56962_EMERALD BAY VILLAS_20101112

-4.
❑CAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit#
I]New ❑Modification ❑Complete Reissue El 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] Rules attached.
Applicant Name
Address
City- State ZIP
Phone # O Fax # ( )
Authorized Agent
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑FC:
ORW: es / no PNA yes / no Crit.Hab. yes / no
Project Location: County
Street Addre//ss1/ State Road/ Lot #(s){r
Subdivision 1, -rw,n
ClZIP
Phone # (' �) %2 " a `I i5 River Basin ► ,i o, C. f
Adj. Wtr. Body r'. t/e ;cL, (nat /man /unkn)
Closest Maj. Wtr. Body
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Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit **
Permit Officer's Signature t
Issuing Date Expiration Date
Local Planningf urisdiction Rover File Name
Application Fee(s) Check #

I
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 thatthis 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
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888ARCOAST
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

NC bivision of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: Emerald Bay Villas
Date: 11 /12/10
Permit #: 56962C
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
Shoreline
Dredge O Fill O Both ❑ Other 0
150
150
High Ground
Dredge ❑ Fill ❑x Both ❑ Other ❑
1410
1410
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.nccoastalmanagement.net revised:02/03/10

North gal" hra Department of Environrncent and NCatural Resources
D,°v, ,jojj fol Coastal Manags2men
Nlichael F. Easiey, Governor charies S. jonees, Direntor William G. Ross Jr., Secrei,ry
Date s i '1 a ` M
Applicant i�iaBaae rr``
Mailing Address b 4 q is
I certify that I have autlnoa'izecl (ageanl;) �J�J to act as�i axa ,
behalf, for the Purpose of applying for and obtainin- all CAAIA Permits necessary to
install or construct (actiAty) 151E�P 1pf)r(.�- ---
at (locations) a qq.)
This certsfication is v< -.i�rl thru (plate)
Ss;,ssatux ----

1CJ/ L�/ LC)1Cl CIL: L5 .�.ib-'Ll,i-5bb`J DR ED MILLER
1e/26/2010 11:16 252354375e CCMG
To � 9'35R3?5�
0Ci_C6-E01© 11:0e From:DCM MWDCTY
ADJACENT RRA.RIAN PROMITX UWNER STA,TEWNT
I hereby certify that l own property adjlacent to CTYV�WLD 9W ! 4�s
(Namc of Pri pots Owner)
property located at ,Z)14 �q 6Y E4- A Gb -DC, ,
.ot, Brock, road, etc.)
vn 6 (Waterbo y) in('Tovm studlor Cauca ) �
e---
Applidtgt's pbo er#�'� ►'tidling A.ddrow. L p L5 i 14
PAGE 03
PAGE 02/33
page:!-'1
);fie bas described to me, as shown below, the development he is proposing at that location, and, i
have no objections tab is proposal.
-p rSepap ION AND/OR DRAIAING OF YROPCK9VD DEVELOPMENT:
LOPMENT:
(To be filled in by prnperlp Owner pra,posing d9velgpWnt)
(lnformadom for Property Owiacr Applying (Ri ner information)
TO pennit)
P`C� ad, 9q&x5
Failing Address Signature
ClrylsratelL9p Print or Type e
3-75�:If2-1
Vale ns Num Tclophone Number
0 0 /allID—
Si tc ate Date

lb/2b/2blb 02:25 336-273-5065 DR ED MILLER PAGE 04
_ PAGE Q3/63
7.0/26/2010 11:16 2523543756 CCMC
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OCT-26-2010 11:00 From:DCM MHDCTY To:93543750 Ha5e,1'1
ADJACENT RIPAPJA.N PROPERTY OWNER STATEMENT
l hereby certify that 1 own property Adjacent to 6n'rl�195
(Name of Property Owner)
property located at��� �'� 'bc-
(Lot, Block, Road, etc.)
on db l9 p il QL in er t_ lCi2 1�-r Z'k, N.C.
(Waterbody) (Town and/or County)
Applicant's pho a #- -3-.�--Mailing Address: T" Q 44 45S
1�( Lb 15Lt— sac,
��Ili, q
14e has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal.
DESCRUMON AND/OR DRAWING OF PROPOSED DEVEWPMENT:
(To be felled in by property owner proposing deuelopment)
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
Mailing Address Signature
City/Statorzip '
print or Type Name
c ® hone N Tcicphone Number
Iojz(0 p
S' atu tlste Date