51115_PATE, GAYLE_20080530

77
❑CAMA / ❑ DREDGE & FILL
GEJVERAL PERMIT
New ❑Modification ❑Complete Reissue ❑Partial eissue
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_
Address-
City -
Phone # ()_
Authorized Agent
Affected 0 Cw
AEC(s): 0 OEA
❑ PWS:
ORW: yes / no
State ZIP 7
Fax # (, )
D EW D PTA
❑ HHF ❑ IH
El FC:
PNA yes / no
❑ ES O PTS
❑ UBA ❑ N/A
Crit.Hab. yes / no
Previous permit #
Date previous permit issued
attached.
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # O River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
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Agent or Applicant Printed Name
Signature "Please read compliance statement on back of permit"
Application Fee(s) Check #
I i
PermitOfficer's Signature
Issuing Date _.Ex�pii&tion D to
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 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 complywith 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 27699-1638 252-808-2808/ I-888-4RCOAST
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

„GvLj GYI'VVJL �,`
yr° a 4yR J �i1
.F”
1i rACi�,NT RIPARIAN PROPERTY TY QWrTER STAT7�'MF.N r 0 9 2008
(FOR A PIR'rYAVOGRING PIT.INGS/80AI7.iFIMBOAMOUSE)
®reheao Cq- uuwi
1 hereby certify that i own property adjacent to S'% "- � ' t �C is
(lY:u le o perty Owner)
i:rorerty locatCd at ( � G� ,,�►,� ` �.}1 I� c r�r ttC mil$
C C'-r'Cj ([A -It, DIOCIc, ROacl, etc_)
N.C.
Matcrbady) Q-owa and/or County)
l;le has described to me, as shown below. the clevekqPment he is proposing at that location,
I nova' no ol�j&econs to his proposal. I understand that a pierlmooring
p7ing,Anulift/bo;tthoum nlust tx: $M taack a minim❑rn distance of fifteen feet (15`) from my area
of ripari:;n accesx unteass wxiveil by rne.
1 tIQ I'i wish to) w iive the sciback requirement,
_._..j s% Wish to waive that setback requirement.
l)TSC'?TP1-TON ANDIOR DRANMG OF PROPOSr:l) DEVELOPMi:NT:~----�
1 (To Fe f!f`rd {n by Individual proposing dovefopneier)
Aature
Print or Typc Name
s- - 2 o -�
't elepfione Number
Date: �''— O
�'

tLDL) 14/-6332 P2
T RIPARIAN PROPERTY OV 1NFR STA'�EMEWAY Q 9 ZOOS
t1I)T'h�P,N
(FOR r1 PIER/,bfOORIAIG PrrIWGsiDOATl rFT/BOA7?fausFj4 � p (;;I yam; v
I hereby certify thgt I own proparty adjacent to -,-Zl1�1. -P,i-, is
(N;tuteof-Properly Owner)
Prortirty iocalcd �t 1 L �,kl c4 'L
QC�i� ;" tIAA, DIOCIs, Road, etc.)
on
(etorvady) N. C,
G'awn andlac couMy)�
ffic ha_s described tv Inc. as shown below, the devckpment he i5 proposing at that Ixation,
and, i have no a'bjections to Pis Proposal, t understand that a pierlmooring
pi1in;;.Vbnatli1Vb0,k1b0LLW must be six hack 3 minimum distance of fift=n feet (15') from my arcs
of ripariln accasc unless wdivMj by Mc.
....... V. ) tJR-= wish to W,iive the Setback requirement.
T Ita with to wpive thnt Sa(bark requirement.
"FS'CRT 1'TO,Y AND/Oil DRAWYNG OF PROPOSED T)F,V)GT.0pXrN-f
(To be It -fled is by inifirldual p»7posiRg rlevelop;neit()
Sign ire
Print or Typc 1�mo
w
Tie pttione Number

pv")(j '1413 peal4eJOIN
(GI

FIRST CITIZENS BANK
www.firstcltizens.com
OUTER BANKS MARINE CONSTRUCTION, INC
1501 FIRST AVE
MOREHEAD CITY, NC 28557
[phone]
PAY TO THE
ORDER OF
D.E.N.R.
MEMO-
11600 30 2 2111 s:0 S 3 100 300i:00 13 1 2 18 2 1 1'
- 3022
66-30/531
137
5/9/2008
$ * *200.00
*** DOLLARS