51101_BETTS, HERMAN & WARRELL, TONY_20080521

❑CAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit# 0
❑New ❑Modification QComplete Reissue ❑Partial Reis a Date previous permit issued
As authorized by the State of North Carolina, Department of Environment an Natural Resources
r
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
❑ Rules attached.
Applicant Name Project Location: County
Address
City
Phone #
Authorized Agent
Affected ❑ Cw
AEC(s): ❑ OEA
❑ PWS
ORW: yes / no
State ZIP
Fax # ( )
❑ EW ❑ PTA
❑ HHF ❑ IH
❑ FC:
PNA yes / no
❑ ES ❑ PTS
❑ UBA ❑ N/A
Crit.Hab. yes / no
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # ( ) 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
PermitOfficer's Signature
Issuing Date
Expiration Date
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, certifythat 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/ 1-888-4RCOAST
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

FAX NO. :9197344080 Sep. 25 2007 03:17PM P2
�o FAX NO. :9197344080 Aug. 27 2007 02123PM P2
P..A car 1si4J`rF.�;A �el1C'^IUAIN k'tettlMSKI'Y VVYINNU 5•,t`'.11'1.'r;.1Vir;NT �002
(FOR A P,[NRIUOORING PIUNGSIBOAA�TUFTIBOATROUSP) /�
1 hereby certify thAt I own property act ace�nt to G—C.a`g4- 9 WE,12P'E �C . /'q �•'y
j (Name of rropooy owtur or Appmmnt)
Malting address it different.4-ora location nddross—z'
town, state and
4 a tf phone numbers you can be reacW at
property located at -
(Lot, Block. Ypad, etc.) , . ;
Old
an ,cam- .�GUt-N� N.C.
t4:bo41') (Town i &os Comm)
-Fie has'deicilbed to me, as shun below, thb devrl6pm6nt he Is proposing at thit Iocagou,
and, I havd no objections to his proposal.. I mWexstarld that g pier/mooring pilings toadimoathouae
must be set back a tr rnimum distance of fifteen feet (157 from ray area of ciparlan access unless
waived by me.
1 do n t wish to waive the setback requirement.
.k� 142 wish to waive that setback raquireMant-
D ^ . ON AND/OR WING O PROPWD DEVE1.. PMENT:
T&,j5ejjUjdjmbyimdivIdud roposing dove cht
"I"* —'
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____ Ltt l x v rti 1�iLK J l A I AIL t�1
(FOR APIER/MOORING PILINGSIBOATLIFT/BOATHOUSE)
'ify that
own property adjacent to 3,2" /
S' ,, t- _
1 r >s
(Name of Property Owner or Applicant)
;s if different from location address
a , �, ��`•ar� --- -
l�U-11, �dLC and zip) O; - k �4 )
phone numbers you can be reached at
ro �^
p petty located at
3VI- v�
y,q 0 `; 51 - M 0 r-, >^
(Lot, Block, Road, etc.)
on gel
(Waterbody) N.C.
(Town and/or County)
PC.
He has described to me, as shown below, the development he is proposing at that Iocation,
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, ss
T '
I do not wish to waive A
the setback requirement. '''
initials '+.<1
0Y,
I do wish to waive that `�— at setback requirement. JUL L r 00'
initials
- - ---------------------------------------------- - - Morehead City D� A
- ---------------------------------------- --
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
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Signature
Print or Type Name
Telephone Number
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Date: L (,
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phrine rturnbcl_s yc,u can he re,icitc:cl al-Z5'2-
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pritperty located ,tt.. _�.11.� .. .._ �T77
(f.nt, Block, Road,
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,ttl f
f1c: has described I.t:t me, a.s shi�wu below, the ilevel 0prt)ent he is proposing It thrtt. lt)c3t;ot1,
and, I hnvt no etbjections to his I)rc)posal. 1 urlcic-Mand flint a pies/rnt>i>ririg pilie)gs/be,,ttlifr/boathottsr
mull bti set back a nainitrtumi) distisr>cc of fifteen feet
waived by me. (l5') from my ;Irc:a of riparitlr e ss unless
I (to not wish tU waive; the setback �requirement. a � ntit;�le
I do wish try waive that setback requirement.
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DEsCIIII"rlC)N AN])/ORARAWINC.OFPROPo SEDI)EV'ELOP,'VMNI': `� Ulfy Dc1�,1
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to
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Signanr
Print nr type Name.
Telephone Number
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BLUE WATER MARINE
CONSTRUCTION INC.
MOREHEAD CITY, NC328557-0093
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1-800-BANK BBT BBT.com
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