50123_LEWIS, TED_20080211

❑CAMA / ❑ DREDGE & FILL '
-. GENERAL PERMIT �- Previousp'ermit#
❑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 I SA NCAC
❑ Rules attached.
Applicant Name i Project Location: County
Address 1 1 j Street Address/ State Road/ Lot #(s)
City
Phone # ()_
Authorized Agent
Affected ❑ CW
AEC(s): ❑ OEA
❑ PWS:
ORW: yes / no
State ZIP
Fax # ( )
❑ EW ❑ PTA ❑ ES ❑ PTS
❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ FC:
PNA yes / no Crit.Hab. yes / no
Subdivision
—� City ZIP
Phone # O River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale: )
Pier (dock) length
I
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAV: not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes
Photos: yes o
Waiver Attached: yes no
A building permit may be required
Notes/ Special Conditions
I
—
-
�
I
i
by:
�.—:
)
❑
See
note
on
back
regarding
River
Basin
rules.
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
k,
PermitOfficer's Signature
f
Issuing Date Expiration Date
_A,.
Local Planning Jurisdiction Rover File Nam '

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, certifythat this project is consistentwith 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 Morehead City Headquarters
Mailing Address: 400 Commerce Ave
1638 Mail Service Center Morehead City, NC 28557
Raleigh, NC 27699- l 638 252-808-2808/ 1-888ARCOAST
Location: Fax: [phone]
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
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

4
NO R
North Carolina Department of Environment and Natura
Division of Coastal Management
Michael F. Easley, Governor Charles S. Jones, Director
Date
Applicant Name
Mailing Address
Resources
William G. Ross Jr., Secretary
Gyi 4oti ^/. G . 2 7d'Z
Morehead city DC
I certify that I have authorized (agent) 4/c" C l�/�%�y' ,i�'/s,�•,•�� to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) OK /cf" .S,11,D //- '/% I
at (location) (— Aocu
This certifica
Signature
valid thru (date)
c f(4
.' - /-- v(r'
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Intemet: www.nccoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper

AUJ AUEIN 1 K1YAKIAIN YKU r K 1 Y V W INER J'1'ATEIVIE N'1'
(FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to 1CJ ttwiS Ce0w' ' Nest,# rAa
(Name of Property Owner or Applicant)
Mailing address if different from location address /7/0 RiJae.a15f- Weu` ,
(town, state and zip) U9 15cA KC. 2 790
phone numbers you can be reached at l S'2 — 37,3 — r.> 9 6 f ,
property located at Crou.9's Nest Xlafinto4� 1406n trc 11A. /YC ,
(Lot, Block, Road, eta)
On o o�-t -
� u � S 1V d , m �f I�.�.f�Y. � � . Ca N ft,r �e. f- . , N.C.
j ( aterbody) (Town and/or County)
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.
I do not wish to waive the setback requirement. s;
initials
I do wish to waive that setback requirement. FEB 7 2008
initials
Morehead Cit DC
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
Cc/ov�'S /4,csf y' "",
---------------------------------------------------------------
--------------------- -------
Signature
-1 121W
fm5c Sr G Print or Type Nam
L/-T—�-6qe 5e) Z9
Telephone Number
Date:
www.nccoastalmanagement.nedPermits/ADJACENrRIPARIANPROPERTYO WNERSTATEMENr. pdf

4

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BLUE WATER MARINE
CONSTRUCTION INC.
P 0 BOX 93
MOREHEAD CITY, NC 28557-0093
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TO THE
ORDER OF/4 flY
DATE 3-!y — 0 S'
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