f WOW ceriffy that 1 own property adjacent to to above tatareneed ptaparty. The individual
applying lbr this permit ha; dosonsv4 to me as shorn an the attached drawtnp the devebpment
they are pmposing,,Af pj nr raw p, V dlrtlansjpns�ust ba p 9 r
x have no objections to this juopoaal I hays objection to this pmp"Al.
myou bsyg dbJeCftu W *Wlsbeing proposed, You maef AoUiyfhel?Ntsfod alCoastdNgn gjvmeai
(4CU) M waft wld In 10 days of rar:elpf Of job r ft, Contact ft4n af(oa far'000 aflfoes is
am"le or by noft# 1-f88-4)jC1DAn No
a
I understand tt+af pier. dory, m�oari WAf� BHCTTON
p ng plQngS, br+eafcWstfer, boathouse, or Uft must be! set backs
minknum dletence ar 18, fmm my area or tiparfan access unless waived by mp, (If you wiLtr to
waNe the setback, your the appraprlat» blank behm.)
I dovish tourW a thO IV Setback teaaimwnt.
I i do run wish W wake tha 16' setback requaement.
(pMPO owner 1>wfarn mn) (Ripmrian Property Owner information)
�',etratana Sign orrrrs
Pent or Type Nome I3 & or Type MWV
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Q e r t_ -Z f
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Mar 21 13 09:11a SEQUENCE INC
Fid/ Lb/ "�171.i 1 !: 15 'L�'1j55114b
9198447272 p.3
M1Kt r-U 1 NPr F'CAUt. F341 U4
mEirYu 13 17*76p Grady Fubher Mgt
63/20/2813 22:56 2523551146 252-247-43t)9 p'1
,T eur� ti;rim; �UIIAI OF rlNEKNpLL Sli4P-EKE PVNAM RAOEt32rtl..,
DiftION OF COASTAL MAIVABLE
-�E )V1AiL RFTt7RA1REC t TREe1� i�g��
AJ3JACENT PJPAR1AA1 PROPERTY OWEit Np7ttzt IYFENT
Nafieot Propertyt]rm� �4TIQ{ylillFAIVER FI?�M
_Ct.a
Address o1 Aropar,
If etorabae! 1, 51ree1 orRaad, eRy Coutrgr)r r
�GtcY� 3
ApAllcatrtphone�: � �V-�v.c//.f
M.Ofting Addresa;
f hereby certify Chet l awn ptaperty a>fjacent to ltte above rofemn�d
W9 for tnls Pernik hae de11M6ed fo me as shown on the altaafted drawing T1te trtaivtduef
eYare prono,9ing. a nor a us 9_the devolopmt:n!
w'ht 'star �j have no objecfiopn to thia prbposAl. Irbeva
1fYouhave 06j"tfarrsfn�rbetJsbsb 0bjrxdas9tothtsprop=f.
(ocw) M wr/E4t gProposed, y�slrrofAr
NrwtJablf; of Nw..ncy,*r� O YS e/fpf of thre fi.rce, Can�raet sf m oFCorrs�al�fegaAement
'� u e rs cd ldnvnd sntrrWconfkt dW hta rr iby COBS t�9 MC omega
rho safia,� >ra
dtroR b oan nn u.ax...._,.. - -- . .
1 urlderstaed that a pier, doo WaV9R 3ECTIQN
k maot'ng plb9s. breakwater, boathouse, or pfl musi De aet back a
wslfve �RC6 oP 1G from my aree of rfperlan a=es& urueea waived
thesetbx►c, You must • f a theaPproprlate blank below.) rne' i�Youwfeh to
do wish 10 we're the 'fti' 3albaak requirement.
