55342_BURROWS, DWAYNE_20100429

❑CAMA / 1-1DREDGE & FILL r)j3/ra /6,6
GEi EkAL 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 Rk6rc., - 7
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
t ules attached.
Applicant Name
Address ❑- /y - JG^;��' C� _
City 7oil +r; 'd State ZIP
-,.-� Q tk j•�
Phone # ( 7 , . — /` _Fax #
Authorized Agent
Affected ❑ CW ❑ EW I�PTA '4ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH /❑ UBA ❑ N/A
❑ PWS: ❑FC:
ORW: yes / no PNA yes / no Crit.Hab. yes
Type of Project/ Activity _
c
Project Location: Countyt'"? /':1 t t c L
Street Address/ State Road/ Lot #(s) -!?
Subdivision'
City j + t� ZIP •;? 7
Phone # ( ")• •'��^ River Basin j 'V & (.d
Adj. Wtr. Body I (` ,I-eq _ _ (nat /man /unkn)
Closest Maj. Wtr. Body—!
C'1�■��■■■�
..i
—•-•—:
■■■■
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" 1091
ONE
M�
ME
law
U
■
MINKINA,
■■�UNIMVWXF1�,ENN���.■
.-
ME
.■�■MENEM
■■■■■
a1
■
■
■OM■
Boathouse/ Boaaft
■�■�
■M■
.:��._.....
■■■■■■■■■
Beach
MEN
�.si■iirne
_�i;�
Shoreline Length
SAV: not sure yes
not sure yes
Moratorium: n/a yes (n).
Photos: yes
LwSandbags:
■■■
I
■■■■■■MEMEMEN
........
A building permit may be required by:
Notes/ Special Conditions All i jr�r
�o� ICI na �c i )+
Agent 6r Applicant Printed Name
K_
Signature "Please read compliance statement on back of permit"
Application Fee(s) Check #
See note on back regarding River Basin ri
10/IIe�l f
Issuing Date fExpi[raattion Date t
Local Planning Jurisdiction Rover File Name
MR
ill

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 [)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/ 1-888ARCOAST
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 Citv 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

4
PATRICIA F BURROWS 1/08 1037
DWAYNE T BURROWS
21 HOLLY ST (� 68-8073i2514
Date
HAMPTON, VA 23669-3211
Fa to the
Order f �' $ �D'puttars-
Lame "
9 '" 1055 W Mercury Blvd
Federal Credit Union rHampton, Virginia 23666
For
i:25 L48073131: L L 100 28494 6n'° 037

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual applying for Permit: Wcc ✓le `- P0A1'1*('k*CL�✓ R,US
Address of Property
0�T- 5.q-, k3D11
L0-� *.-�— P1q = Kb(o - `7 (P
(Lot or Street #, Street or Road, City & County)
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this letter.
�`M� I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, 400 Commerce Avenue, Morehead City, NC, 28557 or can [phone] within
10 days of receipt of this notice. No response is considered the same as no objection if you
have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, boatlift or sandbags
must be set back a minimum distance of 15' from my area of riparian access unless waived by
me. (If you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
_AD I do not wish to waive the 15' setback requirement.
(Applicant Infortnation)S+ ptO
55 HHo
Mailing Address
City/State/Zip
--)S- -72-2- �3 3
Telephone Number
4 - to- Flo
Date
(Riparian Property Owner Information)
11116W4111-
Signature
Print or Type Name
/ 0 V '--X`/- L%6`t
Telephone Number
y--D I' )D
Date

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Individual applying for Permit: Wck �1E Pc� , t 12�u,1 ✓ R,tJS
Address of Property: Co -� - PI K - K Oi, — r7
0(�p S. tz , 13 a 4 INI"►r ! if , I\) C, P�AAIV„ r f-) rvn a A/l k n
(Lot or Street #, Street or Road, City & County)
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this letter_
I have no objections to this proposal.
N you have objections to what is being proposed, please write the Division of Coastal
Management, 400 Commerce Avenue, Morehead City, NC, 28557 or call [phone] within
10 days of receipt of this notice. No response is considered the same as no objection if you
have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, boatlift or sandbags
must be set back a minimum distance of 15' from my area of riparian access unless waived by
me. (If you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Applicant Information)
2-1 4o I I ,4 S�-
Mailing Address(J
HU, WX 0�- ,y ck- a ��
City/State/Zip
-7 z- 2. L ©)�. 3
Telephone Number
Date
(Riparian Property Owner Information)
✓*Q
Signature
LA2P-H Gc�c�T�Ey
Print or Type Name
2S 2) 2-LH -' 220
Telephone Number
4Is-IQlo
Date

