55217_DAVIS, BETH_20100405

4'N
4A / ❑DREDGE & FILL
�PERMIT Previous permit#
ew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued_
As authorized by the State of North Carolina, Department of Environment and Natural Reso'Ves�/(J
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
Rules attached.
Applicant Name) i L�r t ► J j Project Location: County
Address (' f _} i'� ! le. t� on; k Street Address/ State Road/ Lot #(s)
City ]'r '` I I r State ( ZIP
Phone # (��'?��7%�Fax # ( Subdivision
Authorized Agent �_ C !'t 14' IZX� I rC ( arT _ City ZIP
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Phone # ( ) River Basin
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body (nat /man /unkn)
❑ PWS: ❑FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale:
)
/
'
-
Pier (dock) length
Platt
Finger
Boat
Othe
SAV:
Sand
Phot
Waiverc yes no
A building permit may be required by:
Notes/ Special Conditions
I
! ! ` ' ❑ See note on back regarding River Basin rules.
4 1
wig I
pier(s)
�
Agent or Applicant Printed e
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
PermitOfficer's Signature
Issuing Date Expiration Date
v1 ��
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 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.
Raleigh, NC 27604
919-733-2293
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

L1
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
Lucy ale,
I hereby certify that I own property adjacent to 's
(Name of Property Owner)
property located at .� 5J a ni ( C>c (-) �-�
(Lot, Block, Road, etc.)
on nCUSC .P IUc r , in &100(lCo CC) • , N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: %/'7" 177- /J%S Mailing Address: ?(?fh Aa U(s — cS4 7
d 0. irn�,,�tl�7,s7a
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 property owner proposing development)
ksc V(UCW-
(Information for Property Owner Applying
for Permit)
Mailing Address
City/State/Zip
Telephone Number
Signature Date
L0
(Riparian Property Owner Information)
Signature
Print or Type Name
_ z-s"z z g 9 ✓� 9�
Telephone Number
Z �
Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to ba III {' awe y, Aertuis. } 's
(Name of Property Owner)
property located at��
(Lot, Block, Road, etc.)
on OC,�)Sej RIyCC , in �� ah(� P. Panes�IC() Co.N.C.
(Waterbody) frown and/or County)
:6 In t)a v 1 S
Applicant's phone #: Iq " ��` I " IS IS Mailing Address: JU 1 �l I I Poo( e
a&Mnn--; wu Gera
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 property owner proposing development)
no
(Information for Property Owner Applying
for Permit)
Mailing Address
City/State/Zip
Telephone Number
Signature Date
a
i oW 6 V,
(Riparian Property Owner Information)
r
�J ��/ Signature
;
Print or Type Name
Telephone Number
3 3r
Date

Hi fC4-10-2
HOA-10-1
JOHNSON DWIGHT KIM
JOHNSON DWIGHT KIM
HOD-" Ho94421 JOHNSON DIWIGHT KIM 7
H094 �7H09446 H094.43 JCNNSON_DW-IGHT KIM
_ _- -- y 6 6
�Ioa- 9�Ucl�bor� PI
HiCW-13
2.40A HCEW-19-6 'HO97-19-14
H(T— 4-14
1-1094-33 1-10"-2D- \H094-19-15 HOM-16
HO94-18
2.41 A H094-32-1 HO94-214%,
HC94-32-L HO9 19 16
H094-2D-2`,
HOA-31-1
24.OQA
H094-29 - H094-22 H094-20-1
_ HO94S1
-
H094 36 H031 = (
91
H094-23
HO94.78 H094S3
H094-� H094-74
H094-28 HOM:t 3 H094-79
/ H
- H094�8 091-72
C - HC 94-71
I I .
1 HO-W- H094-69
C9484
WALLACE,JOSERHH LAKE ET UX Ho9a67
HO94S8
H094-M
WALL CARL LINNIE
H09454
Pamlico County, NC Parcel Number: H094-51 Deed Book:
r Record Number: /, t Deed Page:
Owner Name: Legal l7 , o Q� Legal 1:
Owner Address: L t��^�— District:
PROPERTY MAP
Owner Address2: Deed Acres:
Owner City: Value: N
I� Disclaimer:Owner State: Tot Cur Value:
The data provided on this map are prepared for the Imentory of real property found wtthln Sale Date: [unsupported data t e77
Pamlico County, NC and are complied from recorded plats, deeds, and other public records Owner Zip. I pp Yp d
6 and data. Thledatalsforinformattonalpurposesonly and should not Deeubebtuted Situs Number: Sale Price:
"nf,- ka0�� for a true tble search, property appraisal, survey, or for zoning verlfloabon. uStreet: a K& NC PIN: 6476306135 One Inch = 382 Feet

B PRESCOTT MARINE CONSTRUCTION 1891
PO BOX 874 252-249-0149
ORIENTAL, NC 28571 DATE 66-30/531
an
PAY
TO THE
OR s
ORDER OF %%{"'
p senes
DOLLARS
First Citizens
B
firstciG ns.com FOR 5 5 1 `�} 7
li'00 W39 LO i:0 S 3 L00 300i:00►, ? L 20 2049 ?u'
11

visl of Coastal Mgt. Habitat Impact Computer Beset
Applicant: Beth Davis
Date: April 5, 2010
General Permit #: 55217C
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
temp impacts)amount
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
OW
Dredge ❑ Fill ❑ Both ❑ Other O
280
280
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 ❑

RECEIVED
. _r-,�... _ _ APR. 7 201�0
Nair Car�Di#na- artt ttt of �ronrrtent and NaWraf Rsourc Peneaa c,tr A��
1) n -of C+�asfi l ari et
fuel F. FwW, Cmw Charles & ,0t'", Dkector Yl�am G. RM Jr., "
Date
AppHemtName e l� v i
m,4ftg Address 567 _ -1 CEO l-'e' ^ _
--
I wrd£y that have iuthartzed (agent) COt! . C- Ii;Vu aet on MY
behmA for the puipese of appYmg for and obtabling an CAIA Perm necmmary to
hLsbIk or construct (sty) QiLS� _
at (location) Iq V1,P I v% j ,.• J 1 LI
Tbb c"Iffic2 l41t m Vad thm (date) 3 C) � � C)
400 Commerce Avenue, Morettem .aLy, Noh caroiine 2fiU
Phone: [phone]W81 FAX 252 247- MO 1 !ntmwt An mMjgOtMt.iiet
An COMM*% AftumfiftAdm B - Reqdmdl10%put Gor rpaW

iot RECEIVED
APR i 2010
33D
Moreh®pd City DCM
sx Number: B. Prescott
- Marine Construction
'Z`0: �/` co n Vic, c' PO Box 874
i f bnental, !VG 28571
252-249-0149 (phone)
252-249-0384 (fax)
Date: D iaat>bvQtprescottmarinecanstruG#iQn.com (email}
Regarding: Da\jo
Comments: