52315_POPKIN, GREG_20080709

O CAMA / O DREDGE & FILL 3_
GENERAL PERMIT" Previous Permit# —0
ONew OModification 0Complete Reissue El Partial Reissue Date previous permit issued -
As authorized by the State of North Carolina, Department of Environment and Natural Resources e ��
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
O Rules attached.
Applicant Name — Project Location: County
Address =-Lu Street Address/ State Road/ Lot #(s)
City State ZIP
Phone # () Fax # ()
Authorized Agent
Affected ❑ CW ❑ EW ❑ PTA
AEC(s): ❑ OEA ❑ HHF ❑ IH
❑ PWS: ❑FC: _
ORW: yes / no PNA yes / no
❑ ES ❑ PTS
❑ UBA ❑ N/A
Crit.Hab. yes / no
Subdivision ,_-----
City— ZIP
Phone # ( ) River Basin
Adj. Wtr. Bod(nat /man /unkn)
Closest Maj. Wtr. Body
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Agent or (Applicant Printed Name
+ 4-r-
Signature 's PI
eAse read compliance statement on back of permit
Application Fee(s) Check #
Permit Officer's Signature
Issuing Date Expiration Date
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/ 1-888-4RCOAST
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

JUN-12-2008 05:45 PM SHORELINE MARINE CQNST. 1+252+393+7934
,bnorenne r1%!rb Cx ovaL L.lOI601 dk..%w.
580 AF- ARSON CIRCLE
NEWPORT, NC 28570
N.C. MARINE CONNTRUCTION LICEN®E * 62746
[e-mail]
FAX COVER SHEET
DATE: (, , j/to "
FAX # : ;247 - 3330
TO / ATTN: jo�j4r#p/�
FROM: /� ay
TOTAL PAGES SENT:
(including this cover)
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JUN-12-2005 05:46 PM SHORELINE MARINE GONST. 1+252+393+7934 P.02
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Division of Coastal Management
Michael F. Easley, Governor Charles S. Jones, Director William G, Ross Jr,, Secretary
Date r
Applicant Name
Mailing Address
I certify that I have authorized (agent) tl �r-55 to act on my
behalf, for the purpose of applying for and obtaining all CA,MA Permits necessary to
install or construct (activity) (6G bo4 IIA-6
at (location)
This certification; is valid
Signature
N C�
400 Commerce Avenue, Morehead City, North Carolina 28557
Prone: 252-808-28081 FAX: [phone] Internet: www,nccoastalmanagement,net
An Equal Opportunity t Affirmative Acdon Employer — 50% Recycled 110% Post Consumer Paper

JUH-12-2008 05:46 PM SHORELINE MARINE CONST. 14-252-393-4-7934 P. os
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SHORELINE PIERS & BOATLIFTS INC.
DBA SHORELINE MARINE CONST 252-646-3212
si ASHLEY BROOKS NCDL 7666496
580 PEARSON CR
NEWPORT, NC 2857()
PAY
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ORDER OF
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Wachavia Bank N.A.
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DATE 7 F(ANCH 77614