49852_PALMER, BILL_20070803

❑CAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit#
❑New ❑Modification El 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
jj El Rules attached.
Applicant Name R t !' I /1 F Project Location: County !'
Address IS, >' ? Street Address/ State Road/ Lot #(s)
City State s /C ZIP
Phone # O_
Authorized Agent
Fax # ( )
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ElUBA ElN/A
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Type of Project/ Activity
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
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
Agent.q�Appli rinted Name /
Signature Please read compliance statement on back of permit
Subdivision
City
►w'
Phone # ( ) River Basin L , j,. (" '
Adj. Wtr. Body r ? (naf /man /unkn)
Closest Maj. Wtr. Body
(Scale:
t
❑ See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Da et Expiration Date
f _t
ApplicationFee(s) Check# Local Plan ningJurisdiction
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
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/ 1-888-4RCOAST
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

JUL-17�- 2007 10:43 PM SHORELINE MARINE CONST_ 1+252+393+7934
P.01
( 4
Shoreline Marine Construction
Viers and Boat Lifts, Inc. 580 PEARSON CIRCLE NE'WPORT, NC 28570
N.C. LICENSED MARINF- CONmTRUC1r'0N CONTRACTCiR #62746
ri
abrooks1 [e-mail]
FAX COVER SHEET
ATTN:
TC] /
FROM: 4561-�e
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TQTyAC, PAGES SENT
(including this cover) 09
DATE: 7/t.,/0 -7
FAX #: ;? -'7 - 3 3 3 c;o
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SUB
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JUL-174-2007 10:43 PM SHORELINE MARINE CONST. 1+252+393+7934 P.02
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JUL-17E2OO-7 10-44 PM SHORELINE MARINE CONST. 1+252+593+7934 P.O3
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ALVXVA
AR&AIL
Not Carolina Departm®nt of Environment and Natural Resources
Dlvlalon of Ceartal Mainapament
Micheal F, Easley, Govsrncx Cherlse $, Jones, Director WIlllam p Rorw fir, 6eoroi�ry
Dato
Applicant Name /0 A>
l aging Address 13C1, X f a� �A �e �
i cw1W that i have authartred (aunt) _ 5' O 1fr A i v F su*, /, Z`y�
,ram do oat on ttn3T
behalf, for the purpose of applying for and obtaining All CAMA Permits necessary to
install or construct (Activity) OO, 0 .P pG,WL
s
at(location)
This certiticotiou is valid thru (date)
Signature
400 commerce Avenue, Morehead City, Wh Car6ha 28557
Ph"$"" 262.808-2808 i FAX, 252-247-33301 Internet; www.nm.cogstal*r.ar.egement net
Ar EquR Em*ytr -90% Reoyded', ' 9% Pw CQisurrer Payer

JUL-17t2007 10:44 PM SHORELINE MARINE COHST. P.04
(FOR A PIER/U00JUNG PII.PIVWROArUl"IY1JUATHOUSE)
I hezoby certify that I own prowy Wa=t to ,el: Yrip T"�1b 1►�
r�iN,\C�Sk♦�:wy QT.uuI Y1 ��\Ylia
-MaillU addmas if diffbrar.t from loaation
(town, state and xtp),.v -V.:g 5-4* Cf�ee, :!ii`
phone numbers you con baraa6ad ac.. r ��_ d 7 :5 - ( z 5-
pruporty 10Catad at , e' k �t/ `� P It0J :Z-50 k�ac�
(Lct, Dior -It, xoed, eta)
(W�terbodyf (re,re aodlm �auaty)
Hr has dcm-'bed w me, u Lhout b*taw, the douolopmant bo is prop4oitkg at tho laa lw,
and, l4vo no objectons to his proposal, I Un&ritwd thAt a pierh7MrWg pilingjVb,oattlkftRthp se
01A I minimil<;r dj%pgA of J1 W fml f 7i) firm try Mrrr of riruinn nri-no imlrrt
w�tivkl Ly qua., '
I" wish w waive the setback rtqui =cnt.
Wtka
142 wilb tQ Yt9ye SNA natback taquhmat,
DE5CtIi'TION AMOR DRAWING OF PROPOM DEVELOPMENT:
(ro br,utedin by txa7WdeeotprnpaAn,$ d0a1oyMOnt)
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JUL-176-2007 10:45 PM HURELINE MARINE CONST_ 1+252+393+7934 P.05
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(FOR A PlfiR1Af"00ArNG j*WNG"0Ar'id.FTMpApHOUyB)
I beraby certify that I own property adjacent to 16t._ i�r�7r�trys►.?„
(Nrn't Of property Owner or Appfleant>
Nlailiq address if diffetant (ratn location address
(town, state and zip) _
phone numbers you cin be reached at
property located it
MA J316* Ralt1% Ott)
on �.- •—..�`.SL` `�+�
(WAftrbody) (Tpvra asdl& couwy) N.C.
He has described to L& shown below, the d"akpmant he ie propoiin$ at that location,
and. I have no objecdoru to leis proposal. I understuld that a plot/moaring gWuss/baadift/baftoasc
must be sat batik a zilydi ►= distance of nftmau feet (15) from my &MR of ripaxin acceaa uln'ese
waived by me.
140 101 wish to waive U setbatk requim=,At,
,►e.b� I k wish m Waive that Setback requireLaetlL
DUCRMION ANMR DRA'V ]NG OF pRopWED DEYUOi 'T:._..._ t
(To be fated In by iudtrtduWprpp sing dsvtj trlt)
Plot of 7* N&M
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FOR
SHORLINE PIERS & BOATLIFTS INC.
DBA SHORELINE MARINE CONST 252-642-3212
ASHLEY BROOKS NCDL 7666496
580 PEARSON CR
NEWPORT, NC 28570
PAY
TO THE 1
ORDER OF / �/ ,f/C N
WACHOvra
Wachovia Bank, N.A.
wachovia.com
2114g I �a
11600 5 4 2 7no I:0 5 3000 2 191:
5427
66-21/530
BRANCH 77614
DATE � �% D %
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