50755_PAIN, TODD & PAMELA_20080425

❑ CAMA / ❑ DREDGE & FILL r e„
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 15A NCAC J
p
D Rules attached.
Applicant Name j4 f 0
i'l
Address
City
State
( ZIP /
Phone # ( / �'� `� '/
lax # ()
Authorized Agent
1.w_
Affected ❑ CW ❑ EW
❑ PTA ❑ ES
❑ PTS
AEC(s): ❑ OEA ❑ HHF
❑ lH ❑ UBA ❑ N/A
❑ PWS:
❑FC:
ORW: yes / no PNA
yes / no
Crit.Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # ( ) River Basink�IIIIl'1��t 0 nr—
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
.• of Project/
PlatfornI
r pier(s)
in length
Pier .. max distance offshore
number
MOVIE
RUMME
ME
MEMMEME
1631111
IMEMOMMEM
ME
NONE
. -IN
AC
11
. • distance
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Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
PermitOfficer's Signature
Issuing ExpiratiofiDate. '
1
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
❑ 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 howto 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

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
. DI -VISION OF COASTAL MANAGEMENT
POJAMN,T RIPARIA-N PROPERTY 0�1--N-ER NOTIFICATIO`A-VAIVER
FORM
I---- l
Name of individual applying for permit: zv rip !,^ e
Address of property:
4 2Uf1S
I hereby certify that I own property adjacent to the above referenced property. The
individual applying for this per-mit has described to me (as showME91200wory
drawing) the development they are proposing. A description or drawing, with
dimensions, should be provided with this letter.
I have no objections to this proposal
If you have objections to what is being proposed, please write the Division of Coastal
Management, 400 Commerce Ave., Morehead City, NC 28557 or call [phone]
within 10 days of receipt of this notice. No response is considered the same as no
objection if you have been notified by Certified Mail.
WAIVER SECTIOti
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift or sandbars
must be set back a minimum distance of 15' from my area of riparian access unless
waived by me. (If you wish to waive the setback, you must initial the appropriate blank
below.)
;_ °�. I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
a h2atdA 7 D 8'
Signature Date
1 t1 e/e' f ��ft
Print dame
Telephoue NurnLer Wi(h -Area Code
E

Island Marino
Construction, LUI
1286 (gland Rd. Harkers Island, NC 28531
252-728-3419 Business
252-241-3064 Thomas
Makley J Lawreneo www.ime-ne.eom
252-725-0132 Cell' Docks, Decks, Seawalls, &
Boat lifts
[e-mail] Repair Work

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to?Ctrna' a :?" ; f 's
(Name of Property Owner)
property located at -*:55--5 Olc{ -Kd ,
(Lot, Block, Road, etc.)
on f in . N.C.
(Waterbody) (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/boatliftiboathouse
must be set back a minimum distance of fifteen feet (15') from my area ofPT nless
Tza
waived by me.
I do not wish to waive the setback requirement. LS
APR 4 2ggg
I do wish to waive that setback requirement.
Mar®h®ad Git ®CM
--------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual pro o ing development)
- �.� :� � �; � % s�-
----------------------------------------------------------------------------------------------------------------------
(Applicant Information)
-:Po —t�",C '-s � —7
Mailing Address
City/State/Zip
c= -7 O,3�3 I
Telephone Number
Date
(Riparian Property Owner Information)
Signature
Print or Type Name
�t 5 .,t - '7') , -- % q /
Telephone Number
01?
Date

ISLAND MARINE CONSTRUCT)ON
1286 ISLAND ROAD
To: HARKERS ISLAND, NC 28631
252-728-3419
From:
Re: Authorization Letter
I authorize
V� ry
to act as my agent for the sole purpoIICF
obtaining/signing permits to perform work at 011�
APR 2003
Morehead City ,,DC
Sincere .
Signature r ti
Print Namer

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Q\�`� J\�,�0 VICINITY SKETCH
NOT TO SCALE )
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�\ NOTES: Broken lines not surveyed, calculated or taken from
m e. l.p. referenced map and deed.
XFlood Zone boundary tines were scaled from F.E.M.A.
+ p / `- map, Commwnily Panel Number 370043-0657-C, mop
i.p1 revised 08-19-85,
/ \Op• \ g� �9;gJ on /ine� Property is served by overhead utility lines.
e Underground utility lines, if any, not located.
/ 3 Elevation datum is N.G. V.D.
/ h \ AREA: Tr oc 1 5 = 15. 76 ocr es
P h I�, �� rrrrrdrrrbr ,i /!
e QP��
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0� REFERENCE: P. 1. N. 6336. 03-04-9309 r'
y p Mp. 8k. 13, Pg. 63 ( Tract 3 ) r.
' Ind ll• O /',\ w I� �/rjr�rrr nrvr rVirrrr`r l
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R U V E Y FOR
^° �a S
Sop PAMEL A B. GA SK l L L
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N Tan•� M° 0. 1 p. / Ba•ing oLL of Tract 5 of the 'LOUISE BAUGUS' Division
°i'7o
as recordec In lop. bk. Pg. 63 of the Corierei
FREE County Register Of Deeds.
MOREHEAD TOWNSHIP CARTERET COUNTY, N. C.
LEGEND e.I.p. - existing iron pipe JULY 25, 2001 SCALE: l' - 200'
e. c.#L e.risilnp concrete monument
O • point unless otherrlse noted W. D. DANIELS ✓R.
nothing found or set P.L.S. ! L-26/3 J
P.I.N. • parcel Identification number P. 0. BOX l63
N. C. S. R. - North Carolina Secondary Road DAVIS, N. C. 28524
R/W right -of -ray
F.£.M.A. - Federal Emergency AMnagement Agency PH.: ( 252 ) 729-1553
N.0.V.D. National Geodetic Vertical Datum
T.8.At • tolMorary benchmark 200 0 200 400 600
elev. + • spot elevation
The ratio of precision does not exceed an
error of closure of 1 11 10000+ GRAPHIC SCALE — FEET

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ISLAND MARINE CONSTRUCTION LLC 2546
1286ISLAND RD 66-211530
HARKERS ISLAND, NC 28531 BRANCH 77585
PHONE:[phone]a o
DATE
$ 'vo'o . 00
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Wachovia Bank, N.A.
wachovla.com
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