52105_WORRELL, THOMAS, BETH AND TONY_20071205

❑CAMA; []DREDGE & FILL
GENERAL PERMIT Previous permit # / (�
❑New ❑Modification Complete Reissue El Partial Reissue Date previous permit issued -�
As authorized by the State of North Carolina, Department of Environment and Natural esources — 7r
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
QRules attached.
Applicant Name ! , �' } ( i Project Location: County
Address Street Address/ State Road/ Lot #(s)
City
State ZIP
Phone #
# O
Authorized Agent
❑ CW
❑ EW ❑;,PTA" ❑ ES ❑ PTS
Affected
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
Type of Project/ Activity
Pier (dock) length
Platform(s) I
Finger pier(s)
(Scale: )
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
I
-
i
1
_
r
_
f
--
I
i
I
I
Shoreline Length
SAV: not sure yes no —
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: .yes no
Waiver Attached: ;' yes no
A building permit may be required by: �' / ❑ See note on back regarding River Basin rules.
Notes/ Special Conditions r!'
Agent or Applicant Printed Name
Signature -**Please read compliance statement on back of permit"
Application Fee(s) Check #
Permit Officers Signature • `
Issuing Date ' Expiration Date
Local Plan ningJurisdiction
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
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

CO. FAX NO. :9197344080 Sep. 25 2007 03:17PM •P2...
0. FAX N0. :9197344090 Aug. 27 2007 02:23PM P2
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(FORA P,fER1M00RtNG.PjUNGg1j?0A7,"FT/BOArArnricrI
I hereby certify that I own proporty adjacent to
M■nee a(Proporty owner or Appaeatit)
Malting address iC different *om (ocatt.on address-0•
(town, state and zip) ids �v�.- -. C, 33
phone numbers you can be reached at
property located at 3�_S
(Lot, Block. Rpad, etc.) ;
An G Gd N� in U KC,iarAeQy) (Town ind/ar Couetr) . �... •-,._
-Hn has'deBciibed to one, as sthow' n ba)ow, th6 devcJ6p,v)"t he is proposing at Chit iocat$ou,
and, I have no objections to his pibposat. I underst&nd that,& pier/mooring pilingc/boatliRlboathouae
must be set,baek a tninitnum distance of fifteen feet (I57 fiom my area of riparian access unless
waived by mc,
z do n t wish to waive the setback requirement,I i2 wi9h to wove that setback requirement
D"1`I—V---0N AND/OR VYING O PROPO$ED DEvEL PMENT:
++ TCP ba lied in by indi'mudl proposing dove ent
C-6En
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-- ,--- _ _.__."'``'% x""L1t1 I "VViNEK ,IAIN;MEINI
(FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE)
ereby certify that I own property adjacent to ��' l S ; ytr I' ,�� _
's
(Name of Property Owner or Applicant)
Mailing address if different from location address
(town, state and zip)
phone numbers you can be reached at
property located at 3
(Lot, Block, Road, etc.)
on C., n J f
in _ (. V— i F,j J l.� r T �-- , 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. 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 access unless
waived by me.
ON
I do not wish to waive the setback requirement.
initials
V � I do wish to waive that setback requirement. J U L G 'a ZOO
initials
-------------------------------------- -
Morehead Cit' DGM
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
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:1_
n _ Signature
1} Print or Type Name
Telephone Number
Date: Z--QL'
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13:49 COASTAL PLAINS REALTY 2527526100 4teN
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1 hr.a:by (Q rtil'y 1J1t:,t l own propeliy a jl ic< ,nt. to .. � �, � " S r T
(Na1icr. or Propvrrty Owner or Applicant)
Mai Iinfr ACMIc- --sh if (Iiffc l-cra 11olll IocsUioII ;lcltlrrss_�L `G.�C�f�6�
(town, state arld xip) TAG. . _ .�-.L-. __ /�/.�- �Z..�� S_ ,
2
phone nitntl�trs you rnn2he rea; ltE c.l ai__..-�'z,f f'p ?� C —ZS2
property located w.. _J.�1.�... _-..�GT�' �W, y . -1 6P -F7 &am h�D i 007
(I,nt, Block, 1(oad, ck.) r!-+Lj I N• C
�n Q�' "`` 5•� ,•�Q ir, ��ry�Y�j G r'><s- ��� N.U.
(Waterl)wfy) (Town aud/or county)
Kc has described 1.o me, as shown below, the Ilevcloprue.nt fie: is proposing at thal. location,
and, I have.• no ohjcctions W Ilk lxoposal. 1 uTidustand that. a pier/mooririg. pilings/boatkftlbo itfin use
must be set back a Minilntuu dRSUittCC of fifteen feat (15) from my area Of riparian I,t: ss unless
waived by me. s !"�1^t'""r4 —
Lp I do not wish to waive the setback requirement,
I do wish to waive That setback reyuiremwit- Ilul 7�fj?
utitiub;
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DESCkHITION ANU/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual propo.ving developmens)
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Signatuit~ r /
Print or Typc Name
Tetcphonc Numtxr
www,occcwtaLny,agnuetit.rtrr/Permit'✓Ar))ACFNTTUPAR1ANPRUPFRTYOWNE STATL•M>-+`t'r',pdr
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BLUE WATER MARINE
CONSTRUCTION INC.
P O BOX 93
MOREHEAD CITY, NC 28557-0093
PAY
TO THE
ORDER OF
5113
66-112/531
BRANCH 02301
DATE
ZO©.%per
lw'o DOLLARS
BUT
BRANCH BANKING AND TRUST COMPANY
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FOR 9:5 K�N�uJw/ ) L I( �-
ror
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