31517_WHITE, BEN_20020228

GE & FILL
GENERAL PERMIT
E-Complete Reissue D Partial Reissue
As authorized b the State of North Carolina Department of Environment and Natural Resources
I I r
and the Coastal Resources Commission in an area of environmental concern pursu
Applicant Name
Address
City State t ZIP
Phone # Fax #
Authorized Agent 'J Ij
Affected E Cw 0EW PTA
OES [I PTS
El
AEC(s): E OEA 'HHF I H El UBA El N/A
E PWS: El FC:
ORW: yes / no PNA yes / no Crit. Halb. yes / no
Type of Project/ Activity
NT .0
Previous permi
Date previous permit issued_
ant to 15A NCAC
E10 Rules attached.
Project Location: County-�At� I
Street Address/ State Road/ Lot #(s)
-7- C
Subdivision
City-,-. ZIP
Phone # 9- 2,River Basin
Adj. Wtr. Body 11(nat /man /unkn)
Closest Maj. Wtr.Body A)-,
(Scale:
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 1�5
SAV. not sure yes (no
Sandbags: Sandbags: not sure yes no 7- - - . t . . I . . I . .
Moratorium: n/a yes no Y
Photos: 'yes n I o
Waiver Attached: yes no
A building permit may be required by: See note on back regarding River Basin rules.
Notes/ Special Conditions 1
Agent or Applicant PriAted Name
Signature' Please read compliance statement on back of permit
Application Fee(s) Check #
Permit Officer's igniturel
Issuing Date Expiration Date
Local PlanningJurisdiction 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, certifythatthis project is consistentwith 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 comply with thesebuffer 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 / 1-888-4RCOAST
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
151-13 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
P.O. BOX 1988
ATLANTIC BEACH, NC 28512
[phone]
PAY TO THE
ORDER OF D.E.H.N.R.
D.E.H.N.R.
BBBT
BRANCH BANKING AND TRUST COMPANY
MOREHEAD CITY, NC 28557
66-112/531
MEMO white lk- , GPI 3/ S/ 7
°100526411' 1:0531011211:1231niSaq1;tf■
5264
2/ 15/2002
$ ** 100 00
_ DOLLARS
Security features
= included.
Details on back.
NP

OUTER BANKS
MARINE CONSTRUCTION
1501 First Avenue, Morehead City, NC 28557 DOCKS - SEAWALLS - FLOATING DOCKS
[phone] Dealer for Tide Tamer Boatlifts
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- FEB. -12' 02 (TUE) 10:35 ASURA
TEL:[phone] P.002
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tiuACENT WAXAN PROPERTY 0WrU ST,4M- yr
(FOR A PIER/MOORING PILINGS1a0A nJFr180A rNOG'SE)
I hereby c2rcify chat I own propeny rdiacent VIOL
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dWW (Numst of Property Qwnet}
PMP" lomw at _ fAD A in
(I,a , 11locjt, Rom,
IR
dtt in j�... N.C.
tarbodp} (Yawn and1w aunty}
He h cltsCti to Md. a4 Own below, the deveopmdnt hL, is pmpas;ng it it -It Jccsdor.,
urd, I have no old 60fls to his proposal. I understand that 4 piarlmocr-mi
pWngs/txtetiilrf/trnAtt�dt:S+G trust ht W hdck t fi,nimtrm distance or fine:, fact (iS') f- m my at'a
Of riFsri»�.^r AMU Mr -le" waived by ma.
"ter I dn.prtt with w wt!,;t thr. lotbrck raquirameyc.
.....�.r, ! da wiah to wive tl¢t setback rvquiramt.,jt.
DESCRIPTION AN iOR DR.t,VVNG OF PROPOSED DEVIELOPNrLs n ....._
(70 be Jf/1®4 ►r by in0UvWua1Pr0jd& n. deveiapmenr)
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ADJACENT R "ARLAN PROPERTY OWNTR STATE:,rL.NT
(FbR A PIERIMOORING PILINGSIBDATLHlITIHOATHGUSE)
' I •y
I hereby cgrTify that I own property adjacent to • /
(Nome o2A r,
Wo f Property Owner)
property locaW at -
(Lint, Block, Roe etc.) f
on CAV. I in J . J r� fir., , MC,
(terir;ody) (Town and/or Chanty)
He has described to me, as shown below, the development e is proposin; at that loczdon,
and, I have no objections Co his proposal. I und¢ rand that a pie-Imooning
pilinvsft&dWbo house must be se: back a minimum dis-ance of! Aeen feet (15') from my are,:
of riparian access unless waived by me.
T wish to waive the setback requirement.
11*
RF1'F T VFn nbTF
I 4
wish to waive fti setback requirement:.
'TON AND/CR DRAWr G OF PROPOSE DEVF-L0P:`IEti7':
(To be flIled in by individual proposin; development)
Signature
Print or/type Ivams
Tclephone Number
Dace: ,`�Zv
z�..._�
ina 13'll FROM -919 5444494