41999_HISLOP, JOHN_20050718

526 _C5
CCAMA / [_ DREDGE & FILL
GIENERAL PERMIT
:New iModification iComplete 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 NO
Applicant Name_
�� V1
Address
„r j:.� ; i /�
��� ` r
City i /
State
ZIP
Phone # O
Fax # ( )
Authorized Agent
}}
J J+ f H /)r u� k .f
Affected - CW
DEW EiP'TA ❑ ES
❑ PTS
AEC(s): —I OEA
11 HHF ❑ IH ❑ USA
❑ N/A
PWS:
❑ FC:
ORW: yes / no
PNA yes / no Crit. Hab. yes / no
Previous permit #
Date previous permit issued_
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
919cW_ 1
ZIP
Phone # ------ - -- - ----River Basin
Adj. Wtr. Body-_,__�{iat an �lunkn)
Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale: p )
Pier (dock) length
Platform(s) _____
Finger pier(s) _ —___
Groin length `
number 1
Bulkhead/ Riprap length
avg distance offshore
max distance offshore_
Basin, channel T
cubic yards
Boat ramp
Boathouse/'Boatlift
Beach Bulldozing
Other
Shoreline Length
SAM 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
j
Application Fee(s) Check #
See note on back regarding River Basin rules.
Permit
1fi is i nature '
V 7 !�
Issuing Date Expiration Date
Local PlanningJurisdiction Rover File Name

i
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:
_ J' Tar - Pamlico River Basin Buffer Rules _] Other:
j__ 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
151-13 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.nccoastaimanagement.net
Revised 10/05/01

JUL-14-2005 01:24 AM SHORELINE MARINE CONST. 1+252+393+7934
r t
horellne Marine Construction, Inc.
oadng Docks . piers T Sea Walls - DEALER for Hi Tide Boat L?,
fax 910 - 326.9523
S2 KAA 2117 Fax Cower Sheet
m
pate: "07 /l 3/D S
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Fri /I St4C&/
pa= Foxed inel»g coves
otes
Fax# P17-333-0
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P.01

JUL-14-2005 01:24 AM SHORELINE MARINE CONST. 1+252+393+7934
• _-�.,--. •-cat+.�73+7934
Y
'r
P.02
P. 04
ADJACENT RIPARYAN PROPERTY OWNER STATEMENT
(POR A PIERIMOORINO PILINCSIBOArVF 7,80AMOUSE)
♦
1 hereby certify that t own property adjacent to �''S
(Nnme Of Property Owner)
property located at i — l� 1,1� rn g'VI b•(/Z}c.�,►%r 1
n (Lot, Block, R�oid,L1.e�tCc,) �A��,n I ,'
on _ _ 1 i�JIJ i n �9�lfl 1.&.ge�x_u�! N , C.
(Waterbody) (Town and/or County)
He has described to me, -is shown below, the development he is proposing at that location,
and, 1 have no objections to his proposal. t understand that a pier/maonng
pdinns/boadilV/ oathouse must be Set back a minihutm distance of fifteen foot (I S') from my area
of riparian access un.less waived by me.
1 sj,g_ngJ wi�it to wnive the seth,tcV requiremcni,
1 s�,Q ttisll tt1 �ttlivc that Selti,lc4; rt:qutrzillent.
.............
^'.. Dr.i•
CftlMON AND/Olt DRAWING0V 11RONOSCD nGti'U011 ICNT:
(ro brPtled in by ittelh4dilol proposing de►elopmC110
...... ........................._ ...............,
.,�.. `....,.
Signature
s_2t ft� �_
print or Type N0WC
'fctcpiu�nt Nt?ittls�r

JUL-14-2005 01:25 AM SHORELINE MARINE CONST. 1+252+393+7934
C,MIN •IN 1. 1'^<P.L'rJ73f (731
� Y
P.93
P. 04
ADJACENT RIPARIAN PROPERTY OWNER STATEMMENT
(FOR A PIERWOORING PILINGS/BOATLIFl180A MOUSE)
I hereby certify that i own property adjacent to s
(Nance of Property Owner)
property locntcd at ... .�`�" ' IU I I14-JVLj!j Vr LIB V"�
(Lot, Bloc),, Roid, etc.)
on ��.� r - - , in 1AM S 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. 1 understand that n pier/mooring
pilings/boallift/boathouse rlust be set back a mkiNki t distAnee of fifteen fcet (IS') from my area
of riparian access vnlcss w4rved by nte.
"r
1 SL911� wish to w;tive tlic setha& regulrewm.
'✓' 160 % islt to cant Sctt)ack rrc{t ir�+�rtcnt,
. 171JSCRt1'TIl)N AND/OI't.nRANN"I1G ojI PRO1)OSLU DEVELOPMENT
(To bcfillct( ill by iirdividuul proposing'ICITIOP111010
.............................................. . .......
Si�,N1(tife
13r'lnt or Type N;ttttc
-�1 9/
'Cctepj�one NutnN'
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JUL-14-2005 01:25 AM
J1gN—b�0 ^20B' 05 :59 AM
SHORELINE MARINE GONST. 1+252-393-7934 P.04
SHORELINE MARINE CONST. 1*232+L76•�ys'r .

SHORELINE MARINE CONST.
ASHLEY BROOKS NCDL 7666496
PH (252)-646-3212
601 PELETIER LOOP ROAD D24
SWANSBORO, NC 28584
PAY
TO THE ORDER OF NC D
©W
WACHOvIA
Wachovia Bank, N.A.
wachovia.com
FOR �1G v G
11■0119 11' :0 30002191:20546
700 5 5 791
28011947
66-21/530
BRANCH 77614
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