51102_PAYLOR, ROLAND_20080521

❑CAMA 1-1DREDGE & FILL V 7 ����� i �� N51 :102 � d
GENE'R''AL . PERMIT Previous permit #
❑New [-]Modification ❑Com Complete Reissue El Reissue Date previous permit issued
P P
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
❑_ ,Rules attached.
Applicant Name Project Location: County
City
State ZIP
Phone # (`)
% Fax # (, )
Authorized Agent
❑ CW
❑ EW ❑ PTA ❑ ES ❑ PTS
Affected
ElOEA
ElHHF ElIH ❑ UBA ElN/A
AEC(s):
❑ PWS:
❑FC:
ORW: yes / no PNA yes /'no Crit.Hab. yes / no
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # (`) River Basin
Adj. Wtr. Body i `?i � (nat /man /unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale:
Pier (dock) length
Platform(s)
Finger pier(s) 7_f
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
_
Boathouse/ Boatlift
Beach Bulldozing
Other
I
TTT7
I
�
I
ELI
�TR
l
i
i
Shoreline Length y,
I
SAV: not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no.,
Photos: yes no :�.•
Waiver Attached: ,'yes no
1
r t See note on back regarding River Basin rules.
A building permit may be required b ❑ S
P Y 9 Y g g
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 xpiratioh Date
UP
Local PlanningJurisdiction 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 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

r A1JJAt;KIN 1 KWAKiAIN YKVFEK1 Y "WINEK N 1 A.I'UMMKiN'1'
(FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to
(Name of Property Owner or A plicant)
Mailing address if different from location address
(town, state and zip) � '5 &?! - 4—) � C ,
phone numbers you can be reached at ff
property located at 7`la
/P-
�6 �/o -?72-
(Lot, Block, Road, tc.)
on , in r / /Li , N.C.
(Waterbo y) (Town ind/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.
initials
�y L I do wish to waive that setback requirement.
initials
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled i*` by individual proposing d velopment)
�D J `U � Q� ��l/J-Q % MAY 1 6 2008
Morehead �%iM DCM
--------------------------------------------- ----- ----------------
Signature
Print or TypeName
Telephone Number
Date:
www.nccoastalmanagement.net/Permits/ADJACENTRIPARIANPROPERTYOWNERSTATEMENT.pdf

03/18/2000 09:47 FAX [phone]' N09G000 1jJ002/002
rt+u,l•:3tR4!*! 1 Kl.CAKIAiN
(X°O.R It PI RIMOORING�aXX.1��1ttX5.!1)!)rtTLd)%lYX1l1r�7"IX�] Slsj
1 hetabY Certify that 1 Uwr1 property tO
'Nilwo of Property Owgrr or A p11 /
Mail 'rig Qddra5s if cio furert frojr; loc�ltivn aciciress �r�/
Cown, stove ar'd zip
pi:ore numbers wou can. be ce tcJ:erl at,..r
property lucated
_ (L�jt, Block, load,ptc.)
On—_z ..� G{{/%` , in
(WatartiC (Taws asdfoz County} - -- -
He has< d4%cribed to me, as Shown below, the development he is proposing dt that is cat;on.
and, Ihave no o, jw4+;ons to his proprsal. [ urldar=~tand chat a bier/mooring pitings:�tieatli vbnat}tous
musr_ he set, back a tr_inimum distance of Bitten feet (15) frora my area of riparian acCesS unless
waived by me.
T da not wish to waive the setback requirement.
inilieiis
4_ 1 do wish to waive that setback requirement.
iniliais
- - - - - - - - - - - - - - - - - - - - - - - - - - - —•-.-.---.--- ----...,..-....
DFSCRIPTION A~NT/OR DRAWING Of PROPOSED DEN7ELOri:ENT:
(To be failed i by individual proposing d velopmeru) J
/� F? r^
MAY 16 2008
city DCWI
Aw
S ignas ore
✓Gr�t�{ ° +?i w �tr�
Print 7r Typt Nacre
�. 0lc) 4s!ta-�1�� _
Telephone Number
v D'U.. 3 J J; a
vrwr'�,rts3�outaternemn�vPumiall�DIACQfI'F�ARTt.NPROPER'l'�i0Wt3ERgT�1Tg,L+rN`r. pdF

51
A *
NO
North Carolina Department of Environment and Natura
Division of Coastal Management
Michael F. Easley, Governor Charles S. Jones, Director
Date .3- 2 Z-,- -DS
Applicant Name
C..i 60G
Resources
William G. Ross Jr., Secretary
Mailing Address 1112 7 YOIeN le ,d �o� �rCe .k4
H ' C. Z es-3-7
I certify that I have authorized (agent) ,�f 11 (,(%cfe. /Z41g.,f � to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) /j?�ou
at (location) q ( Z 7 0.l.
This certification is valid thru (date) 6 - / ' 0 �;-
Signature
I
x� Za
y1
iW, i►6
MAY 1 6 2008
M®i@heaa Ci y C)CM
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] \ FAX: [phone] \ Intemet: www.nccoastalmanagQment.net
An Equal Opportunity \ Affirmative Action Employer -- 50% Recycled \ 10% Post Consumer Paper

BLUE WATER MARINE
CONSTRoUgCoTIION INC.
1415
MOREHEAD CITY, NC 28557-0093
PAY
TO THE
ORDER OF
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5449
66-112J531
BRANCH 02301
DATE 9-1 — or
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BRANC' BANKING 'BBT COMPANY
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