56890_DEATON, JOAN_20101110

CAVA f [-]DREDGE & FILL
GENERAL PERMIT Y')`�/ Previous permit#
❑New ❑Modification ❑Complete Reissue El Partial Reissue �'yy 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
[] Rules attached.
Applicant Name_ Project Location: County
Address
City -
Phone # ( ) _
Authorized Agent
Affected ❑ CW
AEC(s): ❑ OEA
❑ PWS:
ORW: yes / no
State ZIP
Fax # ( )
❑ EW ❑ PTA
❑ HHF ❑ IH
❑ FC:
PNA yes / no
F=- ES ❑ PTS
❑ UBA ❑ N/A
Crit.Hab. yes / no
Street Address/ State Road/ Lot #(s)
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Subdivision
City `i1:�1'_/+. �,r.; r ZIP ='G Wit%
Phone # River Basin V\iL„- 1
Adj. Wtr. Body _ �(r C i OAO (Aat Jma /unkn)
Closest Maj. Wtr. Body A
Type of Project/ Activity
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Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit **
PermitOfficer's Signature
4 ,
Issuing Date Expiration Date
Application Fee(s) Check # 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/ I-888-4RCOAST
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

&CAMA/ ❑ DREDGE & FILL NY 56890C-
GENERAL PERMIT Previous permit#
-Mew ❑Modification ❑Complete Reissue ❑Partial Reissue 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 I SA NCAC I� i'--
Rules attached.
Applicant Name NA
Address I .sl
Cityt State e Zip
Phone # {ito )11� - y Wei Fax ## ( )
Authorized Agent
Affected �64W [N.EW [$ PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑FC:
ORW: yes / tnoPNA �y f / no Crit.Hab. yes / no
Project Location: County. (_."rIc')
Street Address/3 State Road/ Lot #(s) /j Z
Subdivision
City v 1 + lIr.TO ZIP 2—SSlt)
Phone # (t';Iti; ) River Basin �\Aif( (1!-1 '
Adj. Wtr. Bod6at ,/man /unkn)
Closest Maj. Wtr. Body 1 by Vy
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Agent or plic t Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
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Permit Office ignature
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Issuinj Da a Ex irati n Date
Local PlanningJurisdiction Rover File Name

AIF-RA5
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North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary
October 18, 2010
Jean Deaton
151 Deer Island Rd.
Swansboro, NC 28584
Dear Ms. Deaton:
Attached is General Permit #56890C to construct a 150x4 pier at 151 Deer Island Road,
Swansboro, NC. 41
In order to validate this permit, please sign the permit as indicated. Retain the white copy for
your files and return the signed yellow and pink copies to us in the enclosed, self-addressed
envelope. If the signed permit copies are not returned to this office before the initiation of
development, you will be working without authorization and will be subject to a Notice of
Violation and subsequent civil penalties.
We appreciate your early attention to this matter.
Sincerely,
3�i
Barry Guthrie
Coastal Management Representative
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Enclosures
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] \ FAX: [phone] \ Internet: www.nccoastalmanagement.net
An Equal Opportunity \ Affirmative Action Employer — 50% Recycled \ 10% Post Consumer Paper

NC, Division of Coastal Mgt. Habitat Impact Computer Shee�L'
Applicant: Jean Deaton
Date: 12/10/10
Permit #: 56890C
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
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
Open Water
Dredge i7 Fill ❑ Both ❑ Other O
200
200
High Marsh
Dredge ❑ Fill O Both ❑ Other El
400
400
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 ❑
252-808-2808 :: 1-888-4RCOAST :: www.nccoastaimanagement.net revised:02/03/10

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORINGPILINGSIBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to (. Ae-a . ey- 's
(Name of Property Owner)
property located at 9ca 's-60an15Aelp—e JILL.,2,��<j/
(Lot, Block, Road, etc.)
on y6W k,1 ruS C06C= k, , in 5 , N.C.
(Waterbody) (Town and/o County)
Applicant's phone #:_*jO 306'17'W'l Mailing Address: i51 ���Gz •� �9 1�.�
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 pier/mooring pilings / boatlift / boathouse
must be set back a minimum distance of fifteen feet (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)
.
do not wish to waive
I do wish to waive that setback requirement.
-------------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
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(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
Mailing Address
Sf.U{4 &,5 6O�. C
City/State/Zip ��U -C t04i-5—wg
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Telephone Number
Signature Date
C-ap
Signature
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Print or Type Name
?io-787-336 7
Telephone Number
Date

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to IF—L��-
(Name of Property Owner) J w n
property located at e,r-� S �p �tu�J SC�otieQC.O
Sgy
(Lot, Block, Road, etc.)
on //f4 U9 k, ,vS CzEC K in -S 191ArJ_<,Ad fC-0 0 N ,<,-Ui , N.C.
(Waterbody) (Town and/�r County)
Applicant's phone #: '7JQ ,3,-)6-'/W YMailing Address: �%2.-5 fa.)
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 pier/mooring pilings / boatlift / boathouse
must be set back a minimum distance of fifteen feet (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.)
xI do not wish to waive
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
;J M
ore
(Information for Property Owner Applying
for Permit)
Mailing Address
City/State/Zip
(Riparian Property Owner Information)
Signature
i r I 6+V1 CSC.. 1���, y-,
Print or Type Name
9 (d .32&7�
Teleph e umber Telephone Number
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Signature Date Date

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ROBERT F. GARDNER 66-7489/2531 1323
MARY K. GARDNER
BOX 458
415 W. CHESTNUT ST. DATE
SWANSBORO, NC� %28584
PAY TO
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DOLLARS
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