45154_RUPPERT, RAY_20060404

❑LAMA / ❑ DREDGE & FILL
GENERAL PERMIT
❑New ❑Modification ❑Complete Reissue P ial Reissue
As authorized by the State of North Carolina, Department of Environ ent and Natural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
�l oto t,�
Previous permit #
Date previous permit issued
Applicant Name i Project Location: County.
Address "f `ay' b`., E `"` Street Address/ State Road/ Lot #(s)
State ' ZIP
'
Phone # O
Fax # O
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
Type of Project/ Activity
Pier (dock) length
Platform(s)_
Finger pier(s)_
Groin length
number
Bulkhead/ Rip
avg dista
max dist
Basin, channe
cubic ya
Boat ramp _
Boathouse/ B,
Beach Bulldo:
Other
Shoreline Len
SAM ni
Sandbags: ni
Moratorium:
Photos:
Waiver Attacl
A building permit may be required by:
Notes/ Special Conditions
❑ Rules attached.
45154
Subdivision
City ZIP
Phone # O River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
(Scale: )
❑ See note on back regarding River Basin rules.
APR-i--2006
Agent or Applicant Pr,int?d Name Permit Officer's Signature
Signature' "Please read compliance statement on ac o pe j `�i 0 Q4& ate Expiration Date
rr ,
Application Fee(s) Check #
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, 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:
❑ 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 Mail
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

' l frd' J/;
I hereby certify that I own propeaty atgacent in
ffiate of Property O'er
pmpeaiyiocatedat_ 3 = b 1c-:;� ��� �. C:y a c.,-, TO
'I , 1'1% -)-3 ti i
QLut� Nkm* Rmd eft.)
i_ov', mk-N lneE L, , is N C.
Maberbody) I (Town. an&oac Cafmty)
He has deapo'bed to me, as slwwn below, the development he is pmposing at that
ioraiioo, and, I have n o dMec dm to his p mposaL I UW=tmd dW a pi®r/mooring
mnstbesdbaaamwmmmdaistancx off (M %myaiea
of r,mmm, access unle.4s waived by me.
140 not wish to waive ffie setback - F"IMN11_
I #u wish to waive that setback
_.� ren�irnna..t
z -- -
DESOMMON ANDIOR DRAWING OF PROPOSE. DEVELOPMENT:
(To be,fMd in by bz&! d pmpo*g derek )
rY A A T
30zc� Shoop pR
G-1Vve, —
f
Pont or Name/
Telephone N
Date:
71 0

iiiji.st rxv t m ranian rj&urj&Eci Y V Wrox 61'Al'MAMNJL'
(FOR A MRIMOORING Pff"GSBOATLWIROATHOUSE)
Ihemsy�' ,_:
y that I Darn property adjacentto �t� i��_-t ` � � �� 's
�Widne of Property Owner)
property kxmftdat— J C- p '-) .-) I(,,,;,,� i,r<'�, �_(= 3r l -\ IT -',)6>
00, , Road, etr-)
ao-�'�'-��1 �t2EE�• ,ia <3u�c;�i;� N.C.
Ma#eebody) (Torun au&ak Comay)
He has desc ni ed to me, as dmm below, thea deveiopment he is pomposing at that
kcoq and, I have no � oMec dm to his p mposaL I d that a pa�/m+ooring
mnsibeset backammimom of fifteen feet 05') from my area
of riparian access males waived by me.
M(-L 1) �S1-TF
I o not wish do waive the setback mg . fmt_
I &H wish to waive that setback req rement_
DESCRIPTION AND/OR DRAWING OF PROPOSED DEM OP T:
(TO be JMd in AY &&Vidud pmposrng dn'e1OP )
lt-ti> , ic, jxie7
C1VTJ�f-X U pS v?
Signature
Prim or TEX Name
;� 14CA -
Tdq*w Number
Date: 14106
G^VJG-t-

PAT D C IV '
TO THE
ORDER OF'y_ --_
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-- 2099
INNERBANKS MARINE CONSTRUCTION, INC.
P.O. BOX 190 PH, 252-249-1429
ORIENTAL, NC 28571 ,�/ J �f ) (l C G6-3ar531
DATC 1 J a7z i
$ 100,
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/� FYR,ST CITIZCNS47C is
0 BAN K oriont 1. N C Bank 8 Trust Company
lr OrioMai.N C. 28571 J
f /`
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FOR �LY — L4
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