47477D - Youngblood

El CAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit#
1--]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
Address .;
,,..
) •�
City ->
State ZIP
Phone # ()
Fax # ()
Authorized Agent
Affected ❑ CW
❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA
❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
❑ FC:
ORW: yes / no
PNA yes / no Crit. Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # ( ) River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) length
Platform(s)
Groi
Bulk
1. (Scale: )
Basin
Othe
SAV:
Sand
Mo
Phot
Waiv
A building permit may be required by:
Notes/ Special Conditions
1 ❑ See note on back regarding River Basin rules.
er
n
head/
pier(s)
length
I
�
number
Riprap length
avg distance offshore
max distance offshore_
,channel
cubic yards
Y �pt-- '7' �- ; G I C Z
ent or A lic nt PrintediVame
Signature " Please read compliance statement on back of permit
Application Fee(s) — - - _ - Check #
Permit Officer's Signature
Issuing Date Expiration Date
Local PlanningJurisdiction i 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
252-946-6461
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 06R9105

/4-7'
CAMA/ DREDGE & FILL
GENERAL PERMIT Previous permit#
New -'Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
orized by the State of North Carolina,Department of Environment and Natural Resources '' ,,
Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC H,, \ HC]
/ 'Rules attached.
nt Name E D O x 1: �l OLA>,)( t 3 Dl Project Location: County tJ5 L Dt."-)
s -VS I C5-ce-a J-VT 1= A/ . )ti- Street Address/State Road/Lot#(s)
AJE i\DS i('c i2 4—`' State )(.- ZIP 2-SLI L b 33\ en a- ts-) VS..6 \ / �a_
#(g1c1) obi ' lA''1 Fax#( ) Subdivision
ized Agent arJ"-t `-)J 11-1- - Cit)61,- -ar'iS c=EQLL ZIP 7 Li
d IIICW rAW 'CPTA CIES ❑PTS Phone# ( ) River Basinal4T. ;.
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body �I''�v✓
❑PWS: ❑FC:
yes /Cn� PNA yes /`�o Crit.Hab. yes / no Closest Maj.Wtr. Body 5 111 f) S� r i
>f Project/Activity Z 0S1.rN L Co X S ' 1...CL , 12 2 '1-. u o*^5,C 1 Z..x k 1._ I ,,r< L
'--I YS.J(J t it_ ?I"ta it.- \ h '-I X 3o F-s .)c7 b_i_ 2 m_ (Scale: I
ock)length (_1,"-1-1-')
m(s) �' `i X t.- { ! l 1� T i
pie — f
pier(s) Li f
ength ! ____.� i_ I ► i l
umber 1 l
ad/Riprap length i I L......- 1
ig distance offshore ~T
I I
4-
lax distance offshore _
ibic yards 1. I
l
imp I �1; _.... _ i..... � ..� -F—• -�---... . f �-_.
. `t
�
pus f3oa ��' J 1� 1 c �
Bulldozing
l i i KM_
_. 1 _l
ne Length I I ' (— —
not sy yes no ___—_ 4 i
f I I —
not sure yes
rium: n/a yes 1
— t t
Attached: IQ, no

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FEB. 12. 20U/ 2:24NM NU. j�SU� �Y.
07 Ub Vim:5or. 11, ,G:Mlnc lI
tl
I, - p give authorization to
Aut.inori Marine Conduction to act as the
contracting agent in obtaining and signing for the
requested CAMA permit.
Job site address is:
3 / v/raw J _
n E415 r i-r% " .i/. G, d cc
My permanent address is:
53l G rrpta
ne f '
%/4/(4/v(lat-OeffY.
z/-2- 7

- DIVISION OF COASTAL IMNAVENEENT
ADJACENT
Mons of 3• 0 6t111,1);,ecki
(Lot ar t/I,Street cabal)
4 .1‘5 rtitil 11 L . ZgL1�
C
-
aerebq cat*that I own property aft to the:
d propexty. Thelmrrifidni
piyilgb°etfisp rfi.1 sdescr tbffieass aa$eaat_d&awing-thec end ,c,
A ioa or drawing-with titmensions,should be provided with.NS letter.
'I Nr x �:v A Iliac no objections b _
Fen bare -, it what is being Pam, Please write the Divides of C.
magement, 127 Cardhed Dein Eteensias,Villaingsum,NC 211485 or eat 910
kin 1d days of receipt Web ash No response Is cambleredibe same as-no
leave.baee wed by CeafiTsed 1 **Obi*
ot '��'� ,breakwater,boat home at boat Wisest
obi towaive flee setback,you initialthe Arent iiry ants art/aria' a appropriate access-ae�waived�me. (If
blank below.)
4/67 ...-
- Idi wish*raiset a setback regoiraseut
__ IdO > b valve�e 15' -
gala \ Die _

DIVEION OF COASTAL MANApEMENT
OWNERNOTIFICATEWITAIVERFORM
ism Far Pewit CDC/ 9r)L)K,F33c c F
othoparty. 3<31 GRkl fpy r
(Lot or Street 0,Street arKoad)
5�1 5 FE R C a&U
iezeby arty that I own property afiscent 10 the
The incbvidri
'plya farthisPa basdesatlbodt mess Qa$�a _d gar
:prOpos. de�aeiopo
A desedi ti n arm Iva elimerisions,should be provided with.
his letter.
1.4
yea bm objeednii to what is berg proposed, please write the Division of Conti
toad 127-Cardinal Drive Adirosim, Wank%NC Me or calf 9
Ida li days of receipt adds No w=areas aro
have_been by Certified Ifail. i
that a-pier,dorm samangpiihrgs,breakwater,boat house sr boat lift mast be
icka abliamm Adam*WISP$raot sty area of ripen=access-mules;waived by are. (If
wish to waive the setback yew mast haul the appreprWe blank below.)
- I ds wMt&wai eta LT setback requiF t,
I do iso4 wish la wisehe 15`