Silver, Steven S.

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LLAMA / REDGE &PILL N+, 0
ENERAL PERMIT Previous permit A BC
P D
ew ❑Modification El Complete Reissue ❑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 q �+
;� j y ., ule attached:
Applicant Nayne' , }� d y.. Project Location: CountiL..
Address, }J Street Address/ State Road/ Lot #(s)—
City "•° 31 � .. ~ State tN.ZIP
yy. wrir Y
Phone #Q)� r E-Mail Subdivision
Authorized Agent t i { 1 Ir� 't.:�._ %i�/L _ ? ; Z i city! r'^, �i i t� ! ZIP
Affected ❑ CVV ❑ EW ` ❑ PTd" ❑ ES ❑ PTS Phone # ( F3) ' V4 River Basin', �. ! �_X �
AEC(s): El O HHF ❑ IH ❑ USA El N/A Adj. Wtr. Body 1 't,,xyar k:�o. ' ' ' + ` nae4 an unkn
El Pws:
r Closest Maj. Wtr. Bodyl,.�t.(.
ORW: yes �% no_..'. PNA yes /no
Type of Project/ Activity
I/
(Scale:!
Pier (dock) length
Fixed Platform(s)
Floating Platform(s) "
Finger pier(s) -•--
Groin length
�tuber
Bulkhea/ Riprap length -
avg distance offshore —
max distance offshore
Basin, channel
..._ is
cubic yards """
Boat ramp
Boathouse/ Boatlift """
Beach Bulldozing
Other
•; t
rt, 77r.`
t
Shoreline Length l- i
SAV: not sure yes no :` d J
Moratorium: n/a yes no-'.
Photos: yes now\
Waiver Attached: yes no
�.,' I
A buildingpermit may be required b : �I . `i, r ? 1, t
p y q y } ❑See note on back regarding River Basin rules.
( Note Local Planning jurisdiction) . f
� , r
Notes/ Special Con itions i a i .'I �` k.
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p. t
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1114
Agent or Appl' t Print.
Name .A;e.'_ 64,.J..L_ PermitOfficer's Printe Name / i
Signat a 'Please read compliance statement on back, f pe mit ** Signatures
pA p cation r Check# IssuigDate 'ram * j v� xppr�tp Y
"'f ,/

1 * .
P ,
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 I) 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:
0 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 complywith 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.nccoastaimanagement.net/
Revised 08/27/14

Shoreline Length
SAV: not sure yes 0
Moratorium: n/a yes
Photos: yes
Waiver Attached: yes no
A building permit. may, be req irecl by:
Note,Local PlanningJurisdiction) jurisclictln,
1 Iptesl Special CondItions
I
IMM'"Id
tu
E]See note on
regarding River Basin rules.,
'k V)!I A A
ill
ill

N.C. DIVISION OF COASTAL MANAGEMENT
Date CSC- o , r C ,2 0/
Name of Property Owner Applying for Permit:
,S 7v e r) I-. 5`, /. v e A
Mailing Address:
P.C. &Y, 2,V-31
I certify that I have authorized (agent) w, 66," to act on lily
behalf, for the purpose of applying for and obtaining all CAMA Permits rtecessaly to
install or coustruct (activity) A t)ow SaEa wyail ,
at (lily property located at) / :/'/ 6t3cd w) PR;ye,. A 7 -4 /a' /i%C; ,
RECEIVE
DEC 0 8 2015
This certification is valid thru (date)
13
Propei-4, Owner Signature
DCM- MHD CITY
/0--20— 016—
Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 67-e- u O m 5',
property located at 1211 5,1crr7Dre 1 yti (Name of Property Owner)
(Address, Lot, Block, Road, etc.)
on /4-')a,,1 /'Iqde -,in A7`I y.,;7' r- Baor-17 , N.G.
(Waterbody) (CityiTown and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
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)
% f. et ; Cam' v>.! p, vi (" { +. r» 1+ ins•?c t s✓t# ( 1-
RECEIVED
DEC. 0 8 2015
DCM- MHD CITY
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, 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)
(Adjace9t Pr rty Owner' Information)
f41.:...
.
Sig►ratlrre
S Ta✓e- n. J, Ji L✓P- i�
.S`i�1TCl11l(i'e` -
Jll/ff;�ii'i ' 1,6V1
Print or Type Name
,/e CZmyk"ri
Print or Type Name
Mailing Address
Maili ig A dregs 7 r
CitylStatelZip
Citylstate2ip
Telephone Number/ email address
Telephollp Ntmlberl email address
Ca c "'v% ►2 20 � 2016-
11 � � i ,4� d 1%
Date
Date*
(Revised Aug: 2014)
`Valid for one calendar year after signature*

