54612_ATALNTIC BANKING_20090901

❑CAMA / ❑ DREDGE & FILL &Vo
GEkIERaAL PERMIT Previous permit#
CJNew ❑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
f r ❑ Rules attached.
Applicant Name ' i. ; ;" = Project Location: County
Address_Street Address/ State Road/ Lot #(s)
CityState ZIP
Phone # (__) Fax #
Authorized Agent
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Subdivision
City ZIP
Phone # ( ) River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
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Agent or Applicant Printed Name
Permit Officer's Signature
Signature "Please read compliance statement on back of permit"
Application Fee(s)
Check #
Issuing Date
Local PlanningJurisdiction
Expiration Date
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 [)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 consistentwith 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

08/17/2009 09:08 9127291944
PAGE 02/02
NCDE14R
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor James H. Gregson, Director Wiliam G, Ross Jr., Secretafp
Date 8/17/09
Name of Property Owner Applying for Permit: Cgs
Mailing Address: AUG .1 12009
`1 Dr 1 —_ Morehead City DCW
V s a
I certify that I h2ve authorized (agent) L e(c ,1.+ Cc 4-c_to act on my
behalf, for the purpose of applying for and obtaining ffall C%AMAyP,ermi�ts necessary to
install or construct (activity) -&tx
at (iny Property located at) � � Q
This eertificaticm is valid thru (date) --- .. 9 - 9
M
rroperrry t,wner ;5rgnaxare fate
400 Commerce Avenue, Morehead City, North Carolina 28557
Plwne; 2524 0 -28M8 FAX_ 252,-247-33301 Intemet,, www.nccoastalmanagement.net
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I A L S E
Postage
Certified Fee
Return Receipt Fee
(Endorsement Required)
Postmark
Here
Restricted Delivery Fee
(Endorsement Required)
Total Postage & Fees
Se t
or PO Box No.
.................................
C-� 7LO4
300. August 200E

Certified Mail Provides:
■ A mailing receipt
■ A unique identifier for your mailpiece
■ A record of delivery kept by the Postal Service for two'years
Important Reminders:
r Certified Mail may ONLY be combined with First -Class Mails or Priority Mails.
■ Certified Mail is not available for any class of international mail.
■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For
valuables, please consider Insured or Registered Mail.
■ For an additional fee, a Return Receipt may be requested to provide proof of
delivery. To obtain Return Receipt service, please complete and attach a Return
Receipt (PS Form 3811) to the article and add applicable postage to cover the
fee. Endorse mailpiece "Return Receipt Requested". To receive a fee waiver for
a duplicate return receipt, a USPS9 postmark on your Certified Mail receipt is
required.
■ For an additional fee, delivery may be restricted to the addressee or
addressee's authorized agent. Advise the clerk or mark the mailpiece with the
endorsement "Restricted Delivery".
■ If a postmark on the Certified Mail receipt is desired, please present the arti-
cle at the post office for postmarking. If a postmark on the Certified Mail
receipt is not needed, detach and affix label with postage and mail.
IMPORTANT: Save this receipt and present it when making an inquiry.
PS Form 3800, August 2006 (Reverse) PSN 7530-02-000-9047

■ Complete items 1, 2, and 3. Also complete A.
item 4 if Restricted Delivery is desired. X
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1
'I 1. Article Addressed to:
Mai K �)a-v id 6,0 rN
c� a M M IC F6WIT , t -P
3.
Sign �
� (Agent
6 + Addressee
ved by (P ' e „ C. Date of Delivery
ry addressaddress differ Ai ' em 1? ❑ Yes
1? ❑ Yes
If YES, enter delivery addre�s(s`ICeI ❑ No
AUG j 9 2009
09
Ce i ress Mai
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number
(Transfer from service label) 7008 0150 0002 6849 0693
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540

UNITED STATES POSTAL SERVICE
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
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X
ADJACENT RIPAPJAN -ROPERTY 0-VV FR STATEMENT
(FOR A PI.BRIMOORINrRFLINGSIBOATUFTIBOATI'TO SE)
I hereby certify that I own property adjacent to r�'10-A-r�t' S F �' � s
(Name f Property Owner).
property located at 14) 5 11-4-4 On h U C ' 1EA±
(Lot, Block, Road, etc.)
on M oa►-► I ' ht 80t.c. , in dl� c e1-1 1-f.C.
( aterbody) (Town and/or County)
Applicant's phone #: ' % -:501 7 Mailing Address: —Pc?
['t�rr,Y�►` o 01�r'-Ia {d C'''�.� �Q
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 ac
waived by me. (If you wish to waive the setback, you must initial the appropriat
rbiry
below.)
I do not wish to waive
I do wish to «wive that setback requirement.
AUb t i2(l[ 'k
MOrehead Ow. rim,
-------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OP PROPOSED DEVELOPMENT:
(To beflilled in by indh4dual proposing development)
--------------------------------------------------------
(Information for Property Owner Applying
for Permit)
3�ttc_1,� 1�Ie.r Of-0 "1-' 0 4-<e 0
hd L1LtLUs l
Ni5ilinA Address
1�C)X
City/State/lip
511
n tuber
--------------------------------------------- ----------
(Riparian Properly -Owner Information)
Signature
Print or Type Name
Telephone Number
Date

DN 47;k7vy
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4.1) yv3t-p-1,"W
L'h�n I
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ADJACENT RIPARIAIN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSIBOATLI.F•TIBOATHOUS'B)
I hereby certify that I own property adjacent to P10-CLLiAl; 's
(Name df Property Owner)
property located at
(Lot, Block, Road, etc.)
on • , ht— 6OLL / 7A �' , in f1c. -t z' L. &, Lk ch , N.C.
( atarbody) (Town and/or County)
Applicant's phone #: A4-7 " 501 7 Mailing Address: Box I el-- i
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 (IT) from my area of riparian access unless
waived by me. (If you wish to waive the setback, you must initial the app oprate blank IV—
1 .
below.) It
I do not wish to waive d AUG 3 1 2009
I coo wish to waive that setback requirement.
----------------Morehead-City DCM
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
k,,e (,+I-ctcl► ec
4-cIY) l 1'_
(Information for Property Owner Applying
for Permit)
31 t•uF (,�.k��� fro �r►u �'c ��
~n
ilin Address
n, IJDK 59-1 (o,
�- 31 �
City, State/Zip
Te Pq, mber
-1 -41
Sig at-LireDate
(Riparian Property -Owner Information)
Signature
Print or Type rlame
Telephone Number
Date