41942_CAMERON, EVERETT_20050706

LAMA / REDGE & FILL (`O -1
GENERAL PERMIT � Previous permit #
New "CModification ❑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
n ❑ Rules attached.
Applicant Name _ 'e, ,174� roA-1 Project Location: County e-, , :y
Address _
City-- a, *�; State_' _ ZIP
Phone # Fax # O
Authorized Agent ✓� _� r' ` '' S
Affected D CW ,D EW n'PTA ES ❑ PTS
AEC(s): D OEA ❑ HHF -1 IH is !! USA ❑ N/A
❑ PWS: ❑FC:
ORW: yes / no PNA yes / no Crit. Hab. yes 1 no
Type of Project/ Activity
Pier (dock) length____
Platform(s)
Finger pier(s)_ —
Groin length
number
Bulkheadl'Riprap length
avg distance offshore_
max distance offshore
Basin, channel
cubic yards
Boatramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length.'
SAM not sure yes no
Sandbags: not sure yes do
Moratorium: n/a yes no
Photos: yes 00i
W ' A h d•
Street Address/ State Road/ Lot #(s)_
Subdivision
i
city--1,;. i ZIP
Phone # () ' �' ' ' r �1 7 River Basin
Adj. Wtr. Body ''`'`�' _(nat man unkn)
Closest Maj. Wtr. Body, �'=�'� <• '
(Scale: )
v -
aver ttac a yes
A building permit may be required by:
Notes/ Special Conditions
i
Agent or Applicant PrJ*ed Na i
Signature* Please read compliance statement on back of permit
Application Fee(s) Check #
n
See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Date
Expiration Date
Local Planning)urisdiction
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 Other:
L_j 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 how to comply with 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 / 1-888-4RCOAST
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.nccoastaimanagement.net
Revised 10/05/01

TUN-18-2005 09:34 FROM:ALLAN SHELOR RERL ES 252 247 0759 TO:252 247 6332 P.1
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ttrtc-cU-cuUk i Ur. ve . uc rrt KV U t v Ur t,vr,a i HL 11VI IA 1 r nn Au. +
ADJACENT RIPAIUAN lgtOPT,WrY OWNT1k STATEMENT
(FOR A PIERIlttO(7,RINN"PILINCSI,8oATL1FrInOATHOUSG)
I hereby Certify that I own property adjacent to Ownee)
(Nasnc Ofrroperty
�� �( 1 ,Morehead silty uum
yro}k:ty la:atcct at ..
(1,ot, Mel,, Road, etc,)
N.C.
(Wnterbody) (Town and/or County)
lie has cleseribcd to me, as shown below, the development he is proposing at that location,
and, J have 110 objectioni to his proposal. I understand that a pieri(nooring
pilin(slboatiiftiboathcnise must t)c set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by inc.
___ J s1o_r�sai
wish to waive the setback requirement. t.
I .do wish to waive that setback requirement.
UJ:SC'RII*1'(ON ------
AND/OR DRAWING OF J'ROPOSED I1J,;Vr1,0PN1EN'J':
(TO he filled ill by ia(flvid"01 proposing develop"Icni)
Print or Type Namc
Telephone Nu nbcr
Date:
APR-20-2004 02:03PM FAXc4 ID-ALAN SHELOR REAL EST PAGE:002 R=100'

06/17/2005 14:30 9199362130
Monday, June 13, 200512.05 PM
NATIONAL NETWORK
Tim Grimes [phone]
PAGE 02
p.02
ADJACENT REPARTAN MOPEtTY OWN R STATP:MF�IT
t OR A IY RI�Lff�t7RING 1'1%INGS/R0,4TT.lFT/BOATrIOUSEt
I hereby certify tm l own property AAllnoont to i j^(� 's
(NNE of Property Owner)
preNny located at
UA, 181ock, Road, etc.
(VVaierbntly) rrclo rt a�Collnt;��
or
Fla h:ta dCscrIl tv me, as shown below, the devnk+�ment he is proposing at that location,
'Ind, hlvr >>o oU;ections to his luoposal. I understand that a pier/mooring
�ilifl;+,�ii�Mtlift/l)ovhe�,s, must be a minimum distance & rift= feet { 5 `) from my art a
of rlporian lccesF unless wttivcd by mc.
...., .../._. 7 dQ-401 wisf) tt) w;live the settmek requirement,
Tito wish to w�)ive t1lat gcihack requirement.
DFSCItYi'';s'fON AND/OR DRAWYNG i0F rROrOSri) DEVRI.OPIi:Nt t r -----
(•%o he filled in Z). rjdlvidWaJ p,-vpvstrtg (tcvel0p1ne11r)
---------- - - - - -------------------------------------------------------- --- ------
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Pant or Type Name
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TCtepttpne Number

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FIRST CITIZENS BANK
MOREHEAD CITY, N.C. 28557
OUTER BANKS MARINE CONSTRUCTION, INC 1591
1501 FIRST AVE 66-30/531
MOREHEAD CITY, NC 28557 137
[phone]
PAY TO THE AMINO
ORDER OF
D.E.N.R.
MEMO
III 00 159 111' I:0 5 3 100 3001:00 1 3 1 2 18
DOLLARS
12