Quillen, Stan

`f CAIVIAI ❑[DREDGE & FILL V.; l 1
A B C D
JUNKEN E RAL. PERMIT Previous permit #
Vevv ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
As authorized by the Mate of North Carolina, Department of Environment and Natural Resources .. «• f
and the Coastal Resources ommission in an area of environmental concern pursuant to 15A NCAC �/
54�» ,QRulesattached.
Applicant Name I� Project Location: County C. �Y
_ I .( kI t
4J
City �"..1r". l State ZIP
Phone # ,j`
Authorized Agent �F`
Affected ❑ CW SEW ( PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes / o ) PNA yes /"no1,j
Street Address/ State Road/ Lot #(s
Subdivision
City 1, ZIP<) f
Phone # ( ) River Basin f° P�
Adj. Wtr. Body�11) t�ati /man /unkn)
Closest Maj. Wtr. Body'
Type of Project/ Activity , �i t ('Jac ��✓' , ` ` { ' fat,- 4 ] + - r ; l t
--'' (Scale:'4rl f. )
Pier �"f�
Fixe
Float
Fing
Groff
Bulkl
Basir
Boat
Boat
Beac
Oth(
Shor
SAV
Mor
Phot
Wah
TgPlatform((s) IUX
HE
EMSAMM
LWQMM
ENNIMEN
length
I
MONISM
JENNE
MEN
IIIIIIIMMIMMIIII
�MMILI
-
NEWn
m
number
MIMIMMU
wl
M
ICI
EMMEM
a
MMMMEMENIOMMM�mmm
0
IMMEMEMEMMJIMMEJ
distance offshore
JIM
■gymax
m
MEMO
M
M
cubic yards
N:,channel
o�
.�EEm�■
MEMEM
MEN
MEN
MEN
ME[
ME
MEN
ON
M
MINEEMEMENUM
ME=
mill
W,
0
M
Emomm�m
fline Length �MMMMMEMXMM
m�m
_-WEVEWTUIZA1111111—
'� ?nd'
torium: n/a yes
an
NINE
I
1.11,
A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Special Conditions r
See note on back regarding River Basin rules.
Agent or Applicant Printed Name PermitO c nted Name jf
J
Signature * Please rea compliance statement on back of permit" Signature / f
Application Fee(s) Check # Issuin Date Ex iration [late

�ry r,lit
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:
Tar - Pamlico River Basin Buffer Rules FI 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 howto complywith these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
Washington District
400 Commerce Ave
943 Washington Square Mall
Morehead City, NC 28557
Washington, NC 27889
252-808-2808/ 1-888ARCOAST
252-946-6481
Fax: [phone]
Fax: [phone]
(Serves: Carteret, Craven, Onslow -
(Serves: Beaufort, Bertie, Hertford, Hyde,
North of New River Inlet- and Pamlico
Tyrrell and Washington Counties)
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)
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.nccoastaimanagement.net/
Revised 08/27/ 14

xw�.0 qa) �_.
Floating Platform(s) 1�
Finger pier(s) -w
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel r-
cubic yards
Boat ramp
y.
Boathouse/ Boadift r
Beach Bulldozing
Other
Shoreline Length
SAV: not sure yes gn
Moratorium: n/a yes
Photos: yes
Waiver Attached: yes •
A building permit may be required by:
( Note Local Planning Jurisdiction)
Notes/ Special Conditions
0®
INN NEENWENEEN
INEMENENE®„eE-0-
M���
•
0--m
ent or Applicant Printed Name Permit(
4r1:�
Signa a "Please reacfcompliance statement on back of permit Signatu
ApPlicaUonFe�(s) Check# Issuin
immmmmmmmmmmm0
Date Fx iration [

Alan G. Bailey
PO Box 93, Morehead City, NC 28557
504-0737 • 726-5443
od/ee We it- 10w we �orlSfi�t�4f'a�Y� r!?Y rQc60,r4i:W01Y /o
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
1 herebycart' that.l own roe adjacent to �l 's
rfY property rty j 57 �;-I u; f r1
Marne or crop ny pwner)
Property located at Y �. f.�j_ .
(Address, Lot, Block, Road, tc.)-
on e_ '9in t.r'& MW-fr,.ve� N.C.
(Waterbody) (City/Town andlor County)
The applicant has described to me, as shown below, the development proposed at the above
location.
--_ 1 have no objection to this proposal.
I 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)
Z/ou X r` "
WAIVER SECTION
I understand thPtapier, 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 16 setback requirement.
(Pro arty Owner Inr anon (Adjaclanx Property Owner Information)
Signature ` Signature
Print ornt Print Name Print or Type Name
21 fle ars] 40 > Mu J"In
Mailing Address _ �6 Mailing gddre ss ` I ,Vle la Y. ? /�
City/5tat ip e.
City/State/Zio �i
Telephone Number D . Telephoo1n 11"j Number S
Date Date
(Revised 6/ 0012)

