49702_MUSELLA, MARTIN_20070707

❑ CAI MA / ❑ DREDGE & FILL �. 49702 C
GENERAL PERMIT Previous permit#
❑New [-]Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural s urces
and the Coastal Resources Commission in an area of environmental concern pursuant to 15 NCAC
❑ Rules attached.
Applicant Name ' !`0'1', y.j 10, f Proje Location: County t : v
Address i / , J �r '^ 1I A ST r-' I 1 - Street Address/ State Road/ Lot,# s
City ' t 1 ! 4 �f 1' State ZIP
_ ;
Phone # # O Subdivision
Authorized Agent �, „��%11/ City —I,. `, ZIP
❑ CW ❑ [IEW ❑ PTA Ris PTS Phone # ( ) 7 ' ` - River Basin ('
Affected ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
AEC(s): Adj. Wtr. Body `. r'r ; r ; n man unkn
❑ PWS: ❑ FC: J
ORW: yes / no PNA yes / no Crit.Hab, yes / no Closest Maj. Wtr. Rudy_
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length L I.
avg distance offshore r
max distance offshore'
Basin, channel
cubic yards_
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAV: `•. not sure yes no_ --
Sandbags: not sure yes (fo
Moratorium: n/a yes (no
Photos: yes
Waiver Attached: yes cna
A building permit may be required by:
Notes/ Special Conditions
1
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permi ,
Application Fee(s) Chec
(Scale: )
VSee note on back regarding River Basin rules,_
Permit Officer's Signature `
IssuingDatd �, Expiration Date
r
I/1 1;t �� Ca; >!ti'nz"z 95 IAA
Local PlanningJurisdicfion 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:
❑ 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
Morehead City Headquarters
Mailing Address:
400 Commerce Ave
1638 Mail Service Center
Morehead City, NC 28557
Raleigh, NC 27699-1638
252-808-2808/ 1-888ARCOAST
Location:
Fax: [phone]
2728 Capital Blvd.
(Serves: Carteret, Craven, Onslow -above
Raleigh, NC 27604
New River Inlet- and Pamlico Counties)
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)
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

MAR 23,2007 16:13 Boque Banks Marine Const [phone]
Page 4
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MAK 23,Z007 16:13 Bogue Banks Marine Const [phone] Page 2
ADJACENT RIPARIAN PROPERTY 0 WNER STATEMENT
1 hereby certify that I own property adjacent to - - v/ Z �j��( -C�
44
(Naive of }' W~ Jty Owner; —
PrOPUty located at
(Lot, Block, Road, etc.)
C.
T 7Q an / Tt� uSE /�Iy�� in _ 41 �Cl-) 0
—
Lt N T
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('aterbody) (Town and/or County)'v
He has described to me as shown below, the deve!opment he is proposing at than.
znd, 1 have no. cbjeCvions to hisproposal, J
l�CC UN r
DESCRIPTION A'ND/FOR DRAWL;(; OF PROPOSED DEVUJ)PMJENT
CM
(To be,�'lled in by ircrliridual prapasing deve1prm4rnt)
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Print or Type .Name
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Telephone Number- -

BOGUE BANKS MARINE CONSTRUCTION, INC.
PH. 252-247-4428
111-D TURNER'S DAIRY RD
MOREHEAD CITY, NC 28557
PAY TO THE
ORDER OF_
D
MEMO
Wachovia
Wachovia Bank, N.A.
wachovia.com
66-21/530
5333
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N
0
DOLLARS 8
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AUTH RIZED SIGNATURE
11000 5 3 3 311' i:0 5 3000 2 L 91: 20000 2 48 3 L 40 211'

CERTIFIED MAIL — RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER
FORM i Y�
Name of individual applying for the permit: Iy `art-+ n L ' ' ' I t,tS�acz
Address of property: r� �% Ttld t a (1 1 Q
Mailing address • I Ll
(Lot or street#, street of road)
%eJ il(e, j U ft . a
(City & County)
Phone number you can be reached at 9 a 3-- H 1 L — (OLQtJ`"I
Lha-e, 1 i)L
ip 9's(0
I hereby certify the I own property adjacent to the above referenced property. The
Individual applying for this permit has described to me (as shown on the attached drawing)
the development they are proposing. A description or drawing, with dimensions, should be
provided whit this letter.
I have no objections to this proposal
If you have objections to what is being proposed, please write the Division of Coastal
Management, 400 Commerce Ave., Morehead City, NC 28557 or call [phone] within
10 days of receipt of the notice. No response is considered the same as no objection if you
have been notified by Certified Mail.
Waiver Section
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift or sandbags
must be set back a minimum distance of 15' From my area of riprap access unless waived
by me. (If you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement
I do not wish to waive the 15" setback requirements
Signature
Print Name
Telephone number with area code
Date

i2 9fiLO 2000 09L.2 900L
- I
IIIIIIIIIilllllll{l U'S. PAID POSTAG
�g rGREHF 28557
UNrrEDST6rFS
� J}. MAY 19. 07
POST- SERVIC AMOUNT
0000 $5.21
27408 00019767-0;
Y 1L/
8 r3
OA ❑INSUFFICIENT S
c ❑ATTEMPTED NOTT KNOWN A OTHER
❑ NO SUCH NUMBER/ STREET
S ❑ NOT DELIVERABLE AS ADDRESSED
UNABLE TO FORWARD

■ Complete items 1, 2, and 3. Also complete
r item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
� w"1
�V�Ccn �v'l�
f
3
SECTIONCOMPLETE THIS DELIVERY
A. Signature
X ❑ Agent
- - `M ❑ Addressee
B.',�cceived by me) C. Date of Delivery
D. i�,0elivery address differed from item 1? ❑ Yes
VES, enter.delivety°- dd • ss below: ❑ No
3. ice Type
rtified Mail ` ❑ Mail
_Registered -Q sReceipt for Merchandise i
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7006 2760 0002 0746 2436
(Transfer from service label)
<' PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 y

UNITED STATES POSTAL SERVICE
First -Class Mail
Postage & Fees Paid
LISPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
30j
tilK� S orr ot,pi
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