46752_HENDERSEN, WILLIAM_20061002

"-*•ea .2:.,_-.--..R-emu.-.���-a�'��. -;: _ - �iE`�en,+ � ....0 :� -._ , _d�j;� y, ,;� ' < _ 3 . Rf = *;�.� .f � _ _ _ _. _ _,
�G th-cam j��
❑CAMA / ❑ DREDGE & FILL `t
GENE L PERMIT Previous per it # $
New - "odification ❑Complete Reissue ❑Partial Reissue Date previo 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 t
Q'Rules attached.
Applicant Name i 1 Project Location: County
Address
City ' ,"01
Phone # (_)_
Authorized Agent
Affected CW
AEC(s): D OEA
❑ PWS:
ORW: yes / no
zip
V1W ,DPTA ❑ ES :1 PTS
❑ HHF ❑ IH ❑ USA N/A
El FC:
PNA yes / no Crit. Hab. yes / no
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 t
!h
Street Address/ State Road/ Lot #(s)
Subdivision
' j
City
ZIP
Phone # O
River Basin'
Adj. Wtr. Body
A j
Alc `-
(nat /man /unkn)
Closest Maj. Wtr. Body—
(Scale_.,1/j f- )
'1 t'i j j ,*
See note on back regarding River Basin rules.
Y i
0 C T i s,
Per it Officer's Si nature
Morehead City La g
Signature Please read compliance statement on back of permit Issuing Date Expiration Date
Application Fee(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, certifythatthis project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar - Pamlico River Basin Buffer Rules ❑ Other:
LL 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
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
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)
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 Mail
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

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to trawl (t oy V s
(Name of Property Owner)
property located at �r ��� O UJ�✓)�`/ '
(Lot, Block, Road, etc.)
on C4e,1(50 !er:?F-C in /"/d��� 'd �i1'y , 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)
ee
10
v
f
F1
? v d
g..
Signature
Print or Type Name
Air/ S 3 3- �997
Telephone Number
Date: '� �/ Y� O E

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to uo,� !.� c� �XI�� x• �`1t-"�✓A&-x&O1r s
(Name of Property Owner)
property located at 2pr 7
(Lot, Block, Road, etc.)
on in �irll����3 Y� , 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)
44" �10gr- C/%v
Signature
t l-1 , a 1-, . +wz�-
Print or Type Name
q)�7B?-� �iG /�YJ3-�A�72-6-12i
Telephone Number t
Date: 0` 1. --7 l" 6

A4.-a
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Govemor Charles S. Jones, Director William G. Ross Jr., secretary
Date
Applicant Name /' V r✓/ Gam'` �� 'lN��iF ` ' p�'V
Mailing Address
I certify that I have authorized (agent) A 'g'y GLr-y to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) � �
at (location) �� % ��.�`% O/ Ylo
This certification is valid thru e) / Ob
Signature
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internet: www.nccoastalmanagement.net
An Equal Opportunity1 Affirmative Action Employer — 50% Recycled 1 10% Post Consumer Paper

d d -ffqf _m
5070
BLUE WATER MARINE
CONSTRUCTION INC.
PO BOX 93 66-1121531
MOREHEAD CITY, NC 28557-0093 DATE AC) -2-c) 02301
PAY 41-1
TO THE
ORDER OF 4^
DOLLARS
I/V
BRANCH BANKING
C,
AND TRUST COMPANY
MOREHEAD CITY, FORTH CAROLINA P
FOR Aoly
nl0050?0Ill l:053L0LL241:52j1,9865921Il