45245_STALLING, EDDIE_20060510 (2)

❑CAMA / ❑ DREDGE & FILL`
GENERAL PERMIT
Previous permit # i
❑New ❑Modification El 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 State ZIP
Phone # ( ) ?' Fax # ( ) Subdivision
Authorized Agent i �' City ZIP
Affected ❑ CW O'IEW E PTA ❑ ES ❑ PTS Phone # ( ) River Basin
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body (nat lira unkn)
El PWS: El FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body
Type of Project/ Activity
r-
(Scale: i / `.
Pier (dock) length
� I I
Platform(s)
Finger pier(s)-
e- I h
roan engt
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore Z
1 I 1
Basin, channel I I i
cubic yards r�i L;
Boat ramp - -• ! ---^
Boathouse/ Boatlift
Beach Bulldozing
Other
—
I
I
! — 4—
'
.—� _� -
'- --
7
_
I - -•'-
T
-
~
;
I
Shoreline Length /(
SAM not sure yes no
Sandbags: not sure yes no - --
Moratorium: n/a yes
Photos: yes
Env
Waiver Attached: es y —
A building permit may be required by:
Notes/ Special Conditions
-
�—
-
on back regarding River Basin rules.
J
❑ See note
Agent or Applicant Printed Name Umit Officer's Signature
VMAY 19, 2006
Signature_ Please read co 'pliance statement on back of permit Issuing Date Expiration Date
11/Ir,roh�Cf itt DCM
ApplicationFee(s) Check# 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 L _j 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 27699-1636 252-264-3901
Location: Fax: [phone]
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
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

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to f"WY. e ,�1� �1"Ad is
-,/ II r (Name of Property O er)
f
property located at / 6�d"%� �� CUu1+
(Lot, Block, Road, etc.)
on &5 CaN4 f , in Px S 6-, , 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.
1,
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development) ,Pei (�-e
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ignature
Print or Type Name
v zf _ 9 y D — Cl
Telephone Number
Date: 1,1 - 2 U ~ O w

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent toI/i�j� is
(Name of Property Owner)
property located at f
(Lot, Block, Road, etc.)
on Pk,5 co "y' , in Ple5 L, /r , e 7 , 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)
60 e- w :A 'b §C qP �-' -z
Ccz rr4 t !� Q
e � Ns (c (( %OOC-k'.S r460
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Signature
140C_ 0 7"-
Print or Type Name
Telephone Number
Date: (/ , 2Az> ��

BLUE WATER MARINE 4833
CONSTRUCTION INC.
PO BOX 93
MOREHEAD CITY, NC 28557-0093 66-112/5311
DATE _5 AP —0 6 0230
PAY
TO THE
ORDER OF ie&l A&_ $
DOLLARS
B IR&T
BRANCH BANKING AND TRUST COMPANY l�.)AL\
MOREHEAD CITY, NORTH CAROLINA
FOR ftmow oSw[ Ar
v f j/ I ------
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