51558_KURATOMI, SPENCER_20071002

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❑CAMA / ❑ DREDGE & FILL a
GENERAL PERMIT Previous permit #
01',,lew [JModification ❑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
Q Rules attached.
Applicant Name
Address
City State ZIP
Phone # ( ) Fax # ( )
Authorized Agent
El CW ❑ EW ❑ PTA
Affected
a 0EA ❑ HHF ❑ IH
AEC(s):
❑ PWs: ❑FC:
ORW:
yes / no PNA yes / no
❑ ES ❑ PTS
❑ USA ❑ N/A
Crit.Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
CityZIP
Phone # O River Basin
Adj. Wtr. Body (nat lman /unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale: )
Pier (dock) length
Platform(s)
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
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Shoreline Length i + 4-
SAV: not sure yes no—
iSandbags: not sure yes no {
Moratorium: n/a yes no {
Photos: yes no _ ('
Waiver Attached: yes ` no —
A building permit may be required by: "' ' !, LJ See note on back regarding River Basin rules.
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Permit Officer's Signature
Issuing Date Expiration Date
Local Planning Jurisdiction Rover File Name
Application Fee(s) Check #

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:
❑ 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 (910-796-7215) for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Raleigh Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888ARCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
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)
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 08/09/06

nUb GI CUU / 1 : U /rI-I nr, L-nocK.JC I Jcuu P. 2
Aug 28. 07 10:56a . Derek 252-247-4427 p.2
WA
NOM Carolina Department of Environment and Natural Resources
DMvisbn Of Coastal Management
MOM F. Eeft, Goya w Chula & Jont;rs,l Director %am G RWO it.. Sembw
ApptisaatlVams ���9C4i1(Z jQ- �Lj,�a�7� �
M■Uing Addreas `Q ri
i candy hoot I b "e andwrked (agent) hmac rl noo v jW- c �Jo act on my
ba-K for the parpsoe of applying for and obtaining ail CAMA Permits necessary to
Inahlt or c enstrnct (sedritt) 1� i.rt_ i I! k_rac4 !2
IWs certification is valid Om (date) 3 GF 6
Sigoatore
400 Cocmnme Avenue, Morehead City, Nodh Caw na 28b67
Phone. [phone] FAX: [phone]intemei: wwwj=oast9Im9naq&ffwanet

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252'?47-4427 252 247 4�?27 P 2/2
ADJACENT RIPARIAN PROPERTY OWN OR STAT bWM
(FOR A PMR/,MlOORZNG PIXINMMATUMBOATHOUSE)
I hereby certify that I Own property adjacent to 5 &1UCAF,
gkkToM1 %
04ow vt ProPr4 Ow91tr br A at)
Mailing address if different firm location address p . o ?
(tovrn, state and zip)
phone numbers you can be reached at L,? a R K 703 y/y--G `4 f _ l �i �wS 703 �' u '03."
property located at
40
9A4 Btod6 Road, eta)
oQ(/�''iw_S`f_ A/ ✓aA in Am'
(yyaWbok) rrQVM anaer CST)
1-k has desanbed to nw, as shown below, the developtne at he is proposing at thst location,
and, I have no objec dons to bciss proposal. I and�erstand t ud a piednworl%pilingslboatl tlb°ath°use
must be sd back a mLwmum distance of fifes feet (15) from my am of riparian access unless
waived by me.
I do aot wish to waive the setback requitement
I do wish to waive that setback mWire aM
i�
DES CE OMON ANMR DRAWING OF PROVOSM DEVELOMM:
(To be f aad in by he&viduai proposing dereJoprn nO
e oc'iype Nc*
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BOGUE BANKS MARINE CONSTRUCTION, INC.
PH. 252-247-4428
111-D TURNER'S DAIRY RD
MOREHEAD CITY, NC 28557
PAY TO THE
ORDER OF_
c -� b--kj) 12�
Wachovla
W achovia Bank, N.A.
wachovia.com
66-21/530
MEMO
AUTHORIZED SIGNATURE
11000 5 4 9 71ia I:0 5 3000 2 L 9i: 20000 2 48 3 L 40 21+l
5 42 7
iDCL LARS 19,