31857D - Daughtry

0 CAMA/ 0 DREDGE & FILL NT( 31857-C
GENERAL PERMIT Previous permit#
) /
C
New Modification Complete Reissue Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources U
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC"7 f- J• , 1 .
.\RLIes attached.
':Applicant Name 4/� ,i/'1 Project Location: County P�t1/V K
Address 1/ 7 Z, 7 (C)1/'CAP / k s D/Q( 1)' Street Address/State Road/ Lot#(s) I 0 v / Li../P OA K.
City LA j,l M 1 A/U-0^' State NC ZIP :).)y0 -5 I. IQ N 2
Phone # (no. ?,% ' 7.).)`E Fax # ( ) Subdivision Q-)pi►A R G P oii P0 ti'�
Authorized Agent N/4 / City , II'v (v a- A- ZIP ) � I
CW ❑EW LI PTA DES ❑PTS Phone # ( ) River Basin 0 f F
Affected OEA ❑HHF ❑IH ❑UBA ❑N/A
AEC(s): Adj.Wtr. Body -f\ ""✓ (nat /man /unkn)
PWS: ❑FC: ^
ORW:(yes / no PNA yes / no Crit. Flab. ,ab. yes no
Closest Maj.Wtr. Body t t-x w W
Type of Project/Activity ,Z.1p .PP . ( ,) 4-r) o C• ( ✓►.%4 r- IA-(7" 5 , (((,i1-c 1 / W El64 A.N V
(Scale: /
Pier(dock)length
Platform(s)
Finger pier(s)
Groin length I n I/
At
number y1r`
_
I_- _ T I `._ �-r.
Bulkhead/Riprap length/"m1, .. (� L-/
avg distance offshore -_
max distance offshore AAA, C.�`�
Basin,channel if 4.. . , _.
cubic yards l
•Boat ramp _ 1 T+ '
Boathouse/Boatlift / J ii / 3' :*
• " � + ; ,.
Other f
Shoreline Length".' 0)5.5
SAV: not sure yes no i
Sandbags: not sure yes noI O
Moratorium: n/a yes no - , j\!f
Photos: yes no f !<
b •
Waiver Attached: yes no ----- t 1 P
A building permit may be required by: Pi::Aj7C f"//��-- to . See note on back regarding River Basin rules.
Notes/Special Conditions
.n
Agent or Applicant Printed Name • Permit Officer's ignature
Signature **Please read compliance itatement on back of permit** Issuing Date Expiration Date
Application Fees)
,/JV 6e" Check#/737 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 I)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(9 1 0-395-3900)for more information on how to comply with thesebuffer rules.
Division of Coastal Management Offices
Central Office Elizabeth City District Washington District
Mailing Address: 1367 U.S. 17 South 943 Washington Square Mall
1638 Mail Service Center Elizabeth City, NC 27909 Washington, NC 27889
Raleigh, NC 27699-1638 252-264-3901 252-946-6481
Location: Fax: [phone] Fax: [phone]
Parker-Lincoln Building (Serves:Camden,Chowan,Currituck, (Serves: Beaufort, Bertie, Hertford, Hyde,
2728 Capital Blvd. Dare, Gates, Pasquotank and Perquimans Tyrrell and Washington Counties)
Counties)
Raleigh, NC 27604
9I 9 733 2293 / 1 888 4RCOAST Morehead City District Wilmington District
Fax: 9I 9-733 1495 15 I-B Hwy. 24 127 Cardinal Drive Ext.
Hestron Plaza II Wilmington, NC 28405-3845
Morehead City, NC 28557 910-395-3900
202-808-2808 Fax: [phone]
Fax: [phone] (Serves: Brunswick, New Hanover,
(Serves: Carteret,Craven,Onslow-above Onslow-below New River Inlet-and
New River Inlet-and Pamlico Counties) Pender Counties)
Revised 10/C

