47497D - Ma

❑CAMA / �J DREDGE & FILL
GENERAL PERMIT
Previous permit#
;r ❑New ❑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
Applicant Names %h
❑ Rules attached.
Project Location: County �G'� h�iw",
Address !9 `/ t C r h •
Street Address/ State Road/ Lot #(s)
City /,.-f'I,%/ �syr�stiy /:� State.P/1 ZIP 25-1/1'4
zvsa�
Phone # ('/i )• ��//' Fax #
Subdivision r
Authorized Agent d yl
City ZIP
Affected ❑ Cw l4W I❑i PTA 4od' ❑ PTS
Phone # ( ) 4 2y River Basin
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
AEC(s):
L
Adj. Wtr. Body f��/ 1i
/
(natdm"art /,nnkn)
Closest Maj. Wtr. Body
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 s
f 1/' ndLe
cubic yards_
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
(Scale: //- /// )
-- — ! '
Shoreline Length �7 %1,%l
SAM not sure yes fno
i
i
Sandbags: not sure yes
Moratorium: n/a yes 140—'
Photos: yes
Waiver Attached: yes
A building permit may be required by:
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature Please read compliance stat ent on. ack of permit"
Application Fee(s) Check #
❑ See note on back regarding River Basin rules.
PermiZ,Officer's Signature ,�
p 51?,e
2-�2 G �-�
Issuing Date Expiration Date
Local Planning] urisdiction 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, 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 JI 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
Central Office Elizabeth City District
Mailing Address: 1367 U.S. 17 South
1638 Mail Service Center Elizabeth City, NC 27909
Raleigh, NC 27699-1638 252-264-3901
Location: Fax: [phone]
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
400 Commerce Ave
Morehead City, NC 28557
202-808-2808/ 1-888-4RCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico 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 06/29/05

Wcff/
fCAMA/ LI REDGE & FILL 419' O
IENERAL PERMIT Previous permit#
New ❑Modification ❑Complete Reissue Li Partial Reissue Date previous permit issued
ized by the State of North Carolina,Department of Environment and Natural Resources lw / '/ �
:oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC if'/
�A l��� A./
� ❑Rules as ched.
:Name + /A jet I�'l4 Project Location: County , 4l! /�;YGsf/►'Wow
36 Y F1,4YYT Ze? . Street Address/State Road/Lot#(s)
kj/a0t/' /On State Pt/ ZIP 2gr Y,,ow
G
( ) *p.. 41//b Fax#( ) '"`/� Subdivision '�
Bd Agent Y4f i C , (214110070, City sGf mi ZIP . i'-w
❑CW L4W .PfA iP ❑PTS Phone# ( ) .,L►s!/ River Basin CA,
❑OEA ❑HHF ❑IH C UBA ❑N/A Adj.Wtr. Body /Ll//���'1i //'r (na/tea
��❑PWS: ❑FC: /PASOif LW, S1-I
4A
yesi/ no PNA ,es,'/ no Crit.Hab. yes / no Closest Maj.Wtr. Body
Project/Activity r ./n j/ls yer -e J-c VG 7/' 7, ��%S / ,1 /N s _
(Scale:/'i
:k)length
I
er(s) t- i r
igth
nber 1 4 7i
I' rrr
I/Riprap length �/, _ _ _
�; ft 7
distance offshore i t ,
c distance offshore �. . L.. • '
annel .2.?D X 3d,r'7i 1
i � +
1
sic yards
I
* ; d
Ip A
i
ie/Boatlift
g
Ildozing I
{ . * -- �k
Length ��U _— 4
�_ ... t—
f
not sure yes o ( I
1not sure yes _
I
um: n/a yes o 1
yes '
{
ttached: yes I l l 1 1 1 1 1

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: ) R j f= j I..i f
Address of Property: i2..L EN b L� Lfu
(Lot or Street#, Streetor Road)
63 I LP\►�.
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The indivi
applying for this permit has described to me as shown on the attached drawing the development
are proposing. A description or drawing, with dimensions, should be provided with this lette
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coy
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796-
within 10 days of receipt of this notice. No response is considered the same as no objecti(
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier,dock, mooring pilings,breakwater, boat house or boat lift must b
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.
r). 4 - 1 'l c,r-(
Sign Name Date
AIRDICIA

....D CAMA AND DREDGE AND FILL
GENERAL - 1" 020 .2!
..... ) PERMIT
as authorized by the State of North Carolina
Department of Environment, Health,and Natural Resources and the Coastal Resources Commissic
in an area of environmental concern pursuant to 15A NCAC -) 14 ,/5Thv
q-{,mac.
' r-
cant Name - ' Z "'— �u v4 A-- TA-t,K50' Phone Number( 9/�J �/ !=J i e
ss 3 u rR I r tvw\I L, Nd-e
Wil t vvn i A (::,10+-- State /VC°
Zip -) LA) i
;t Location (County, State Road, Water Body, etc.) S4"1 . 740)4t'4-t Al-CA/'A , M4-3(j"I0,(-, SJLA
,,✓ /-71,4 49si fR t, .
of Project Activity., .r:IFArA t,C F E X 4 t44—fi Ln. 0 E= E-tr; S�ti-G- Z4AC W' In S r NG -tie t-r4i)
C—i w r'71, n t 4 LJ(-' r A. 't P.,4 i b S Fc)S c i-= -? K- A •R 0 p %).'! V
r t"?r P ti-t'1 1Ar•-r. -y- N'.) .,Ylr4 vf^i,,i i. pm.,v (?CC k,t/1-< <v C:c-P n 4.-PR { 4 - S P Pr 3
Ir r Rov,4 l is o► 4., PrPdt -n., K rU;Cr J,` or-- ,t - ,NI, �,(-4i rc S .
:OJECT DESCRIPTION SKETCH (SCALE: fi_ to
��
(dock) length w
n length
ember — -- — -I— _.. — — —C _ RE � ;)
_.._.w V C-I'
head length Tv ,_i ( fv( L LA/
sx,distance offshore —� _ i
rr channel dimensions •
— —
7-1
bic yards tit / � t� - -
--, 4,^ - I n _----- — — —
ramp dimensions • �/ —1 — --l_— t --
t tit }S,ti, S
r •
— — j I 7/ --- ---- ` (..
permit is subject to compliance with this application, site
14--?....:ji 441%---'
ing and attached general and specific conditions. Any ,
:ion of these terms may subject the permittee to a fine,sonment or civil action; and may cause the permit to be- it E I / applicar

SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Signature
item 4 if Restricted Delivery is desired. 0 Agent
• Print your name and address on the reverse X • , . "Z'!'Addressee
so that we can return the card to you. B. Received by(Pri ted Name) C. Date of Delivery
• Attach this card to the back of the mail iece,
or on the front if space permits. p l �( 1 C i i,i 7 f—
D. Is delivery address different from item 1? ❑Yes
1. Article Addressed to: If YES,enter delivery address below: iNo
/InOr1 ) Cat he i i
?4 Lit.,)+vacA1c►
bt ( , ,v / ).�� 11
3. Service Type
l ,/�, Ff v Certified Mail ❑Express Mail
0 Registered ❑Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number 7006 2150 0005 5668 3727
(Transfer from service label)
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540