48924_DILLON, DON_20070515

f� CAMA / ❑ DREDGE & FILL
GENERAL PERMIT
❑New ❑Modification ❑Complete Reissue ❑Partial Reissue
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_
Previous permit #
Date previous permit issued
Applicant Name Project Location: County
Address % C itiStreet Address/ State Road/ Lot #(s)�
City `�'`� ,�.. k-1 r f 6 State..Vr ZIP
Phone # (�) % ' Fax # (_) Subdivision //���j
Authorized ,agent �i /'1 6- r 1 /"� � i City /" ZIP J /
Affected ❑ Cw p EW p PTA ❑ ES ❑ PTS Phone # ( ) River Basin `� ! �z C
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A f 1, j f at /man//unkn
AEC(s): Adj. Wtr. Body -Z4 ( ( )
❑ PWS: ❑ FC: M } n
('Incact Mai Wtr Rnriv
OKW: yes / no MA yes [ no, C.rit.Had. yes / no
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Ripraplength
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift ;
Beach Bulldozing
Other
Shoreline Length
SAV: not sure yes •`no
Sandbags: not sure yes Lng,)
Moratorium: n/a yes l'.-)
Photos: yes (�n d
Waiver Attached: yesf no
A building permit may be required by:
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature "Please read compliance statement on back of permit
Application Fee(s) Check #
V A-
4"
(Scale: A/ % )
❑ See note on back regarding River Basin rules.
rermitvrricer s signature
' ssuing Date xpiration Da '
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, certifythat 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 Citv 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

T#
FIRST CITIZENS BANK
MOREHEAD CITY, N.C. 28557
OUTER BANKS MARINE CONSTRUCTION, INC
1501 FIRST AVE
MOREHEAD CITY, NC 28557
[phone]
PAY TO THE
ORDER OF
4/27/2007
$**200.00
2467
66-30/531
137
'I'mro Hun############*#######*#################*##*#################### DOLLARS
D.E.N.K.
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MEMO
II200246711' i:053L00300i:00L3L2LB212711■

ADJACEW RWARUN MOPERTY OWNER SrATENWq '
(POR A PM*1bIGURIN pA.INrp"(jA1TWPr1,gtlT:!'OWM
1 hereby =dfy that I own propcxty adjacomt to Oo o LJ i Ho o r7 I5
Oft= of Aoptwiy Owner)
Swf.:f4Y locabcd at (Y] 00 i Z) R-.1
(W. Bloc$, Rad oft-)
on oor) I
t 1 (2 1 M-' c' P11C', h
tro" and/or County)
go )As deRsibW 1v me:, as shown blow. dtra development he ii pMposwS at that location,
an_do , I have n otdecemm 10 Nis pMposa]. I undOnUM theft a piad aouft
aunt be = bwk a minimum dismeea3 of fife A OM (151) from my arcs
Of tfiFAIn uniaas valved by see.
--. -- ---- 1 46._11A wish w Mrtiva the Setback requirement.
I"wish to waive that setback requirement.
DEWKIrMN ANAIOR flRAWTN'G OF PROPOSM T)SVEI.OPMF111Ta
(To be filled die by Wisydriarl PMPa� deodep watt)
!� Dl�
APR 2 7 2007
Morehead City DCM
Siggsetuti
Print or Type Name
��✓J Q%,-2 r% -2
Telephone Number

AD,JACFNr R ARIAN I'ROMMTY OWN= srATEMENT
! hereby certify that I Own ¢mpc ty wUa=t to -�)o►K I I l l j)
11 Oboe of Property Owner)
Prvpasty Wackd at �� 3 M o©h l �T -DX
yy �11 Y.M. BWCk, Road, etc_)
on MQVI A 1 :� "CZ l3n u . rri LA ilt'i1 ,f)g 0 C- , N.C.
(W erg( (Town avWor C moty)
Ho has dmmild to ttte. as s AWM below, do &-wt gmc* he is proposinX at that totatimt,
end, I hnv�• no otjacdms to hbt proposal. i uodoraand drat a pkx/mooriag
PIUARAEUMbIWOMM must ba sex beer a Minimum dista ws od Morn feet (151) from my area
Of ripat'but aoocu uit&M waived by me.
--- I do-� wish to v aivt the setback nquimftwal_
.__.,V" I dti wish to waive Lhat setback requirement,
OF.SCUWFION AND/OR DRAWYNG OF PROPOSED DEVSIAY"MF.NT:
(To b`e f fted fa by k&&- ma pmpe de►4lopmCw)
IY
APR 2 7 2007
Morehead City DCM
2 "K—L 77 C, Z -7
TekVbona Number

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