55366_WIND, LUTE_20100421

❑CAMA / ❑ DREDGE & FILLS+I
GENERA 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
Applicant Name f
Project Location: County
es atthed.
Address
~' ,+ 1
Street Address/ State Road/ Lot #(s)
�.
Cityr,ltate
/1 ZIP,.�'j�
Phone # (. Fax # ( )
Subdivision:
Authorized Agent (►` f j4'
City !
ZIP
El�EW CW L[T ❑ ES ElPTS Phone # River in
Affected ( j �� ? -1
AEC(s): ElOEA ElHHF ElIH ❑ UBA El N/A Adj. Wtr. Body �� C/ nat iman nkn
ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body
Type of Project/ Activity I h ,( C `2 (L
1
(Scale:
Pier (dock) length I
Platform(s) 11j�(/� X I(�l •.------- i
Finger pier(s)
Groin length — t
number -
Bulkhead/ Riprap length I_
avg distance offshore
max distance offshore
Basin, channel
cubic yards I
Boat ramp ? ,
i
Boathouse Boatlift i /
Beach Bu,([dozing
Llt. C• U t
Other
s 94 I
Shoreline Lend
SAV: not sure yes -- -- -
WLI
Sandbags: not sure yes
Moratorium: n/a yes
Photos: yes
Waiver Attached: 'yes; no / ---- -- ---
�-
A buildingpermit may be required b : �- 1 L
p y q y i i�i^l. El See note on back regardin River Basin rules.
Notes/ Special Conditions i
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permits`**
- —
Application Fee(s) Check#
/I
The time period requirement for this
�l development is suspended until 12-31-
! 2010, pursuant to Senate Bill 831. The
Pgr 'tOfficers Sig ture effective date of expiratipn for this
�permit is
IssuingDat�y ? Expiration Date J
t!
Local PlanningJurisdiction Rover File Marine

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/ 1-888ARCOAST
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

APOlicar t: i1
Date:
Y
Describe belOIN the HABITAT disturbances for the application
found in your Habitat code sheet.
t 2 C, / 11 ) I
All values should match the name, and units of measurement
Habitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
tem im acts)
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 irn acts
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
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 ❑ Doll, ❑ 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 ❑

Apr 20 10 02:42p Tim Grimes
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[phone]
Tim Gr rlcs (252)) 247,*M2
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RECEiVEO
APR 2 0 2010
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FIRST CITIZENS BANK
firstcitizens.com
3947
OUTER BANKS MARINE CONSTRUCTION, INC
1501 FIRST AVE
66-30/531
137
MOREHEAD CITY, NC 28557
[phone]
4/11/2010
o
PAY TO THE
m
`o
ORDER OF D N R
$ **200.00
-^
0
_ TWO 14updred and
DOLLARS
D.L.N.R.
n
MEMO
11000 3 91, ?I's 1:0 5 3 100 3001:00 13 l Z 113 � 1� III-
SIGNATURE

Thursday, April 08, 2010 8_52 PM _ Tim Grimes [phone]— _ r p.03
AI)JACEn RIPARIAN pxopERTY owNER STATEMENT
RECEIVED
(FOR AP.lE,l7MOORXNGpjL NGS/BD,ETI.Ti,'TIBOATHOOSE) , APR 12 2010
_
l hereby certify that I OWD property adjacent to L.4 ,� —?^� Ia' 9 -.—'s
(Name of PrOPe'rtY Owner) Morehead City pCM
Pro perty located at _� �. 4� � , Block Rosd., efe-)
�'1 tid�c beck • , N.C.
(Waterbody) (Mown and/or Coxwty)
Applicant's phone #•��?_� Mang Address.- ,:.2 °
location. anci,
11, lass described W tn>r, as shown below, the development h s proposing / boa l R /boathouse
have no objoctions to his prvposaL I understand Lhat a pi riug pilings
must be eat back a minimum distance of fifteen fft (15') from my area of riparian access unless
waived by aae_ (if you wish to waive the setback, you must initial the appropriate blank
below.)
110 not wish to waive
I do wish to waive that setback recluir=0nL
w"-.,____.—. - ----- lOit DRAWING OF I)EVEL4pMEN?:
DESCRQ°TYON ANU
(To be Hued in by individual Proposing develoPAeent)
property owner Information)
(Information for Property Owner APPIY'ng tR►P
for Permit) _
i'2-.`as��--------� Siguaf tre f
Mailing Address /
"t"j — print or t ypeNam
City/State/Zip
folephone Number f em
— pate
aW�e- Date
Z0/Z0 39dd 1S3 -ld3d dD-13HS NV-1V 6SL0LVZZSZ 99:80 0i0Z/80/00

Q4/10/`2010 23:50 19195964930 PIANO AND ORGAN DIST PAGE 03/03
Thursday, April 08, 2010 8:27 PM Tim Grimes (252) 247-6*332 P.03
oum SANK$ ba
qw".11F&M, m RECEIVED
C%6 w- 2=W
R 12 2010
Morehead City DCM

Q4/10/2010 23:50 19195964930
• Thursday, Ap,il oB, 2010 8!27 PM
PIANO AND ORGAN DIST
Tim Grimes [phone]
PAGE 02/03
P.02
AD,i FORPROPERTY
'4'v1k�/M0Q NG PI.LjN(nS1g0 O�TB ATH0V,5EENT
( y
I hereby certify that i own property edj accnt to
(Name of property Owner)
Property,located at,
(Lot, Block, Road, (afe-)
ou � ti-,�C _ , in >� r1,a 0.,tric be' •N.C.
(Wateirbody) -and/or County)
A pucant's phone #: � �� �L ' c Mailing Address:-L:_L.
He lies described to me, as Shown below, the development he is pmpmang at that location. aud, l
have no objections to his proposal I understand. that a pier/mooring piling- / boatu / boathouse
must be sit back a minimum distance of fifteen Icet (t 5') frvtn my area of riparian access unless
w.,ivcd by me. (If you wish to waive the sat.ba.ek, you must initiaj the appropriate blank
below.)
! o wish to waive
1 do wish to waive that setback requirement.
Dt;3CIAR"rION AND/OR DRAWING OF pTrc)YOS>�A T>�v LOPi�hN I =
(To he jelled in by indivkfical. propm-4mg devclopment)
(WorMation for property owner Applying
For Perron)
Mailing Ad&rss
z_5J2 _
('ity/State/Zip
Telephone Number
.,.. Date
RECEIVEt:
,APR 12 2010
(Rjparian Property Owner Information)
Pratt or Type Name
�'Ki- S1�►�D�
Telephone J'4UT)1bCT
Datc