47043_MONTIGUE, HARVEY_20061121

El CAMA / ID DREDGE & FILL
GENERAL PERMIT Previous permit #
E�New ❑ Modification L]Complete Reissue OPartial Reissue Date previous perm' lssued
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
D Rules attached.
Applicant Name Project Location: County_
Address Street Address/ State Road/ Lot #(s)
"Y
State zip
Phone # Fax # Subdivision
Authorized Agent City r ZIP
El EW LJ PTA LJ ES Ll PTS Phone Affected El CW River Basin
El OEA El HHIF 0 1H D UBA D NIA
AEC(s): Adj. Wtr. Body (nat /mari',;Junkn
El Pws: 0 FC:
ORW: yes / no PNA yes / nod' Crit. Hab. yes no Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) length
Finger pier(s)
FLPlatform(s)
(Scale: /Vo
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
;r
/-4
I
cubicyards
Boat ramp
Boathouse/ Boatlift JTN
Beach Bulldozing
Other
Shoreline Length
SAV. not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
U
T
❑ See note
i,
71
- ------
on back regarding River Basin rules.
f"All .4 e—
AgentorAppliqant,,Printedo. 4
- Z.
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:
0 Tar - Pamlico River Basin Buffer Rules ❑ Other:
L7 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
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/ 1-888ARCOAST
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 06/29/05

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT FOR CAMA
MINOR PERMITS
I hereby certify that I own property adjacent to Wp,2a r y L �t kj T2�.it, ilf 's
(Name of Property Owner)
property located at
(Address, Lot, Block, Road, etc.)
on CA N e.L , in t�,,, V-wL In , 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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
�s &TF"�w I ?'J 6-1 �
A.
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2
�J Aew-& w,cL "OF-- ��r�
Signature
Print or Type Name
Telephone Number oz Sa - — x17S S
Date: G' - "e'l - D 4

LISPS - Track & Confirm Page 1 of 1
UNITEDSTATES
POSTAL 5JERVICEP Home I Help
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Label/Receipt Number: 7005 1820 0001 9309 6634
Status: Unclaimed
Your item was returned to the sender on October 25, 2006 because it
was not claimed by the addressee.
iddifirxtat &dta fs> I tg Reforn to USP cnrrir MMM > 3
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10/03/20 6
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11 /21 /2006

10305 Penny Road, Raleigh NC 27606
montaouebldgO-earthlink. net
919362-7336 or919-362-7477
VUl Certiffed Mal
October 2, 2006
Eleanore R. Mehlin
125 Broadview Circle
Brevard, NC 28712-3105
Dear Mrs. Mehlin:
According to the rules of Costal Management and the city of Pine Knoll Shores we must inform
adjoining property owners of any changes we propose to make in the pier, dock, pilings, breakwater,
boathouse, or lift area.
Enclosed please find a copy of our proposed changes as well as the adjacent Riparian Property Owner
Statement for CAMA Minor Permits, and the notification/wavier form. Should have any questions or
need further clarification please let me know you can reach on my cell phone at 919-868-3586.
Thanks in advance for your consideration.
Sincerely,
Harvey Mont e
Enclosures

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
(Name of Property Owner)
property located at a Q ,
(Lot, Block, Road, etc.)
on Cou', '�' , in [! h� L)3 I S h-rUN , 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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
VV C, ev v —pD
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4;�) -t�-e�y 0�-Cr'
Signature
Print or Type Name
Telephone Number
Date:

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Alan G. Bailey
PO Box 93, Morehead City, NC 28557
504-0737 • 726-5443

Montague Development BRANCH BANKING AND TRUST COMPANY 21249
10305 Penny Road Cary, North Carolina 27511
Raleigh, NC 27606-9107 66-1121531
919-362-7477
PAY TO THE A /� ? >� , /� I
ORDER OF �VJ
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