69011D - Einstein

-CAMA / DREDGE &FILL
3ENERAL PERMIT Q �'�°.\� A B
Previous permit #
New _Modification []Complete Reissue Partial Reissue Date previous permit issued
rized by the State of North Carolina, Department of Environment and Natural Resources 'I
:oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC _U �1 , � � oc
❑ Rules attached.
t Name
� �'�Q h � r�S�C r Project Location: County 3 flAnNst- Y, Ck
� OS —tljsM 4 A
,\cs�,ai� State VO4 ZIP ZUI s
6W) )224 - 41(01 E-Mail
:ed Agent
❑ CW ❑ EW #PTA )�S XPTS
❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A
❑ PWS:
yes / no PNA yes / no
Project/ Activity
ck) length
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone #
River Basin CFK
Adj. Wtr. Body A3 C,Jw (n
Closest Maj. Wtr. Body 4T (,"
(Scale: -1 :1
:.
.■■■■■■■■
■_`/NEE■EI�WE1VaRMIN111,•
�
�■Ii���Rama
■■■■■■EE■E■/&
EN!gNIENEtI■■E■
111
■OE■�■NE■1■■■■■■■■■1
[•
■^.MNE■■■■M■ME■■N
■■■■EAEEEE■I
I■.......
mliii■.■
_M■■111
0/ Riprap
Emu
EEE■■■■M■■■■■■■■■■■■
MEMO
■■■OMEN
length
■�■■■■■■■■■=■■■■■■■
MEMO■■■■■■■
distance offshore
N®N■■n■E■
MOM
E■NONE
E■■MM
EM■M■NEM
x distance • •
EE■NOE■M■■EE■■E■■OMEN■■■■EN
EM
AMOO■
■MEN
■EOM■■■�■■■MEN■■■�■P"2WI,�17MEN■E■
1EE.m■■.■NE■■.■N■■...ii__,LO■.■.■E....■■■
E1111111
1ME
E
Mz1.
1EN
11
111
11Ericyards
■■ME■■■
OMEN
NMN■E■EM■
IM■1
IE■■■■E■■NwN■M■
�I■■EN■M■■EMENMM■of■Oil■El��■;
■��---•...�.���'�511►�■Nlr
■�
■I�I.�MNI■r'i■El�I
NIA
■�E■aE1■!l1i�NE■■MN��
■�
MIEN■■■■■/J■■i�EE�
Adozin
■�■/_`
i�l�i■�
M'■EME�0
C
00
■■■
■
/,i■Willil�■■
■■wGili■■wEE■�'i1N151110Ma
ZUit9lA■N�r�4?!!Altai►�1!I11�l�IC��M■11�■■N■N■■■
Length
not sure yes no■■■■■
Eli■Y■EIiU�i�lEl�lEll��llR"�1NM1!!�!1
N■■■■■N■
NMI
I11m■■■■E■Il■■■■■■IM■M■■il■EEIC
iawal
M�■■■ENII11�\EEN■■■1NEQ1■■EN��11■�■�■11!
:SIB
urn: n/a yes
OEMI
ML1EZ'V���
yes In
1111mo111�
.
E�E■■EEI
■■■NE■ENN■■■N�■NY
■NMN■E■■■
v �� 15(a�
ig permit may be required by: El See note on back regarding River Basin r
_ocal Planning Jurisdictionl.-7

NC Division of Coastal Mgt. Habitat Impact Cam
Applicant:
Date:
Describe below the HABITAT disturbances for the application.
All values should match the name, and units of measurement found in your Habitat code sheet.
TOTAL Sq. Ft.
FINAL Sq. Ft.
TOTAL Feet
FI
(Applied for.
(Anticipated final
(Applied for.
(A
DISTURB TYPE
Disturbance total
disturbance.
Disturbance
di:
Habitat Name
Choose One
includes any
Excludes any
total includes
E)
anticipated
restoration
any anticipated
re
restoration or
and/or temp
restoration or
tei
ternimpacts)
impact amount
ternimpacts)
ar
Dredge ❑ Fill Both ❑ Other ❑
(
I O
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑

SENDER: COMPLETE THIS SECTION COMPLETE THIS
■ Complete items 1, 2, and 3. A. Signature SECTION '
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece, B• Received by (Printed Name)
or on the front if space permits.
1. /Article Addressed to:
0 Agent
O Addressee
C. Date of Delivery
D. Is delivery address different from item 11 ❑ Yes
If YES, enter delivery address below: ❑ No
II�II�I'I I'II 111111111111111111111111111111111
O AdultvS gn tuPe
❑ Priority Mail Express(D
9590 910 0319 5155 0575
❑ Adult Signature Restricted Delivery
Certified Mail® ry
13 Registered MaiITM
Registered Mail Restricted
Delivery
74
Artirle Number ITrsnsfer from
Certified Mail Restricted Delivery
O Collect on Delive ry
Return Receipt for
sdise
ervice /abet)
7 Q 2250 0000
_❑ Collect on Delivery Restricted Delivery
'. .Ail
❑ SignatMerchure Confirmation*"
❑ Signature Confirmation
4063
-ill
2 y 4 8 Restricted Delivery
Restricted Delivery
S Form 3811, April 2015 PSN 7530-02-000-9053
Domestic Return Receipt ,
H
W
IV
O
N
O
Cu
rn
w
69
.A
O
CD
O
CD
c) In
1M

F5:
DISTANCES SHOWN ARE
UIZONTAL GROUND 015.
T TH15 SURVEY 15 OF AN
TING PARCEL OR
CEL5 OF LAND.
IPERTYADORE55: .. ----- -
..............
i8 E YACHT DRIVE
ISLAND, NC.
F: PARKING SPACES NEEDED:
BEDROOMS - l EA = 3 26 pne ..... , . -
CEL # 236/A0130 /
AREA: l 1,806 sf.
.... .�`%-...."."."."."."."."."."... SIDE-8'
.......................
LIVING AREA - lEA = 2
TOTAL 5 NOTE:
THE AREA BETWEEN THE HWM
AND 75' AEC 15 4,49 / Sf YOU
APE ALLOWED TO BUILD UPro /
30'� IN THAT AREA WHICH lS
1,347 SP.
5
NOTE:
�
BUILDABLE AREA LINE
WITHIN THE 75' AEC LINE
FLOOD STATEMENT
370202-Panel 02076
' J" -zoned AE l I'
We Date. 6/02/2006
�FIN SLAB6Stpn
LEGEND:
EIP - EXISTING IRON PIPE
RM/ - RIGHT OF WAY
CA - CENTERLINE 5T.
OF - IRON STAKE FOUND
IRF - IRON ROD SET
el¢abeth aver
site
e,
acht r
t
v
c
�
�
e. oak
land
- VICINITYMAY
\
PRO ERTY REFERENC
OWNER: STAN EINSTElN
� � \ ADDRE S: 6708E YACI
LOT 1, fSEC. 003, BLOC)
.3
396
h 62B
covm-
6 �
MB 5
\ c PG. 3
a' PAR L# 236JA0 / 30 /
V
ate
vel
W '
V
C\`1
V
I
/l O' .f'S7 stone
grade � encased with

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner: )A cin E+ ( Ss r- T3
Address of Property: 009 'b-�C-
(Lot or Street #, Street or Road, City & County)
Agent's Name #:
Agent's phone #:
Mailing Address:
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing with dimensions must be provided with this letter.
I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at http-//www nccoastaimana_qement netlweb/cm/staff-listin_q or by calling 1-888-4RCOAST.
No response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift 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 Inf mation)
Signature
San Ei ns+r-in
Print or Type Name
rl(.gg 12.E Je(S(,de Arm Rd
(Riparian Property Owner Information)
5 Ta"
ignature
sir -
Print or Type Name