G
N/F
ROBERT H. TAYLOR, II
D.B. 348, PG. 682
INGRESS, EGRESS, REGRESS
AND GENERAL DRIVEWAY
D.B. 342. PG. 323
D.B. 431, PG. 399Ar
S ? as
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INS
OF BEAUFORT COUNTY,
IEF THE MAP/PLAT
'E STATUTORY
("04,)
j143.69'-�"-----
i< 0(P`7
Bay Shores Estates
P.C. A SLIDE 9-6
-- ----•- N 15' 12'S 1 "E 500.00,
400.0
100.00'
fly
EW CLUDNGIRIWAW 58
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ass, pTyyo HS .
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0 EXISTING IRON PIPE
s EXISTING REBAIR
O SET REBAR
0 NO POINT SET

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71
to

NC Division of Coastal Mgt, Habitat Impact Computer Sheet
Applicant: Dwayne Burrows
Date: April 29, 2010
General Permit #: 55342C
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
TOTAL Sq. Ft.
FINAL Sq. Ft.
TOTAL Feet
FINAL Feet
(Applied for.
(Anticipated final
(Applied for.
(Anticipated final
DISTURB TYPE
Disturbance total
disturbance.
Disturbance
disturbance.
Habitat Name
Choose One
includes any
Excludes any
total includes
Excludes any
anticipated
restoration
any anticipated
restoration and/or
restoration or
and/or temp
restoration or
temp impact
temp impacts)
im act amount)
temp im a is
amount
OW
C/ I� I V
Dredge ❑ Fill ❑ Both ❑ Other ❑O
HG
Dredge ❑ Fill ❑ Both ❑ Other 1XI
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
252-808-2808 :: 1-888-4RCOAST :: www.nccoastalmanagement.net revised:02/03/10

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal tilanagement
Beverly Eaves Perdue James H. Gregson Dee Freeman
Governor Director Secretar`j
BUFFER AUTHORIZATION CERTIFICATE
FOR PIER AND DOCKING FACILITIES ACCESS WAY
A riparian buffer authorization is required for pier and docking facilities access ways through the Tar -Pamlico &
Neuse River Riparian buffer per Division of Water Quality (DWQ) regulations 15A NCAC 02B.0233 & .0259.
The Division of Coastal Management (DCM), through a Memorandum of Understanding with the Division of
Water Quality (DWQ) has reviewed your project proposal, determined that the project as proposed complies
with the aforementioned regulations, and made a "no practical alternatives" determination per those
regulations.
Those activities covered by your Coastal Area Management Act (CAMA) permit have received Buffer
Authorization as long as the project is constructed in a manner that continues to meet all of the conditions
listed below. Failure to comply with this Buffer Authorization shall subject the property owner & the party
(contractor) performing the construction Wor land clearing to a civil penalty of up to $25,000 per day per
violation.
1. Crossing is Perpendicular: Pier and docking facility access way must cross the 50 ft. riparian buffer
perpendicularly (which is defined as between 75 and 105 degrees) unless otherwise approved by DCM.
The alignment shall minimize the removal of woody vegetation to the greatest extent practicable.
2. Pervious Materials: All reasonable measures shall be taken to ensure the access way is made of
pervious materials like open -slatted wood or composite, mulch, or grass to meet the intent of the rules
to the maximum extent practicable.
3. Access Width: The width of the pier or docking facility access way shall be limited to six (6) feet.
4. Project Drawing: The drawing on the CAMA General Permit is considered the project drawing of your
property indicating the relative location of the pier or docking facility and any requested access way.
This drawing will be used to aid in compliance and monitoring efforts.
By your signature below you agree to be held responsible for meeting all of the conditions listed above and
verify that all information provided is complete and accurate.
SS U
Name
ignature
CAMA GENERAL PERMIT #:
Washington Office
943 Washington Square Mall
Washington, NC 27889
Phone [phone]
Morehead City Office
400 Commerce Avenue
Morehead City, NC 28557
Phone [phone]
Permit Officer's Signature
�// g( D
Issu Date
Version 5, 09/2009
An Equal Opportunity/Affirmative Action Employer — 50% Recycled/10% Post Consumer Paper

