56984_CENTURY LINK_20101201

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GENERAL PERMIT /% Previous permit #
❑New ❑Modification ❑Complete Reissue El Partial Reissue ` `-1 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 ( L
E] Rules attached.
Applicant Name Project Location: County
Address 4- Street Address/ State Road/ Lot #(s)
City State ZIP
Phone # ( ) Fax # ()
Authorized Agent
Affected ❑ CW ❑ EW ❑ PTA
AEC(s): ❑ OEA ❑ HHF ❑ IH
❑ PWS: ❑FC:
ORW: yes / no PNA yes /,no
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshor
max distance offshc
Basin, channel
cuDic yaras
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
❑ ES ❑ PTS
❑ UBA ❑ N/A
Crit.Hab. yes / no
3'Nr d
i Y�SUE'�5 2SCRn0
48 F.zBee OPTSC
CAe(-- 36" r>tF-,-
Subdivision
City ZIP
Phone # ( ) �' ..t �r Rover Basin
Adj. Wtr. Body I; t• :{nat /man /unkn)
A`
Closest Maj. Wtr. Body j)
(Scale: )
ff'q SXSDGE ST2vC7U2L
'AlAU-
�"eCFlk`I:D
NOV 2 9 2940
Ps:4 arV'EC fvDcm
vKE
Shoreline Length
SEA WAc�—
SAV: not sure
Sandbags: not sure. BOi?E t1NCFZ CWtK-Ti'
Moratorium: n/a Bu5�lE5
Photos:
Waiver Attached:
A building permit may be reguirea y:
Notes/ Special Conditions
Agent or Applicant' Printed Name
Signature "Please read compliance statement on back of permit" �
Application Fee(s) Check #
CoutecYe PLUME
Z�—Ch-rcA &"'
klxisr"
4ftL'f
—z:_
�07i;5
NOT %D �nC--
ALL RwCS rD SE
i aee note on DacK regaraing rover tsasin rwez,.
PermitOfficer's Signature i }
Issuing Date Expiration Date
Local Plan ningJurisdiction
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
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.
(Serves: Carteret, Craven, Onslow -above
Raleigh, NC 27604
New River Inlet- and Pamlico Counties)
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)
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

Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
Habitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
tempimpacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
`
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 ❑
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 ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑

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CENTURYTEL, INC.
Document / Date
ATTN: Controller's
Group
2001156644 /
11/18/2010
�o/i
P.O. BOX 4065
iA
MONROE, LA 71211
Your vendor number
�11`
1-877-386-7151
80404
CenturyLink­
Document
Invoice Date
Gross
Amount Deductions
Net Amount
Text
Payment is made on behalf of EQ Tel
& Tel -East
NC, T887.
1900053934
SEE ATTACHED REF
11/16/2010
400.00 0.00 400.00
PLEASE SEND MARKED ENVELOPE
WITH
"ATTN : HEATHER
Sum total
400.00 0.00
400.00
CENTURYTEL, INC.
ATTN: Controller's Group
P.O. BOX 4065 JPMORGAN CHASE BANK,
MONROE, LA 71211 SAN ANGELO
1-877-386-7151
CenturyLink' Void after 90 days
*** FOUR HUNDRED USD***
Pay to the order of:
NC DEPT OF ENVIROMENTAL
AND NATURAL RESOURCES
400 COMMERCE AVE
MOREHEAD CITY NC 28557
R1r_
jk��': kQ
Check Number
0003064360
88-88/1113
11/18/2010
USD
***********400.00*
st� 21-7 -
V it
Protected by positive pay
110000 3064 360ii' 1: L 1 1 3008801: 1180 58000 798 711'

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Your item was delivered at 1:29 pm on November 04, 2010 in
BEAUFORT, NC 28516.
Detailed Results:
+ Delivered, November 04, 2010, 1:29 pm, BEAUFORT, NC 28516
• Arrival at Unit, November 04, 2010, 9:32 am, BEAUFORT, NC 28516
• Acceptance, November 03, 2010, 3:55 pm, ATLANTIC BEACH, NC 28512
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Your item was delivered at 3:12 pm on November 03, 2010 in
BEAUFORT, NC 28516.
Detailed Results:
• Delivered, November 03, 2010, 3:12 pm, BEAUFORT, NC 28516
• Arrival at Unit, November 03, 2010, 9:09 am, BEAUFORT, NC 28516
• Acceptance, November 02, 2010, 1:49 pm, MOREHEAD CITY, NC 28557
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Your item was delivered at 1:42 pm on November 03, 2010 in _�O_D
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BEAUFORT, NC 28516.
Detailed Results:
• Delivered, November 03, 2010, 1:42 pm, BEAUFORT, NC 28516
• Arrival at Unit, November 03, 2010, 9:09 am, BEAUFORT, NC 28516
• Acceptance, November 02, 2010,11:50 pm, MOREHEAD CITY, NC 28557
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Label/Receipt Number: 7009 1410 0000 1144 8099 — ----
Expected Delivery Date: November 4, 2010 Track & Confirm J
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Service(s): Certified Mail TM
Status: Delivered
Your item was delivered at 1:36 pm on November 04, 2010 in
BEAUFORT, NC 28516.
Detailed Results:
• Delivered, November 04, 2010, 1:36 pm, BEAUFORT, NC 28516
• Arrival at Unit, November 04, 2010, 9:32 am, BEAUFORT, NC 28516
• Acceptance, November 03, 2010, 3:55 pm, ATLANTIC BEACH, NC 28512
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JaUNITEDSTATES
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Label/Receipt Number: 7009 2250 0003 7491 5884
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Your item was delivered at 1:30 pm on November 03, 2010 in
BEAUFORT, NC 28516.
Detailed Results:
• Delivered, November 03, 2010, 1:30 pm, BEAUFORT, NC 28516
• Notice Left, November 03, 2010, 9:32 am, BEAUFORT, NC 28516
• Arrival at Unit, November 03, 2010, 9:09 am, BEAUFORT, NC 28516
• Acceptance, November 02,2010, 1:51 pm, MOREHEAD CITY, NC 28557
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