50191_BOCK, KENNY_20080311

❑ CAMA / [:]DREDGE & FILLb'
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AGIN=RAL PERMIT
llNew ❑Modification ❑Complete Reissue ❑Partial Reissue
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
Previous permit #
Date previous permit issued
❑ Rules attached.
Applicant Name_ r— Proiect Location- County
Address
City
Phone # ( )
Authorized Agent
Affected ❑ CW
AEC(s): ❑ OEA
❑ PWS:
ORW: yes / no
State
Fax # (—
ZIP )
❑ EW ❑ PTA ❑ ES ❑ PTS
❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ FC:
PNA yes / no Crit.Hab. yes / no
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # ( )-�`�" �'7(^, River Basin
Adj. Wtr. Body -- (nat /man /unkn)
Closest Maj. Wtr. Body
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Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit **
Application Fee(s) Check #
Permit Officer's Signature
ql 1
Issuing Date 'Expiratipn Date y ;3
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, certifythatthis 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 Morehead City Headquarters
Mailing Address: 400 Commerce Ave
1638 Mail Service Center Morehead City, NC 28557
Raleigh, NC 27699-1638 252-808-2808/ 1-888ARCOAST
Location: Fax: [phone]
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
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 RIPA'U N PROPERTX OWNERS7'ATENIENI'
`111C/ 's
I hereby certify that I own property adjacent to err owner)
of Property
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property located at _
(Lot, Block, Road, etc.)
N.C.
in
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on (Town and/or County)
(Waterbody)
He has described to me as shown below, dle development he is proposing at that location,
and, I have no objections to his proposal.
MSCRIP"I'ION AND/OR DItAWING OF PROPOSED DEVEL011MENI'
(To be filled in by individual proposing development)
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------------------- ---- ) ---------------------------------------------------
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Signature
fl*—n _q)
Print or Type Name
Telep}rone Numbcr
Date: �3 ^ 7" a C -

1• Eu-u I-zuu I Wtu ub : 15 ri I Nu u I v ur WHO I nL i wi uv i r nn nu. cjcc1+' jj,)u
• "JACEN`I' RII'ARXAN PROPEKI-Y OWNER STATEMENI'
I hereby certify that I own property adjacent to 20S—�kAQIZ 411
� 's
(Name of Property Owner)
property located at
(Lot, Block, Road, etc.)
on-IFJ�Ljtill
(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)
Afo
----------------------------------------------------
Signature
IgICI- ��J-O
Print or Type Name
Jj3z S --
Telephone Nulnbcr
Date: _

" I s.
18485
BOCK MARINE BUILDERS, INC 66-21/530
233 CORE CREEK ROAD BRANCH 77513
BEAUFORT, NC 28516 DATE
$
PAY
TO THE N
ORN DOLLARS -
A
F i �)_
BOCK MARINE BUILDERS, INC.
WACHOVIAi
Wachovia Bank, N.A.
wachovia.c0m
FOR
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