Sunset Villas, LLC C/O Maxwell, Jim

1.�,CAMA/ ❑DREDGE & FILL
GENERAL PERMIT Previous permit #
❑�� New ❑Modification El Complete Reissue El 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 are pf mental cofcern pursuant to I SA NCAC
r _ t 1 l �1 S�� _ i f `1 j [, J Rules attached.
AApplicant Name"",':'( { + 1 �. ,I "� ,i_._ 1,r? # ! I r' f --
pp i � � \ � .�, ( Proje Location: County
��ciclress--~�" Street Address/,State Road(Lot #(s)
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ty
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Phone"#{()—'—,-�� /Fax #, (—"�._'�.'""" ` Subdivision
�4uthorized Agent I' 1 < i'j Cit), -� f`� ' _Y- r I ��% ZIP
Affected ❑ CW AEW t7,FTA ❑ ES ❑ PTS Phone # ( i 1 aver Basin t !r C aF.
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ WA . ( . t �' ,. �. t ( ! }
AEC(s): Adj. Wtr. Body 17, tnat %mangy/unkn)
❑ PWS• ❑FQ 1,
ORW: yes / o ' PNA yes / Crit.Hab. yes / no Closest Mal. Wtr. Body i 1 di
Man M
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MEMNON
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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 [)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 0 Other:
F1 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 (252-946-648 [)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/ 1-8884RCOAST
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)
Revised 08/09/06

0
Name: Sunset Villas (JIM MAXWELL)
Date: 6/17/14
GP Habitat Sheet
Permit #: 64106C
Address:103-111 old causeway road
Habitat
SF of Disturbance
SF of Disturbance
LF of Disturbance
LF of Disturbance
Open water
169
169
N/A
N/A
RECErvz
1-"J
UN Z 8 2014
DCM MUD CIZy

Azaaymoa
VIOZ 91 Nnr
ADJACENT RIPARIAN PROPgRTY OWNER saTAMENT
1 hereby certify that I own property adjacent to !(c!l SF 7 14' 110 �14 blr+tXtw/�S
(Name of Property Owner)
property located at 1d3-1// 401d ('audcwn 4v
(Address, Lot, Slock, Road, etc.)
on het 'IDi in _ :27 Aera , N.C.
(Waterbody) (Cdy/Town and/or County)
The applJcant has described to me, as shown below, the development proposed at the above
location.
i% I have no objection to this proposal.
.y
i have objections to this proposal.
DESCRIPTION ANDIOR DRAWING O F PROPOSED DEVELOPMENT
(individual proposing dove topwwA trust Wl in descdpiian below or attach a site drawing)
IZECEIt�
x JUN 18 2014
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or yrola must be set
back a minimum distance of 16! from my area of riparian access unless waived by me. (lf you
wish to waive the setback, you roust initial the appropriate blank below.)
I do wish to wage the IT setback requirement
l do not wish to waive the 1 & setback requirement.
(Property Owner fnfonnation)-
SG� S t? 1i'IIQS C1��'�►► J�t'ri
Signalm
Late
(Adjacent Property Owner Information)
i✓x's �') 04-'V
si na MS f
Atuiv
Pr1nP r !Jame
hla ddn s "
Cr't W 1/p
9-0- "9tr3k S If
Telaphme Number
ry -id—lq
Date
{Revised ti/tW012)

,e;114/2014 01:28 12527262866
A B COOPER JR
PAGE 01
Anj6pW fUpAgIAN PRQRgBIX OWNER $TATEMENI
I hereby car* that I own prop" adiawtta swls-e—y
(Name 6f Property Owner}
prop" located at '0 id C0 Q4C!±�v
_Zp,a _-///
(Address, Lot, Wck, Road, etc
In '��;e
on ---------- J �5= - --, N.C.
(Waterbody) (City/Town and/or county)
'The ap HIF ant has described to me, as shown below, the davLqopmnt proposed at the above
I have no objec*n to MW pmPosal.
I have objections to M propped,
l)F-SdPjPTK)K AWIDR DRAWING OF Pi OPOSEM DEVELOPMY.-Ny
(IncftWdual propoafay deireftment must rdt in dosorlpffon Wow or of tank
URI
JqAlYM SE91[04
I undamtand that a pier, dock, mooring pilings. breakwater, boathouse, lift, or groin must be set
back a rWinimm durance of 161 fmm myma of riparian aac= unless waived by ma. Of you
wish to w;Wva the setback, you most Mall the appropriate blank below.)
I do wM to wa(v tha 16's-aftck requiromwot
I clo rkat wish to wain ffie 15'aeWack requimumt,
(Property 0W0qr'(q1DrrnatI49). W (Ad nt P r'", ty OW7/1WOM bn)
A
,51k., 1;tT
4 4 C.
Resod. LLC by 4 8 CW45ar Jr member
or Type Nam
ace.. M4W%Vrc%aa, NC 28512
C"IMMA2M
71�kpWnu Mr -her 7efepttarre Number
/%L 14, 2014
Date
(Reftffiff 012)
JUN 18 2014
DCU-MHD MY

AGENT AUTHORIZATION FORM
,r•
Date �Gn //� / /�
Name of Property Owner Applying for Permit:
Mailing Address:
� 1�Q�1 )GGai
I certify that I have authorized (agent) / , �rr) _rty-, I /ij e -S to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity)
at (my property located at) /0,3 — // / 0 /a/ cerse"s- %W- /2-Z Alc,<i%'e--
13 r'R c`/C'
This certification is valid thru (date)
Prop e Owner Signature Date