51853_POLLMAN, MARK_20080104

YOWL, NT
❑ CAMA / El DREDGE &FILL / �4 ' � � 5 £ _
GENERAL PERMIT 'C Previous permit # - C
❑New ❑Modification ❑Complete Reissue ❑ artial 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
❑ Rules attached.
Applicant Name_
Address
City
Phone # ()_
Authorized Agent
Affected ❑ CW
AEC(s): ❑ OEA
❑ PWS
ORW: yes / no
State ZIP
Fax # ( )
❑ EW ❑ PTA
❑ HHF ❑ IH
❑ FC:
PNA yes / no
❑ ES ❑ PTS
❑ UBA ❑ N/A
Crit.Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # ( ) River Basin
Adj. Wtr. Body C (nat /man /unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale: )
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
I
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/-Boatlift
Beach Bulldozing
Other
I
l'
i
oil
I
i i I
Shoreline Length
SAV: not sure yes no I � �
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by: ❑ See note on back regarding River Basin rules.
r .
Notes/ Special Conditions
/7 VI
Agent or Applicant Printed Name
Signature * Kase read compliance statement on back of permit x
Application Fee(s) Check #
r �
Permit Officer's Signature
Issuing Date
Local Planning Jurisdiction
Expiration Date
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 (910-796-72 15) 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

JAMES E. DAVIS NCDL 5446287
DBA DAVIS MARINE CONSTRUCTION
PO BOX 1264
SWANSBORO, NC 28584
Pay to the �
Order of r `� i/) !/—
Nc
2760
! 66-30/531
Date 341
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F* HRST CITIZENS BANK
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GUARDIAN®SAEEiY YELLOW WDYE

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT FOR CAMA
MINOR PERMITS
I hereby certify that I own property adjacent to k%I,- is
(Name of Property Owner)
property located at e �'� � �' '� 14 rtc f= o A-lt ��'�4! boe k
(Address, Lot, Block, Road, etc.)
on LYE t�ti ; �u c �c , in ��2 , 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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
440reheact Gj y DCM
Signature �/ U
Print or Type Name
IF,/0 34,!�-
Telephone Number
Date: to%y/ZIV
. -A

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HICKORY BLUFFS
SWANSBORO TWP.. ONSLOW CO.. NORTH CAROLINA
SCALE: 1 " = 30'
03-04-97
DISY-ACAD 2611 DWG:BOATDOCK.DWG
PARKER & ASSOCIATES, INC.
�yng Imeneera Lena 9arreyor. - Land Planner.
P.O. B= WM leek onrllle, Norm C.roU— 28"1-0996
Phone [phone] - Va= (910) 456-3"1
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT FOR CAMA
MINOR PERMITS
r e S o �de�v� A� the eG;�r=.n. ; T; A-5Sac r/F+tv.v t1c�l ©w,v
t� r1;e P tie �,T 5Li�
I hereby certify that I oA% property adjacent to ✓"1 A n fc P& 11M PrN 's
(Name of Property Owner)
property located at �3 o kT e r o +I_ r g LU ►= - C v n M a 7 l3 F+ fro c k
(Address, Lot, Block, Road, etc.)
on QtAeea',% CI'EEK ,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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
_S' e e Pr i T A-C 14'e 0
v^
N2G
Morehead City
Signature
Print or Type Name
(9 io) 3a("-I ion
Telephone Number
Date: I o/ i--'�% 2 0 C, 7
HPCSA

. for illustrative purposes On1Y•
_ this map MB 2 PG §�
Pursuant to NCGS
THIS MAP IS NOT A 4CERTIFIED SURVEY AND NO
IN ITS ACCURACY.
PLACED
RELIANCE MAY BE I
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SWANSBORO TWP., ONSLOW CO., NORTH CAROLINA
SCALE: 1" = 30'
03-04-97
DISk�Pr_AD 2811 DWG BOATDO`_CK;DWG
ASSOCIATES, INC.
PARKER & d � eYOM — send Plnj 'a
Ian 0o�n1 gn,&eess wnvjUa North Carollm 28661-0976
AyhonA (910) 4 4 — Gas (010) f08'3561