34519_RICE, TIM_20030708

❑ CAMA / ❑ DREDGE & FILL /A1
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 I SA NCAC
It ❑ Rules attached.
Applicant Name f- +
Address
City State NC. ZIP,s/�
Phone#0/3 Fax#(`)`
1
Authorized Agent
Affected ❑ Cw [71 EW CrnA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
ORW: yes /:'no PNA yes /! no i Crit. Hab. yes / no
Project Location: County L C,; =+c
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP !!
Phone # ( ) River Basin U��t�jif ors K-
�l
Adj. Wtr. Body l G � '6 ! + • r-`X,..<x,co ✓/ (nat man /unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity
1'Y-0VC rrer / c< - 4
(Scale: N 9-)
Pier (dock) length k
i I
Platform(s)
I
Finger pier(s)
--
'-
Groin length
I
I
I
I
number
❑.
I
I
Bulkhead/ Riprap length
avg distance offshore
I
�
J
max distance offshore-
1
—�
Basin, channel
cubic yards
Boat ramp
_
Boathouse/ Boatlift
(1)v r-r '-
Beach Bulldozing
Other
--
Shoreline Length C — _
SAM not sure R yes no "' ' !
Sandbags: not sure yes no - -
U lko
Moratorium: n/a yes no —
Photos: yes no
Waiver Attached: yes no J-� +-�-' ----. ----- — — u
J ! �
! f f O YP
Y1.t 1 � See note on back regarding River Basin A buildingpermit may be required b : flU ❑ n t b ver as rules.
P Y 9 Y r / gam' g
Notes/ Special Conditionsy�� 11
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Agent or Applicant Printed Name
Signjure ** Please read compliance statement on back of permit **
1/0a ed r�l�
Application Fee(s) Check #
Issuing Date Expiration Date
to K.4 ki^,0(�o rSt��s l.�ia
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, 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 ehecked 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 (910-395-3900) for more information on howto complywith thesebuffer rules.
Division of Coastal Management Offices
Central Office Elizabeth City District
Mailing Address: 1367 U.S. 17 South
1638 Mail Service Center Elizabeth City, NC 27909
Raleigh, NC 27699-1638 252-264-3901
Location: Fax: [phone]
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888ARCOAST
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
151-B Hwy. 24
Hestron Plaza II
Morehead City, NC 28557
202-808-2808
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico 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
910-395-3900
Fax: [phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
www.nccoastalmanagement.net
Revised 10/05/01

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2272
S r O 3 66-II1
!. 02302301
PAY i(� C �._� . �`I •- - /��`
TO THE � y___ --
rORRDDE�RO
�F--.
BB&T
BRANCH BANKING AND TRUST COMPANY /� ^
MOREHEAD CITY, NORTH CAROLINA
FOR - i C. t C Ct Wt�___ C✓ iM i �- TOM R I
11100227211' i:0531011211:521►,98659211'
-----
BLUE WATER MARINE CONSTRUCTION, INC.
P.O. BOX 93
MOREHEAD CITY, NC 28557
DATE

ADJACENT RLPARLXN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFTIBOATHOUSE)
I hereby certify that I own property adjacent to
prooerty located at 1.1
-r' 0 M A co I
(Name of Property Omer)
/ob A1Q&1?yt
(Lot, Block,
Road, etc_)
on tA�i L , in /, d��s N.C.
(Waterbody) (Town and/or County)
He has described to me, as shlown below, the developme:« he is proposi- a: that location,
and, I have no objections to his proposal. I unders=d tha: a pie mooring
piiings� aoadirt/boathouse must be se_ back a minimum distance of f iteen fee_ (15) from my area
of rpa^,an access unless waived by me.
_ I do not wish to waive the setback reauiremen:.
I �n wish to waive tf.at setback recuirement.
DESCRIPTION AND/OR DRAWENG OF PROPOSED DEVELOPNIEN-I:
(To be filled in by irzdividaal proposzn; development)
t? •
A#0ft%#b 18eAf L i r r
O �
�edt
A LW NFA
/ Signature
1
V ` Print or Typz Name
Telechone Number

ADJACENT RIPARL- N PROPERTY OWNER STATENIEN'T
(FOR A PIER/MOORING PILINGSIBOATZIFTIBOATHOCSE)
I hereby certify that I own property adjacent to �014�s
(Name of Property Owner)
property located at L�'3 �%1 �I A R1 AV i TA F Dk,
(Lot. Block, Road, etc.)
on CAAIAL in F le#joll so## f , N.C.
(Waterbodv) (Town and/or Countv)
He has described to me, as shllown below, the development he is proposi--- a_ that location,
and, I have no objections to his proposal. I understand ta_ a pier; mooring
pdings; aoatiifr/boathouse must be se_ back a minimum distance of fli-een feet (l5') Fom my area
of riparian access unless waived by me.
I do nnt wish to wa:,,-e the setback requirement.
I dr wish to waive that setback reculrement.
DESCRIPTION AND/OR DRAWLNG OF PROPOSED DE ELOP�[E\T:
(To be filled irz by individual proposing development)
FAM4ft
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Telephone Numbe:
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