56072_ROBINSON_20100708

i❑CAMA / ❑ DREDGE & FILL ��► r��
GENERAL PERMIT Previous permit #
[IINew ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources I
and the Coastal Resources Commission in an area of a vironrr��_ concern pursuant to 15A NCAC
_ rtidl El Rules attached.
Applicant Name;,,-) ~ s"" t �? Project Location: County ,
Address — ✓� (') I �,- t Street Address/ State Road/ Lot #(s)(�
City '^ - �( tJPao r State ��dC,, ZIP rr%?.� 1 ► ncS l i lie
Phone # (/ }� {,t r� Fax # ( ) Subdivision
1
Authorized Agent I_k" Ct'w i� n r r> �_ City E:` 1 1 I ZIP -�
❑ CW __❑ EW ❑ PTA ❑ ES ❑ PTS Phone # ( ) River Basin ' \Jew `' C
Affected ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
AEC(s): Adj. Wtr. Body rt i ' \ ! L/ -A �(nat /man /unkn)
❑ PWS: ❑ FC:_ - f
ORW: yes / no PNA yes / no Crit.Hab. j esJlo Closest Maj. Wtr. Body= -
IN 174�1111111`EMVAIIIII
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Shoreline Length >
SAV: not sure yes no
Sandbags: not sure yes ng%
Moratorium: n/a yes nod
Photos: yes
Waiver Attached: yes no
A building permit may be require
Notes/ Special Conditions
<71 I P,
Agent or Applicant Printed Name
Signature ** Please re4d compliance statement on back of Kermit
Application Fee(s) Check #
TLC
❑ See note on back regarding River Basin rules.
eX r c-f f
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Permit Officer's��a re
Issuing Date % r l Expiration Date
Local Planning Jurisdiction 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, 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 howto complywith 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/ 1-888-4RCOAST
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

jP'Av
HCDE K
North Carolina Department of Environment and Natural Resources
Division of Coastal Management ,
hvchaei F. Ewey, Govemor James H, Grogson, Director William 0, Rqu Jr„ Sevelary
Date
Appllcnut Nnluo . � di'�'N!J`j R-0(� 1 i�!`�Dr�
Mailing Address
I certify that I have authorlxed (agent)'OQYY,!'t t-f' QQGK.S, to act on my
behalf, for the purpose of applying for and obtaining all CAM permits uecessnry to
instnij or construct (activity) (i`t t .! _ A er ,
This corliRealion 1(date) (9'2-i"
gii,Ul4�
e _
400 Commerce Avenue, Morehead City, North Carollna 28557
Phone; 262.808.28081 PAX: 252.247.33301 Internal: 4wnv,nccoaslaimanagenlanl,nel
I W .
An Equal Oppodvnlh/ IAt6nmtW AWm Empt"- 60%Rv7;-d G\ 10%Post Omsum r Payer
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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
13evady Eaves Perdue, Govemor James H. Gregson, Director flee Freeman, Secretary
Date to 1-ol I,6
Name, fofProperty Owner Applying for Permit:
t�YIGVvI CLyo)10A
Mailing Address:
�n-•�Qx [Ian
f
I ccrlify that I have authorized (agenDt) L6 00 �l� 1 L-(' to act on my
behalf, for the pmrpose of applying for and obtat)ing all `CAM& Pe
rmits necessary to
install or construct (activity)
at (my property located at)
This certification is valid thru (date)
©�I,laIJIM
Property Osyaer Sigrtnhrre
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internal: %"wr.necoastalmanagentent.nel
An Equal opportunity tAlOimalVe AcUen Emp!oyer — 50°/a Recycled t 10%Past Consumer Paper

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFT/BOATHOUSE)
I hereby certify that I own property adiacent to C,n�717 0 /\'90(- I rJA YA i-. -rI s�' U
(Name of Proppe.,rty,Owner)
n
property located at ��GO��'T( r�rr I' it'jeZj ply ( P Q DO>(— 2•�2-Ne
(Lot, Block, Road, etc.)' / �1
on 1(� T ¢1y in CA-V6 C� , N.C.
(Waterbody) (Town and/or County)
Applicant's phone #:"2 Mailing Address: t �' L"✓USC (i 2
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.)
I do not wish to waive
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filler! in by individual proposing development)
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------------------------------- ---------
(Information for (Riparian Property Owner Information)
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City/State/Zip
Telephone Number
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to Li rJA
(Name of Property,Owner)
property located at L P1 N P O• fJOX, C 2
n (Lot, Block, Road, etc.)
on C. �, in �%C%i CCU . , N.C.
(Waterbody) (Town and/or County)
Applicant's phone ##: U��—qwq Mailing Address: i Q • P,?ok- I 2!�
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.)
I 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 in(lividual proposing development)
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/5/')00 F-0-r-247 ( E P-0 .
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---------------------------------------------------------------
(Information for
Mailing Address
C10 �26 J NC, Ze �Z
City/State/Zip
Telephone
./yNumber
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(Riparian Property Owner Information)
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TelOMna-Numis P

=ECKS DECKS N' DOCKS CONSTRUCTION, LLC f4 1483 CRUMP FARM RD. 7366
— NEW BERN, NC 28562 _
[phone] DL 8929001 % 20 ,rG� 66-112/531
Construction, LLC
PAY TO THE ! n --2
ORDER OF w_ l� f r �L ^C. f. ,
DOLLARS L�J
BRANCH BANKING AND TRUST COMPANY
800-BANK-BBT bbt.com
FOR
"ODD 36611' ':053101 L 2 0:0005 195E 26 29GO

Applicant: East Carolina Yacht Club (slip #72—Johnny Robinson)
Date: July 8, 2010
General Permit #: 56072C
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 ®
169
169
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