40083_BRANCH, JAY_20041020

❑CAMA / L.J DREDGE & FILL
GENERAL PERMIT
El New ❑Modification LJComplete 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 15A NCAC_
-Ir..
I,A,A S 3
Previous permit #
Date previous permit issued
❑. Rules attached.
Applicant Name e: IN Project Location: County i
Address / t '% `! 'E Street Address/ State Road/ Lot #(s)
City Y r', i r� %` < <i ;' State '`l� ZIP f cJ ; �� ,l! ��' P r
Phone #6 '"% Fax # ( ) Subdivision
Authorized AgentCity ''f ��r �•V �,t ANT C /. - ZIP_
Affected
ElCW ESM* YO A ElES ElPTS Phone # River Basin lj�4--.QAk�,
i_ 1 OEA ElHHF ❑ IH ❑ UBA El N/A AEC(s): Adj. Wtr. Body (nat /man unkn_)
1 PWS: ❑FC:
ORW: yes / no PNA yes ! no Crit. Hab. yes / no
Closest Maj. Wtr. Body 6.t� c:/
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, chann�
x
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
J
SAV: not sure yes
no —
Sandbags: not sure yes
no
Moratorium: n/a yes
n.o
Photos: yes
no
Waiver Attached: yes
no
A building permit may be required by:
Notes/ Special Conditions
(Scale: > )
t�
tv
�} I %i,(
i ..
i
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
See note on back regarding River Basin rules.
r
�� /. � Fes, � ,,�,� �.y. f �,.�N.�•r..�
Permit Officer's Signature
Issuing Date Expiration Date
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, certifythatthis project is consistentwith the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar- Pamlico River Basin Buffer Rules
Neuse River Basin Buffer Rules
L_ 1 Other:
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 Elizabeth City District
Mailing Address: 1367 U.S. 17 South
1638 Mail Service Center Elizabeth City, NC 27909
Raleigh, NC 27699-1638 252-264-3901
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888ARCOAST
Fax: [phone]
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

FIRST CITIZENS BANK
MOREHEAD CITY, N.C. 28557
OUTER BANKS MARINE CONSTRUCTION, INC
1501 FIRST AVE
MOREHEAD CITY, NC 28557
[phone]
1236
66-30/531
137
1 0/1312004
PAY TO THE $
ORDER OF
onp Hundred and 00/1**************�**************��:*****�****�******�*�*******�*** DOLLARS
D.E.N.R.
MEMO
1:053L00300i:OO1312L82L
11'00 12 361"
OUTER BANKS MARINE CONSTRUCTION, INC
1501 FIRST AVE
MOREHEAD CITY, NC 28557
[phone]
PAY TO THE
ORDER OF
D.E.N.R.
FIRST CITIZENS BANK
MOREHEAD CITY, N.C. 28557
1265
66-30/531
137
10/25/2004
$ * * 100.00
************************************************************* DOLLARS
MEMO `JAi/
11100 12 6 SOi:0 5 3 L00 300400 L 3 L 2 L13 2 L 2 11'

ADJACENT RIPARIAN MOPE- RTX OWNER STX11EMF,NT
(FOR A PIER/MOORING 1'1LINGSIBOATLIp'IYBOATIIDUSF)
I hereby certify that I own property adjacent
property located at
(I.ot
or,-
(Waierhody)
lie otjProperty Owner)
w1c, Road, etc.)
in L5
('i'own and/or Co-IYnty)
I
N.C.
Ile has described to me, M shown below, the development lie is proposing at that location,
and, 1 have no objections to his proposal. I understand that a pier/mooring
pilings/boatlift/boathouse: must be set back a minimum distance of fifteen feet (151) from my area
of riparian access unless waived by mc.
I do -not wish to waive the setback requirement.
1 do wish to waive that setback requirement.
---------------------------------------- --- ----- - - ----------------------
D SCRiP'TION AND/OR DRAWING OF PROPOSEll DEVELOPMENT:
(7o he filled in by individual proposing tie Velopneent)
P9 Fa I vzo
OCT 13 2004
Morehead City DCM
------------------
Signature
Print or Type Name
Telephone Number
Date; v V 6 0

w.dnesday, CctQO*i 13. 2004 9:30 AM Tim G(kres [phone] p.04
ADJACENT RIPARIAN PROpIMTX OWNER STAy'E1j'jRM
(FOR A PIRRJMOIy M, PjU1V0S✓BOA7zj 7 &U7Tj0VSI:)
I horu6y certify that I own property Ascent to- —) •
Sall of y Ovi Mc)
rely IocWcd at O
( .o(, Block, )!toad, etc.)
-iVVN.C.
and/or County) W
Ile bU d=fibad 10 M as sS►own holow. the ► "oprnwt Iw is prOposing ►t th%t location,
and, 1 hRve no oojeotlons to hi« praposrl. I uadwsand that a pWimoodag
pitirt&.c/boatli(t/beuthbu>➢c must be set back a minimum dlstanoo of fits; m finet (u ) rmm my arm
of riparian acaaut unless waived by nx-
_ _ I donut wish to waive the setback rrpuircmont.
140 with to Wsivo that wAback re►1Wmij1GnL
ntzaarrioN ANDKM DRANMG OF PROPOSED IDEVELUPP Wxr:------
Rb be fitlyd in by ln4Wmal proposing Asvglopmeou) IE
I VED
5a F-1w (*{� R1 OCT 1 3 2004
Morehead City DCM
Sijntature —�---
90 to
i'cint or Type Nsmir
�Jsr ►I-<d'iV--�o��
V Telephone Number
" S Date, I t 3 o `�C

OUTER BANKS
1507 First Avenue, Morehead City, NC 28557 MARINE CONSTRUCTION(252) 240_2525 DOCKS - SEAWALLS _ qOA-HNC DOCKS
Dealer For Tide Tamer Bo,arllFZs
4 !IE; -� y
u
3cwzP
g C-1 -Po �bvs
P9 1EIVED
OCT 1 3 2004
Morehead City DCM
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11