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)mplete items 1, 2, and 3. Also complete
m 4 if Restricted Delivery is desired.
int your name and address on the reverse
that we can return the card to you.
ttach this card to the back of the mailpiece,
on the front if space permits.
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D. Is delivery address different from Item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise r:
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee)
Article Number ; 7014 2120 0004 0355 0613
(Transfer from service label)
S Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
Postal
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SWANSBORO NC 28584-8049 Zone-3
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Total Postage &Fees
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USPS Certified Mail #:
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Issue Postage: $6.49
Total: $6.49
Paid by:
Cash $10.00
Change Due: -$3.51
N For tracking or inquiries go to
USPS.com or call 1-800-222-1811.
Order stamps at usps.com/shop or call
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LANDSCAPE & GAN3DEN CENTER
P.O. Box 717 o. 032 %Vest :tiLain Street a Vilaynesboro. VA 22980 a Phone-540-942-�G4b % Fax [phone]
FA CSI MILE COVER SHEET
Date:
To: � � �' +L -- Far~:�
Frorn: 4 Fa-v
Fuses Total (Lzciuding Cover Sfieet):
IF YOU DO NOT RECEIVE THESE PAGES, PLEASE CO,VT.4CT THE SEA7DE2 AR .SOOM
AS POSSIBLE AT 540-94 -4646.
Comments: -A Uf' l� Z
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AiNERICAN ASSOCIATION OF NATIONAL LANOSCA--C j VIRGINIA `URSERY &
Nik.RSERYMEN. INC. ,4uRSERYM6N's ASSOCIAT:O` i LANGsCAPE ASSOCIATION
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01/07/2015 (800 275-8777 11:58:02 AM
Sales Receipt
?^oducz . - Sale -'Jnit Final -
Description Qty ?rice Price
SWANSBORO NC 28584-8C49 Zone-3 $0.49
First -Class Mail Letter
0.50 oz.
Expected Delivery: Fri 01/09/15
Return Rcpt (Green Card) $2.70
91 Certified $3.30
JSPS Certified Mail #:
70142i2�P00403550613
Issue Pcstage: $6.0 i
Total: $6.49
Paid by:
Cash $10.00
Change Duet
93 For tracking or inquiries go to
USPS.com or call 1-800-222-1811.
Order stamps at usps.com/shcp or call
:-8CO-Staasp24. Go to asps . cotr/cl i ckrsni o
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Issue Postage: $6.49
Total: $6.49
Paid by:
Cash $10.00
Change Due: -$3.51
9@ For tracking or inquiries go to
USPS.com or call 1-800-222-1811.
Order stamps at usps.ccm/shcp or call
1-800-Stamp24. Go to usps.com/ciicknship
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USPS Tracking Intranet
Product Tracking & Reporting
iioina search Reporter Manual Entry
USPS T raching Intrannet `Packing Number Result
Result for Domost'sc Tracking Number 7014 2120 0004 0355 0613
Destination and Origin
Destination
ZIP Code I city Slata
28584804D! SWANSBORO I NC
VfI�tIE
ZIP Code City state
1229809998 YYAYNESBCRO VA
Tracking Number Classification
Ratbsl PTR I EDW USPS Porporate
Commitments Accou..ca
Classlservice
ClassJService:
First -Class Certified Mail
Class of Mail CodelDescriptlan:
FC / First Class
l7e5tinabon Address Information
Address:
115 LCOKOLT RDG
City:
CEDAR POINT
State:
NO
5-Digit ZIP COae:
29594
a -Digit ZJP Code add on:
E049
i Delvery Point Code:
15
Record Type Cade:
Street Record
Page 1 of 2—
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RECEIVED
MAY 2 7 2015
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Service Deliver/ information
service Performance Date: Shceduled C®livery Date: =ndrry, i';09rU1' i
Predicted Delivery Date: Saturday, 011IOi2015 l
I
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Zone: 03 i
PO Box: N
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LAXD5CAPE &- CARDFN CEN'T I
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P.O. Box ? 17 ?C132i1rVest 'lain Strcc: via}mesbero, VA 229N s Phone 540-442-
FACSIMILE COVER SHEET
f'
Date:'
To: �Fax #: a
From: Fax
1'a` e.+ 'local (fncluding Covior Sneel):
IF YOU 170 ,%707' RECEIVE THESE PAGES, PLEASE CONTACT TILE
AS POSSIBLE AT 5-10-W2-4646.
Comments:
IkeI j /q,
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AMEP.ICAN ASSOCIATION OF
NURSERYMEN.:IYC.
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NATIONAL L.A ` c,5 CAPE
NURSERYMEN'S ASSOCIATICN
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RECEIVED
MAY 217yy 2015
'DER AS SOON
VIRGIN11A NURSERY &
LANDSCAPE ASSOC IA-1OIs
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£bLL-6b6-01G
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