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DCAMA { ❑ DREDGE & FILL (�
GENERAL PERMIT T�-artial
Previouspermit#
New ❑Modification ❑Complete Reissue RA -Au, J 0 Z007 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 environmentmyyt,�o{�jC
➢1GGGGiI��.I v���y `"'�"�`�' ❑Rulesattached.
Applicant Name J4rr I c f /', ",Z
Address
Ci1-�- StateJ= C ZIP 920 5�
Phone # ( © '?/76 L �y ` Fax # ( )
Authorized Agent Cr a C
Affected CW © EW 0 PTA ❑ ES ❑ PTS
AEC(s): OEA ❑ HHF ❑ IH ❑ USA ❑ N/A
❑ PWS: ❑FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
r
Project Location: County /- ;c! !, .- J
Street Address/ State Road/ Lot #(s) �10 3 1*4,91, 1,. /
Subdivision
City ZIP 2
Phone # (�) River Basin -G , y 1� *11
Adj. Wtr. Body(^,'�j�+ C>��'"` ``� (nat ban /unkn)
Closest Maj. Wtr. Body —
Type of Project/ Activity Z h
Ta
(Scaler •* )
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
r
Other
L
Shoreline Length
SAV: not sure
yes 00 — -- -
Sandbags: not sure
yes lino
Moratorium: n/a
yeso
Photos:
yes (-no
Waiver Attached:
yes motto
A building permit may be required by: `{
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
❑ See note on back regarding River Basin rules.
i
Permit Officer's Signature
Issuing Date Expiration Date
Local Planning 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, 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 ❑ 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 complywith these buffer rules.
Division of Coastal Management Offices
Raleigh Office Morehead City Headquarters
Mailing Address: 400 Commerce Ave
1638 Mail Service Center Morehead City, NC 28557
Raleigh, NC 27699-1638 252-808-2808/ 1-888-4RCOAST
Location: Fax: [phone]
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
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

3CAMA / DREDGE & FILL
3,ENERAL 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 //7,1000
[aliales-attached.
t Name -5-/j/,J I C e /7)172 7L„J Project Location: County 4z ti r, . 4.411C/C
b Z A L 4447 L 9##e,,_. Street Address/State Road/Lot#(s) yU 3 /e,9ft
LGM d,3 stateSC ZIP 2,209 r-i
(7oi 726-Z yy.S Fax#( ) Subdivisionis
Z
:ed Agent 6 ' C e Co,� 7 !
S ,,ctii,r J City Gl,JS L . - e19L 4 ZIP 2.92114
❑CW DEW I I PA ❑EB- ❑PTs Phone# ( ) ll
/ River Basin Zn1.d
❑OEA L HHF ❑IH Ill UBA ❑N/A Adj.Wtr. Body( 9/3 A ( Ui r/9/4'`d (nat.g
❑ PWS: ❑FC: A csi 4i
yes /- no PNA yes /Q Crit.Hab. yes / no Closest Maj.Wtr. Body
Project/Activity ,2,Q,Q161Ge 4Jc 47% -y t I on'1
(Scale:/
ck)length t■t,)4,7 ezA", L aC 3
0
i(s) Z.x,,a•2 /2 at '
ier(s) j,
. , _ice
..-._- _
ngth
f
Tiber 1 i
:/Riprap length 1
;distance offshore +— f- C L}✓•-) /A t " ,.�,._ .-- I- —
x distance offshore
cannel
! — - — — —
)ic yards t O,A 4
se/Boatlift ni. B
t-
ulldozing J �.
Length S v 1 WM'j 4'
not sure yes rio 7 _ _ _____-- -___.-_ __ _
not sure yes no)
ium: n/a yes no 1 /}� ? ( L
/'
yes no - - V3,, /IA&.L/./ S/ ,
\ttached: yes no-2- -----1--- _-
ig permit may be required by:, ;r.1_1 Q/- 13P�iC' Li See note on back regarding River Basin ri

ui,la VI inu u0:44 raa OV4IPs_AIVJ i1UULtl1• LUEUtll• 1.0 4J
• e7/11/2007 20:33 9105799096
GRI• CON PAGE 01
vi k
NCDE R
Nonh Carolina Department of Enviro ,nt and Natural Resources
Division of Coastal anagament
r'•.r.;a. :9sa;,3atiErnor Cheers S.Jones,I rector N.r:, . :. ! . . .
Authorized Agent Co -ent Agreement
•
•
G-CNItC,t (J�n i' C4C.A-tD s hereby a.+!horlZIC t0 act :,
(PM,+ftrd N.inrn ofP.yu,q
or,er :o ob:air any LAMA perrnit(s) required for the Grupe ,y listed below The aL.tiori_ar.i, r• 17
gescribed in the attached sketch
;.Oc&Tio,N o; PROJECT:
433, C(1a rA%n t e
5-11a12)ec-1-31,
•2CaERTY C.J'IN ;ER MAILING ADDRESS;
Q.C\U N\ / —75
AGENT MAIL)NG ADDRESS:
n
- •
•
�w 1 P ONE No.a\GSick SCc_.... .
c;^_tlr:: cr Pro0.sriy Owner.
4 .s.,.ra of Agend: II..:
Date: r."7 12 _en •