•
•
•
•
CODES FOR AEC DESIGNATIONS
"OH" - Ocean Heard "PT" - Public Trust
"EW" - Estuarine Waters • "CW"- Coastal Wetlands •
•
"ES" - Estuarine Shoreline "FC" - Fragile Coastal Natural/Cultural
"PW" - Public Water Supply "OR" - Outstanding Resource Water
CODES FOR PROJECT
"P"- Private-usually an individual "F" - Federal
"C" - Commercial "L"- Local Government
"U" - • Utility "H"- Housing Development
"S" - State "0" - Other •
# CODES FOR PROJ DESCRIPTION
"11"- Bulkheads,Riprap "16" - Utility Lines
"12" - Piers,Docks Boathouses "17" - Emergency Repairs
"13" - Boat Ramps "18" - Beach Bulldozing
• "14"- Wooden Groins "19" - Temporary Structures
"15" - Maintenance of Basins, Channels,Ditches.- - - -- - - -- -•
-
GENERAL T PERMIT COMPUTER FORM
APPLICANT NAME: SSAVVl 0 Cr�- --n 9)
ADDITIONAL NAIVES:
•
AEC DESIG: E S O 2 DEVELOP AREA: _..0� PROD DESC: P - // - '
•
(Will only take 6) (Will only take 1)
WORK: E — 453" AS
(Will only take 4)
MA.Ll\'1: -
• (WM only take 4)
IMP: g C9 38 2. -
(wll only take 6)
ACTION EXPIRATION
•
DREDGE&FILL REQUIRED:
CAMA MAJOR DEVEL REQUIRED: C —I--0Z /Z—/3—Ci 7

Al/13d01/d.d0.f3r18/IS
• .6BY9=l
.111 NOfir oo"O£z=d
..,M4 '7�b, CINOj ..dvae../6= 0
.0gZZ /#.741//r.9 ?/1d03ArY/r.7 0
V
�1..OQ£,- S"I o ro .L6'!// ... ..00.srds'S
_
o .
ti o '5�;9
\ 3 \ • age) ..es.„..,
S
s en
N Q
Q o
OsO • 0
o
srM 9z:9 -�N/7.Y.7 !—
sN/o7/�9 ` i .4.5'
,DOb` \ •
6rM
J
Q —��•
\6107
OOZz
Fr�s Si\41 _ On dec3 dos,
-1-e::4 ca6:f.7e-4.A., ..
f. zrM av, ,7y,\o_, 0� .00lJz p ___
Z n 9y9£ .,�,s, G,.1jS, I N.
0 1\
0 /rM ��s-M ,f; "'Es 9
\\:.....Y
tri
n
.00V/ pD i lv vs Q/ V�7 « w N
\ ew/7.Y7D?3L3sSL QL 6-rff N
3Nn e%�rdM Hair/ 53b SvM q
----s2#177 1
9 ,LOB N 9-'N \ £.ff st2Vt�7/3M 606
o'4 ,6z M-Orgeg9 St7Nh'713M 6O6
\-- \\ z.ff o tb
NI
•a,
N
.b6 6'/ 3..1..0eSV N 8/:ff-6/-M 3 2 �-YJ 0c • n
.$/Z' M»06..C*8/N #i t-F-m
.61 ei M..9A0400 N FrM-zrM "y
.LOb/ M.4a:65YboN z/.N-/1,91 !Li Os zBzi£ Sy N
N
.£97/ /4.D2'9996FN /rM'O/M p
.f",.L M.6:a4.066N OrM-649 1
.9115/ M.:0.96rdeN 0.'M-9'M
10Z/ M.PZI.4,:b/N 9-41-149
9S 76/ M:9000 SO.N 1-ff-9 Nf 2N1/7.4/1/0 3A/7 ZD/ M" 6�Ai.y
.FZP M..lS`. IO9N 9-ff-i"M X'd
..G06 M.d,FFhe91 N .C-M-6 4f m
90b .7...Oasis,/N 6 Af-F-M v. ‘r'.
.619/ M./6.1$9JN £-M-z-M `ate 93tJ 071/30N3d
.d6Z£ M..9 /P;10N d`M-rM 0. ASV 39Vd/£X009d67N
1N/0d3A06/9 b/V7dOd
RIJIW7 5Z WYZL�ff HAP AWN'353C.7/82[L �i 8107
�N
re4-
37YOS ON 'CP CO
x av,sa/al dill/Al/MOM -Z.
3l/s Q •
o.C5
ar eclw
i c2"Zu, C) "It
o.
ot
-e-
°�I1,NI.

Pender County
tkt Inspection Department
P.O.Box 444
�, Burgaw,N.C. 28425
�a4 910-259-1201•
•�
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to S (4 c C G1 f7�t 6 r+��2 y 's
(Name of Property Owner)
property located at 10 2 42-.-ye" 0P-4' (xt_Aic Cic?/ )
(Lot, Block, Road, etc.)
•
on , in Ica r S Mz/i f cF,A) , N.C.
, (Waterbody) (Town and/or County)
He has described to me as shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development) •
Si nature
If you have any questions please contact
Dianna Rivenbark,LPO at 270-2505. Print or Type Name
911(3 (oWa — 159• 1
Telephone Number
Date: -

