47543D - Poindexter

❑CAMA / ❑ DREDGE & FILL
GENERAL PERM
❑New ❑Modification ❑Comp let
IT
Previous permit #
e 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
,r
Applicant Name V eL/oC►'� ('+Y1c' F,� l/�"k"-
❑ Rules attached.
Project Location: County Y"t,
Address i' ! �+ " ;� .
Street Address/ State Road/ Lot #(s)
City�r x �� �<1,,1i 'c�t3t , State Ale' ZIP 2VIP
Phone # inn .�
(wry' ) 1 Jt- Tt Fax # ( ) a43 / 8511/
Subdivision
Authorized Agent
City Pay ZIP S� G syLa
❑ CW 5 W �7 PTA [I ES ❑ PTS
Phone # (J) �Cy! V River Basin
Affected ElOEA ElHHF ❑ IH ElUBA ❑ N/A
AEC(s):
/
Adj. Wtr. Body !�-��� � � � % (natr/i5,ari /unkn)
❑ PWS: ❑ FC:
Closest Maj. Wtr. Body
ORW: yes / no PNA yes ;/ no Crit.Hab. yes / no
Type of Project/ Activity
(Scale: )
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 i 3� 2
Beach Bulldozing
Other
Shoreline Length
SAV: not sure yes no
Sandbags: not sure yes no -
Moratorium: n(a yes no -f{ ff'
Photos: yes no — ----- - �L
Waiver Attached: yes no YL
A building permit may be required by: !/yi��l%!, �7I�%�!✓ /.'r�� 3 ❑ See note on back regarding River Basin rules.
Notes/ Special Conditions /-, /5, � A
Agent or Applicant Printed Name r
Signature "Please read compliance statement on back of permit"
Application Fee(s) Check #
P6rmitOfficer's Signature
Lli- /,
Issuing Date 6piration 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, certifythatthis 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 comply with 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.
(Serves: Carteret, Craven,, Onslow -above
Raleigh, NC 27604
New River Inlet- and Pamlico Counties)
919-733-2293
Fax:[phone]
Elizabeth City District
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

CAMA/ ❑DREDGE & FILL I
ia
iENERAL PERMIT Previous permit#
New EModification Complete Reissue Partial Reissue Date previous permit issued
ized by the State of North Carolina, Department of Environment and Natural Resources
oastal Resources Commission in an area of environmental concern pursuant to ISA NCAC ' ZOdO
❑Rules attached.
Name Veit{1D1'1 Pe i'kv fJc l./Pv- Project Location: County A440i f0.174/W1'
p1Q 4. ( /l to , )(, Street Address/State Road/Lot#(s)
1.14 vi/ut 8.44d1 State A/c ZIP 2VlSD 54- 'u
(!b )Tiwm Uy//.Fax# ( ) Olt. 8VI/ Subdivision
.d Agent / City _ 54441. ZIP fx/.44s
❑CW PEEW PKA ❑ES ❑PTS Phone # ( - ) 54441/ River Basin a
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
Adj.Wtr. Body — 1-,tS C G•7 (natd
❑PWS: ❑FC:
'es / no PNA yes tr o Crit.Hab. yes / no
Closest Maj.Wtr. Body_ /9/wh
Project/Activity 7/15-/i//ll// 97 Q 6M/A/11/ Gti/ /�i/j G1`r �,/j//, $
(Scale: ///�
k)length — - — 1 — r --
s) ,
:r(s)igth t ---
fibert 4 _._-_ ( _
frit
/Riprap length 1 Br j ,,
distance offshore J_ f N t t/ '
0:distance offshore_ I cs.."r.--- 1 ,2/ ;
trine! ♦ � /�'�
is yards .--I —� P��" d�l S�,C r
p _ 1 w �—�
_�. 13 jc121 _ KID Zi f f
Ildozing —
• t I
r
/1 j
Length v ( 1
'1 , I ! ,
not sure yes no .._e_ __ p 1
not sure yes no '
im: n/a yes no /i _ ,2O /1, 1f iR,., jk. elyme
yes no T
iti
[lathed: yes no I I —.-_ L
,r i
g permit may be required by: �/ /�'A44' ,4(/ 17 See note on back regarding River Basin ru

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3M :VERNON POINDEXTER FAX NO. ;9102568314 Mar. 06 2007 02:01PM P2
AU!AC1=N"i: F P.aRi•\ti' P i li'1:1t I 'c' t�I�i'NI tV(')'fl ;CA TION V &IVtR FORM
Name of Individual Applying Far f'vrruir v r N n Ni Ica I N cl &'s[ -e-b
Address of Property 2.0 A Pe- ( i c I4 *V Di—,
(Lot or Strut: 4, Streit or Road)
W l'i g 11 k-s wr l 8 .c l_ t\!CIN e 441 t'r 4 No
(City antrczunry)
I he eby certify that I own property extjacent to the above-referenced property. The individual
applying for this permit has described to me as shown on the arched drawing wing the development then
ar,proposin . A de pt: or cat g, with dim ns should be rovidsd with this letter.
L N$� t t3 t L-., 4- e �-/ AI .. L, p
have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coasts!
Maaagemeat, IV Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796-7215
within 10 days of receipt of this notice. N'o response Is considered the settee as tee objection if
you buys been notified by Certified Mail.
WAIVER S CT1ON
I understand that a pier,dock,mooring pilings,breakwater,twat house or boat lift must beset
belt a minimum distance al!' from my area of riparian access-unless waived by me. (Ifyou
wish to waive the setback,you must initial the so ro rate blank below.)
("),4-E) . Y de wish to waive the 15' setback requirement.
I Au=with_o waive the 15'setback requirement.
RECEIVED
DCM WILMINGTON,
11'144'441
(:)(t`"
'3 ' Co 7 07 MAR 1 3 2007
Sign Name Dare
7! BI
d N N Lky I-G
Print Name
#71171A
ci Ict_ 4.3-Cf— C1S-:-.S1 Dff4
Telephone Number with Area Code 111104 . :" ....

OM :VERNON POINDEXTER FAX NO. :9102568314 Mar. 05 2007 01:19PM P2
A,DJA.ENT a!YAR! ti 1+?t )1'1.1R l i :31W i k NOTJ ;;E';1TION/WA VERTORM
Name of individual Applying For Pc:rit;i'; V r~ M ro r`{ �cp ! hl c .*71
Address of Property: 2 P - (l C A ry De',
(Lot or Srrett , Strut or Road)
(City as CQnry)
I hereby certify that I awn property at scent to the above-referenced property. The individual
applying for this permit has destibed to:rie as shown oa the aiehed drawing the development they
a e proposins • -A deseript5qri or a� g,with dimausions should be 'ides#wit,.this letter_
N$4-A T c V A --- r +� ✓�X!� 1-7 icy L, p
have no objections to this po_oosal.
If you have objections to whet is being proposed, please write the Division of Coastal
Management, 1,27 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796-7215
within I0 days of receipt of this notice. NU response Is considered the same as co objection if
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier,dock, mooring pilings,breakwater,beat house or boat lift mulct be. et
bek a minimum distance 4f iS' from my area of riparian access-unless waived by me. (Lfyou
wish to waive the sethaek,you utuat initial the a ropriate blank below.)
eR 6 I do wish t3 waive the i 5' setback requirenurt
do not wish to waive the 1 i'setback requirement.
coAce O e _ , bl , a&to 7
Sip Name Date
Print Name Arfia;r1i
Telephone Nun ber with Area Code . ;, r •
ternw
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