47041_DALY, JACK_20061120

v
❑ CAMA / ❑ DREDGE & FILL
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
!
©.Rules attached.
Applicant Name -
Project Location: County
Address < `'"' `
Street Address/ State Road/ Lot #(s)
City �..� f 1 J f" r State ZIP
Phone # (�} ' �l #� h J Fax # ()
Subdivision 1
Authorized Agent
City / ZIP
❑CW EwEW 8'PTA ❑ES ❑PTS
Affected
Phone # ( ) River Basin �-
❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A
AEC(s):
Adj. Wtr. Body `' (nat /man /unkn)
❑ PWS: ❑FC:
ORW: yes / no PNA yes / no Crit. Hab.
yes / no Closest Mai. Wtr. Body
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAM not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes ('n9
Waiver Attached: yes) no
A building permit may be required by:
Notes/ Special Conditions
(Scale: )
❑ See note on back regarding River Basin rules.
Agent or Applicant Printed Name 6 Permit Officer's Signature
.1 LJ
Signature "Please read compliance stat�n —ft� 1/ Xining Date Expiration Date
ApplicationFee(s) Check# 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:
1 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
Central Office Elizabeth City District
Mailing Address: 1367 U.S. 17 South
1638 Mail Service Center Elizabeth City, NC 27909
Raleigh, NC 27699-1638 252-264-3901
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
400 Commerce Ave
Morehead City, NC 28557
202-808-2808/ 1-888-4RCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico 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 06/29/05

I
ADJACENT RIPARIAN PROPERTY OWNER STATE_N ELN-f
(FOR A PIER/MOORING PILINGSIBOA7ZIFT/BOATHOUSE)
I hereby certify that I own property adjacent to Jac.l�
(Marne of Property -ner)
property located at 10S yl-a "o— G'
(Lot, Block, Road, etc_)
on / r s 601Y0-/ , in Iles Ca,_14&41-c_ " N.C.
(Waterbody) (Town and/or County)
He has described to me, as s<<own below, the development he is proposi::_ a_ G` at location,
and, I have no objections to his proposal. I unders:and tha_ Va pien mooring
pilings;boadift/boathouse must be se_ back a minimum distance of fifteen fee: (15') from my area
of ripa ,.an access unless waived by me.
I do nnt wish to waivt the setback reeuirement. D
I 2?� - : _*Ik
Trt 6
I Sin wish to waive t;.at setback rzcuire;ne:1C.
So -j'r caw to pe°d• NOV
DESCRIPTION A.N-D/OR DRAWD G OF PROPOSED
(To be fi fed in by individual proposirz; development)
Re bylac,e- EXi.5
se A - wa I I
Cck No,
1 0-
Signature
r
CA
r
Print or Type Name
Te!eohone Number

ADJACENT RIPARIAN PROPERTY OWNER STATEMEN-f
(FOR A PIER/MOORING PILINGSIBOA TUFTIBOA THOUSE)
I hereby certify that I own property adjacent to
(Name of Property 0 ner)
prope-y located at f O `/
(Lot. Block, Road, etc_)
on _ f ��S Ca �� , in N.C.
(Waterbody) (Town and/or County)
He has described to me, as shLown below, the development he is propose-= a_ that location,
and, I have no objections to his proposal. I unde:s:a.:1.d tha_ a pier/Moor—mg
piiings;boatlin/boathouse must be se: back a minimum distance of fw: (i 5) Fom my area
of riparian access unless waived by me.
I do nnt wish to waive the setback requirement.
—7, R;Nnv 2 0
I �—o wish to waive that setback recuirement.
s.o ---$ t sari told k4 }-a 0 d' t • I- - / -MBrehP419 0 qM
DESCRIPTION A.ND/OR DRAWD G OF PROPOSED DEtiELOP�IENT:
(To be filled in by individual proposing developmenr)
Qnv fit., e—
SeC, - c.JA 1
%00 ^0
--35
�I Ccs, Mc"
Signature
Print or Type Name
'I) ra - 1) 7
Telephone 1~umbe7

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor Charles S. Jones, Director William G. Ross Jr., Secretary
Date J/ , `Q °;,-'`;►
NOV 2 1 2006
Applicant Name oc e- /e
Mailing Address /0 y Sv�a owe �i�s
Morehead City DOM
I certify that I have authorized (agent) Aef a Gyu ✓— to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity)
o vc 6'0�--�/ All. weaz
at (location) /b �j/ �ycc o�,�, 44111
This certification is valid thru (date)
Signature
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] \ FAX: [phone] \ Internet: www.nccoastalmanagement.net
An Equal Opportunity \ Affirmative Action Employer — 50% Recycled \ 10% Post Consumer Paper

- - - - --- _
r f z i rl o c r'n. t se r Gd e t. rt FT—' ., {]
BLUE WATER MARINE �{ 3966
CONSTRUCTION INC % ��%�
PO BOX 93
WREHEAD CFTY, NC 28557-0093
66-112/531
DATE 12 - z 2 -D 6 02301
PAY
TO THE
I ORDER OF l ) G LC/ E/S� I Q
` SO Ci . t
DOLLARS B
�l�7ln7rZ l ' i,'Y`S x
BRANCH BANKING'AND TRUST COMPANY� `j fs ��f
\ x - MOREHEAD CITY, NORTH,CAROLINA
FOR
n'00.3466F►' I: 53 L0 L L 2 L':S 2 L498659 2u'�,l,�( (