32937_BEST, JEANIE_20030110

-iCAMA / O DREDGE & FILLS GENERAL PERMIT Previous permit #�''
C New ['Modification ! iComplete 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 I SA NCAC
❑ Rules attached.
Applicant Name
J ('c
Address _)S.
C, V tr
City 1 11 ;,C �r����IS,oif'
State ZIP
Phone # ()
Fax # ()
Authorized Agent
Affected a CW
❑ EW
0 PTA DES ❑ PTS
AEC(s): E j OEA
`'I HHF
❑ IH ❑ UBA ❑ N/A
F1 PWS:
❑FC:
ORW: yes / no
PNA
yes / no Crit. Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
ZIP
Phone # () River Basin
Adj. Wtr. Body nat /man /unkn)
Closest Maj. Wtr. Body
!R3
Type of Project/ Activity a' Q/ � X� fl�r.��rM 21 TCi.J
(Scale:
Pier (dock) length r '
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
SAY: notsure
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
1
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit*
Application Fee(s) Check #
See note on back g
re ardin River Basin rules.
regarding
Gr/ "Permit Officer's Signature
nT" ram,
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
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 (910-395-3900) for more information on howto comply with 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 / 1-888-4RCOAST
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)
www.nccoastalmanagement.net
Revised 10/05/01

T-„^-^^.-�^'sm®am¢r_e �"Tc+amrer. t9i�x-tirdmee5ii"id [•� ti r o u r i 1 y r ri L n n r r d d o r u nr r re t 5 r r h n r A I rr r d r 1 ,r r I. '-7�r'F�a"rz_—_-
BLUE WATER MARINE CONSTRUCTION, INC. 2047
P.O. BOX 93
MOREHEAD CITY, NC 28557 66-)121531
f o
DATE —
PAY N C �� ,� �X
$
a IO1HE —J
1O ORDER OF— f � /0(0.� O
DOLLARS
BB&T
BRANCH BANKING AND TRUST COMPANY i
MOREHEAD CITY, NORTH CAROLINA
FOR J +N 13 es� cpt 32q37
t 'l
6
' ii'002047u' 1:OS31011211:S2149BGS92ill'

�GPERTY G . , i SLR STA
(FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to .'_taV1i� 's
(Name of Property Owner)
Property located at C-4� l � I , D� 1-- ,
(Lot, Block, Road, etc.)
in _ Tthe., V"- 01( Z��oVe� , N.C.
aterbody) (Town and/or County)
He has described to me, as s1hown below, the development he is proposing at that location,
and, I have no objections to his proposal. I understand that a pie-imoor1nZ
pirm-s/boatlift/boathouse must be se: back a minimum distance of fifteen feet (15') from my area
Of riparian access unless waived by me.
I do not wish to waive the setback recuirement.
I d-Q wish to waive t�.at setback requirement.
DESCRIPTION AND/OR DRAWLtiG OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
�o�k �ZkA
r
I
SA. re
I'4
Print or Type N me
S. 3 k - zy- q -= o w
Telephone Number
Date: t'2-R --0 1-

UNITED STATES POSTAL SERVICE
First-ClasB'Mail
Postage & Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
i:�% IIIIIIlrrlrrIIIrrrrllrrlllrIIirrlrrlllrrrllr,ulrirrrIfItItirl
■ Complete items 1, 2, and 3. Also complete A. Signature
item 4 if Restricted Delivery is desired. X ■ Print your name and address on the reverse
so that we can return the card to you. g, eceived by (Printed
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
Vt
D. Is delivery address different from item
If YES, enter delivery address below
V.
�l
C. Date of Delivery
?U,b V
1? ❑ Yes
: ❑ No '
3. Service Type
❑ Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number
(Transfer from service labe. 7 0 0 2 0 8 6 0 0003 .9 4 9 8 2 914
PS Form 3811, August 2001 Domestic Return Receipt 102595-02-M-0835