47595D - Laubscher

❑CAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit#
❑New ❑Modification ❑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
1 - O Rules attached.
Applicant Name --'54'✓
Address < �'�u , '� 67
City' air I i State " r ' ZIP G ! 7
Phone # Fax # ()
Authorized Agent /' .;11n On
❑ CW ElEW El PTA ❑ ES ❑ PTS
Affected AEC(s): ❑ OEA ❑ HHF ElIH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards_
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other �..
Shoreline Length ..
SAV: not sure
yes
no
Sandbags: notsure
yes,
no
Moratorium: n/a
yes
no
Photos:
yes
no
Waiver Attached:
yes,
no
A building permit may be required by:
Notes/ Special Conditions
Z
ent or Applicant Printed Name
ignature Pleasereadcompliance statement olibackofpermit
t
Application Fee(s) Check#
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City / ^r ZIP
Phone # ( ) River Basin
Adj. Wtr. Bodyr '/ <.: "<</(nat & Junkn)
Closest Maj. Wtr. Body /-- % 41-'414�
(Scale: )
�r
r ll See note on back regarding River Basin rules.
r''Z.__...._.. L?�ii a d✓rLS� ,'
Permit/Officer's Signature /
Issuing Date Expiration Date
Local Pianning jurisdiction Rover File Name

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 ❑ 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 Quality. Contact the Division of Water Quality at the Washington Regional Office (252-946-6481) 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/ I-888-4RCOAST
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

Il CAMA/ DREDGE & FILL --
3ENERAL PERMIT 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
oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC >'U Ai O G
[Rules attached.
t Name .S p ply/ R , L 9 4 s Cl 071 Project Location: County 33 y,,rss,.,r,(-'
/ S N S o I/c ,Q�, ft , Street Address/State Road/ Lot#(s) 1 2 7 �M�
94 i,... .e Z State ,/¢ ZIP 'O qe-?
(2 5t) I S 1".95.3 Fax# ( ) Subdivision /
:ed Agent `f, C �w,-, 6 e c city Zell/,.., 8.
i2GA ZIP ' F ,
E CW ❑EW ❑PTA ❑ES ❑PTS Phone # ( ) River Basin Ly/,y 4
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body C6 ,91 S T.7F- 4'4/41(nat gi
❑PWS: ❑FC: /�
yes/ no PNA yes / no Crit.Hab. yes / no Closest Maj.Wtr. Body /91 Gil/ii
// f Z )' f� L5 isI
f Project/Activity ,�Oc+' ,, Al�-P�✓ �'L D �/�- G C
a i ,/1 t c P� (Scale:/ck)length ,</ S
�) -_i- :-�--'
ier s + i
ngth - — -
mber
d/Riprap length
g distance offshore , 1_
ix distance offshore _;_
cannel
i
•
bic yards V y
np I iv1'./ b,,.0.if 11/tom G I
ise/Boatlift 1 iLe,A r .mein,„ _ E. f_
ulldozing C _L
Iy - y- _i G 1.
e Length _,G 3 9 y 1 r t , T o f
not sure yes no
s: not sure yes no y I
L-cum: n/a yes no 1_I 1 j
yes no �' i/ 12 7 LtM,.f 1/ 4, I — — T
Attached: yes no '' i _. �.
ng permit may be required by: "''7(,/r Ar (B of;' 6 Lj . See note on back regarding R er Basin r

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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER
NOTIFICATION/WAIVER FORM
Name of Individual Applying for Permit: • -1-0L.t'Y\P Y 'iE, a ( •
/IQ (aq hAty\ y4n,-\ 4;-=
(Lot or Street# Street or Road, City& County)
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, should be
provided with this letter.
have no objections to this proposal.
ZI
If you have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, North Carolina, 28405 or call
910-395-3900 within 10 days of receipt of this notice. 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, breakwater, boat house, 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.
1
(--) -14-&'(01•S)/n 81()) ---
. icmatnre Pate

i c.3TWG iL v�
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NO 11HCATION/WAIVER FORM
Name of Individual Applying For Permit: , Q.. . m ki-
Address of Property: I Li.11'11 e,�,�"© r �j'-�-r.,,e� -
(Lot or Street r, Street or Road)
° Itle n t�.ecar,� Rru.ns1tv Cowl-1-y
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The individ
applying for this permit has described to me as shown on the attached drawing the development ti
are proposing. A description or drawing, with dimensions,should be provided A:Vith this fetter.
XI have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coas
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3c
within 10 days of receipt of this notice. No response is considered the same as no objectio]
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier,dock, mooring pilings,breakwater, boat house or boat lift must be
bck a minimum distance of 15' from my area of riparian access- unless waived by me. (If
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.
ame Date
t i

m's ctify TO
TirA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F.Easley,Governor Charles S.Jones,Director William G. Ross J
Authorized Agent Consent Agreement
U C urn 4 r V r� is hereby authorized to act on my
(Printed Name of gent)
n order to obtain any CAMA permit(s) required for the property listed below. The authorization is limite
;pecific activities described in the attached sketch.
<< - ees a,,ci Any o ,r
_OGATllON-OFEJECT
w�1{ be. rig
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12.7 L IA rrl ,34—r4"ar) rP P+ ,` l� y •
1 cl e.n 2 GtC i"'I'h P r,
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tsar* O.arOi; nq (P2
PROPERTY OWNER MAILING ADDRESS:
Ms. Sn a LGtkitS er
Y
115 S Fa IiA Qy v
1vturis nez Creo i C( �UO '� PHONE NO. 1O o— 55 - 6/5a3
NUTH OR1ZE yD AGENT MAILING ADDRESS:
IT•• `CTU r rQ, cJ Y,
dk � �
2A I ?s i b s Avenge:.
Ltd. 1. -o n W, e., 3t5 g
PHONE NO. ciio 731-, to vitz,
'Signature of Property Owner. C A -