55400_RADLADEST HOA_20100429

❑CAMA / EJ DREDGE & FILL J�/�/1c�!
GENERAL PERMIT Previous permit #
E New ❑Modification El Complete Reissue El 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
QRules attached.
Applicant Name. j `I t�) Project Location: County�.� 1
Address ' .�, -~� Street Address/ State Road/ Lot #(s) j
City �- L- State t ZIP / i ,
i.' / l 1
Phone # (� 1 / Fax # (�) Subdivision - �---�
Authorized Agent ; : i 1 . j % �� City L , ZIP
ElCW - +[ Yp A �S ElPTS Phone # ( fiver Basin i +.
Affected --
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A r I I G>
AEC(s): Adj. Wtr. Body L- 2 (nat Im n /unkn) ,
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) length
Platform(s) _ -
Finger pier(s)
Groin length
number _;
T-
Bulkhead/ Riprap length
i l
t
avg distance offshore E
max distance offshoret
- - ------ - � 1
Basin, channel
cubic yards_
Boat ramp _
Boathouse/ Boatlift
Beach Bulldozing
Other
i
Shoreline Length
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
Signature ** Please read compliance statement on back of permit
r
Application Fee(s) Check #
(Scale: i }
See note on back regarding River Basin rules.
The time period requirement for this
development is suspended until 12-31-
+v 2010, pursuant to Senate Bill 831. The
Permitofficer>S ignature effective date of expiration for this
Issuing Date Expiration Date
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 [)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

applicant:
Z
Date:
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
Habitat Narrtc
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
ternimpacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)amount
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
Dredge ❑ Fill Er Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑ '
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑

i
..+wtwn) E"WR—
Nortf� (;ar'olitia be �
partment of Environrylent acid Natural Resources
Division of Castel Management
Mir:hi'teJ F. EastwY, Governs»
Chary S. Janet, iairelor
W!lliern t�. Ross ,1r..:iQsret.�r}r
17atc �7
Applicant Name
Mailing Address �
# �'�xrt#ter that X heave authorised (at;,��at) �A�,
ri)s• the PlIxTow o#'apidying for awl obtaining all (('AMA Perniils necetisary lU
histall ux• ,c.Qnytruct (activity)
This certiticutiou is valid thru (tt;tie)
Signature
400 Commerce Avenue, Morehead City, North CanoGna 28557
Phont?, 252-808-28081 FAX: [phone],301Internet;
L:nu:,lrin„n,f„oifiil Affin„ptk.q d�tinn I: WN1WnCCoastalrllan�r��rr►ent.nPt
mnlnvrr fin9 n,?r:vrJrtrl l '111^/ nns;f t'nnvnmHr Pans
L_

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGS/AO�AYLT/BOATHOUSE)
Ihereby certify that I own property adjacent toi' 's
(Name of Pr erty Owner)
,n A ,
property located at
t, Block, Road, etc.)
eC
-� /
on. ',�1 cam! , inP N.C.
(Waterbody) (Town and/or County)
Applicant's phone #:A93Z?-7 77 'flf Mailing Address: .6' !�j�1-r
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 (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 not wish to waive
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
(Information for Property Owner Applying
fo erinit) Q�14—
/�
1\4ailing Address
City/ S LfLe/Zip
cz
Tel. one Number
Sig7�ature Date
(Riparian Property Owner Information)
Signature
Print or Type Name
Telephone Number
— —/ 2 -,Id --
Date

ADJACENT RIPARIAIN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFTXOAT u E)
I hereby certify that I own property adjacent to /� I
(Name of Property Owner)
property located at % a ►ti
(Lit, Block, Road, etc.)
in f , N.C.
(Waterbody) ( own and/or County)
Applicant's phone #:
Mailing Address:
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 (I T) 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 not wish to waive
I do wish to waive that setback requirement.
- - --- -----
DE sCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
-----------------------------------------------
(Information for Property Owner Applying
Mailing Address
AJC .2-es�0
Zi
� iiy/S dieic.ip
�S--Z r3y 3-- 7I'D
Tel ne - mber
Signautre Date
(Riparian Property Owner Information)
Signature
VCrSeL -;Ire t LL
PriRL Or T y"lie- 14alllc
Ala as3 5-3/&
Telephone dumber
4%-17-1O
Date

Bogue Banks Marine Construction, Inc.
111 D Turners Dairy Rd
Morehead City, NC 28557
[phone]
PAY TO THE
ORDER OF
Four Hu
NCDENR
4
WACHOVIA BANK, NA
66-021/530
I1'00 7 2 9 LIi2 i:0 S 3000 2 191: 20000 2 48 3 L 4 III'
7291
4/3012010
**400.00
DOLLARS 8