31584_TERRY, IKE_20020425

CAMA / DREDGE & FILL f� O 31584 —f
GENERAL PERMIT Previous permit # i
New Modification 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 1 k k (7k f[ I Project Location: County % &. i / t
Address i3 t d N Street Address/ State Road/ Lot # s
City tt, A �., State /Jt ZIP t''7 ?! j - i 7 ? G ! j (o�.)s�Jay PJ
Phone # ( `�!`�) t/�� Fax # () Subdivision
Authorized Agent (-, vyl - -_ City r` 1,00 F: Rf ZIP
Affected ❑ CW C_ EW [ 'PTA ES ❑ PTS Phone # ( ) River Basin kjut rF 6X IC
AEC(s): ❑OEA L HHF ❑IH UBA El N/A Adj. Wtr. Body /uytk 1 (nat a unkn)
❑ PWS: ❑FC:
Closest Maj. Wtr. Body
ORW: yes / no PNA yes / no Crit. Hab. yes / no
Type of Project/ Activity Y. f , ,j 13 a 14 UP (C df 't 0 t, �J , Ah/
to- .., i. ^, (Scale: ,t1r O1 )
Pier (dock) length {
Platform(s) • �•t(, R yV�t+tF` U j{ _J`"
Finger pier(s)
Groin length - - - i — -- - -,- - T•. I , i'
number
Bulkhead/ Riprap length ID 0
avg distance offshore_
max distance offshore - !'
Basin, channel ----- "-
cubic yards
Boat ramp _
Boathouse/ Boatlift - - - - - - -- - - - -- -- --
�..�' i
Beach Bulldozing
Other
Shoreline Length
SAM not sure yes Mo t, _F �, �
Sandbags: not sure yes no ! ` .V
Moratorium: n/a yes �o
Photos: es bo 4 F/f
1
Y Id • _ S
Waiver Attached: yes no /
A building permit may be required by: r I U cQ6t See note on back regarding River Basin rules.
y .N
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
•td'JCG: OJ �3C
Application Fee(s) Check #
Permit Officer's Signature
�—
Issuing Date Expiration Date
Local Planning]urisdiction 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
landowners).
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 (910-395-3900) for more information on how to complywith thesebuffer rules.
Division of Coastal Management Offices
Central Office Elizabeth City District
Mailing Address: 1367 U.S. 17 South
1638 Mail Service Center Elizabeth City, NC 27909
Raleigh, NC 27699-1638 252-264-3901
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888ARCOAST
Fax: [phone]
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
151-B Hwy. 24
Hestron Plaza II
Morehead City, NC 28557
202-808-2808
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
910-395-3900
Fax: [phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 10/C

OUTER BANKS MARINE CONSTRUCTION BBBT 5368
1501 FIRST AVE BRANCH BANKING AND TRUST COMPANY
MOREHEAD CITY, NC 28557 MOREHEAD CITY, NC 28557
[phone] 66-112/531
4/25/2002
PAY TO THE
ORDER OF D E.H.N R. I ** 100.00
************************* *********** ****************** ******DOLLARS 8 Y
D.E.H.N.R.
MEMO 6P'03/-5N -EKE TElZR ( ^R
II■0053681I' l:053LOL120:123L01529511'

ADJACENT R11PARLAuN PROPERTY OWNER STATE-NE��T
(FOR A PIER/MOORING PILINGS/BOATLIFTIBOATHOUSE)
I hereby certify that I own property adjacent to
(Name of Property Ow er)
property located at 01'4
(Lot. Block, Road, etc.)
We
(Waterbody)
in 4L, go4k- 'Fr -A Al 1 ' Cr , N.C.
(Town and/or County)
He has described to me, as shown below, the development he is proposing a_ that location,
and, I have no objections to his proposal. I understand that a pier/moorrina
pilinQs/boadift/boathouse must be se: back a minimum distance of fifteen feet (157) from my area
of riparian access unless waived by me.
I do not wish to wane the setback recuirernent.
I �r wish to waive t�.at se.bac'.ti rccuire ne rt.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPNIE':VT:
(To be filled ir by individual proposin; development)
- ia&�- fi.- ��
S iQnature
B rAl R"tg
Print or Type Name
Telephone Number
Date: da

ADJACENT RIPARLA N PROPERTY OWNER STATE-N NT
(FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE)
� zKg
I hereby certify that I own property adjacent to -
dla%3— (Name of Property Owner)
property located at
(Lot. Block, Road. etc.)
on , in }�,.f1At
�C'�. , N.C.
(Wateri�ody) (Town and/or County)
He has described to me, as s;:own below, the development he is proposing at that location,
and, I have no objections to his proposal. I understand that a pier/mooring
piiings/boa:lift/boathouse must be ser back a minimum, distance of fiteen feet (15') from my area
of riparian access unless waived by me.
I do not wish to wa:,,-e the setback rzcuirement.
Q wish to waive t.at se:bac'.- rewire ne st.
DESCRIPTION A.N-D/OR DRAWr G OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
PI-nt or Type Name
�3a .1 7- /8se
Te'.eonone Number
Da_e:� 3%

OUTER BANKS
MARINE CONSTRUCTION
1 501 First Avenue, Morehead City, NC 28557 DOCKS - SEAWALLS - FLOATING DOCKS
[phone] Dealer for Tide Tamer Boatlifts
CA" U-14 c cl-2.1
Llq92-
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