52303_JOHNSON, BOBBY_20080630

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❑CAMA / ❑ DREDGE & FILL
GENERAL PERMIT
❑New ❑Modification ❑Complete Reissue El Partial Reissue
As authorized by the State of North Carolina, Department of Environment and Natural esources
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
Applicant Name
Address
CityState ZIP �)
Phone # O Fax # ( )
Authorized Agent
❑ Cw
❑ Ew ❑ PTA
Affected
❑ OEA
❑ HHF ❑ IH
AEC(s):
❑ PWs:
❑FC:
ORW:
yes /, no
PNA yes / no
❑ ES ❑ PTS
❑ UBA ❑ N/A
Crit.Hab. yes / no
Previous permit #
Date previous permit issued
"Rules attached.
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
city ZIP
Phone # ( ) River Basin�-
i
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger pier(s)
A r
(Scale:
Groin length
number
Bulkhead/ Riprap length
avg distance offshore :'
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
�
I
I
i
JA
r
I
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
;'i
A building permit may be required by: ❑See note on back regarding River Basin rules.
a
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit **
Application Fee(s) Check #
Permit Officer's Signature
Issuing Date Expira ion 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 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, certifythatthis 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 howto complywith 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

06/02/2008 09:09 FAX [phone] Tobacco Rag Processors Z 001
May 29 Ub U120P Tim Grimes (252) 24/f332 P.1
FW'K-I(- 1b:04 From:OCM MHO 25�!24733M To=252 247 6 _
APA JUN 1
MCDENR ®reki�
Norttl Carolina Department of Environment and Natural Resources � ilybcm
Division of Coastal Management
Michael F. Easley, Govempr James H. Gregson, Director William G. Ross Jr_, Seaotary
Date
ApplicaakNamc J7d� �l6i14S041\ _
Mgitiug Address c�-- l��oal� �C er_
s
I ecrtify that Y have authorized (agent) /.lQ to act oa my
behalf, for the purpose of applying forabd obtaieing all CAMA Permits necessary to
install or construct (activity)
at (location) 1) i'Llvlf tlp�1 ���C r •� C Alt—
_ ,. s...�._
Thu etrtifieatioo is valid tbru (date)
Signature go�lll 14
400 Commerce Avenue, Morehead City, North Cardin 28557
Phone: [phone] l FAX: 252-247•33301 fntemet www.nwmasta�management,net
An Equal Oppmws4y � Alr nnauwe AGlIQr EMO.ayd - SM Aeeycleo l 10% PprI CMg,,r4, paM

06/04/2008 09:22 9198943165 MEDLIN & DORMAN,INC. PAGE 01
Jun 03 08 06:34p Tim Grimes [phone] p.2
AUTACFNT RIPARIAN FROPERTY OwNRR SrATirMF.
(FOR A PIRRIAfOnRllvG P!L/NCS1aOATI.�F�r180A OVSlq ~6>
hereby certify Mat t owl, propcny Fu1jaeent to
(1 lac Of Ffoply Owner)
s ��
fi®
pmf,-Sty at Cl
on .�, ink, N.C.(Willerbody) ('Town And/or County)
Hv ttas dcsrribcd to mc, as shown bdvw, the dcvclmn nt he is proposing U than leoation,
and, t havo no objections to his proposal. I understand that a pier/mooring
pilinxvbr�tli(Vbtk�thotio; tm�st be set hack a minimum distantx of fifteen feet (I )fro from any area
of riparian nccems unttas w�tivemt by me,
dQ11A wish w waive the mback requirement.
1119 wish to wAive th;It sattKick t"uirevicr;t_
---------- -----------------
I SCRTM'ION ANWOR PRAWWO OF PROVIOSM j)F.i+Bi,Oi'MrM. -- -
(ib b9 frfled fre by indlriQunl properinr eferelopmeat)
SignAturt /' -�--
Print or Typc Name
1'aieg00ne Number
rsatc- e,- fr-o

ADJACENT RIPARIAN PROPERT)
(FOR A PIER/M00RjjVG pILINGS/BC
I hereby certify that 1 own property adjacent to
i
1:fo perty located atl �-`j _`b -
(T.ot, BInt-It, Road,
on4 N. C.
(VVatcrbo(ly) ('Town and/or County)
fie has &-scribed 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
pilir,,s/iic,,ltlift/boatliotue must Lh; set back a minimum distance of fifteen feet (15') from my area
of riparian nccess unless waived by me.
tl wish to waive the setback requirement.
I 11-0 wish to waive that setback requirement.
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- - ----------
DESCRIPTION ANDJOR DRAWING OF PROPOSED DF.,vET,oPNTENT;
(To he filled in by individual proposing development)
G�-14CAA
�D
Cigna re
61�A)
Print or T pe Name
1'elephone Number
Date: d - � - r

- 11 %, - N � x W, W--j

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FIRST CITIZENS BANK
www.firstcltizens.com
OUTER BANKS MARINE CONSTRUCTION, INC
1501 FIRST AVE
MOREHEAD CITY, NC 28557
[phone]
3070
66-30/531
137
6/13/2008
PAY TO THE $**200 00
ORDER OF
**************#*********************************** DOLLARS
D.E.N.R.
2-1
MEMO� ---- -- ---------------------------
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