41782_FORD, LYN_20050609

_' CAMA / Ci DREDGE & FILL
GENERAL PERMIT
_.}New i-]Modification fJComplete 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 15A NCAC
Previous permit #
Date previous permit issued /
Applicant Name_
LV ��,, r>
Project Location: County
Address i t ;
-
Street Address/ State Road/ Lot #(s))
City i�iti�� ,"4Ai ,L:: ,6'yel-� State Ailf
ZIP ^.�/�= -
;' f / A f)147e F% l`ie !-Cr/
Phone # ( )
45 Fax # ( )
Subdivision
Authorized Agent
,�� kl— �-:7 n, -41
S :'
City- `7 .11,l!k f /C /G rig /7 ZIP
�'f L-
Affected a cw
®EW N PTA El ES
❑ PTs
Phone # River Basin
�+
❑ OEA
AEC(s):
❑ HHF ❑ IH ❑ UBA
❑ N/A
Adj. Wtr. Body
60/man /unkn)
❑ PWS:
❑FC:
f
��G.t.4C
ORW: yes / no
PNA yes / no Crit. Hab. yes / no
Closest Maj. Wtr. Body�G'r"
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
BoathousefBoatli k
Beach Bulldozing
Other
y j i lY
Shoreline Length
SAM not sure yes no --- . - - _ � -
Sandbags: not sure yes no }
Moratorium: n/a yes no
Le
Photos: yes no
Waiver Attached: yes' no /}
A building permit may be required by:
Notes/ Special Conditions
e- -, k
(Scale: // 7`5 )
/V
�I. r
Agent or A plicant
inted Name
Signature Please read compliance statement on back of permit
1(
Application Fee(s)
Check #
See note on back regarding River Basin rules.
Permit Officer's Signature
&_ 9-05
Issuing Date Expiration Date
Local Planningjurisdictio6 r 'c�Ch 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 Ell 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 Citv 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

06/01/2005 09:14 2525278566 REALO CORPORATE HDO PAGE 01
Twsv rVy, May 31. 2C33 6.47 PM Tim Grim•v [phone] TIP P.02
yak �a-Ile _: i i
JUN 2 2005
AIMACENT RIY'ARIAN PROPERTY OWNER STA-jgMgNT
OWSA P/8R/MwRlNr, PtuNGS/so,47zlrr/#oAniouss)' orehead City DCM
I hereby nhrfify that 1 own PWPCMy sdj,Wmi to '' r.)
` I (Ma or iPriw—y - nerl
Ply wood at
(141, blae&, k md. etc.)
Oft _ in_-- - . N.C.C.
af�0ii (Tcrw t a weer county)
ile h" dMribW tv n1e, aR Rtwwn blow. yw deveto)tma+nt ha is Proposing at that iomian,
04c1, I hAve nee obioctiwu to his pMpMW. 1 undc»at>a w chat a $cr/atoottrg
plkAdbaotllft/banthd M must be wt bx* a hninimum al,taaoe of ill* , fillet (15,) from Aty w
of riparian aems lhnless waived by ntc.
1 dpJV* wi$b to wawa the tctbxk mpirwent
140 'Nish to ws(vo Vlat rctback requiremcnt.
l)MCRIM014 AND/OR DRAWING OF M)POSED DXVXl.0TMF.N7:
(lb I )Wsd tK by fdiridav✓<p d dsvttop urj*
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ftmatuR
Print ar Type Name
Tcicphoac Numbcr
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Jun 01 05 08:30a Henson & Fuerst 252 443 9429 p.2
TuaBlaay, May 31. 2005 3.42 Chi 4i- Grimaa (252) 24'r -e332 p.VA
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AID,iACENT RIPARIAN rROpIM y OE NRIt "i"SAZ�
(FOR A P1BRIMOORING rlt j1!'C-S1fi0ATL. r;,18—A 4611 E'
I herby certify that I own pmpur!y =.R; to
a
t CNsnt of rro�sriy Qwncr) �—
praneny localed at
(i-oi, Bloe , 1�eset; ere ; _
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fiOrYn �!Tl�er rC::Ltty
:!e :tzt dw rliicxj ton+e, as shown bc]ow, the dcveloitinent lie is paopositsg a: that location,
and, I have no objections to his propomj. t undcrstnn [bat s r;ertnsixidag
FiHn9alhoi`fVb%i1ho1W ntust be set back a minimum distanca of fifes foe, (1S°) :ra-tt my ama
cc eiliaeian ass unless waived by nic_
I d-01W Winn to waive cite setback r0q,14cmcnt.
t dQ gist :o wttiv4 tptat setback mjvimmeta
MZ' CAbLit'F' ON AtYID OR DRAWING OF PROPOSED I1EVELOPMt NT— ------
f is be fiiNd N by individsigl proposing rievetennoent)
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Pont or Type Name
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Tc!cphone Number

OUTER BANKS MARINE CONSTRUCTION, INC
1501 FIRST AVE
MOREHEAD CITY, NC 28557
[phone]
PAY TO THE
ORDER OF
D.E.N.R.
MEMO 6p0j
FIRST CITIZENS BANK
MOREHEAD CITY, N,C. 28557
■ 11400 IS 6 211' 1:0 5 3 L00 3001:00 13 1 2 LIB 2 1 2
1562
66-30/531
137
6/2/2005
$ **100.00
DOLLARS