a 4
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that 1 own property adjacent to I
(Name of Property Owner)
property located at 121 , d r { ri cJ Dr: + V r
(Address, Lot, Block, Road, etc.)
on /r'>-1n 1L1�de C:en-,,- , in ATL.-yrx-r;c- Se?o<--)7 , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to .me, as shown below, the development proposed at the above
location.
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)
RECEIVE®
DEC 08 2015
®CM- MH® CITY
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, 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) (Adj ent Property Owner Information)
Sigrrantre Nibnal line w
5 7 e. ✓ean S, 5: L ✓eye Donald B. King
Print or Type Name Print or Type Name
f�, D - 60 X 2,V,?/ 3723 Medford Road
Mailing A#dress Mailing Address
"0C)n 9.. Al. C. 2 g6011 Durham NC 27705
Gily/statelzip City/state2ip
12Q -'773 — /6 Va 919-697-0763 / donnie.king(cDdbkingec.corn
Telephone Number/email addiess Telephone Number/email address
October 20, 2015
(Revised Aug. 2014)
"Valid for one calendar year after signature'

-16` 15 10:10 FROM- T-475 P003/005 F-138
FILE COPS
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The following notice appfles to consumer customers only:
S1,188T"ITUTE iCHECKB AND YouR Ttiews
Page 3 of 4
iRfh$t is a subetllute Check?
To make aback processing touter, federal law penritis banks to repigce o►iginal Checks WIIf) "aybStltUle OheCKs." These checks are similar In size to crfgfn4l
checks with a slightly reduced Image at the front and book of the criginol check. The front of d substitute check states. "This is a legal copyaf yourchack. You
can 4isa (► the Same way You would use the ariginol check." You may, use a suhatitute check of proof of payment just like the adginoI cltdck
Some or o@ of the checks that you rsceive buck from us may be suhsitlutC checks, This notice describes rlghfa you have when you reoeMs 8ubslilulo checks
iron+ us. The d9his In this notice do not apply to original checks or to electronic debits ta,
to thos®your cco6unk However, you have rights under other law Min respect
hansacltonS.
Whrlt are my rights regarding substitute checks?
in certain 00186s, federallow provides a spsoiat procedure that oliows you to requcsr a refund for losses you suffer it a substilute check is posted 10 your
account (for example, if youihink that we withdrew the wrong or'novnt tram your wocount or that we withdraw money from your account more than once for the
sortie check). The lasses you rnoy agemp! to recoYer under this procedure may include the amount that was withdrawn from your account and fees shot were
chorged as a result of the withdrawal (for example, bounced check fees).
The arnauto Interest on t at Your rotund under tali procedurm is timitetl
entitleded to to the amount of your loss or the amount Cl the substifule check, whichever Is fuss. You also am
the amount of your refund if your account is an interest•beoring account !t your toss exceeds the amount of the subsiirute check, you
may be able to Waver additional amounts under other low.
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ii'005 299114 4t:0 5 3100 3001:00 If 3 112 i$ 2 k 2 711' r110000080000.1,
UL Balancing Item for Re -Deposit
Branch;
086
Sequence Number.
2600148007
Account Changed:
1033086000
Retum Amount:
$800.00
Cash Notice Gat :
12-10.2018
For check reference only.
Account Number Depositing:.
0865001213
.. 9 1 a r . — i . . — . - — — . — ..

1 NC Division of Coastal Management
Cashier's Official Receipt
Received From: aMA
Permit No.: A.5,cH3 C r 66 c 6 I C'
Applicant's Name. I'1
Project Add
Please retain reg
Signature of Agent or Applicant:
Signature of Field Representativ
for
as proof of payment for permit issued.
Date: 11
Date:

Brownlow, Ro
From:
Sebastian,: Melissa
Sent:
Monday, December21, 20151:33 PM
To:
Brownlow, Roy
Subject:
Tim Grimes
Wow after writing
down what I have things�aren't sure black and white -hopefully you will have the other pieces and it
will be.
12-7 received $800 check (6299) for GP 67083 (Steven Silver) and new PKS-gp for Bob Cooper (permiit 66459?).
Deposited check on 12-8. Received NSK notice from'Raleigh on 12-16.
r 12-9 receive $400 check (6298 permit not issued at time if payment but according to receipt it was for 407 AB
Causeway.
money order for $800 picked up permit 66462 Crows Nes-40Aase ere i
Ateeiboa Segaoiran I . I
Accounts Payable Mgr.
-
NC Division of Coastal Manage. t
NC Dept of Environmental Qunli j
252 808 2808, ext 229
252 247 3330 Fax �--
[e-mail]
400 Commerce Ave. 7i
Morehead City, NC 28557 00
,. Nothing CRl'i1pwes- --,�
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
He came in on 1248 v
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