42441_BOOTH, ROBERT_20050816

".-..-'"' ,... 6 ?�Oi�,«a.-c.,.:rh.' - -- :.�c•.....a .,.ag.�•--a,..�..,.V
F—`CA7 MA / ❑ DREDGE & FILL Jr
41
GENERAL PERMIT �'P �
i Previous permit #
E�New ❑Modification DComplete Reissue ❑Partial Reissue Date previous permit issued /`V
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 NC✓
[71.Rules attached.
Applicant Name Project Location: County � C ' `
Address t �''� } p�' F"J ` ` 4 ` f i ✓ ° Street Address/ State Road/ Lot #(s)
City 11 / State ��'' ZIP ! `f
ef
Phone # (`�f Fax # O Subdivision f
Authorized Agent 91 City- _ / / �` 1 " ZIP
Affected
7 CW ❑ EW L5 ETA L-ES ❑ PTS Phone # (J ) River Basin /V
AEC(s): ❑ OEA HHF ❑ 1H ❑ UBA ❑ N/A Adj. Wtr. Body
❑ PWS: _ K tHyman /unkn)
❑ FC: /
ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body
Type of Project/ Activity X f
Pier (dock) length
Platform(s) i k 11
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
r .
Other Yi jA9f
Shoreline Length J
SAM not sure yes no
Sandbags: not sure yes ho,
Moratorium: n/a yes hq
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
-I CA ,n v d
(Scale:/"'i )
9 j
f " See note on back regarding River Basin rules.
Agent or ApplicantArinte'd Name !
� A.
Signature "Please read compliance statement on back of permit"
Application Fee(s) Check #
Cf
Pe�ilnitOffic iEs Signature
s - � �1 r
Issuing Date /
Local Planning Jurisdiction
Expiration Date
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, certifythat this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
_1 Tar- Pamlico River Basin Buffer Rules Other:
L !I 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 (910-395-3900) for more information on howto complywith thesebuffer 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 / 1-888ARCOAST
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
151-B Hwy. 24
Hestron Plaza II
Morehead City, NC 28557
202-808-2808
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
910-395-3900
Fax: [phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
www.nccoastalmanagement.net
Revised 10/05/01

�-�.u�r�t„rl�� �vrtitut�� r�tcvY.�[i ]c VW1V�K,lA►"1"�:N'1'
(FOR A PIERIMOORMG Pff"GSBOATU BOATSOUSE)
I hereby certify that I own Property adjacent to �'L- - k) E"- () 0 1 ! I s
(Name of Property Owner)
property located at Lc,; ' L-
(Lot, Block, Road, etc.)
on in () ev 1 1 , N.C.
(Waterbody) (Town and/or County)
He has descn13ed to me, as shown below, the development he is proposing at that
location, and, I have no objections to his proposaL I understand that a pier/mooring
pi ingslboatliil/boathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
yr I do not wish to waive the setback requirement
I moo. wish to waive that setback requirement
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOFNEEN'r:
(To be filled in by individual proposing development) :
r '
P� —� --?
S'
Print or Type Name
Telephone Number
Date:

1 xi wi x ! an rKVrkK1 Y V W14. LK 61'AUM"'f
(FOR A PIERIMOORMG MNGSBOATI.lFlBOATSOUSE)
I hereby certify that I own property adjacent to Q L--k) ec7 ; QU i I IS
(Name of Property Owner)
property located at Lv k � LA 3 r2i i E ,
9,ot, Block, Road, etc.)
on in — C) 1 , N.C.
(Waterbody) (Town and/or County)
He has d=rfficd to me, as shown below, the development he is proposing at that
IMAM, and, I have no objections to his proposaL I understand that a pier/mooring
pi%ings/boatlift/boathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
I do not wish to waive the setback requirement
I -do wish to waive that setback requirement
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be J7led in by individual proposing development)
11 .
3
Telephone Number
Date: ,� l; ��'\ ti , 2 cr `)

a a e c u i t q n-d e o e u
r rr r. S e r G
INNERSANKS MARINE CONSTRUCTION, INC.
P.O. BOX 190 PH. 252-249-1429 1936
ORIENTAL, NC 28571
PAY z ' TO THE DATES �� ' VJ 66-30/531
ORDER OF � 472
Y Tw"
$ )oo• 6o
L v DO r -'
F' RS`T CITIZENS <,Z DOLLARS A R S 8
BANK e.
w First-CitizoBank 8 Trust C Oriental, N.C_ teit omparry �� I
® www.firstcitizeh .com ref
FOR
— eo� Pat, ir �r
11900 19 3611■ ,•
•0 S 3 100 3001:004
- =-_ 12012822118 ""