37501_PIRATES DEN_20040210

_AA
❑ CAMA / ❑DREDGE &FILL
GENERAL 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 !I I
12 Rules attached.
Applicant Name '``)' t �) L c y Project Location: County 4
Address ; :-f L Street Address/ State Road/ Lot #(s)
City ? C !. , State ZIP . i e,-- C y ` ' c v • , j. J
Phone # ( .��!) &,7Y-: Fax # (� )
Authorized Agent
Affected ❑ CW O EW p PTA ❑ ES ❑ PTS
AEC(s): OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no
Subdivision
City ;, L ZIP
Phone # ( ) River Basin YV
Adj. Wtr. Body '.° A44" 1 t v i (nat /man /unkn)
Closest Maj. Wtr. Body - j
Type of Project/ Activity It`/ .
(Scale: /',c NF )
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length -
number 1-- —
I
Bulkhead/ Riprap length ra len h 814 �.. _ f _._+..-I i -- , .._
r
avg distance offshore
max distance offshore
Basin, channel -`-- -- - I -
I
cubic yards
{
I Boat ramp _t
i i I
Boathouse/ Boatlift
Beach Bulldozing — -
ff r _�
Other
-. _.._. _ i.._ _ -_. _ i. _ ._.. t1
- _- --�--
Shoreline Length ' y
I
SAM not sure es f#io
Sandbags: not sure yes (iio
PhotoPhotos Y ° Moratorium: n/a yes nes o
Waiver Attached: yes -no f ------ --
A building permit may be required by: " a. �oc f- ❑ See note on back regarding River Basin rules.
Notes/ Special Conditions o f 'ti { 4 vNav f J
f
UV
v
' � f
Agent or Applicant Printed Name Permit Officer's Signature
Signature ** Please read compliance statement on back of permit
ff tc C C ✓' j f? �; F 'S
Application Fee(s) Check #
.. i
r- 9
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 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 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 / 1-888ARCOAST
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)
www.nccoastalmanagement.net
Revised 10/05/01

OUTER BANKS MARINE CONSTRUCTION
1501 FIRST AVE
MOREHEAD CITY, NC 28557
[phone]
PAY TO THE
ORDER OF
D.E.N.R.
BB&T
BRANCH BANKING
AND TRUST COMPANY
MOREHEAD CITY, NC 28557
66-1121531
***************************************************
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III 0063 1Sul 1:053 10 11 2 11: 1 23 10 15 295
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$ * * 100.00
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--� 02/02/2004 21:19 91987318B4 PAGE 01
1' RXPARIA�LV1
NIItUNC�'
ADJAC✓N'
(r-OR A PITRIA100RING PILs 3DATLIT/40/T10ISI)
1 hereby certify that I own properly adjacent to 'IYfln,� of Property Owner)
t C o"Se W
prnperty located at �'7 Lo(, Block, Ro d, etc.)
N.C.
�N �( ovt. G
Oil l —' in (Town andfor Counly)
(Walerbody)
He has described to me, as shown below, the development he is proposing at chat
location, and, I have no objections to his proposal. I understand that a pier/mooring
pilings/boatliR/boathOuse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by ►ne.
I do not Fish to waive the setback requirement. _LFy o
I do wish to waive that setback requirement.
------------------
- - - -DESCRIPTION ANA/OR bRrndi►•i G F de PROPOSED nmeIEWI)NIEN'1':
(To be filled y
j e, (XY c, �j o r n1 S a^.'j f iQu
S oc.W alb w� if_ V N'9 vJ Q. u.� i l i 5 'i •-r t 0. N u*
S f ro (kr
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-- ---------
-----------------
------------------------------
---------------------------------
Signature
Print or 'J-ype Name
Telephone Numbcr
Date: �&

.02/02/2004 14:45 7787430 EXEC PAGE 03
EIIIII)7 owNLTiZ s-rATEMUNT
ADJACENT RVARIAN i%0I
(FOR AYIERIMOORING l'ILINGSIBOATI,IFTIUOATIJOUSI;,
D-
I hereby certify .that I own property adjacent to i — S
(Name of Properly Omer)
property located at
(Lot, Block, Road, etc.)
on 1 801 ft-I in C.
(Waterbody) (Town alld/Or County).
He has described.to Me, as shown below, the development he is proposi
ng at that
location,. and, I have. no objections to his proposal. I Understand that a pier/mooring
pilings/bbatlift/boathouse must be set back a minimum distance of fifteen feet (15') from my aria
of-.173panEul access un-le-,,5—waived-by- nie.
I dE ript wish to waive the setback TNUiTerne
I do wish to waive (fiat setback requirement,
FE
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DESCRIMON AND/OR DRAWING OF PROPOSED
(To be filled in by individual proposing development)
e,qvwv.,r .ref6c& t-r-I #
-------------------------------------
------------- Sign e
Print or Type Name
I eleplionc Nkolibcr
Date-