46761_BOOTH, ROBERT_20061018

❑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 I SA NCAC
Previous permit
Date previous p
Applicant Name V Project Location: County
Address i' 1 Street Address/ State Road/ Lot #(s)
City ' ` " State ZIP F�
Phone # ( ) ` Fax # ( ) Subdivision 6L'
ZIP
�;. Y
Authorized Agent �' r' Ci ty
!]-CW ❑ EW [ZZ PTA ❑ ES ❑ PTS Phone # ( ) River Basin
Affected ❑ OEA ❑ HHF ElIH ❑ UBA ❑ N/A {�
AEC(s): Adj. Wtr. Body (nat /man /unkn)
❑ PWS: ❑ FC:
Closest Maj. Wtr. Body r� ,
ORW: yes / no PNA yes, / no Crit. Hab. yes / no
�l` - '
Type of Project/ Activity
Pier (dock) length ) a` -> Ci
Platform(s) Y -s J
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
SAM not sure yes no
I
Sandbags: not sure yes (yo
Moratorium: n/a yes fso
Photos: yes no
Waiver Attached: yes ng) —
A building permit may be required by:
Notes/ Special Conditions
(Scale: �� )
i` ` o �- ['See note on back regarding River Basin rules.
Agent or Applicant Printed Name Permit Officers Signature
`=-= - = 1V�orehead City DCM I o
Signature "Please read compliance -statement on back of permit" Issuing Date Expiration Date
ApplicationFee(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 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
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 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

COMPLETE THIS SECTION
■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
{ ■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
Dew)t')�-j
CI o S.: sal ►� v�
U► 3v v 10 LFw�"(vTOn r -e (10
A. SignatureEg"Ap
X �A/1 �3 i 41't7t�V'e14' gent
B. Received by ( Printed Name) I C.
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
t r E'ICert'rfied Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
CScGtj 4. Restricted Delivery? (Extra Fee) ❑ Yes
{ 2. Article Number 7004 1350 0001 6557 7393
(Transfer from service label)
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540

UNITED STATES POSTAL SERVICE
First -Class Mail
Postage & Fees Paid
LISPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
P. 4

tWjh&T4 JCANi 1ciimurr i x Vwr4zK 6KATlIOALMf
(FOR A PAMWOORMG Pff..MYSIB OAZLU MB OAWOUSZD
I hereby certify that I own property adja,ca i to Cc, bC) z YLo(iTh _ 's
ofaine of Property Owner)
propertyIord at_ Lu i
01A4 Bhwlk, goad, mac.)
oa _ n .* 2� e ucey . , in ae c5oYn l , N.C.
(WaNMbodYIP (TOWN and/or Cauldy)
He bm descnbed to nee, as shown below, the developa� d he is p nWo*g at that
Iocat w a 4 I leave no d* cdm to his pa mp m aL I u&koMd that a grerlmoaring
m be setbackamin�um d'a acae offftm Aed 05j Roam mya=
fn of I%Rd access waived by me.
I da not wish to waive dhe sedw:k
I &o wish W waive that setback requirement
DFSCRIPMN AND/OR DRAWING OF PROPOfiM DEVELOPMENT:
(To be, fr7led is AY . . i&d pmpos&g devak ment)
wpoiz% 1Co PUW�).
®
a x
3 4 ----
57 I
i
1
s
15
14*6
Print oar Type Name
TeIq&m lumber

-- s - a — -5 - - -
u i s _
-
'
INNERBANKS MARINECONSTRUCTION INC. ` ' f `
P.O" BOX
An :1101
228o "
190 PH. 252-249-1429
ORIENTAL, NC 28571
.,
.
PAY
>X/
ss 30/ssl
DATE
'4A
<
TO THE
472
ORDER OF /is. /2
y
o -�� j m .
$
CITIZENS
DOLLARS
r
472 P Y
Fir 1 Citizens Bank & Trust Com an
�K Oriamal, N,C. 28571
ens.com,
Aww6vvwv.firstcit"�
FOR oljrHler
Q
'
II'00 2 280111 1• -
.O 5 3 i00 3001.00 4 7 120 128 2 211•
- r