37516_ROBERTS, BILLY_20040308

C.CAMA /'- DREDGE & FILL
.�� GENERAL PERMIT
EINew [-]Modification CComplete Reissue ❑Partial Reissue
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
Applicant Name 5 , ''y'. k
Address ... ,j t-+ 1 �'
City + y State
Phone # ( ) L`�r� Fax # O
Authorized Agent ' M -�
Affected ❑ CW EW © PTA R ES ❑ PTS
AEC(s): ElOEA _ HHF ElIH ❑ UBA ElN/A
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no
ZIP
Previous permit #
Date previous permit issued
"Rules attached.
Project Location: County_
Street Address/ State Road/ Lot #(s)
Subdivision
CityE1`loti"1:�cr�( ZIP �C�1
Phone # (_ ) River Basin
Adj. Wtr. Body m fr.+,G Liz, (nat J6n /unkn)
Closest Maj. Wtr. Body U L. E1
Type of Project/ Activity r
(Scale: v vw- )
Pier (dock) length
Platform(s)
Finger
Groin
Xl
Boat
Boat
Othe
Shor
SAV:
Sand
Phot
I
A building permit may be required by: p "t+c `- ❑ See note on back regarding River Basin rules.
Notes/ Special Conditions
1
B
. ...
Basin
Boathouse/
Beac # +
Mor
Waiver Attached. yes no
I
length
number
Agent or Applicant Printed Name.- 1
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
Permit Officer's Signature
r
Issuing Date Expiration Date
Local PlanningJurisdiction Rover File Name

f
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 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 / 1-888ARCOAST
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 11
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

BOGUE BANKS MARINE CONSTRUCTION
PH 252-247-4428
800 NORTH GATE RD
MOREHEAD CITY, NC 28557
PAY
w TO TH E
ORDER
m c o L:-- tJ'2
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66-21/530
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DATE U
$ yoo.
EWACHOVIA
Wachovia Bank, N.A.
wwwMach com
FOR 0u-) 7 fvp
II'00 L997ii, 1:053000 2 L9l:205468000666911'

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MAR 0r 2004
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERA1-IOORING PILIIVGSIB OA TLIFTIB OA THO USE)
I hereby certify that I own property adjacent to i lip, Zo Ge-vk ,s
i
(Name of Property Owner)
property located at ��� �i►��� Lof 2% is M AR d 5 0004
(Lot, Block, Road, etc.)
on i�ate
S'� , in ll*,,A c i3e�gc4 �s;'e s
body) , N.C.
(Town and/or County)
He has described to me, as shown below, the development he is proposing at that location,
and, I have no objections to his proposal. I understand that a pier/mooring pilin�s�boatlift/boathouse
must be set 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 requirement.
I do wish to waive that setback requirement.
------------------------------- - --- - -
DESCPUPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
Sig ature
Print dr Type Frame
- '7/Cl - 6 -
Telephone Number
Date: — 2 %
-

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERAVIOORItVG PILLVGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to i./ 's
f (Name of Property Owner)
property located at 5-to AJ, Ave. L,n f If eloch le
(Lot, Block, Road, etc.)
Oil k�o v� S-U,11J X1V A1ti1,'e 12eHck ysles �dt� 0 a �u N.C.
in , N.C.
(Waterbody) (Town and/or County)
He has described to me, as shown below, the development he is proposing at that location,
and, I have no objections to his proposal. I understand that a pier/mooringpilings/boatlift/boathouse
must be set 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 requirement.
I do wish to waive that setback requirement.
-------------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
7
� g
-------------------------------------------------------------------------------------------------------------------
J
Signature
Cox Yal /— C-0-4x"t Tr
Print or Type Name
z 5-z — 72 6 — r�(22
Telephone Number
Date: l0 11 —O �

ADJACENT RIPARIAN PROPERTY OW ER STATEMENT
(FOR A PIER1A100RI1VG PILLVGS/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to ;I 1 a, �o be '� ,
s
(Name of Property Owner)
property located at 0 AJ n��ti� �ti *e, L o it el w • e k 18
(Lot, Block, Road, etc.)
MAR 0 a' 2004
on �,in A)�L �fkc gt4cL. Zn leg
Yaterbod�•) , N.C.
(Town and/or County)
He has described to me, as shown below, the development he is proposing at that location,
and, I have no objections to his proposal. I understand that a pier/mooring pilings'boatlift/boathouse
must be set 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 requirement.
I do wish to %waive that setback requirement.
---------------------------- - ----- -
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOP,AIENT:
(To be filled iu kv iudii,idual roposing develop tent) `s
Cl7��Sc 40le'6 0 ti Nisr°f a.,frd t�ju, l� �Cr i5 p
TL
Y r r
-------------------------- -------------
1
Sign ure
Print or Type Flame
9IG - �3() -
Telephone Number
Date: 2 - D I O L-

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER41,1O ORING PILINGSIB OA TL IFTIB OA THO USE)
j I hereby certify that I own property adjacent to R I e %t°is
(dame of Property Owner)
0 0 N ,�,�s�ea Lo+ to • property located at 5 k 19ck g ck t
P P Y 21 �
(Lot, Block, Road, etc.)
on 30 ,,C &uNg , in A.Al c Gem C4 Tale, N.C.
(Waterbodti) (Town and/or County)
He has described to me, as shown below, the development he is proposing at that location,
and, I have no objections to his proposal. I tinderstand that a pier/mooring pilings/boatlift/boathouse
must be set 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 requirement.
I do wish to waive that setback requirement.
----------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
/ (To be filled in by individual proposing development)
C� Nyc Felts o,N etx"'S� P►erpvd Pier
----------------------------------------------------------
Signature
(!O )11i6d CCU00A -Tr--
Print or Type Name
72 Ll;7-z
Telephone Number
Date: /0 " 5 6