Vp Rot wish to wvVe the 1588e1brw regpirem eQc
(P AOwner fnfo ■Elan)
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1 lief lcaa-., IJr- pp, ►
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{RIPRtiart Prap�y awnor 1rrlorrnalb�rJ
Signnmre
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D rfav►w kJ
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Darr
7

03/20/2013 14:16 2523551146 MIKE PUTNAM PAGE 01/03
[Da.��• M"dv.20, 2013
FAX To-.* Ate. B ra r1 cvvw '
252-247-3330
Fr+ M k& PUt tra41V
252-355 -3433 -- fay
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03/20/2013 14:16 2523551146
uiloleul3 1)3;lb p TU;+1. V5?1 3553433 FAOM:9298332948
•03/20/2013 12:43 9198332848
MIKE PUTNAM PAGE 02/03
Paget 1
DTS SOFTWARE PAGE 01
03/20/2013 11:57 252355114E MIKE PUTNAM PAGE 02/02
Mar,14, 2019 4:20PM TOWN OF PINEKNOEI SHORES Sa,1957 P. 2
1G RTIFIgg Al A14 - RETIi,Ry„�ECE T iR EOULSTAM
vVISION OF COASTAL MANA13EMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIVICATIONIWAIYER FORM
Name of Property owner. C`
Address of Property:
(Lot or Qtreet #b, 01met yr mead, oly a Ouuniy) [r4 ✓-) � .rs"
Appiicantphone#: 01 Q4 9Q1--k MaiingAddress:
I hereby certify that I own preperty a0cant to the above referenced propnrty. The fndMduat
applying for thjR pannit has desuribad to me as shown on the attrrchad drawing the development
they are proposing. A desarWhm o dreg nw( g,,�utt~ diman . mW bo rgoyx ded M& this le er
I have no objections to this proposal 11mve objc oa9to this px4paaaL
ifyou nova obh+otrnna to whetlsheingAropo4od,you rmusfrrofflItheD,lvfsloAoff=aaaWfira>repemont
fDCM) in iwritlAg Wfbfn 10 tlays of reeelpf of fhfa nofte, Gorrnct •Information far DCN offices is
ayaffable at www.nccowolmonggmgpf l?eVcontace dcm.r tm or by calling 1-840-41100AS% No
resp2Qj9 LA cons#derbtl Ma saute as no gUcaon ff you have been notiNd by (tiOd fled Mail.
UyAiVAR SE071ON
I undetstand that a plat, dock, mooting pllfngs, breebmter, boathouse, or DR must be set bark a
minimum distance of I from my area of riparian amass unless waived by me, Of you wish to
wahm the setback, you A1�1 the appropriate blank below.)
I do with to waive the 15' setback requirement.
I do not wish to waive the ld' setback requiroment.
(PragsV Owner Information)
c
S9,�Irdtu�e
o .�4 fit/_ � � r� J 1-�,►'
PrintorType We
Malin#Add!"eas
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2
e ep anv wm ar'�"
Dale
(Riparian Property owner Information?
,918netr,rs
Prinfor7)ps Name
MelingAddlass -
G/fy/3f91P��p
TaY
pphona Numiter
-yo -L�2
Dald

03/20/2013 14:16 2523551146 MIKE PUTNAM PAGE 03/03
MarX 131226p Uradyl uicherMgt 252-247.4309 p.1
'e3/20/21313 1.2:00 2523551146 MIKE PUTNAM PAGE 02/IV
17. LV() 9;/Itrr4 iU47N OF PINE;{NOII SfiORES
' No, 1957 F. 2
AfJJ�1C1=Nr �l�aiRr � P�o��� OWNER
R N071FIC,ATJOMIWAAMR FOnM
Name of Property oa+ner: " {
-4- C
Address of Proper+: / 1� ,
(Lot or &(Met 9, 5freel Or Road. Cay A courJ�►) DYE.
AppNeantphoneok G6 w fi
3- MaiiingAddress; 0
f ' " Lvc/
l hereby certify that 1 awn prnpety acUacent to th© above referenced property. TRiinziw
he individual
they in9 far toss paremt��has de�ctibed to MO as shown an the attached growing fop development
they are pr00oSfnq. cT.aQRElk on Or dra i
d�or
_L9-1OIL b ide h to tit.
�Y have no objaclions to this pzoposal. ��„� I larva objections tb this asa o J.
IfyouhQvoobyael;orrs towiiatlsboln F
(DCR) In WIN49 wlrhlp 1000
g rOPosod,yourvustngg4rtheolylstgnofCvaslerManr►�Itlent
8vallabl9 at xr�uw nrcvest�lnr'2 '*l vt fhb notke, Contact Wann,700A fGr Dom aMcge is
res 1SCOn31dD110dlllpsB►lacg boa vtlhgqar�tsnct~dr,►tr.htm or by oalJing f-ON94RCOAn Nv
SECTJON
t utidererano that a pier, dook mooring WAIVER
A bra kwaWr, boathouse, or 1lft must w�P setback e
minimum dlaEance of 451 fMm my areQ of riparlatti a=ea unless walvad by Mo. (if YOU wleh to
waive the setbod you m at I a11ho OPprop(late blank befaw,)
— � I do wish 10 waltre (he 16' saEback Taqutrernen!,
1 eta not w,sh to wawa tltQ IS' setbackrequimmenk
(Pr MQrkY 13wx1e, h or ation)
�gt�alure
Q64Ta)j
P1W or Type Npme
51 <- 441a 4, L-r~ 5 PK
UsdiingAdfMis—
Telopl�ou're rJumhc+l'
! 3
IaCi!
(Riparian Property ownar Information]
�igr1Alkr8
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Frinf ortype lyap)p
D lGi.+f
ftfliegAddrass
779160000 Nairiier
y
,Dale