61014_GRUELLE, DAVID_20121126

❑ CAMQ / ❑DREDGE &FILL
No. 61014
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 Project Location: County
Address Street Address/ State Road/ Lot #(s)
City State ZIP
Phone # () Fax # (_')" Subdivision_
Authorized Agent City ZIP_
Affected ❑ CW Q EW ❑ PTA DES El PTs Phone # (_ ) River Basin
El OEA 71 HHF ❑ IH ❑ UBA J N/A
AEC(s): Adj. Wtr. Body. (nat /man /unkn)
❑ PWS: F . FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body --
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger piers)
Groin length
number
Bulkhead/ Riprap length (�N
avg distance offshore
max distance offshore
Basin, channel
cubic yards
/ .' r�—-
Boat ramp K
Boathouse/ Boatlift
Beach
Other
Shoreline Length
SAV: not sure yes
no
Sandbags: not sure yes
Moratorium: n/a yes
no
no
Photos: yes
no
�r
Waiver Attached: yes
no
. --
A building permit may be required
by: _
Notes/ Special Conditions
Agent or Applicant Printed Name
(Scale: ) I
See note on back regarding River Basin rules.
Permit Officer's Signature
Signature ** Please read compliance statement on back of permit
Issuing Date
Application Fee(s) Check # Local Planningjurisdiction
Expiration Date
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:
U 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)

HP LASERJET FAX [phone] p.01
03/13/12 11:23PH
� ;iH :rY.'h`�9.4tIldfs3,fdiu�i
;Pt SC0tthAjri6# tonstru
PO Sox 874, Oriental, NC 28571
Ph, 252.249.0149 Fax [phone]
[e-mail]
TO David Gruelle
Merritt, NC
Quotation prepared by:._______„To accept accept this quotation, sign here and return:
•
THANK,.YOU FORNOUR. BUStNESSt
DATE: AUGUST 1, 2012
�3 606,q6-
TOTAL
$11,308.25

HP LASERJET FAX [phone]
Fax [phone]
Scott Boat Ramp
. .... .
PO Box 874, Oriental, NC 28571
Ph, 252-249-0149
bobbyftrescottnarineconstruction.COM
TO David Oruelte
Merritt, NC
ed
Bobby Pre
by.
Quotation prepar
To aCCept this quotation, SiSn here and return:
P. 02
DATE. AVGUST 1, ZVIZ

08/.13/12 11:23PH HP LASERJET FAX [phone] p.03
DATE: AUGUST 1, 2012
PO Box 874, Oriental, NC 28571
Ph.252.249.0149 Fax [phone]
bobby@prescottmari reconstruction. torn
TO David Gruelie
Merritt, NC
•:_....L ISO
bobby Prescott
Concrete Dock
OB^sCR#1!11(fN' UA,fiPRICE'.: :<`•..';• :'.;.,.;7::>�INl;��fAi ;:
Walkway- 5'x90'- 450 sq ft
i Platform: 9'x20'- 180 sq ft
lI Total 5q it,= 630 $24 per sq ft $15,120.00
4 CAMA Permitting Fee $200 S200.00
Pamlico County Building inspection fee 1 $103 5103.00
$40+.10per sgA
TOTAL 1 $15,423.00
Quotation prepared by:.., -- --- -- ------- _ ---- ---------._...:,....-------.—... ...»....»......---
To accept thin quotation, sign here and return: _-------....-_-—_!Q�,.- ---
BUSINESS!
THANK YOU FOR YOUR
._.:,::....•rt..•is�:a..,,c,..•.:•:.,::C•..•.............: ..:.....:�•�•.:�:...... ...........................:::•:>':;'r1:.•..;•:•.:::•::. ..-.. ............,..,:._...:�- ...._...�C:%:rr-,.:.:...�'i'iC<...�..<.,.

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Day 0 ? ich n-1 G VU e I, tt 's
(Name of Property Owner)
property located at 2Zi \/'R1\ er'ska S (2I.1
(Address, Lot, Block, Roa etc.)
on e , in I CG . , N.C.
(Waterbody) (City own and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location/
V I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
P�xs�l
?amp,
Pmposed
bock✓
�,IliaimSon _ C-��ue Il e
Pec y
WAIVER SECTION
Hae�tman
Nger-4y
1 understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
back a minimum distance of 15' from my area of riparian access unless waived by me. (If you
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature
Print or Type Name
Mailing Address
C69'StatelZip
Telephone Number
Date
Print or Type Name
92� l d -yc>y
Mailing�4_ddress
i=�Uc
COV'StatelZip
Telephone Nu ber
(a'7
Date
(Revised 6/1 &W I2)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Day 0 ? is o r) i t die rU e P) 's
(Name of Property Owner)
property located at 2'�i �tS �7ci V IR 1 y e r' Shoyy S Re-1 .
(Address, Lot, Block, Roa etc.)
on u a r, in I Cv . , N.C.
(Waterbody) (City own and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
Jl have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
Pc�xs�l
�J;IliaimSo�1 �-
Pr� av/
�'' dock.
Gc U e H e.
Proper+y
WAIVER SECTION
L--
Nauman
Prope-4y
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
back a minimum distance of 15' from my area of riparian access unless waived by me. (If you
fwis to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
(Adjacent roperty Owner Info ation)
�,V.,
/tilgn
Signature
: N `2
'
Print or Type Name
Print or Type Name
I�'' C . -1524
Mailing Address
Mailing Address
Ct6(State2ip
7+ y
Telephone Number
TelephoneNumber
Date
Date
(Revised 611612012)

6 PRESCOTT MARINE CONSTRUCTION
POBOX 874 252-249-0149
ORIENTAL, NC 28571
PAY
TO THE 2"�
ORDER OF 1 �-i
.-I (I lil:
3385
66-30/531
472
DATE
DOLLARS
First Citizens
Bank
111 1<7
FOR QJwD' ,nm
111003385Ill 1:05310030011:00471202049?o
4