42474_EMERALD COVE SUITES, LLC_20050808

r _ /
1 CAMA / 3 DREDGE & FILL 'WJ
GENERAL PERMIT 'J
Previous permit #
LINew DModification lComplete Reissue ❑Partial Reissue Date previous per
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
Applicant Name (t `r( /I ' - ^ / `�i G1 - Project Location: County
Address Street Address/ State Road/ Lot #(s)
City State VC ZIP
Phone # I ! Fax # () Subdivision-
Authorized Agent ` A , City ZIP_
CW ❑ EW ❑ PTA ❑:ES ❑ PTS Phone # ( ) River Basin
Affected
AEC(s): ❑! OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body
❑ PWS: ❑FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no
Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length J i
avg distance offshore_
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
J
SAM not sure
yes
(no
Sandbags: not sure
yes
ono
Moratorium: n/a
yes
`no
Photos:
yes
Cno,
Waiver Attached:
yes
�io —
A building permit may be required by:
Notes/ Special Conditions
i
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
7 4 .
P, k
(nat /man /unkn)
(Scale: )
❑ See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Date Expiratio Date
LocalPlCnning Jurisdiction Rover File Name

i�
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 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 (910-395-3900) 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 / 1-888ARCOAST
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.nccoastaimanagement.net
Revised 10/05/01

SHORELINE MARINE CONST.
ASHLEY BROOKS NCDL 7666496
PH (252)-646-3212
601 PELETIER LOOP ROAD D24
SWANSBORO, NC 28584
PAY
TO THE
ORDER OF.
Two
NCl DE d9
28011972
66-21/530
p IINCH 11111
DATE o `l b 5
Waohovia Bank, N.A.
f�(( Cwachovia comm , .�
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$0200. a�7

II
ADJACENT RIPARIAN PROPERTY OWNERS TE W9 2005
(FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE)
Morehead City DCWi
_. I hereby certify that I own property adjacent to
(Name of Property Owner)
located at Z,30,n ,
property (Lot, Block, Road, etc.)
on �aG'�t� SD�,{,�D ,in G-A6,MLl�. ISL , N.C.
(Waterbody) (Tovn and/or County)
He has described 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
pilings/boatliftJboathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access tin.less waived by me.
I do not wish to waive the setback requirement.
I �lo v.-ish to waive that setback requirement.
___ - - -
DESCRIPTION AND/OR DR "WING OF PROPOSED DEVELOPi\'IENT:
(To be fcl n bY indIrLdual proposing derelop»cent) PRoPZ)SE-4>
i
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F_�J 5Tln1G- SEA►N L
Signature
Print or Type Name
.252-- 55y-z2--72-
Telephone Number
i)ate�

ADJACENT RIPARIAN PROPERTY OWNER
(FOR A PIER/MOORING PILINGSIBOATLIFT/BOAHFWd g inn
certif that I own property adjacent to/�"`"
_. I hereby y P P
(Name�o—f ropei-ty Own
er)
PPero rt located at
y
(Lot, Block) Road, etc.
►D ESL t , N.C. _
(Waterbody) (Town and/or County)
He has described 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
pilings/boatlift/boathouse. must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me. M
I SDI wish to waive the setback requirement.
I 1Ss wish to .valve that setback requirement.
___ - ---------------
DESCRIPTION AND/OR pl2UC VING OF PROPOSED DEVELOPMENT: yr
(To be ftl rt by individual proposing devclopment) PRo PaSE-4>
Do -'x 1,'
Sou O D lx�I e-yCTf:- 0S 10
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Signature
�u RI`is G/U�l
Print or Type Name
Telephone Number