DIVISION OF COASTAL MANAGEMENT
_.lDJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVE
Name of Individual Applying For Permit: lat)1 C
ress of Property: fl\C1 r`\ n L,
(Lot or Street n, Street or Road)
\\I _
(City and County)
env eertifv that I own property adjacent to the above-referenced prole:~:,
or this permit has described to me as shown on the attached d:a•.\ r. t7 : :.
proposing. A description or drawing, with dimensions, should be pmvdec • _
I have no objections to this proposa .
If you have objections to what is being proposed, please write the Div: . ,;:
`,la:taueinent, 127 Cardinal Drive Extension, Wilmington, NC 23403 or cal: ()
\', ithir: 10 clays of receipt of this notice. No response is considered the same ut,
you have been notified by Certified Mail.
WAIVER SECTION
1 understand that a pier, dock, mooring pilings, breakwater, boar house or'bo:;i
Lek a minimum distance of 15' from my area of riparian access - unless waive 1)%
wish to \\ give the setback, you must initial the appropriate blank bolo„ .)
I do wish to waive,the 15' setback requirement.
\‘4
I do not wish to waive the 15' setback .
h_g_e_11 /N/A/6 7
Date
•
--- 'Cho ra 66

DIVISION OF COASTAL MA_NAGENIENT
R ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVES ,.,
:: aflIC MQ w::: c of Individual Applying For Permit: (\ ti (1
F"�� `tea r`\ '% n
.-.�.�.� s of Property: �,�... v t-e �--
(Lot or Street n, Street or Road)
(City and County)
:.,.e`„r certify that I own property adjacent to the above-referenced ^.-one . . .
. ,..,'..i: e :or this permit has described to me as shown on the attached drtr•:,, r
. proposing. A description or drawing, with dimensions, should be pi ov,,_ t_
_____X____
I have no objectionslQthis proposat —_- _ _—
II you have objections to what is being proposed, please write the Division ,1
Marrauement, 127 Cardinal Drive Extension, Wilmington, `C 23403 or gal: 1) : i
within 10 days of receipt of this notice. No response is considered the Same as H., ,_ ,_
ou have been notified by Certified Mail.
WAIVER SECTION
1 ilrrderstatid that a pier, dock, mooring pilings, breakwater, boar hor-se o ':u,.. ; i
Lei; a minimum distance of 15' from my area of riparian access - uniE.ss Bray. e i.
v. is h to N‘ aive the setback, you must initial the appropriate LI:tnk bolo" .)
_— I do wish to waive the 15' setback requirement:
I do not wish to waive the 15' setback requirement.
ill -,
,.,.„....:,
of
, 7/, VO7
Date
� ZtL/1144_ � 7Le(c)arfi b rlry-}'A
M y

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70.
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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVER.'
■ Complete items 1,2,and 3.Also complete A. Sign:/ /
item 4 if Restricted Delivery is desired. F.
In Print your name and address on the reverse X " / ';n i
so that we can return the card to you. - i
� •• -
■ Attach this card to the back of the mailpiece, B Receiv .by(Printed Name) C. Date of Delivery
or on the front if space permits.
1. Article Addressed to: D. Is delivery address different from item 1? 0 Yes
If YES,enter delivery address below: 0 No
rk ebcccq V3fThu.),(\
B6 -1 wyn-h-ee Auje
"" y 3. ice Type
- a' e l ` �, Certified Mail 0 Express Mail
cr (\\ ` ( (3 Register ahleturn Receipt for Merchandise
0 Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee)
2. Article Number ❑Yes
(transfer from service label, 7003 168o 0004 9790 6796
PS Form 3811,February 2004 Domestic Return Receipt
102595-02-M-1540
r
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Signet �"
Item 4 if Restricted Delivery is desired. /2 ❑
• Print your name and address on the reverse f..1 0 Addressee"
so that we can return the card to you. (Pr/ntedN ) . Date of Deli ery
II Attach this card to the back of the mailpiece, B. 4.
or on the front if space permits. iiCGyr 4.1 .ST 't~ 73
D. Is dd lei ery address different from item 1? 6 Y
1. Article Addressed to: If YES,enter delivery address below: 0 No
:)On c)a vl (') ✓�
c�, ���� �`UC.� ` 1 3 7441
\LVI
- i 1 (c ai(08 3. Se ice Type
Certified Mail 0 Express Mall
❑Registered eturn Receipt for Merchandise
���JJJ Jn�l ❑ Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
2. Article-' '
(Thane( 7003 1680 0004 9790 6789
PS Form 3811,February 2004 Domestic Return Receipt 112595-02-M-1540