37233_RYMER, DONALD_20040106

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❑ CAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit#
LINew ❑Modification DComplete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources / U and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC fi• , 1C,
i fJ=] Rules attached.
Applicant Name ; Project Location: County
Address
Lll Street Address/ State Road/ Lot #(s)
City , • i �e , i , StateZlP E" ':T' �N !. . -, 4--11 �
Phone # ("�") )_ >_(r�, Fax # O
Authorized Agent
Affected C CW p EW (PTA
AEC(s): CI OEA ❑ HHF ❑ IH
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no
Type of Project/ Activity
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
DES bPTS
❑ UBA ❑ N/A
Crit. Hab. yes / no
Subdivision
r
City ICI t {� 1 ZIP -
Phone # ( it �). River Basin` 1 (L
Adj. Wtr. Body I 114 �1 (nat man unkn
Closest Maj. Wtr. Body < 0
(Scale:,(, % )
Shoreline Length
SAV: not sure . es i no
Sandbags: not sure yes no �� t
Moratorium: n/a yes no 1
Photos: yes no i k`� (!"l
Waiver Attached: yes no i`
A building permit may be required by: l i ❑ See note on back regarding River Basin rules.
ff
Notes/ Special Conditions
Agent or Applicant Printed Name
Y..%.�-cam_ �'��✓ic-�,�
Signature Please read compliastatement on back of permit"
Application Fee(s) Check #
1) cAt '` 1 C I l Ultf
Issuing bate I xpiratign Date
(
Or"
Locaff lanning Ju° nsdictio`n 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:
F—I 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 / I-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

e c u r i f v enhanced d o c u men I. S a e 6
BLUE WATER MARINE CONSTRUCTION, INC.
PAY TO THE N C
ORDER OF
2492
P.O. BOX 93 66-1121531
MOREHEAD CITY, NC 28557 02301
DATE `0 —
$ f00, io9
DOLLARS
BB&T
BRANCH BANKING AND TRUST COMPANY
MOREHEAD CITY, NORTH CAROLINA
® FOR ^ der --------- ---
II'00249211' i:OS3LOLL2Li:S2LL,986S9211'

ADIALE` ' RjyARLAN PROPFTtTY OWNER S'TATENiT-NNT
(FOR A PIER/h1OORING PIS.INGSIBOATLI1 ;BOArHOC'SE)
I hereby Cr &Y that I Own property adiacent to
.Ime of p�Owner)
iN P
.
ptooe.�+ lomte-i at ''� u^�-- ,
(Lot, Block, o d, etc.)
on
in.f
( -dye (Town and/or County)
F. ha: de:rrioed to me, as .hewn below, tie developme;,t he is PrUcsia.x tv ttat location,
�ttd, I have no a*cCnns to his praposzi. I
unde:-s;-.nd &,ai a �jlZ'i mooring
r
Fi�tt+�,s%�oa'1iftJbOat.�souse must be se: back a minim -um distance or Fliee fe<-: (i.�) lam my ar.a
cf ricarian acccs5 un'ess waived by me.
_a_nt wish t(. °+�'a`t�=the sr:i�t:-k rer;uirecnent..
Co wauc 'gat s:back rc ;UiremcOt.
Y ... .DESCRTP?ION AN'DIOR DRAWING OF PROPt)SED DEVFL0F',[D7: - S
(To be filled in by IndiYi,dua, prcposfng deueloprnen :1 �`�
NO
t
411
Sca!1 Cure
P; nt or Type Itiame

ADJACEi`r"T RIPARL-.N PROPERTY OiWi�-ER STATE_�LE�T
(FOR A PIER/MOORING PILINGSIBOA7ZIFT/BOATHOUSE)
I hereby cer'tiry that I own property adjacent to s
(Name of Propertti O�:n )
prope.,y located at S �•� '�
(Lot, Block, 4oad, etc_)
on S S , in Q_C ?, , N.C.
(Waterbody) (Town and/or County)
He has described to me, as sLl
hown below, the development he is proposin_ a_ that location,
and, I have no objections to his proposal. I unde:sta":d thia. a pier/mooring
piiingsfboatiifVboathouse must be set back a minimum distance or tif-Let:i fee: (if') from my area
of rpan*an access unless waived by me.
I do nnt wish to wad%-e the setback requireme:lt.
I Sa wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWS G OF PROPOSED DEVELOP EENT:
(To be Jz11ed in by individual proposin; developmenr)
Signature 01
la w,ba&g r,J P 20 t f
Print or Type Name
Telephone Numbe-