60202_TOWN OF MOREHEAD CITY_20120510

❑CAMA / D DREDGE & FILL
P No. 60202
,GENERAL PERMIT
Previous permit#
❑New -lModification ❑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
❑ Rules attached.
Applicant Name
Project Location:
County
Address _
Street Address/ State Road/ Lot #(s)
City- State ZIP
Phone # ( _) _ Fax # (- )
Subdivision
Authorized Agent
City
ZIP
Affected -i CW I _ EW G PTA ❑ ES ❑ PTS
Phone # ( )
River Basin
AEC(s): F1 OEA 11 HHF _] IH ❑ UBA ❑ N/A
Adj. Wtr. Body
(nat /man /unkn)
❑ 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) i
Groin length
number
'
Bulkhead/ Riprap length
avg distance offshore _, ``'`I
max distance offshore
Basin, channel - L_ - -- - ----- - - --
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
.1y, .
Waiver Attached: yes no -.--
A building permit may be required by:
Notes/ Special Conditions
(Scale: i
4
i
C See note on back regarding River Basin rules.
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Permit Officer's ignature
11
Issuing Date Expiration Date
Application Fee(s)
Check #
Local Planning Jurisdiction
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)

A,:plicart:
Date:
Describe below the HABITAT disturbances for the application.
found in your Habitat code sheet.
All values should triatch the name, and units of measurement
TOTAL Sq. Ft.
FINAL Sq. Ft.
TOTAL Feet
FINAL Feet
(Applied for.
(,4nticipated `final
(Applied for.
(Anticipated final
DISTURB TYPE
Habitat dame
Disturbance total
disturbance.
Disturbance
disturbance.
Choose One
includes any
Excludes any
total includes
Excludes any
anticipated
restoration
any anticipated
restoration and/or
restoration or
and/or temp
restoration or
temp impact
ternimpacts)
im act amount)
I lemn im acts)
amount
Dredge ❑ Fill ❑ Both ❑ Other
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ROW TO STERN YACHTS SERVICES INC 715
PO BOX 596
ORIENTAL, NC 2.8571 66-30/531
A L- 472
Pay to the Date
I
Order of !I \ / l I ZD u © U
Dollars
First Citizens
Bank
For
NP
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Apr 02 12 1 1:05a Bow To Stern Yachts
2522492424
p.2
N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date �/ `- / 2--
Name of Property Owner Applying for Permit:
Mailing Address:
a &
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C/ //
S4,
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I certifythat I have authorized (agent) OcLmo1Doc, u'uuma"lr
(g )to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity)
at (my property located at) *:3 9—✓0-p/S
This certification is valid tbru (date) �3 I • / Z
Property Owner Sign* re
Date
xECEYVED
MAY 0 8 2012
I
DCM MHD CITY

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RECEIVED
MAY 0 8 202
DCM-MHD CITY

Apr 02 12 11 :05a Bow To Stern Yachts
2522492424 p.3
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner:
Address of Property:
Applicant phone #:
(Lot or Street #, Street or Road, City & County)
Mailing Address:
I hereby certify that 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, must be provided with this letter.
I have no objections to this proposal. 1 have objections to this proposal.
If you have objections to whatis being proposed, you mustnotify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice_ Contact information for DCM offices is
available at www.nccoastaimangementnet/contact_dcm.htm or by calling 1-888-4RCOAST. No
response is considered the same as no objection if you have been notified by Certiried Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift must be set back a
minimum distance of 15' from my area of riparian 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. w`aG'-I�
I do not wish to waive the 15' setback requirement.
� -A o ti �� ���,
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(Pro rty Owner Information)
(Riparian Property Owner Information)
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1gY1QIZlYC
Signature
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Print or Type Name
Print or Type Name
o
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Mailing Address
/,/,?.
Cily/Slate/Zip
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Telephone Number
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Date
Mailing Address
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City/Sta e/Zip
Telephone Number
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Date

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RECEIVED
MAY 0 8 2W
D04-1,4111D CITY

Apr 02)l2 11:05a Bow To Stern Yachts
2522492424 p.3
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner:
Address of Property:
Applicant phone #:
(Lot or Street #, Street or Road, City & County)
Mailing Address:
I hereby certify that 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, must be provided with this letter.
0 1 have no objections to this proposal. 1 have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice_ Contact information for DCM offices is
available at www.nccoastaimangement net/contact dcm.htm or by calling 1-888-4RCOAST. No
rinse is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I unde nd that a pier, dock, mooring pilings, breakw , boathouse, or lift must be set back a
minimum dis ce of 15' from my area of riparian cess unless waived by me. (if you wish to
waive the setback, u must initial the ap riate blank below.)
I do wish to wai a 15' setback requirement_
I of wish to waive the ' setback requirement.
(Property Owner Inforr,nation)
Signature V
eaiv>ID
Print or Type Name /
Mailing A dies
CitylState2ip
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Telephone Number
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Date
(Riparian roperty Owner lr rmation)
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Signature /
Print orType Name
POi�' �3
Mailing Address
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City/State/Zip
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Telephone Number
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