Jun 14 10 11:31a
252-249-2429 p.1
From: Peter A),
13
MARINE CONSTRUCTION
P.O. BOX 190 ORIENTAL, NC 28571
OFFICE(252) 249-1429 F .X E15 2) -149-2 22';
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Jun 14 10 11:31a 252-249-2429 p.2
LAMA / ❑ DREDGE & FILL 15 -p`--,
GENERAL PERMIT Previous permit # � �
,(New ❑Modiflcati.on L.Complete Reissue r7iPartiai Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources l
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
j , 'SLIkluies attached.
Applicant dame AA-IG��J� I t C �'�VV� -_ Project Location: County. _- � �'.'j i
Y-- r 1
Address _ ,O _ Street Address) State Road/ LOL #(s)-Z�T�-1 - — _--
City I . T State ZIP ;�� _ r
Phone # ax # Subdivision s 1r ( P J {01 to Authorized Agent Agent )(' l City f_ t f ZIP
f Cw fEW iiAES O P 1 S Phone # River Basin
Affected .0 OEA p HHF 7- iH ❑ USA ❑ WA
AEC(s): Adj. Wtr. Body ' ' I G nat!/man Iunkn)
❑ PWS: ❑ FC: J�- ..E -
CRW: yes ni PNA yes ;+ no Crit.Hab. yes Ono Closest Maj. Wtr. Body / V C-
ripe of Projec•✓ Activity Y-)(6,
(Scale: )
Pier (dock) length
IU�ZJ Platform(s)
-
�C Finger pier(s)
Groin length 7(
number ,----- 1 I i I ' 'T'
Bulkhead( Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards •,� ,
• E
Boat ramp
$oaChau Baatlifr r ?ZC {w -`f C iu� r (—
,
Beach Bu ldozing.
Other
— -
- --- A4i
- 1
Shoreline Length - - d 1 - ! _ I
not sureyes
sAv: yes -- ---,�
Sandbags: not sure yes no 1 ;]
Morawrium: n/a yes no i
Photos: yes-
t
WalverAriached: no I J-- -_
A building permit may be required by: See note on back regarding River Basin rules.
N tes/ Spe ial Conditions t i j la -
V�✓,S
Agent rApplica Printed idart Pernut 's re
,4destaterrielr
ature P�e�ser'e am backofpermit""� Date f tidnDate
r ^( f/ f
i
ApplicationFee(s) -- - CheckCalPlanningJurisdiction R-.-.rFileName

Jun 14 10 11:32a 252-249-2429 p.3
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SUZti,kc
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSIBOATLIF (BOATHOUSE)
I hereby certify that I own property adjacent to�15 's
(Name of Property Owner)
property located at � ` ° 3 KX �� C e �L
(Lot, Block, Road, etc.) M
on / "lU�res ��t , in l ��'�r� ,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. I understand that a pierlmooring pilingslboatliftlboathouse
must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless
waived by me.
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
79L
� (y�j�rd4w 5
(Applicant Information)
yo `fax1-:)0
Mailing Address
City/State/Zip
:�'L�G�-- IL1a,O�
Telephone Number
_ Sa6�ip
Date
(Riparian Property
Owner Information)
��"✓`CJ
Signature
n LAIL(-•1 G 0 AFL-7 4AF-y
Print or Type Name
x ( ', 's 2)
Telephone Number
x --sl 2 $1
Date

Jun 14 10 11:32a 252-249-2429 p.4
USPS - Track & Confirm rage 1 OI 1
, ME UNITEf3STATES �+_p I Help
Ed n45TAL SERVICE. In Iri
Tracts & Confirm FA09
Track & Confirm
Label/Receipi Number: 7004 2510 0001 2649 6447
Class: First -Class N4ai16
Servioe(sy Certified Mail' `
Reftim Receipt
Status: delivered
Your item was delivered at 2_46 PM on May 28, 2010 in CHARLOTTE,
NC 28211.
Enter Labellfta pt Number.
Detailed Results:
= Delivered, May 28, 201 D. 2:46 pm, CHARLOTTE, NC 28211
= Notice Loft, May 22, 2010,10:07 an, CHARLOTTE, NC 28222
• Arrival at Unit. May 22. 2010, 10:05 am, CHARLOTTE, NC 28211
• Acceptance, May 21, 2010, 9:34 am, ORIENTAI., NC 28671
Track & Confirm by email
Get current event information or updates for your item salt to you or others by email-
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item 4 if Restricted Delivery is destred.
■ Print your name and address on the reverse
so that we can return the card to You.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Articla Addressed to
�. • . �� V • �� 1, ` n� " � IT'S ���
?rive: of Ufa ��Si: .ess_Cys!yuRr ua�eaa,+
A. Signature 0 Agent
x �:: ✓". ''.'^�~ O Addressee
H. Received by ( Printed Name) C. Date of Delivery
D. Is delivery address d xe7lt*Om Item 7? ❑ Ye�5
if YEst enter delivery address belovsr ❑ No
3. Se oe Type
I'3 ,L�e ttfled mail
ReSg wtud
CI Insured M8I1
0 EIPMW MMI
❑ Retum Recdpt for Merchandise
❑ C.O.D.
4. Restricted DeHWY9 (Fctra Fee) 11 Yes
P. Article Nurnber
A--6 n W"iW J>iW 7004 2 51, [] l7 0 01 2 5 4 9 5 �4 547
(iraus
1 OS Form 3811', February 2004 Domestic Return Receipt - - 1725J5-02 A41 rt0
http://trkcE frm i .smi.usps.col:o/PTSIntemetWeb/InterLabellnquiry.do 6111 /2010

Jun 14 10 11:33a
252-249-2429 p.5
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