49833_AMARO, JOE_20070807

❑CAMASIrD DREDGE & FILL �� - y� 49 8�3:3
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 Reso rces
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
❑ Rules attached.
Applicant Name �z- /'' i Project Location: County = i
Address = i { > ti - - ti l� :x� # Street Address/ State Road/ Lot #(s) .� c' l
City C�'J r, State ''' ZIP k j � o qA-
Phone # ( s-=) �/ 1 `/ - 5- -j V > Fax # ( ) Subdivision
Authorized Agent City ZIP }, 5
Affected ❑ CW ❑ EW E PTA ❑ ES ❑ PTS Phone # O River Basin
AEC(s): OEA ❑ HHF ❑ IN ElUBA ❑ N/A Adj. Wtr. Body (nat /man /unkn)
❑ PWS: ❑FC:
ORW: yes / no. PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body k,
Type of Project/ Activity C
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
SAY: not sure yes I.nd
Sandbags: not sure yes Go,
Moratorium: n/a yes (,pv'
Photos: yes n
Waiver Attached: yes Lrto-'
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: ->
r
U See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Date Expiration Date
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Local PlanningJurisdiction Rover File Name

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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:
❑ 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/ 1-888-4RCOAST
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

Date 'S
Applicant Name
Mailing Address
I certify that I have authorized (agent) �A�-� i *�����'�' L�-L to act on my
behalf, for the purpose of applying for and obtaining all ' 'AMA Permits necessary to
install or construct (activity)��-�����
at (location)
This certification 's v lid thru (date) Fz — l GAS
Signature
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Intemet: www.nccoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to `Ty c 4^4190 's
(Name of Property Owner)
property located at / T �A le— J
(Lot, Block, Road,/ etc.) %
on GCS /r%t-1,�}rQy�� , in N.C.
(Waterbody) (Town and/or County)
He has described to me as s o n below, the development a is proposing at I hat location,
and, gI have no o /to is oposal. I understand
aA )p r/moyring
ilin s/boatlift/boat oilsj,(st et ack a minimum distance of itZ,`�1' f m m area
of riparian access u less waive by m .
I do not wish to waive the setback requirement.
I do VNtjx
f setback requirement. IN/A
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
(See the attached drawing)
� A
Z Q J -TWA i'1 l J Print or Type Name
M,e,j Bern K �-
2 �-p 121,
Telephone Number
Date:

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to
oF s
�>
(Name of Property Owner)
property located at U T4A'M 4' d
(Lot, Block, Road, etc.)
on OL 1J `Toc� ,_1 0 fie ; in J'lE1,-) sc Anl , N.C.
(Waterbody) (Town and/or County)
He has described to me as s o n below, the development e is proposing at ihat location,
and, I have no o e�ioRs/to is oposal. I understand
aA p' r/mooring
pilings/boatlift/boat of{sly{st et ack a minimum distance of itZ,��l') f m my area
of riparian access u less waive by m .
I do not wish to waive the setback requirement.
I 1 VN jva' e th f setback requirement. IN/A
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
(See the attached drawing)
S ignatu
1
Print or Type Name if
�-/Y- - e;l,Z 2 2-
Telephone Number
Date: 6 7— 36! ^o

MARITIME PARTNERS, LLC
300 W WILSON CREEK DR. PH. 252-637-0381
P.O. BOX 3147
NEW BERN, NC 28564
66-7162/2531 1341
6800565639 (/n
DATE 0 `� J )7
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PAY TO THE r1 / 'c' 1 �N $�C�
ORDER OF KK J
DOLLARS
first South Bank
NEW BERN, NCNP
2866&6208 /* -
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