Wendle, Jeff

+AMA/ ❑ DREDGE & FILL i "',�
f 5 C A B D
ENERAL PERMIT Previous permit# 0 V,
;; 4Kew ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources f
and the Coastal Resources Com ission in an area of envir nmental concern pursuant to I SA NCAC p
uoo
les attached.
Applicant Name " °"' ,m; . Project Location: County
Address i�✓}yt-, ,�� G f :.; f'-we
City -+'� �'� `"� State? � ZIP a4
Phone # ()^ �'-Mail
,r° a #
Authorized Agent t,s � ; , r f ,n' y a.f
Affected ❑ CW fT!rW ~Q°RTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A
❑ PWS:
ORW:,r/'' yes I)no PNA yes `% o
Type of Project/ Activity �* , X f �� / # �I •1 � 11'r "_I
Pier (dock) length
Fixed Platform(s)'
Floating Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length A^
avg distance offshore
max distance offshore
Basin, channel "
cubic yards
Boat ramp
Boathouse Boatlift 0 t 13
Beach Bulldozing --
Other
Shoreline Length
SAy: not sure
yes
no;
Moratorium: n/a
yes
yno,
Photos:
yes
poj
Waiver Attached:
yes
�n.5
A building permit may be required by:
Street Address/ State Road/ Lot #(s)
Subdivision
CityL:r""✓,.,�. ZIP ,..
Phone # ( ) River Basin ✓ 4. 1? „,, '
Adj. Wtr. Body ' ' f '' e . �` na d man unk
Closest Maj. Wtr. Body..�a'�; � "
(Scale: )11
❑ See note on back regarding River Basin rules.
( Note Local Planning Jurisdiction)
Notes/ Special Conditions �� '
Agen or pheaint Printed Name PermitO WE inted Na j
Sign re "Please read compliance statement on back of permit" Signature
, _h
ApphcationFee(s) Check# Issuing ate Itiratio Date ;

r
' r
r
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, 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 0 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
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888ARCOAST
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.nccoastalmanagement.net/
Revised 08/27/ 14

LAMA / ❑,DREDIGE &FILL
ENERAL
'Y 3515 C. A B °
PERMIT
Previous
permit
P
4ew ❑Modification ❑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 Com fission in an area of envir nmental concern
pursuant to 15A NCAC
Applicant Name �°
F �} t
lesattached.
Project Location: C '�
i cation: County .�".
Address_ i �; ; e t ere / i'
Street Address/ State Road/ Lot #(s)
-
City. L, ^ o'f,N (,/ ` State,A/( ZIP
Phone # (k 1
Mail
Subdivision
Authorized Agent__ , N10
City ,; ZIP Z
Affected ElCV1/ W ETA ❑ ES ❑ Prs
Phone # () _River Basin a
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
,
'. Wtr. Body + u ✓
Ad1 y—�� t (t na s/man /unkn)
ys'/no PNA yes n '
Closest Maj. Wtr. Body
(ORW:
ype of Project/ Activity/
Pier (dock) length �-
Fixed Platform(s) '
Floating Platform(s)
Fingerpier(s).
Groin -length ^
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards ^"
Boat ramp
Boathous Boatlift"
Beach Bulldozing .-
Other
.p
(Scale: f f ) I
s lm
-solo
Shoreline Length Ito
SAV: not sure yes no
Moratorium: n/a yes no
Photos: yes c
Waiver Attached: yes
A building permit may be required by:
ElSee note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/ Special Condition
Aic ntrin�ted£�NamepP
Permit 0
r' aPrinted Na
Sign a Please read compliance statement on back of permit
Signature
t
''' 4 f
ApplicationFee(s) t
Cheek#
Issuing ate
Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
(Name of Property Owne
property located at
(Address, Lot, Block, Road, etc.)
on. . ......... . ... -, N.C,
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
-l' ' , 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)
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.)
f-4
back requirement. W
I do wish to waive the 15' set t-V
I
I do not wis
h to waive the 15'setback requirem
(Property O%Nper Information) (Adjacent, Property Owner information)
1z
'
Signatwle �S.Jgnature*
Pri or Type Name Print or Type Name
-0 619Y I I "
Mailing Address Mailing dre s
C-- M r r 0, ( d : r z, I e, A
It te/z CitylStatelZip
95 . . . .. . .........
Telephone Telephone Number/ email address
Dale Date * X
(Revised Aug. 2014)
*Valid for one calendar year after signature*

'YNITED STATES
L SERVICE.
Date: May 5, 2015
Lauren Barber:
The' following is in response to your May 5, 2015 request for delivery information on your
Certified Mai ITM item number 70140150000176830308. The delivery record shows that
this item was delivered on May 2, 2015 at 5:01 pm in RALEIGH, NC 27608. The
scanned image of the recipient information is provided below.
00"wwy Seabon
Signature of Recipient
Ood
no � �d
Address of Recipient:
MY 2b I r--
we
Thank you for selecting the Postal Service for your mailing needs.
If you require additional assistance, please contact your local Post Office or postal
representative.
Sincerely,
United States Postal Service

Page 1 of 1
i�'S5 IRpirYts
•
�Cirar'S:T�R1�IrYe'S
0 Railroad Right o* +dray
! ®ourdary
Odd County
' eall othermalues>
Cart
PIN
Acreage
Parcel Dimersiors
Lot Number,
http://carteret.connectgis.com/DownloadFile.ashx?i=_ags_mapadf3O896l fOO43808aa8f8df... 5/12/2015

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date.
Name of Property Owner Applying for Permit:
Mailing Address:
I certify that I have authorized (agent) L i"f - lj,%AAE%L G!I! 104 to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) 'bM1G oig:ZG—o- x G PmYzj '''7A�
at (my property located at) _ Zt +n"\cmcb ba. 6041:9'L/ 'i�� 1,5La' Wc.>
This certification is valid thru (date) Jy ► t -7.>D SO % �_
0ju-, imrM 15, I'D c'a
Property Owt eer,Afoature Date