42737_DALLER, GREG_20050819

17 CAMA / ❑ DREDGE & FILL
• GENERAL PERMIT
ENew ❑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
Applicant Name 6 reC ct-
Address
City_ I.lt'U;lC'fSV 3f State ZIP
ZIP
Phone # (61 D) 2 '] - 7 % Fax # ( )
Authorized Agent ( 6 N iu e ,1
Affected 2 CW ❑ EW W PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
[_, PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no
Type of Project/ Activity
Pier (dock) length c 9
Platform(s)_ ? 4'
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
Sandbags: not sure
yes
Moratorium: n/a
yes
r�
Photos:
yes
`R'o
Waiver Attached:
yes
A building permit may be required by: �'"�/l t-
Notes/ Special Conditions
,(,0 1W t GO N
App scant Printed me A^
'7
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
Q !273
Previous permit #
Date previous permit issued
❑ Rules attached.
Project Location: County '' 414' i -z: / • 1
Street Address/ State Road/ Lot #(s)
c#dE',-Af , e-t
Subdivision i is ' X) :. C e re
City AjC- ZIP ?A`; 7: '
Phone # ('"l ,2�'? rI %� �� River Basin A �l �-�--
Adj. Wtr. Body (nat Jan /unkn)
Closest Maj. Wtr. Body
(Scale:
❑ See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Date Expiration Date
X9 1 11 —
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, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
E Tar - Pamlico River Basin Buffer Rules
[_; Neuse River Basin Buffer Rules
L] 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 (910-796-7215) 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/OS

ROGER CONNIR
DBA OSPREY MARINE CONSTRUCTION
NCDL 3687618 Ph 252-728-4980
2773 Hwy 70e
w Beaufort, NC 28516
PAYTHE j�/v�
ORDERER OF G`
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616
66-21/530
7 v ) BRANCH 77585
DATE/
WACHOVIA
Wachovia Bank, N.A.
W,ach(o�via�.cj�' J
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A.DJ4CX T RiPAPIAN PROPrRTY OWNER STATVXtXT
I hereby certify that I cwn property ad;acont to:
property located at,
near ( water body) _ ..�..r .....--«
in, (Coklnty)
The applicant d*ecribod to ma as shown below, the dsve3opz*nt
he/she is proposing in that ?ocatiot and:
I have no %sbJ`ctions to this pt-oposa!
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I do haxv• ot> jectioris to tt� is proposal
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ba.asc ription and/or dra f proposed dsvalopment� / ✓ Y
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OSPREY
MARINE CONSTRUCTION
Docks • Seawalls • Osprey Nest • Boat Lifts
Marine Repairs
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252-728-4980
ROGER CONNER