44511_PRIVETTE, DOUGLAS_20060301

FICAMA / !_ DREDGE & FILL
GENERAL PERMIT =
Previous per i #
L'New 1Modification ❑Complete Reissue ❑Partial Reissue Date previotjs ermit 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 15A NCAC
Rules attached.
Applicant Name )v ��-j <•' /C' Project Location: County _
Address -�� �f' y %'✓ }fir`', `� ( t Street Address/ State Road/ Lot #(s)
City f ; X; V I ,)/f' State ZIP — - - -
Phone # 3 'tif Fax # ( ) Subdivision -
AuthorizedAgent e City _ _ _ ZIP_
CW ❑ EW [I PTA N ES ElPTS Phone # ( ) _ _ River Basin
Affected C OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
AEC(s): Adj. Wtr. Body- `3 (nat 1man /unkn)
PWS: ❑ FC:
Body / Wtr. '�% 3! C '
ORW: yes / no PNA yes / no �' Crit. Hab. yes / no Closest Maj. -
Type of Project/ Activity
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 ---
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAM not sure yes (no
Sandbags: not sure yes /h
Moratorium: n/a yes n,
Photos: yes
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
(Scale: 1, )
See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Date Expiration Date
Local Planning Jurisdiction Rover File Name

J
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 that 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:
JI 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
Central Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
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)
Morehead City District
400 Commerce Ave
Morehead City, NC 28557
202-808-2808/ 1-888-4RCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico 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,
Orslow -below New River Inlet- and
Pender Counties)
Revised 06/29/05

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to aot)(� C 4-1- �ie f llje 's
(Name of Property Owner)
property located at
KC
(Lot, Block, Road, etc.) ,,/��„„ �1
on U1—J01 tiJ) , in ��L1?�a /c /co ex l� !� , N.C.
( Vaterbody) (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.
DESCRIPTION AND/OR DRAWENG OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
/ x
L
�(gnatu el
Print or type Name
Telephone Number
Date: ( be, IC6,

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to�C��L •C�%/��� 's
(Name of Property Owner)
property located at �p 6,
(Lot,"Block, Road, etc.)
onG 1 ���G�d✓ , in �� L� l ��� , 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.
------------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
Signature
�5�su-B.-E�re�1C-X-
Print or Type Name
C419-1`5Z-(,
Telephone Number
Date: I / 2-1 / C7-L�

®Sec iry nhancedd-ocument Se�6 ck /o d ta'! ri
BLUEWATER MARINE'. 4718
CONSTRUCTION INC.
PO BOX 93 /�
MOREHEAD CITY, NC 28557-0093 DATE ��/ ` d 66-112/531
02301
PAY
TO THE OR 00
ORDER OF �`� ,✓ C /Y
DOLLARSBa 8
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BRANCH BANKING AND TRUSTCO�P y
M��OREH•EnAD CITY, NORTH CAROLINA
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