49076_RAYMOND, MAT_20070618

❑QAMA / E DREDGE & FILL
r. GENERAL PERMIT Previous permit#
❑New ❑Modification ❑Complete Reissue ❑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 15A NCAC
❑ Rules attached.
Applicant Name } { '•
a elk
Address
-
City ' ' ..
State
ZIP
Phone # ( )
Fax # ( )
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
Project Location: County ;
Street Address/ State Road/ Lot #(s) J.
Subdivision
City ZIP
Phone # ( ) River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
Pier (dock) length u x
Platform(s)
Finger pier(s)
Groin length
number 4
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel -
y f,
cubic yards
Boat ramp -
Boathouse/,Boatlift -)7-"
Beach Bulldozing
Other
Shoreline Length r
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:
Notes/ Special Conditions
Agent or Applicant Printed Name
i
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
(Scale: )
❑ See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Date Expiration Date
C'
Local PlanningJurisdiction 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 complywith 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/ 1-888-4RCOAST
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

JUN-04-2007 06:53 PM SHORELINE MARINE CONST. 1+252+393+7934
Shoreline Piers &
Boatllfts, Inc. 580 PEARSON CIRCLE NEWPORT, NC 28570
N.C. LicieN®ED MARINE CONSTRUCTION 00NTR^0T0R #G2746
WofBce 252 393-7934 truck 252 646-3212
FAX COVER SHEET
DATE: � f 41n-7
FAX #: 7- 3 3 3 o
TO: / ATTN:'
FROM: 115A ( e
TOTAL PAGES SENT:
(includingthis cover (4)p a;r r�ar
o �
�q
PCL�1� ) 6
5-5
Piers -Floating Docks -Bulkheads -Pile Driving- Hi -Tide BOAT LIFTS
F"OFF'ICE [phone] TRUCK [phone]
P.01

.
JUN-04-2007 06:53 Phi -.HORELINE PIPRINE CONST. 1+252+393+7934 P.02
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JUN-04-2007 06:53 PM SHORELINE MARINE r:01AST. 1+252+3934-7934 F•.0-
MAY-11-2007 68:55 rrom:BARTLEY INSLRANCE 910 347 2662 To:1+252+393+7934 P,2
MAY-38-2067 if 4SO 1'I'1 w1HOA9LINC MARINE CON!eT. 1P.02
l hereby certify that I own property adjacent to — 194r � Polp
(NNE d Ptmwt ► Ownw or ApOtxtlt)
Mallsd&US if difformm rwtx iootdo>ln addreda_ �.. .
(town, StittG Ktkd 4)
phone numbers you can be rearhdd a
property basted A SG*4 644.1—, W
M�e�Ir+t�) (Tswa tlei�r+cea,Mtfl
tie has desc ibed to me, is sihhowtt balm►, the developinant he is 7WOSing at that location,
aad,1 have no vbl oma to eAl, x wUdrsrMMd that a pier/maorlag pllln$sAlboOggt/bc gho# we
moat be set bawd* a minimum ¢istwxA of fdtm ioat (lS ) f= my aft Ur ripariaa 4=4 %Miesi
waived by Me.
' . Y kM wkh 16 walva the aetbaalc rent.
Id9 wilt to waive that Wbs,Ck Mgll!eftaL
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DESCRIPTMN ASMR DRAWING OF PROPO M D��lfVELOpA�'/
(To be ftw n by "said �nop� dbq &VIk1�111Mw)
1 � `
of or44 GKri�y&r*O�r
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JUN-04-2001 06:54 PH SHORELINE MARINE CONST_ 1+252-f393+7934 P.04
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Jun 01 07 05:00p p.1
-1-DJACENT RIPS PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to J d �, !' f r ✓
{;`lame of P�•operty caner)
property located at XS-40 1,6
r-
(Lot, Bloc , Road, etc.}
b Ole '56uyta 2i-
Waterbody) , in r�,� ,., o` Shop -ems , N.C.
(Town and/or County)
He has described to me as shown below, the development he is praposin that
g at location,
and, I have no objections to his proposal.
DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
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Print or Type Name
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Date: --

1`1
SHORLINE PIERS &'�80ATLIFTS INC. 5363
DBA SHORELINE MARINE CONST 252-642-3212 66--21/530
ASHLEY BROOKS NCDL 7666496 BRANCH77614
j 580 PEARSON CR b —7
NEWPORT, NC 28570 DATEPAY
4 /
I
TO THE
ORDER OF v��lvl� p?OD
WACHOVIA
Wachovia Bank. N A.
I l�
000536311' 1:0530002191:20546700255 9114
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