49798_GOWER, JERRY_20070802

8 -3 f a71.s,8
❑CAMA / ❑ DREDGE & FILL l 49798
GENERAL PERMIT Previous permit#
❑New ❑Modification El Complete Reissue El 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) y
City - State ZIP
Phone # (' ) Fax # ( ) Subdivision
Authorized Agent City ZIP
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Phone # ( ) River Basin
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body (nat /man /unkn)
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. 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
SAV: not sure yes
no
Sandbags: not sure yes
no
Moratorium: n/a yes
no
Photos: yes
no
Waiver Attached: yes
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 #
(Scale: )
El See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Date Expiration Date
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, certifythatthis project is consistentwith 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 Morehead City Headquarters
Mailing Address: 400 Commerce Ave
1638 Mail Service Center Morehead City, NC 28557
Raleigh, NC 27699-1638 252-808-2808/ 1-888ARCOAST
Location: Fax: [phone]
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
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

ff
FEB-19-2007 10:35 From:NC DIV COASTAL MGMNT 2522473330
To:2523936146
P.1/1
North Carolina Department oftwio`hm' ent and Natural' Resources
Division of Coastal Management
Michael F. Easley, Govemor Charles S. Jones, Director William G. Ross Jr,, Secretary
Date
Applicant Name
Mailing Address G
G�
I certify that I have authorized (agent) ;jzU . ,. to act on my
behalf, for the purpose of applying for and obtahning,aIl CAMA Permits necessary to
install or construct (activity)
at (location)
This certification is valid thru (date)
Signature

2007-07-2312'48 » 2523936146 p 111
y 11-zuuD C K 1 ua ; ee Hri % U 1 v ur uAv I nL r" i r tut nu. 9 r, tx
lttl'Al�1,ti�T PRO1'ERTY OWNER STA.`i`EMCN'l'
(I. -OR ,t THOUSL)
1 licm.l,y c•.t.:lifv that I fi��iL prnly.rly ndjacent to
(Nl}'ttc of 1'rltpcsty UWitcr)
r
:ul•� i ty I�c�t��,! tit o o► w e w y.
(Steed Addi css, Lot, Mack, Road, etc.)
('I'mrnniul/or County) T!
Ik/slf�- 1ln-4 kh�sl ►ihut to ma, as shown below, Ric devc1opment heJshc-is proposing at th;u
location and I IKavc no Objections to this peyposal. I uMerbiend tlhttt a picrtmooring
pi►i o f; )(Vltli 11111f fotholve mast bo set lock n minimiun distance of tittlocn fcct (I 5) from my nrca of
ji;Nai J"M nccc;N waived by me. I have indicated my ititentiov% by hiddoling below:
_ 10,s. tIot A1,rec: to w-.6ve the 15' sethaek requirunait.
,11141f)
f rt Figivc l(i waive tl:e 15' scibiek TYquirement.
(uiiG11.1)
j)N ►(-1:1I'TlON ANWOR DRANYING OF PROPOSED DEVELOPMENT;
(11n be filled ur by indivAltial proposi»g developmetso
t
rc 7
Kim or Type Name
Tdophottc Numb,.: r

�32 �i
3� j - �/

AUG-11-2006 FRI 09:22 AM NO DIV OF COASTAL DINT FAX NO. 4 P. 02
ik It.IAC'I0fl' ttIJ'AI"'ItkN 1'1%,0PrX'VY OWN It R S'FA.`Cl'EMEN't'
{'€Aft' rf f'Ilsl:/�b11)i)Ir'1�4'!d f'll.?`!�'�4',%fsf)1lTI.FI'"i/#�OfiTT�11fIS�)
flitrrly t.t.lify tird I (),vjc pj-()j,.;rly adjocenl to TQll
(Narsic1P—v0!--Fty O4wtel)
(,Stecet Achli ess, i-ol,13 Mach-, Road, W.)
(To cwn aiitl/orC;ouuty)
IWhOw lots dLst:11betl to tt�c, «s shown below, the development helshe-is proposing tit that
location and I have no objections it, this proposal. I understand lhat a Iricrlriworing
l�s►inL;�JIto411ii tlilut�<;t-�au�e nmsi be set Lack a minimum distance ot`filcen feet (15) from niy nrea of
tioarian ac'u. s unlons waived by me.1 have indicated my intentions by irdfialing bc;low:
1,; tiot tg,rrer. to w-Jvc'. the 1,5' serb tck requircuumt.
I d , apft`.z to %valve 11.c 15' setback ri�gviremernt.
(i3stiG!t�i� -v —
- -—Il+'R3C1;1!`'1 ON AND/011 P.tANVING MPROPt)SEi) DEVELOPMENT;
(?o k filled fir by inn virltlnl proilvshq develojiment)
Te\ a c0.k-e—
S
o n Q— (- -�- 4-
I-. ,gnature
w
i r/C
feint or Type Name
Tcl-Phone Numb► r
r]

DOCKSIDE DOCKS A_d n c „ S
b n_1
1406 WHITE OAK RIVER RD [phone]
MAYSVILLE, NC 28555
PAY
TO THE
CI�I ORDER OF 1 V C n \
o= aT�
DATE 2 f .-7
J
1357
66-30/531
342 i
'.oO, o -)
RSTCIT DOLLARS
001,
� CITIZENS BANK
www, firs tci Uzens.com
� FOR -77
s
"' 0 13 5 ?u' 1:0 5 3 100 300j:00 3 4 12 300 2 ti qua