•
Pender County
ct Inspection Department ► .
P.O. Box 444 Burgaw, N.C. 28425 .+• •
R
v �► t
910-259-1201 's • ,�$
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 54,v D 4 br,Tii`'J 'S
(Name of Property Owner)
property located at 10.a / L04-4 &/ pc ) 11 1`ff
(Lot, Block, Road, etc.)
on , in JC(TTTS /4;I( 11-AJ I) CIL N.C.
. (Waterbody) (Town and/or ounty)
He has described to me as shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
•
Signatur R
If you have any questions please contact S��1 �
Dianna R.ivenbark,LPO at 270-2505. Print or Type Name
G ( 0 L 3tt
Telephone Number
Date: �'13 1 d);

Pender County
43 Inspection Department , .
P.O. „.
Box 444
c. , ' Buigaw�N.C. 28425 '�^R 1 %"
,� �O4_ "y'�a
, 910-259-1201 :,c. A 4 I, . T •Y
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to itke 1 &, 1J4146)+t-2Lj is
(Name of Property Owner)
property located at 102 �=vc' ark L�-Al (0F ).iw 11441-�c A)c.,1wi/
(Lot, Block, Road, a c.
on , in Sco 7 Ts h d/ //9e---A)1,7c'4- N.C.
(Waterbody) (Town and/orCounty)
He has described to me as shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
•
ature
If you have any questions please contact �f1 6.eit,. L cJ (J 4 r. 04 `---
Dianna Rivenbark,LPO at 270-2505. Print or Type Name
//d 6 8G /5 7 /
Telephone Number
Date: Y- a 7 - 0 Z--

Locality Permit Number
GENERAL INFORMATION
LAND OWNER Name c.5-4 1 DAL&(.5
Address 3 7 Cpth"c,J. Pe- c
City 1,M 'NGT) State A) Zip 2 gt(O 3 Phone (0) 2-- 72
c* C
io .a68.- 1 C 3 a
AUTHORIZED AGENT
Name
Address
City State Zip Phone
LOCATION OF PROJECT /C) 2 &(/r O L44,) GJ:/wit`/U ()o,0 JN c ZQ�
(If not oceanfront,is waterbody natural or manmade?) /Yfg7�
DESCRIPTION OF PROJECT
AREAS OF ENVIRONMENTAL CONCERN (AEC) CLASSIFICATION
(To be filled in by the Local Permit Officer prior to completing application.)
Ocean Hazard ✓ Estuarine Shoreline ORW Shoreline Other
PROPOSED USE
✓ Residential Commercial/Industrial Other
SQUARE FOOTAGE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR
BUILT-UPON SURFACES (such as driveways, etc.) within 75 feet of the shoreline (575 feet
of an ORW shoreline)
SQUARE FOOTAGE OF TOTAL FLOOR AREA OF BUILDING
SQUARE FOOTAGE OF SITE
OTHER PERMITS MAY BE REQUIRED: Zoning, Drinking Water Well, Septic Tank
(or other sanitary waste treatment system),
The activity you are planning may require Burning, Electrical, Plumbing, Heating and
permits other than the CAMA minor Air Conditioning, Insulation and Energy
development permit. As a service we have Conservation, FIA Certification, Sand Dune,
compiled a listing of the kinds of permits that Sediment Control, Subdivision Approval,
might be required. We suggest you check Mobile Home Park Approval, Highway
over the list with your LPO to determine if Connection, and others.
any of these apply to your project.

APPLICATION FOR
CAMA
MINOR
DEVELOPMENT
PERMIT
In 1974,the North Carolina General Assembly passed
the Coastal Area Management Act and set the stage for
guiding development in the fragile and productive areas
which border the state's sounds and oceanfront. Along
with requiring special care by those who build and
develop,the General Assembly directed the Coastal
Resources Commission(CRC) to implement clear regula-
tions which minimize the burden on the applicant.
This application for a minor development permit under
CAMA is part of the Commission's effort to meet the
spirit and intent of the General Assembly. It has been
designed to be straightforward and require no more
time or effort necessary from the applicant. Please go
over this folder with the Local Permit Officer(LPO)for
the locality in which you plan to build to be certain that
you understand what information he or she needs.
Under CAMA regulations,the minor permit is to be
issued within 25 days once a complete application is in
hand. Often less time is needed if the project is simple.
The process generally takes about 18 days. You can
speed the approval process by making certain that your
application is complete and signed,that your drawing
meets the specifications given inside and that your
application fee is attached.
Other permits are sometimes required for development
in the coastal area. While these are not CAMA-related,
we urge you to check with the Local Permit Officer to
determine which of these you may need. A listing is
included on page 2 of this folder.
We appreciate your cooperation with the North
Carolina Coastal Management Program and your
willingness to build in a way which protects the
resources of our beautiful and productive coast.
Coastal Resources Commission
Division of Coastal Management

