52648_RAINES, TROY_20080929

'❑CAN9A / ❑DREDGE &FILL
3 S
6-JGENP-RAL PERMIT Previous permit #
EINew ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources w
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC(�
IRRules attached.
Applicant Name �� Project Location: County ��, ; -► a r a -�
Address �LiC)2 )cv nr� P )f Street Address/ State Road/ Lot #(s)
City I me • �
_T� State ZIP :
Phone # (__;�T) `! :12 - 1115 Fax( # (—)
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Authorized Agent
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Affected ❑ CW
D EW XPTA ❑ ES ❑ PTS
AEC(s): ❑ OEA
ElHHF ElIH ❑ UBA ElN/A
❑ PWS:
❑ FC:
il� ..
ORW: ; yes./ no
PNA yes /,no' Crit.Hab. yes / no
Subdivision
City R- rn4 4"H :JQ zip 2 V
Phone # (:,42 �DL16-12)2 River Basin
Adj. Wtr. Body c tiy ��+i.t �iat man /unkn)
Closest Maj. Wtr. Body+�_��
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Agen r Applicant Printed Name Permit Officer'
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Signature Please read compliance statement on back of permit Issuing ate
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Application Fee(s) Check # Local Planning J
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
❑ Neuse River Basin Buffer Rules
❑ Other:
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

(FOR A PIBRIMOORING PILINGSIB0ATL1r,TIBOATHOUSr)
1 hemby certify that I own property adjacent to Rav 14a*�v� s �
(Name of Property Owner or ApplicanO
Mailing address if different frocn location address 4 2 _ _ 5700A14 04
(town, state and zip) GC IV G 2 fST Y
phone numbers you can be reached at -q z -a ts
Property located at.. 2�4)2-
,yi�✓�Q �X
Q ' (Lot, Block, ?toad, etc.) �^
on .---_.IlO6rf�' 04" �Jn
(Wgterbody) (OWU aadhir County)
I-Ie has described to me, as shown below, the development he is proposing at that location,
arid, I have no objections to his proposal, I understand that a pier/mooring pilings/boatliMoathouse
must be set back a minimum distance of fifteen feat (15) from my area of riparian access unless
waived me.
7I d2lot wish to waive the setback requirement.
iniaali
I ti
MINIS wash to waive that setback requirement.
p$4/ An
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DESCRIPTION AND/OR DRAWING OF PROPOSED DE VELOPMRNT:
(To be filled in by individual proposing development)
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Telephone Number
Date: X a'9
T'YQWNVSCAT'ZMENT. pdf
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SEP-25-2008 03:20 AM SHORELINE MARINE CONST. 1+252+393+7934 P.02
(FOR A PIERIMOORING PIUNGSIBOATLII,,TIBO.ATHOUSF)
319
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I heieby certify that I own property adjacent tv _ R6,w,
(Name of Property Owner or Applicant)
Mailing address if different troin location address _7Y0 Z _' rOaN,0 91
(town, State and zip) � � l �L.�', N G 2 f5v y
phone numbers you can be reached at Z "!
property located at %uZ o�..✓p 1�rC
(Lot, Black, Road, etc.)
on . v�r -,in
N.C.
(Wgterbody) (Town analb'r County)
Ike has described to me, as shown below, the development he is proposing at that location,
arid, I have no objections to his proposal. I understand that a pier/mooring pilings/boatlift/bowhouse
must be set back a Minimum distance of fifteen Feet (15) from my area of riparian access unless
Wit me,
I mot wish to waive the setback requirement,
inU3ats
tniti�le I & wish to waive that setback requirement.
ep$4/An
1t
DESCRIPTION ,AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filed in by individual proposing development) (0)k
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' O W NU STAT'L MIENT. p df
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SEP-25-2008 03:20 AM SHORELINE MARINE CONST.
580 PEARSON CIRCLE
NEWPORT, NC 28570
mobile [phone]
office / fax [phone]
1+252+393+7934 P.01
L.l l &M f �L■ s%om
W,C, MARINIE CONSTRUCTION LICIENSE # 62746
FAX COVER SHEET
DATE: o '�S Dr
FAX #: Af7-3-eld2
[To / ATTN: j0417f r
FROM:
TOTAL PAGES SENT, p�
(including this cover)
SUBJECT / PROJECT:
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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor Charles S. Jones, Director William G. Ross Jr., Secretary
Date
Applicant Name
Mailing Address
-7 40 A "njZ) W I✓�=
6A46,1?111Z,t SCE /JG 2a'
I certify that I have authorized (agent) h (S/o4 to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) 96),4- " L I F—
at (location) 7 `o )- SD k tiO Dl?tV F- )-C-Maftf-) K6 /V C—
This certification is valid thru (date) �ib X
Signature
�1...�
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internet: www.nccoastaimanagement.net
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper

SHORELINE PIERS & BOATLIFTS INC.
DBA SHORELINE MARINE CONST 252-646-3212
ASHLEY BROOKS NCDL 7666496
580 PEARSON CR
NEWPORT, NC 28570
PAY
TO THE
ORDER
ORDER OF /V
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66-21/530
BRANCH 77614
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Wachovia Bank, N.A.
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