50192_AVERETTE, ALAN_20080311

/l� =x-501.9, 2 C
❑CAMA / ❑ DREDGE & FILL
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 ��, { �. "'; .i ;} ' ��
Project Location: County
Address
` } /
Street Address/ State Road/ Lot #(s)
City State ZIP
'
Phone # ( ) -Fax # (�)
Subdivision
Authorized Agent -
''' City ZIP
Affected b CW ❑ EW ❑ PTA ❑ ES ❑ PTS
Phone # O River Basin
AEC(s): OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
Adj. Wtr. Body (-nat,/man /unkn }
❑ PWS: ❑FC:
Closest Maj. Wtr. Body
ORW: yes / no PNA yes / no Crit.Hab,
yes / no
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Agent or Applicant Printed Name
Signature "Please read compliances Cement on back of p Umit
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Application Fee(s) Check #
Permit Officer's Signature
Issuing Date Expiration Date
AoC, i
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
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

Postal
MAIL,,, RECEIPT
(Domestic*-CERtIFIED
10ail Only;Provided)
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Total Postage & Fees
$ ,
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CERTIFIED VAIL,. RECEIF
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O Sent To
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Street, Apt. No.; 1� '-1--,--`---•-•-------..........
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or PO Box No. �� V1 ((F-QN y V Q ►l lS+" �-
City, State, ZIP+- ------------. .........
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North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor Charles S. Jones, Director Willi G. Ross Jr., Secretary
2 0 d
Date FEB 3 2008' �
J40rehea�
Applicant Name
Mailing Address P • (,' a�
I certify that I have authorized (agent) 13/4C l,Jafc.'- /Pla.'`1 N'e to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) F Of r
at (location) a) S— 6 a CSC Y 2, ►'l V
This certifi
Signature
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] \ FAX: [phone] \ Intemet: www.nccoastaimanagement.net
An Equal Opportunity \ Affirmative Action Employer — 50% Recycled \ 10% Post Consumer Paper

CERTIFIED MAIL — RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER
FORM
Name of individual applying for the permit: / ►1/�,� 4 r ke
Address of property:
Mailing address:
5 �
(Lot or street#,
e IL
reet of road)
r'Ctf
Our /
(City & County)
Phone number'you can be reached at ;�
I hereby certify the I own property adjacent to the above referenced property. The
Individual applying for this permit has described to me (as shown on the attached drawing)
the development they are proposing. A description or drawing; with dimensions, should be
provided whit this'letter.
IZI have no objections to this proposal
If you have objections to what is being proposed, please write the Division of Coastal
Management, 400 Commerce Ave., Morehead City, NC 28557 or call [phone] within .
10 days of receipt of the notice. No response is considered the same as no objection if you
aL'i11 have been notified by Certified Mail.
Or •
n Waiver Section
,l I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift or sandbags
must be set back a minimum distance of 15' From my area of riprap access unless waived
by me. (If you wish to waive the setback, you must initiai the appropriate blank below.)
I do wish to waive the 15' setback requirement
•I do not wish to waive the 15" setback requirements
DZ
i ure / Date
Print Name
Telephone number with area code
www.nccoastalmanagement.net/Permits/RiparianSetbackWaiver.pdf

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02/25/2008 23:13 2527542255 ALSO ENTERPISES PAGE 01
AGUNITED STATES
POSTAL SERVICE.
Date: 02/25/2008
ALAN AVERETTE:
The following is in response to your 02/25/2008 request for delivery information on your
Certified item number 7003 0500 0004 3062 1654. The delivery record shows that this item
was delivered on 04/10/2007 at 12:07 PM in CARY, NC 27511. The scanned image of the
recipient information is provided below.
owawy section
Signature of Recipient:-ti-
Address of Recipient:
Thank you for selecting the Postal Service for your mailing needs. if you require additional
assistance, please contact your local Post Office or postal representative.
Sincerely,
United States Postal Service

BLUE WATER MARINE
CONSTRUCTION INC.
PO BOX93
MOREHEAD CITY, NC 28557-0093
DATE 3- /I - O If
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BRANCH BANKING AND TRUST COMPANY
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