41363_GRAY, TONY_20050428

CAMA / f J DREDGE i& FILL
GENERAL PERMIT �'�
Previous permit #
C1New `-Modification `Complete Reissue [-Partial Reissue Date previous per it 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 I SA NCAC
El Rules attached,
Applicant Name Project Location: County-_
Address Street Address/ State Road/ Lot #(s)
City i1� �''Y1 �''' State ZIP t rJ C
Phone # 7- ��� I Fax # "" Subdivision
Authorized Agentr,� . if ; �,.� City l�/�..,._� e', ZIP
CW ❑ EW &PtA ❑ ES ❑ PTS Phone # BAffecte
AEC( �� I OEA ❑ HHF El1H [IUBA El N/A Adj. Wtr. Body nat man unkn
PWS: ❑FC:
ORW: yes / no PNA yes / na' Crit. Hab. yes / no
Closest Maj. Wtr. Body
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 I ' 1 '
cubic yards
Boat ramp
Boathouse/ Boatlift-- — —
Beach Bulldozing
Other y
i
Shoreline Length
SAV: not sure
yes
no
Sandbags: not sure
yes
no
Moratorium: n/a
yes
no
Photos:
yes
no
Waiver Attached:
yes
no
A building permit may be required by:
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
(Scale:
1
See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Date Expiration Date
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, 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:
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

DIVISION OF COASTAL MANAGEMENT
NCDENR
r4oprT CAROLINA DEPARTMENT OF
ENVIRONMENT AND N.QURAL RE5OliROE5
TO:
OFFICE:
TELEPHONE: U �) 7 2-1
FROM:
Re:
Re:
Morehead City Office
400 Commerce Avenue
Morehead City, NC 28557-3421
Voice: 252-808-2808
FAX: [phone]
— Q—Q � 4 � -�)
�c���u �� � � fie ✓�t�Kts
DATE SENT: ��— / (e v
TOTAL NUMBER OF PAGES, INCLUDING COVER SHEET:

i'Fwwik .�,.'.T,��ti.y '
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G E RAL E I MIT Previous permit #
�,x .,
C* eN "�JModification" C�`Complete Reissue ` OPartial Reissue z4'Date.previous pe it issued " . /
As authorized by the State of North Carolina, Department of Environment and Natural Resources I
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
[files attached
Applicant Namev �� Project Location: County
Addressn 'w D b ''' _ Street Address/ State Road/ Lot #(s)
City !P�! h 'State `G P`.,; d A i f 7
Yi►
Phone #} 03 ax #{.(_._) ` ` Subdivision
A'
Authorized hent rfri!!t�4o� 11i�' ' City 1 v'/,: +^` N ;ZIP
Crit. Nab. yes / no
Type of Project/ Activity j c`i
f — G�l;�.:11/l74 c•f I.11+ S l.e J r (Scale: Ivu''� )
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
Shoreline Length f
$AV: not sure yes to
Sandbags: not sure yes
Moratorium: n/a yes 0
Photos: yes no -
Waiver Attached: yes ho
A
A building permit may be required by:
��ll
Notes/ Special Conditions V
M
�✓ C See note on back regarding River Basin rules.
Agent or Appl'6 ant Printed Name' f
Signature '' Please read complianEe statement on back of permit**
Application Fee(s) Check #
Issuing Date yExpiration Date �^
Local PlanningJurisdiction Rover File Name

=A
AD,UACENT RIPA.RL-k PROPERTY OWNER SrAMfEN-T
(FOR A PlEUMOORING PILINGSIBOATZ.IFTIBOATHOCSE}
I hereby CM7dfy that I own property adjacent to 4-
(Marne of Property ()Weer)
propmty kcated at L =-- `7 7 ; /'— (f7-
(L,at, Black, Road, etc-) '
(Water 3ody) . (Town andlor County)
He has ed to me, as shown below, the development he is proposing ar tfia= loc�on;
and, I have no objections to his proposal. I understand that a pie:imGoring
piTinp/boatlifttboathouse must be se: back a minimum distance of fft=n feet (li') from my a
lm
Of riparian a=s unless waived by me.
`�- I do not wish to waive the setback requirement
E
I do wish to waive ti:ar =tack requirement_
DFSCR=ON AND/OR DRAWr.4G OF PROPOSED DEVELOP -VENT:
_ (To be f-Mad in by indiv&ual prmpasia,,- development)
/ 06—
Z 7, �,✓�
-' S scNarEQ �T . L .
Simtaa=
Print or Type Name-
Telephone Number

APPEND-fX- A-2:.,.47,
ADJ
ACENT
,RIEPA,RLA'V PROPERTY OWNER STAMaNT .
<�OR A FI.R/MOORING PIUNGSIBOA?ZIFTIBOA�xOUS,9-
I hereby CM-ify that I own property adjacent to
(Name of Property OV'aer)
property lxaJ: at <2
(Lot, Block, Road, etc.) '
on �G�� ti T.v��7 , in N- C-
(Waterbody). . (Town andlor County)
S� has descaaed to me, as shown below, the development he is proposing ar tha: location;
and, I have no objections to his praposal,- I understand d= a pierlmoorinQ
pffmgslboadLttoathouse must be se: bark a miIIimum distance of fftera feet (15,) from my a
of riparian access unless waived by me:
I do not wish to waive the setback requirernen-t
x
L/��'I da wish to waive tear setback =uirement_
DESCRIMON AND/OR DRAWL-iG OF PROPOSED DEVELOP),MN-T:
(To be filled is by individrial proposzag development)
VjQa-t�Gz- — , r ,.r sc-�d —A S iti is 4 t7r�yf� �.� G
J t�TattitC - . -
Pant or Type Name
7- 7�
Telephone .Dumber

PRESCOTT BROTHERS INC
141 TARA TRL
GRANTSBORO, NC 28529 �'� ,
1x
r�
66-301531
472
PAY J
TO THE
,�1r-;DATE
t:
ORDER OF Cam--
'�'.
4,00
HRSI CITIZENS 472
First-C t¢an Bank & T ust Company r . �� / ,
Onantal, N.C. 26571
www.fir tcitiz s.com `
FOR
000 2 711' IIM S 3 L00 3001=1, 7 L LO
DOLLARS
2 5 4 2 9 ;,,,