40377_KITTRELL, ROY_20050607

CAMA ;• DREDGE & FILL,
GENERAL PERMIT G' Previous permit#
❑New -Modification -!Complete Reissue - )rtial Reissue Date previous permit 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 15A NCAC
is
Applicant Name t� � Vd i Project Location: County
Address
City
V / State _. ZIP
Phone # ( )
Fax # ( )
Authorized Agent
L. CW
ElEW ❑ PTA i- ES ElPTS
d
Affected
f ecte
D OEA
- HHF ElIH L I UBA ❑ N/A
A
I PWS:
-1 FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no
Type of Project/ Activity
Pier (dock) length .
Platforms)
Finger piers)
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
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
Application Fee(s) Check #
Street Address/ State Road/ Lot #(s)
+ '.
Subdivision
i- Rules attached.
City _ _ _ ZIP_
Phone # ( ) River Basin
Adj. Wtr. Body _.
Closest Maj. Wtr. Body
A n'77<
fnat-ftman /unkn)
(Scale: �, )
See note on back regarding River Basin rules.
Permit Officer's Signature O
'r
Issuing Date Expiration' Date
Local Planningf urisdiction 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, certifythat this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
[_] Tar- Pamlico River Basin Buffer Rules 7 Other:
1_ _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 (252-946-648 I) or the Wilmington
Regional Office (910-395-3900) for more information on howto complywith 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 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

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFTIBOATHOUSF)
I hereby certify that I own property adjacent to 's
(Name Propertv Omer)
II �
properry located at I `f �J �� j I Co(��_,�, L,ne ,
(Lot, Block, Road, etc.)
on Q'1 1 �.r e�,�� , in r e� �� ��� ��� , N.C.
(Waterbody) (Town and/or Count. )
He has described to me, as shlown below, the development he is proposi-_ a: that location,
and, I have no objections to his proposal. I undersea :d tha: a pier/mooring,
piiirg,s; aoaddfr/boathouse must be set oack a minimum distance of fli�eea from my area
of rpa-ian access unless waived by me.
I do nnt wish to waivC the setback requiremenr.
Ian wish to waive t;.at setback requirement.
DES ION A�+D/OR DR.�WL�iG OF PROPOSED DEtiELOPN
�(To be filled in by irzdividual proposing developmerit) Z
Print or Type Name
Telephone Number

ADJACENT RIPARIAN PROPERTY OWNER STATE-N EI T
(FOR A PIER/MOORING PILINGSIBOATLIFTIBOATHOUSF)
I hereby certify that I own property adjacent to
(Name of Property Owner)
propey located at
on Q` 11 Cr e ek
(Waterbody)
I °O 0),1 I cTc-ek Lone
(Lot. Block, Road, etc.)
in fno"kecol ON , N.C.
(Town and/or County)
He has described to me, as shown below, the development he is proposi-7 a: that location,
and, I have no objections to his proposal. I unde-stG::d tha_ a pier/ mooring
pilings, Doadiftiboathouse must be se: back a minimum distance of fli-een fe- (15') from my area
of np=,an access unless waived by me.
C
I do not wish to ware the setback requirement.
I fin_ wish to waive t .at setback recuirement.
[ON A.N-D/OR DRAWENG OF PROPOSED DEVELOP`
(To be filled in by individual proposin; development)
[� Q rr C P n &- r�t6 r\
Print or Type Nanit
Z-5 Z ZZZ— GG 7e`/
Telephone Numbe-

BLUE WATER MARINE 3703
CONSTRUCTION INC.
PO BOX 93
MOREHEAD CITY, NC 28557-0093 66-1I2/531
PAY DATE �— �- 02301
TO THE
ORDER OF—_ c_ N�
o/per a
DOLLARS 8
BB&T
BRANCH BANIONG AND TRUST COMPANY ���� � 17 '
^I.
MOREHEAD CITY, NORTH CAROLINA FOR �` I� /�
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