•
STATEMENT OF OWNERSHIP
r
r
I,the undersigned, an applicant for a CAMA minor development permit, being either the owner of property in
an AEC or a person authorized to act as an agent for purposes of applying for a CAMA minor development
permit, certify that the person listed as landowner on this application has a significant interest in the real
property described therein. This interest can be described as: (check one) 1//7/�)z
1/an owner or record ti , Title is vested in S+wi4(L. V- a,,,U14, , see Deed Book 153
page /c1 in the 1'uOc 2 County Registry of Deeds.
an owner by virtue of inheritance. Applicant is an heir to the estate of ;
probate was in County.
if other interest, such as written contact or lease, explain below or use a separate sheet and attach to this
application.
r
NOTIFICATION OF ADJACENT PROPERTY OWNERS
I furthermore certify that the following persons are owners of properties adjoining this property. I affirm that I
have given ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for
a CAMA permit.
(Name) (Address)
(1) Si c /'ff��► r2 - 34c_Z s /04i o,6-1( c,-(,,ti, zSy
(2) � / e c% /'1 7 Sc oT 7 hii—// 6,,,7,44,p ryll,z,✓c-oA-) arc ZS y
(3) IO S�i� -S/ r L`J�4 l 15 4- 7 5 c j TS -1( Cam ,2 )z/yt cr.t)6;uA i : z-£sk
(4)
FOR DEVELOPERS IN OCEAN HAZARD AND ESTUARINE HAZARD AREAS:
I acknowledge that the land owner is aware that the proposed development is planned for an area which may
be susceptible to erosion and/or flooding. I acknowledge that the local permit officer has explained to me the
particular hazard problems associated with this lot. This explanation was accompanied by recommendations
concerning stabilization and floodproofing techniques.
PERMISSION TO ENTER ON LAND
I furthermore certify that I am authorized to grant and do in fact grant permission to the local permit officer
and his agents to enter on the aforementioned lands in connection with evaluating information related to this
permit application.
This application includes:general information(this form),a site drawing as described on the back of this ap-
plication,the ownership statement,the AEC hazard notice where necessary,a check for$50.00 made payable to
the locality,and any information as may be provided orally by the applicant. The details of the application as
described by these sources are incorporated without reference in any permit which may be issued. Deviation
from these details will constitute a violation of any permit. Any person developing in an AEC without a per-
mit is subject to civil,criminal and administrative action.
This the day of �sj7cri`a-4' ,19 .
Land own orize to act as his agent
for purposes of filing a CAMA permit application.

SITE DRAWING/APPLICATION CHECKLIST
Please make sure your site drawing includes the following information required for a CAMA minor develop-
ment permit. The drawing may be simple and not necessarily to scale. The Local Permit Officer will help you,
if requested.
PHYSICAL DIMENSIONS
label roads
label highways right of ways
label local setback lines
label any and all structures and driveways currently existing on property
PHYSICAL CHARACTERISTICS
draw and label mean high water mark
draw location of on-site wastewater system
If you will be working in the ocean hazard area:
draw and label dune ridges (note height)
draw and label toe of dune
identify and locate first line of stable vegetation
draw and label setback line under CAMA
draw and label topographical features(optional)
If you will be working in an estuarine shoreline area:
draw and label landward limit of AEC
describe terrain (slope)
DEVELOPMENT PLANS
draw and label areas that will be disturbed
if a house is to be placed on lot,describe location of house
note size of piling and depth to be placed in ground
draw and label all areas to be paved or graveled
describe composition of surface
note and list fully all trees and vegetation to be removed or relocated
show landscaping
NOTE TO APPLICANT
Have you:
*completed all blanks and/or indicated if not applicable?
*notified and listed adjacent property owners?
*included your site drawing?
*signed both application and statement of ownership?
*enclosed the$50.00 fee?
*completed an AEC Hazard Notice,if necessary?
FOR STAFF USE
Site Notice Posted Final Inspection Fee Received
Site Inspections
Date of Action: Issued Exempted Denied Appeal Deadline(20 days)

a »,
.71 \ . : •
\ O /\ \
_»»` \y©. \
% � ƒ\ f\k ,
S
ill °°
\`ee ./ /.k \g,
N N .\ o - ƒ Ele2}
<
ii:• 1i 0
r � W2=� � ®.. ƒ .
/ .--. a .�// Q ��.
ti CP r �� ''
/ :
il g Ewa
r
q /// i-uNi..-,,-,,,,i,.,".zi•-•
4
\ f-
\
/ 6 /
, ? #
/ ,
� 1 I/' /
%
fli � `�/ v
Ii 2\ ?
«c\ »< .. < /
L. =«