54637_MARTIN, ROD_20090915

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; ' CAMA / ❑ DREDGE & FILL %� �C
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GENERAL PERMIT Previous permit #
EINew ❑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 I SA NCAC 12 66
111 Rules attached.
F
Applicant Name t s m 1
Address 1-? q [). c crock
City__J4_U_�E4 State flit ZIP
Phone # (1t�1) 7S`�" il� Fax # ()
Authorized Agent 'n3
Affected ❑ CW l�ZEW M PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑FC:
ORW: yes / no PNA yes / fno' Crit.Hab. yes / no
Type of Project/ Activity Dr, �e W
Pier (dock) length 13 X 5
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouset Boat lift h x 3
Beach Bulldozing
Other
Project Location: County 1�i 0
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # (n: ) Is a' 32- River Basin 1 '\
t�
Adj. Wtr. Body 0 v P Q Rs `-+ (hat /man /unkn)
Closest Maj. Wtr. Bodyo�.,P
(Scale: l Q )
■■■■■■■■■■■■I■■■■■■■■■®■■■■■■■N■I
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s e_n_tq— pplicant rrmLeu ,.a 3
Signature Please read compliance statement on back of perm�jL-
Application Fee(s) Check #
n rules.
active date f expiration for this
mit is I 1 4 Is6h I
PermitOfficer's Signature
Issuing Date Expiration Date
_� }d15lO v.i
Local PlanningJurisdiction Rover File Name

t
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/ 1-888-4RCOAST
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

SEP-08-2009 12:30 AM SHORELINE MARINE CONST. 1+252+39317934
1-•=1 #INC .oW11bLruc1jon, Inc.
580 PE04RSON CIRCLE
NEWPORT, NC 28570
P.01
mobil* 252 646 3212
Office / fax [phone]
N.C. MARINt CONRTRuQTIpN LIOCNOM * 62746
FAX COVER SHEET
TO: b q�'•/ C� r� ^�
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# PAGES SENT : (9 1
(including this cover)
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zaSEP 8 2009
Marshead City DCM
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behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) ', JT
at (location) ! `i r jK C R k 1Q Cpv E6 Ns C GEE K
This certification is valid thru (date)
Signature
41
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] \ FAX: [phone] \ Internet: www.ncroastalmanagement.net
An Equal Opportunity \ Affirmative Action Employer — 50% Recycled \ 10% Post Consumer Paper

SEP-08-2009 12:31 AM SHORELINE MARINE CONST. 1+252+393+7934 P.02
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I hereby certify that I own property adjacent to % k,
(Name of Property Owner or Applicant.)
Mailing address if different from location address_ to, L= j (Zj,
(town, state and zip)
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phone numbers you can be reached at '� 19"'735 ~ 13q(p
property located at J '7 a 'Z> f X C. P-6 E fC
(Lot, Block, Road, etc,)
on
(Waterbody) , N.C,
fxown and/or Count )
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 (pD from my are
waived by me, D
�nit;al� I do not wish to waive the setback requirement. SEP R 2009
2 %.2. I do wish to waive that setback requirement.
initials
Morehead City ®CM
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be,illed in by individual proposing development)
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SEP-08-2009 12:31 AM SHORELINE MARINE CONST. 1+252+393+7934 P.03
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(Name of Property Owner or Applicant)
Mailing address if different from location address // 2- T Ot�6 tz C re ,
(town,, state and zip) 5.
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property located at � _ b
(Lot, Block, Road, etc.)
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on �����s [_R jc in WUg Ca/� NC
(Wgterbody) (Town and/or County)
Ho has desq�tbed to as shown below, the development he is proposing at. that koc% on,
and, k have no objections to his proposal, I understand that a pier/mooring piiings/boatlift/boathouse
must be set back a minhaum distance of fifteen feet (�5� from my ar i access unless
waived by me. U _ ��
X do not wish to waive the setback requirement. SEP 8 2009 �
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DESCRIMON AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be, filled in by individual proposing development)
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SHORELINE PIERS BOATLIFTS INC. 6947
DBA SHORELINE MARINE CONST 252-646-3212 66-21/530
BRANCH 77614
ASHLEY BROOKS NCDL 7666496
580 PEARSON CR ;Z' -
NEWPORT, NC 28570 DATE q' 7
PAY
$ tq
TO THE
ORDER OF
WACHOVIA
Wachovia Bank, N.A.
wachovia.com
FOR
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II600r,qt,?Ijv i:OS3000 2 191: 20St.6?00 2S S