47490D - Vandoros

❑ CAMA / []DREDGE & FILL 4
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
Rules attached.
Applicant Name .�f f !r Project Location: County ; . , : C
Address—.�. '/ t% OG d, Street Address/ State Road/ Lot #(s)
City , - State C ZIP % 2--
Phone
# Fax # O Subdivision
Authorized Agent .. 'r•f"ft' : 6 1 City
Affected ❑ cW EiEW ©•PTA DES ❑ PTS Phone # ( ) River Basin i
AEC s : ElOEA ElHHF ❑ IH ❑ UBA ❑ N/A Ad'. Wtr. Body
- c
() ElPWS: ❑FC: I y (nat (man /unkn}
ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body J " "✓
Type of Project/ Activity
(Scale: )
Pier (dock) length ' 1 \ % c>
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin' channel
cubic yards
Boat ramp 1--t
Boathouse/ Boatiift
Beach Bulldozing
Other
�. -1--
I - -
Shoreline Length
SAM not sure yes no
Sandbags: not sure yes no t I ;
n/a yes noPhotos: yes no
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
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rules.
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AilMoratorium:
on back regarding river
Basin
.'
❑ See note
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
Permit Officer's Signature
Issuing Date Expiration Date
Local Planningjurisdiction 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 comply with these buffer rules.
Division of Coastal Management Offices
Central Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
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)
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

/5)15;1
/ ❑DREDGE & FILL
3,ENERAL PERMIT Previous permit#
New Modification ❑Complete Reissue Li Partial Reissue Date previous permit issued
>rized by the State of North Carolina,Department of Environment and Natural Resources /
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC �/7', Z as
C].Rnles attached.
it Name CP0?S t iV d a?o f Project Location: County(3e i,„,c/�
I Z y Clop./ L'`i 00 cl J F7, Street Address/State Road/Lot#(s) / 9 Zee
a Z.,") it,el State/ ZIP 222/f
g.( ) 2/3- 716/ Fax#( ) Subdivision
zed Agent T2f/c, �f'R/'i �� Citydc -A, f 1 P 4009‘11 ZIP 2 t
I ❑CW L.EW [ PTA [3'E1 ❑PTS Phone# ( ) River Basin
❑OEA HHF ❑IH UBA El N/A
Adj.Wtr. BodyCAr•f L D T 0$42//4/41-". (nat
❑ PWS: ❑FC:
yes /(no_-' PNA yes Crit.Hab. yes / no Closest Maj.Wtr. Body //i✓Gt
if Project/Activity t�� kW'f ,;,'/ F / /C.
(Scale: /
)ck)length d ?( t/ A
n(s)
}
,ier(s)_
angth
imber
id/Riprap length _
g distance offshore
ax distance offshore
hannel - t ,
•i {
ibic yards
mp
Q
use/Boatlift r
ulldozing _-
/- 2D X -'
ie Length
not sure yes no
Is: not sure yes fi
rium: We yes tj
yesCiPli } I
Attached: yes / / L. .�' �/' 1
• - 4 /

COM SERVICES
V�vi 3 c--r 1 l 1u U ' X v2O ' U�1`t 7 ht() U--(
?O. Box 1365 A PO X>1P y ' X 1 LL ' I Am_p cam/ U ' x 101 Prptc
ilotte, NC 28459 DQ L N v tZ �L '� 1,1 pyvP_
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1riis t Ott S'Tz I'F- RZ :apt--
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Z2�TflR:.':A.`.':= �"_1Jjahr
Name Of Ins-,-ideal Applying ngg. For Pe..wi . (_ ebr yP / 4oyvS
Address Of Property: r ( _O Sl 7 .
_____f)rio,f7r(_ '77-(,', ',4e. Aie__ *--- 60,W_fi
(Lot or Street #, Street or Road, City & County)
1 hereby certify that I own property adjacent to the above
r renc ed Property. The i ndi vidua1 applying for this s p._�ut;t has
described to me as shown on the attached drawing the development
are ovosin^ description they • y - A d�. or drawing, with dimF.ni or,s
should be or tided with this letter.
4-' I have no objections to 1 rids proposal _
Tf you h�v- _oiri r t i on; i o what ;
- LIiC] 1"on_CSad, nl a?R� writ ;2�
TlitriS;cm of Coas'r�?1 Manar3amc�n-t-r 127 ._ .:-, T r.. ,_
WT; lmingtnn, North C' rn1 -ink,- 7R4Q5 or rP11_...p1O -aC-'“)n0 w;+-H,;r 10
a, y {7i- r ;3-}r of rills nnri rc.
nn Ohjr.'-inr if von navy h- i- notifir by rp-r-tifioci Mail
I 1 nCl..rs i one that a oier, dock, mooring v linc-s, breakwater, bra t
hours_ 0= boat lift must be set back a mini:mum
niy area of ioarian access - unless waived by ma. (If you wish to
wa r i e the setback, you 3wi 4; initial the aypronriate blank. below. )
do wish to wa v,a the 15 ' se ca ck reau' remen- .
" 1 sirl not wish to ±ve the 15 = se hacl; eq i=cent_

_ iq s- c)---c-"‘
ArrA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
/lichee)F.Easley, Governor Charles S.Jones,Director William G. Ross Jr.,
Authorized Agent Consent Agreement
1J GJ /4tZi /� -Ccn4c Ct Qit � i, is hereby authorized to act on my be
/ (Printed Name of Agent)
order to obtain any CAMA permit(s) required for the property listed below. The authorization is limited I
ecific activities described in the attached sketch.
)CATION OF PROJECT:
)CiLOQ $1—
O( k
tOPERTY OWNER MAILING ADDRESS:
761,1 d- / e /)Ao rpS
Vp2- w0L(.0 Z
���'�7?�1� /(/c PHONE NO 13 73 )
V
JTHORIZED AGENT MAILING ADDRESS:
l�A - &514
JUL__ c,)k
/U. li4/ 3 - "77 3 PHONE /U 75 5-
anature of Property Owner: - -

SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Si•nature
item 4 if Restricted Delivery is desired. CIAgent
• Print your name and address on the reverse X _ f ' 1 • 0 Addressee
so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery
• Attach this card to the back of the mailpiece,
or on the front if space permits. - C
1. Article Addressed to: D. Is delivery address different from item 1? ❑ Yes
If YES,enter delivery address below: 0 No
«c
r 1144 roe c 3. Service Type
�(//L C� dC Y-3(e ❑Certifiedr Mail 0 Expressturn Mail
J �J ❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
2. Article Number
(Transfer from servl 7005 0390 0000 2577 7363
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540