Graham,William

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A6AMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit#
ENew ❑Modification El 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 !
EJRules attached.
Applicant Name �✓y t 1 ! ► � '`'� "" tr�� � � `� Project Location: County C
;Address+ �� 4 # `� C> tJ t �'� ! , Street Address/ State Road/ Lot #(s)
City jt,�r. l ,-r �Ij`{' State.°i1� ZIP r �� ' C/O tf
me # ( ) .j`;�1. Fax # ()
:horized Agent Yam,' e f A 1 A,/
Affected f XW 'BtW PTA ❑ ES ❑ PTS
AEC(s): ElOEA ElHHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FQ
Signature
'(
n Fee(s)
Subdivision ,
T
City ZIP
Phone # ( ) River Basin 1.>' r r
Adj. Wtr. Body �r�'� -�t� `"`�� J - 6nat /man /unkn)

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 consistentwith the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
❑ Tar- Pamlico River Basin Buffer Rules
Neuse River Basin Buffer Rules
El Other:
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/ I-888-4RCOAST
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

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
i hereby certify that I own property adjacent to ith" b QA"v.% 's
Marne of Property Owner)
Property located at SU4 Sawayjee..6-,1- La 32- $l"V.4o
(Address, Loti Block, Road, etc.
on (30�we SO.sNA in Xsle �j4cre% (;.icy N.C.
(11llaterfiody)e (pity/Town andlor County)
The applicant has described to me, as shown below, the development proposed at the above
location
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION ANDlOR DRAWING OF PROPOSED DEVELOPMENT
{lnditridrrai proposi
� efopmen¢ must till in descripfion below or attach a site drawn-'
r
Y4t -
I
N
1�
WAIVER SECTION
u s a
back a mi i um list
er, doc , moonn pi mg , rea ater, oa house, ift, or groin must be set
n of 1 v' from my area of riparian access unless by
wish -to wak a the set
waived me. (if you
, you must initial the appropriate blank below.)
I do wisl
i4p waive the 15' setback requirement
�a
I do4lQuwilh
to waive the. 15'setback requirement.
(Property Owner Information) (Adja Pro or I formation)
S' ature
.. ,Signature
P t or Type Name
dt►aME C�RMArti.
Z�
Print or Type Name
�:l��a G'� .�1�l�.- sileve O&W-
7
Mailing Address Mailin Addi es
�go�t �.tiltic+�r} 12�ZJ t/l"' �
Sa�tic?�cT
C 15tatelzip
UeJAU x5te , . tNA141%
atylstataq[D
Care WO, U 4 = j
Telephone Number
ZS2-'74y—o,S'SS
Telephone Number
Date
L►1tS (7013
2S2-3sq-,S'S41
Date -
Lt ��5�2oi3
(Revised 611812012)

Nov 1813 05:08p pennies2007 2527640558 p.1
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
t hereby certify that I own property adjacent to Wal1}�,..� �ip�AM• �a�o.w G�,�1�r� 's
roe located at 8go4 S (Name of Property Owner)
P P riY °".s�V'�t`a �o.+>}' Lo+ 32 SloolL 4a
(AAddress, LotBlock, Road, etc.)
on .as �b in ew.e.A1d t'sle CAAcj-&4 Cu N.C.
(t♦ilaterbody) (Cityrrown andlor County)
The applicant has described to me, as shown below, the development proposed at the above
location.
—_ t have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND16R DRAWING OF PROPOSED DEVELOPMENT
{Individua) prop osi g dey9lo rnent must ff l ire description below or aftach a site draWng)
o a
11�3
WAIVER SECTION
a er, doc , moonn tng , rea ter, o ouse, lit, or groin must be set
back a mi um dis n of 15' from my area of riparian access unless waived by me. (if you.
wish -to 1�ka the set , you must initial the appropriate blank below.)
I do wis k waive the 1W setback requirement
ILI
i do wi to waive the 15' setback requu ement.
(Property Owner Information) (Adjacent Property Owner Information)
.Signature
Print or Type Name Print or Type Name
t,, at"A«. E 6I06fo,. enegeo D G_JA�w- ZLsE M 1�'oust
Mailing Address Mailing Address
citymeteop
fc a16 s6 We- .Z9594 vie► 61 Nr- 19503
Telephone Number -r Telephone Number
2S2-1fo4-cSSS ass-St3 -t,4s7
Dale` 1� Date
(Revised 5/1&2012)

Nov 151301:17p
pennies2007
2527640558 p.3
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Pardue, Gone w Mantes H. Gregson, Director Dee Freeman, Secretary
Date;/ n_
Appllcaut Name W416n E-C-jk,a, 6g A.
Mailing Address 9ftO4 S000A Vr" ' u,
-Vale Pe— 1$Sgtj
I certify that I have authorized (agent) W.#,f & . OU SRC to act on my
behal4 for the purpose of applying for and obtainiFlp,,z
9',
Peirmiits necessary to
vXzAlp� install or constrict (activity} i^ p,,,Ol'
at (location) ?9a
This certificatio valid ( ate) J
Signature.
400 Commerce Avenue, Morehead City, North Carofma 2859
Phone: 252 BW28081 FAX: [phone] Internet www.nccoastalnianagement.net
An Eq" Ow=nity1Affimna6veAcdm EnVioyer-5t.% Recycled110%Rost Consum Pape¢
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• ConnectGIS Feature Report
Page 1 of 1
CLl/ rr 7 Carteret2
r,1 �'f E 1, I G' S Printed November 19, 2013
WEB HC35TI14G See Below for Disclaimer
Parcels -Updated 10-18-2013
. �__... Centerlines
County Boundary
Other County
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Cart
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Acreage
Parcel Dimensions
Lot Number
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