55313_DELLASEGA, MARK_20100331

W❑LAMA / n DREDGE & FILL r;
GEPVERAL PERMIT Previous permit #IVK
'KJNew ❑Modification ❑Complete Reissue ❑Partial Reissue ate 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 76. ) `]
` [,Rules attached.
Applicant Name a,( Ian(-1 P��
Address U0 ftyp r Dr ,
City G Z��fee^4- 1t State ZIP 16
Phone # (29) 45 Fax # ( )
Authorized Agent M ) &".,
Affected ❑ CW )Q EW PTA ❑ ES ❑ PTS
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
AEC(s):
❑ PWS: ❑ FC:
ORW: yes /ono;, PNA yes /'no Crit.Hab. yes / no
Project Location: County or's 1.0 �'
Street Address/ State Road/ Lot #(s)
2<c6 P2r.'ASv�e+ i`� tllor PCC/,
Subdivision
City 0t 'Jr-'{ ZIP 2 3'i
Phone # 12 River Basin c or
Adj. Wtr. Bod(nat / a /unkn)
Closest Maj. Wtr. Body A. -yJ W
Type of Project/ Activity mgm.14 QxC'tr.-b6,en
N �'l I
(Scale: = E) )
Pier
Platf
Fingi
Groi
Bulk
Basir
Boat
Boat
Beac
Othi
Shor
SAV
Sanc
Mor
M.00MEEM
MENNEEMEM
ME
MEN
0
!ONE
M"allml
ENJIMMEMINNOMM
No
MEMEMEMMEM
cubic yards
ramp
MEMEMEMEN
i Bulldozing
ME
MEMO
min
dine Length
not sure
yes
sags: not sure yes
MENEM
Phot
Waiv
A building permit may be required by: 0 P. s . 4 C'C yJ ❑ See note on back regarding River Basin rules.
Notes/ Special Conditions
en r Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
S he. 1 I ho p
ru Ild ►I
Issuin [5atJ Expllratio Date
,., -\3.3033011 R
Local Planningf urisdiction 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 howto complywith these buffer rules.
Division of Coastal Management Offices
Raleilzh Office Morehead City Headquarters
Mailing Address: 400 Commerce Ave
1638 Mail Service Center Morehead City, NC 28557
Raleigh, NC 27699-1638 252-808-2808/ 1-888-4RCOAST
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

F : a
RCDENR RECEIVEo
North Carolina Department of Environment and Natural Resources MAR 8 201Q
Division of Coastal Management
Michael F. Easley, Governor Charles S. Jones, Director William G. Ross Jr.Wcsa&&O City ®CM
Date 3-1-1C,)
Applicant Name
/�/� ry r l� 1�, o � �a C�a c;♦
p V
Mailing Address /� bqv>°
CTr-ee Av,ll e , fJ C, eR 7K5-<
I certify that I have authorized (agent) /F I-ev 01(5 to act on my
behalf, for the purpose of applying for and obtaining all LAMA Permits necessary to
install or construct (activity) O[ eor�/
at (location)
This certification is valid thru (date) r- �Iro
11 �i
Si;natup-e '
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] \ FAX: [phone] \ Internet: www.nccoastalmanagement.net
rn........-3-1 nrno% 1 inot o—t ('n .—, o- ,

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
m4r-k 1Je II a S� , ,PFCIF,V�ct
(Name of Property Owne in
lu
ro located at aAT pell onstc 4��� pogj �ro�eheQ�c'tyDc
property "
(Lot, Block, Road, etc.)
on l I C V , in go r+ 0 /1 /alp✓ N.C.
(Waterbody) (Town and/or ounty)
He has described to me as shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
CRIPTION AND/OR DRAWING OF PROPOSED DEVELOP'ViEN'T
(To be filled in by individual proposing development)
Fu;
Signature
P;:nt or Type Name
—3 �3
Telex one Number
Date:

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to A0r,x be11a
(Name of�P�ropperty Owne
Property located at a �� P��, �ns� `V 4/1 �� RU�ZGt'
(Lot, Block, Road, etc.)
on
�'
! W in 0/1 , /a l�
(Waterbody) (Town and/or ounty)
He has described to me as shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
CR=ON AND/OR DRAWING OF PROPOSED DEVELOPMENT
p(vP�S� (To be fi ed in by irzdividu propos-irzg development)
ar1W -, c
d ej
e
0
3
0
I�
A.'.
-&&;i -p Signature
k 0,8E-k-r _7 . J)U,tJ ti
Print or Type Name
Telephone Number
Date:

Ll
Lm CNJ
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40,1"4- . P� C, 4-,, 6,p �-/ NC..,

LEONARD L BROWNLEY 55-85/531 3460
PH. 910-353-1500
1381 PINEY GREEN RD. 0
JACKSONVILLE, NC 28546-4532 DATE
PAY TO THE, �O
ORDER OF
DOLLARS 8 e�
M 4 �Jc bl +77(R�
�j RBC Bank'" PREMM
C$E%$7Nti
RBC Bank (USA)
mrmo
E:0531008501:0260L5182511' 3460

SHORELINE PIERS & BOATLIFTS, INC. DBA SHORELINE MARINE CONST 252-646-3212 7140
40
ASHLEY BROOKS NCDL 7666496 66-21/530
580 PEARSON CR BRANCH 77614
NEWPORT, NC 28570
DATE
PAY
TO THE g
ORDER OF
DOLLARS
Back.
WACHOVZA
Wachovia Bank, N.A.
wac ooviacom
FOR
.053000 2 ;91. �C546?00 25579u■
Nr

Aioclicai t:
Date:
55313 C
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)
impact amount)
_temp impacts)
amount
S�t'Iw
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 ❑ Gill ❑ Both [I Other [._l
Drodge ❑ 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 ❑