55350_DUNN, DIANNE_20100520

❑r:AMA / ❑ DREDGE & FILL iVE
E PERMIT us permit #❑New7the
odification ❑Complete Reissue ❑Partial Reissue revious permit issued
As authorized 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 . (/
r. `J?QRules attached.
Applicant Name t , l t Project Location: County^,(• G
Address f io n(1 j t�-f Street Address/ State Road/ Lot #(s)
7C;vie
City i� � . \ j '� %'r— State NC ZIP (>.`/ _' � t C O%l . r�, ._x (t`
Phone # 0Z��z) �'?! (� � Fax # ( --T Subdivisions
Authorized Agent �1I t City �=- t i �! ZIP
Affected ElCW 1] EW "PTA El ES ElPTS Phone # (_ "�r~ River Basin / `JL✓ y -�
❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A F ti _
AEC(s): 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 �'. I'? 1 (1)"! c' '� X i 7 ` I �(!A
(Scale: f
Pier (dock) length'
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathous B!oa]tlif
Beach Bulldozing
Other
V ';
Shoreline Length n f
SAV: not sure yes 61.® _
Sandbags: not sure yes o
Moratorium: n/a yes rno
Photos: yes ��
Waiver Attached: yes no
A building permit may be required by: !r ol
Notes/ Special Conditions
or ApplicantPrinted�l
Signature "Please read compliance statement on backofpermit��
Application Fee(s) Check #
f
❑ See note on back
lie, 6?X r _
A-
-ding River Basin ru es.
rcuni�u�+�o+giia +c
Issuin ate 1 xpira on Date
rI LJcalPlan ningJurisdiction Rover File Name

. I a,
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, certifythat 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

- A, 11 RA.
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F Easley, Governor James H. Gregson, Director William G. Ross Jr., secretary
F
Date 'Wi d of o
Applicant Name 2)11,1y4' &' Gt'/L'/L",
Mailing Address /l G✓ / )yD/✓ iS
I certify that I have authorized (agent) � /L�rt,'�` _��Zwi�S' %�l//'//tea act on my
behalf, for the purpose of applying for and obtaining all LAMA Permits necessary to
install or construct (activity) `t VICV, MI' OV\ } Nc v✓ (ovf\rt t Ai
at (location)
This certification is v lid thru (date) �� '� /S Oi 0
Signature
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internet: www.nccoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer— 50% Recycled 110% Post Consumer Paper

Page 1 of 1
LEGDESCI
LOT 1 ON BAY RIVER
LEGDESC2
W/OFF 1330 MB 7-50
TOTACRES
0
CRNTTOTUSE
0
CRNTTOTDEF
110
CRNTLANDVA
84000
CRNTBLDGVA
27591
CRNTOBLDGV
20034
TOTCRNTVAL
131625
FIRECODE
F
HOUSECODE
lip
II SEWERCODE
SALEAMNT
272000
SALEDATE
2/17/2006
SALEDATE2
74,926
SALECODE
C
ROADNUM
1330
PCTCOMP
100
WILLBOOK
10
WILLPAGE
DB_PG
463/632
DEEDBOOK
463
DEEDPAGE
632
PLAT
Jul-50
MOBHOME
110
http: //www2. undersys. comlscripts/te stadvlusiwebpc. dll/usi?formis=ptmap&MouseX=274... 4/27/2010

Nu�soh
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to-' ` `\� �\ z 0`� 's
R (Name of Property Owner)
property located at S 1 J +� S 0 h t b
nn (Lot, Block, Road, etc.)
on Vey , in Meyrvr;16' N.C.
(Waterbody) (Town and/or County)
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.
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
(Applicant Information)
Mailing Address n f pp
City/State/Zip
a�o\- H a�
Telephone Number
� b-6&
Date
� e~\�Y�e 5 � ��pC�-•
: 0
(Riparian
Information)
Signatur
Print or Type Name
X Z- Z--/�,)= 3�y�
Telephone X mber
Date
k'\Q (.eAJ'fh �0 Qo Q0k mo
21 571
0`��h�41
Y�enfZ

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORIIVG PILINGSIBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to ► ' ` "�w h f, `J 0 h V\ is
(Name of Property Owner)
property located at S W C �' � r 1% \,\ S p 11\ U , ,
(Lot, Block, Road, etc.)
on ��� , Ve\r , in Me✓ r;* ,N.C.
(Waterbody) (Town and/or County)
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/boatliffi(boathouse
must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless
waived by me.
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
(Applicant Information)
Pa 1�0' \ OW
Mailing Address
W. J0,571
City/Slal&Zip
Telephone Number
�116 (D
Date
(Ripe n Property er Information)
x _
Signature `
X Li 4- T- U � � �,��� S 0
Print or �Tfype Nam(e/ �f
o/r-0287'-�a 1
Telephone Number
Date

KC Divisign of Coasiai iway�ca
Applicant: Dianne Dunn
Date: May 20, 2010
General Permit #: 55350C
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
OW
Dredge ❑ Fill ❑ Both ❑ Other ®
91
91
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.iiccoastaimaliq_qement.net revised.- 02/03/10

1Bx 1110
PO BOX 190
ORIENTAL, NC 28571 [J ZD �� ss-a0/Hi
472
Date
Pay to Order of e n' � D E /1( n
Order of 1 �1 JV i`, I $ loor 00
tU V� a�v�b 00 Dollars
oa.u. m
First Citizens
Bank
firstdUzens.com
r
Foryuhh �eJ�.'� ,�
':0531003001:004712021254II@ 01110

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSBOATLIFTBOATHOUSE) 171�o
I hereby certify that I own property adjacent to �� ' 1--\h^G I�u s��� is
(Name of Property Owner)
property located at )a q &' h � uV\ V d
(Lot, Block, Road, etc.)
on -iPub,��(�� ,in l"�rd'J,� ,N.C.
aterbody) (Town and/or County)
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.
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
(Applicant Information)
Pt) 00, v t,
Mailing Address
0-' e'%W fA W, �3 5 71
City/State/Zip
Telephone Number
El�iu
Date
Property "ner Information)
CZ -
Signat re
VW�' �Awc���
Print or Type Name
Y=R-sy-- - ,->-' 0 - , -7
Telephone Number
Date

I

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Individual applying for Permit: 1)\'\hhz
Address of Property: aO5 \We\` �,'\\AS ()v\ (�
(Lot or Street #, Street or Road, City & County)
I hereby certify that I own property adjacent to the above referenced 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 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 Avenue, 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, boatlift 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.
(Applicant Information)
PO P0.ox 1(10
Mailing Address
U,;����.\� C 1�57�
City/State/Zip
a�M-IAA
Telephone Number
64M
Date
(Riparian Property w " r Information)
Signat re
Print or Type Name
t; '7 j, 2-
Telephone Number
X � � /� c
Date
—i