36782_NEELY, JOHN_20031230

❑ CAMA / ❑ DREDGE & FILL
dENERAL PERMIT Previous permit#
❑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 ✓14, Iv Project Location: County i,,, 1.: r a
Address
City !`' ,.t 41-& d r . 4 ,, State ZIP e
Phone # ( ) -Fax-#
Authorized Agent t-.i c J t,
Affected ] CW Df-W XPTA ❑ ES ❑ PTS
AEC(s): E OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no
Street Address/ State Road/ Lot #(s)
Subdivision W
City 1. I!k ZIP
Phone # (�) River Basin "J A j- 'c' I<
Adj. Wtr. Body / 1 r, 4 M c ' it - 1t- (atIman /unkn)
Closest Maj. Wtr. Body w j' 4 f C c li rf� , , -
Type of Project/ Activity 11, i �. C c ( �. r `!; Y tV:, _! !C `, rif)(i
1S 5 dF. /rr �'l'7f. / !� 1 < r. uN �! ' ` rcrr (' 'r 1 Lt ✓tr! f, r; ! (Scale:
Pier (dock) length i -^ S
Platform(s) -
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore J /
max distance offshore
i
Basin, channel
i
f.l
cubic yards { - b
r-
Boat ramp
Boathouse/ Boatlift r/7
Beach Bulldozing
Other (N
C'
C.
Shoreline Length I GO'
SAM not sure yes �J �—
h 5
Sandbags: not sure yes
Moratorium: n/a yes no, 1
Photos: yes t9I
Waiver Attached: yesf'
A building permit may be required by: }, , /! IJ^; fir. h� I —I See note on back regarding River Basin rules.
Notes/ Special Conditions , f r , VP t^'•' f r <j v l<l o. �` ` vrr ri r� i i;
Ace k;y, w+yj! I4ry4rA .7 �4 ',kj4 d e 1`•'Y+, � �c r/• � .>p��
6 r*400 M[-1 'IVN,nieb Ant,fid�r, c1 ftJ (1Irk
; 114LIFJ .i,
Agent or Applicant Printed Name Permit Officer's Signature
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check
lj 41C 3 -- ?c: C t1
Issuing Date Expiration Date
E, (��-ifs•+ ,
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, 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-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

SHORELINE MARINE CONST
ASHLEY BROOKS NCDL-7666496
PH (252)-646-3212
99 CENTURY CT
SWANSBORO, NC 28584
PAY NC-De-f"R
THEO
ORDER OF
WACHOVIA
Wachovia Bank, N.A.
I,iur I,w11 sj o,—. NC 2&�.i7
FOR%tj�
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28010692
66-152/531
DATE
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Shoreline Piers & Boatlifts, Inc.
99 Century Court S
Sit a sboro, .)- 11
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■ Gomplete iiems 1, 2, and 3. Also complete A.
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. B.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
Yti4 5 z�.is GV" f i
lit -BSc--, C. zss5�'y
3
Age essee y
(Printed Name) Date DeJiv�
D. Is delivery address different from item 1? ❑ Yes 1
If YES, enter delivery address below: ❑ No
3. Servi Type
LjkGe 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 labei) 7003 2260 0001 8406 4157
PS Form 3811, August 2001 Domestic Return Receipt 102595.02-M-1540

UNITED STATES POSTAL SERVICE n1m
First-Class Mail,
Postage & Fees Paid
USPS ,
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
c'.�. ��a"
M c,�, C 'A� , t) C Z�,S 5 �'
Virg!

=1T:
■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
Article Addressed to:
Mr. ��Z--dtj4\-ld
❑ Agent
8. Rece���y t �nt�d_[Vam\ � C. Date of Delivery
D. Is delivery address different from item 1? ❑ Yes
if YES, enter delivery address below: ❑ No
3.
'❑ Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7003 2260 00�I 8406 3280
(Transfer from service label)
PS Form 3811, August 2001 Domestic Return Receipt 102e95-02-M-1e40

UNITED STATES POSTAL SERVICE
First -Class .Mail
Postage & Fers Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •