53045_CULLIPHEN, RON_20081215

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1CAMA / REDGE &FILL - y 331114 5�
GENERAL PERMIT Previous permit #
i
EINew LlMo`ciisi'cAtican' []Complete Reissue ❑Partial issue 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 4i 'Y, oG
Q Rules attached.
Applicant Name���
Address i. I i W ar l
---�,T— -�—
City rr, ..{ State ZIP 4� 411„
Phone # i t - Fax # ( )
Authorized Agent _
Affected ❑ CW f k W LiPTA ❑ ES ❑ PTS
AEC(s): ❑ OEA HHF El IH i UBA ElN/A
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s) 1 14 <,�rri1 .4
Subdivision
City— .. ZIP --
Phone # () ��( i_ ='��{T River Basin
t—
Adj. Wtr. Body h 4 �I ''' (naa /ma an /unkn)
*} f \
Closest Maj. Wtr. Body + i
Type of Project/ Activity
(Scale:
Pier dock len h
Platforms
Finger pier(s)-
Groin length
number
Bulkhead/ Riprap length
avg distance offshore-
t
max distance offshore
Basin, channel
7-11
cubic yards -----
Boat ramp
Boathouse/ Boatlif
-
_
fi
1
-i-
I
I
Beach Bulldozing
Other
I
i
-
-
-
—TT
I-
eli Shor ne Length t
SAV: not sure yes no
Sandbags: not sure es no
Moratorium: n/a es no
Photos: yes no _
Waiver Attached: 'yes no
A building permit may be required by:
Notes/ Special Conditions
❑ z
_ See note on back regarding River Basin rules.
Agent or Applicant Printed Name -�
l ^k� ✓' �r ' � / eft r
Signature Please read compliance statement on back of permit
Permit Officers, Signature
Issuing Date Expiratibn Date
T
Application Fee(s) Check # Local Planning Jurisdiction Rover File Name

Ift
r ..
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 (910-796-72 15) for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Raleigh Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888ARCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
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

UNITED STATES POSTAL SERVICE yn
fi�st'las IVlail
= Postage•& Fees Paid
• Sender: Please print your name, address, and ZI boxCD
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SAWOR4 NC 27331)
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Postage
$
117
Certified Fee
2 7Q
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Return Receipt Fee
(Endorsement Required)
f2.20
Restricted Delivery Fee
C3
(Endorsement Required)
�fJ,O6
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Total Postage & Fees
$
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Sent To
0
$creel, Apt. No.;
or PO Box No.
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City, State, A IP+V
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NC,
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09
Postmark
Here
12/01/2008
..... -----------------------
50
■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery Is desired.
■ 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. Article Addressed to:
K01- I SM I -
1 CCU U V� I' I k-i ►'1 D�
.z7733o
A. Signature
11
B. Ifecelved by (Printed Namef' C to o Delivq
D. Is delivery address different from item 1? ❑ Yes /
If YES, enter delivery address below:
3. Service Type
Certified Mail ❑ Express Mail
❑ Registered �KRetum Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7007 3020 0001 9680 3918
(transfer from service label)
PS Form 3811, February 2004 Domestic Return Receipt
102595-02-M-1540 ;

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ORIGINAL. MEAN HIGH WATER LINE
APPROXIMATE ERODED MEAN
HIGH WATER LINE, FINAL LINE
TO BE STAKED BY NC COASTAL �CP
MANAGEMENT REPRESENTATIVE
PRIOR TO PLACEMENT OF KEYSTONEI
RETAINING WALL I
N 55 1 "W I
84.24
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18.40 E14 -t
KEITH SMITH S. L.ISA JONES
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ADJOINERS RIP RAP \1
[Home use Only] ... \Bentley\RONS_H'OUSE.dgn 7/10/2006 8:12:23 PM
CONCRETE
DRIVEWAY
LOT
TING HOME Y
.0,
JOHN & PAM FLYNN
LOT 1
2 LAYERS 110 LB KEYSTONE
TRIPLEX UNIT W1 4" STD. CAP

MEMORANDUM
TO: KEITH SMITH & JOHN FLYNN
FROM: RON CULLIPHER
DATE: DECEMBER 1, 2008
SUBJECT: CAMA PERMIT APPLICATION FOR SHORELINE S'CABILZATION
I AM APPLYING TO THE NC DIVISION OF COASTAL MANAGEMENT FOR
PERMISSION TO CONSTRUCT A KEYSTONE RETAINING WALL ALONG MY
SHORELINE. PART OF THE APPLICATION PROCESS IS TO NOTIFY RIPARIAN
OWNERS (WATERFRONT OWNERS) OF MY INTENT. YOU CAN CONTACT ME
IF YOU HAVE ANY QUESTIONS AT 252-504-3074 HOME PHONE OR
252-247-7479 EXT. 224 OFFICE PHONE.
I HAVE ENCLOSED A COPY OF THE PROPOSED SKETCH FOR YOUR USE
ALONG WITH THE RIPARIAN NOTICE FORM.
, =!
l'IQ
DEC 3 Z008
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CERTIFIED MAID, -- RETURN RECEIPT RE UES
DIVISION OF COASTAi,11A- i AGE_l/IE�+T
ADJACENT RIPARIAN �`ti�1 PROPERTY OER NOTIFICATIO A-VAItiLR`
FORM
'
2
.. 008
`�O`
Name of individual applying for permit: _ III F' ity DC
Address of property:
(lot or street #, street or road) 0
-& at-,.-�O ,1 I (- a95 / h
(CitT & County)
c A4�-J ef-k--, 7 C6 v 01
I hereby certify that I own property adjacent to the above referen ed 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.
If you have objections to what is being proposed, please write the Division of Coastal
Management, 400 Commerce Ave., 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, lift 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.
Z5Z --G 59 — 2 24=1 o
Telephone Number With Area Code
et'.rf,id`a';* ??'Ssti .....,.v

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KAREN E CULLIPHER
RONALD D CULLIPHER
414 S Breeze Ln
Beaufort, NC 28516
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