42499_MCNEIL, JEAN_20050810

-6 1ayl05 j� 6
❑CAMA / ❑DREDGE &FILL 4 99`
GENERAL PERMIT Previous permit #
❑New ❑Modification ❑Complete Reissue ❑Partial 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
❑ Rules attached.
Applicant Name r Project Location: County
Address
City _
r
State ZIP
Phone # ( )
Fax # ( )
Authorized Agent
Affected CW
❑ EW PTA F ES — PTS
AEC(s): E OEA
C HHF ❑ IH ❑ UBA =1 N/A
PWS:
[AFC:
ORW: yes / no
PNA yes / no Crit. Hab. yes / no
Type of Project/ Activity
Pier (dock) length % (
Platform(s) _ i
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
SAM not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: no
A building permit may be required by:
Notes/ Special Conditions
C / 1t 1rq / 1ffck(,� S
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
City_ _ _ ZIP
Phone # (,) River Basin
Adj. Wtr. Body _ mat /man /unkn)
Closest Maj. Wtr. Body
(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:
n Tar- Pamlico River Basin Buffer Rules Other:
E 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 / 1-888ARCOAST
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

PUG-08-2005 10:00 PM SHORELINE MARINE CONST. 1+252+393+7934 P.01
f
Shoreline Marine Construction, Inc.
Floatin Duch - Flers - Sea Walls • DEALER for Hi Tide Boat L�
abraoks�(a�ec iT com
fax [phone]
m 252.646-3212 Fax Cover Sheet
Date : -71 3 D .S Fax* J 2,q7- 3330
3
R yogrj
FMm.L AS1Y (.Sy
N—OkAl.
iC- ftj�' A)r,- IK �I C-/L, D a CK L! —
69 Os 'r- Cp &j;K
3 O I B j -r4/Lvk a
T 060 7/��

lu I
w
z
w
ff
0
- ()T
14
If)
EA i6-
CD
C A
Fp,
69FAtZ V

AUG-08-2005 10:00 PM SHORELINE MARINE CONST. 1+252+393+7934 P.03
ADJACENT RWARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PIL.IiVGSIBOATLIFTIBOATHOUSE)
I hereby certify that I own property adjacent to l /�' I. / /�/� L 's
(Name of Property Owner)
property located at _..�- r .' i;A
(Lot, Block, Road, etc.)
on In C A � 7 :, ", :f" N.C.
(Waterbody) (Toivn 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. I understand that a pier/mooring
pilings/boadift/boathouse~ must be set back- a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
w"
1 n wish to waive the sztbacV�" requiretiient.
1 IQ wish to waive that setback requirement,
-----------------------------------------
-.. -- DI71SCRITyF1()N AND/OR DRAWING OF PROPOSED DEVELOPMCN'"T:
(To be filled in by in(li►-idual proposing dercloptnrnt)
---------•---------------------• ---•- -- - - -- - .. - - _.�.-
Sibnawre
.�
Print or Type N',1111C
.3cl
"frlrphone Number

RUG-Oe-2005 10:01 PM SHORELINE MARINE CONST. 1+252+393+7934 P.04
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIF IBOATNOUSE)
I hereby certify that I own property adjacent to 1: /��i/l� 4 . N e. /VF/ L I— s
(Name of Property Owner)
property located at L ! 3 CA
(Lot, Block, Road, etc.)
on 200E A E&K , in N.C.
(Waterbody) (Town andloir 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. I understand that a pier/mooring
pilings/boadift/boathouse most be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
I do not wish to waive the setback'requirehient.
I Wish to -V�'aive that setback rqrrire1116nt.
---------------------------------------- --------------- ---------------
DLSCRIPTION AND/OR DRAWING OF PROPOSCD DEVELOPINIENT:
(To be filled in by individual proposing de►eloprnent)
Sina re
Print or Type Name
Telephone Number

AUG-08-2005 09:55 PM SHORELINE MARINE CONST. 1+252+393+7934 P.01
Shoreline Marine Construction, Inc.
Patty Docks - biters - Sea WaUs - DEALER for Hi Tide Boat Li
abrooks 1 a c.rr com
fax 910 - 326 - 8523
m 252-646-3212 Fax Cover Sheet
7/l -3 J� S Fax"
24-73 33 0
Ayq?j
From: AS)4 CS
r
P e 1in�luding ver)
Notes:
iE 4WA)or--- 44 etJ&YL.
D d cK/ U Fi-
6rooSE C2E6K
3oi ej rA-v LaP, Rom

` 4 ,
I
w
Q
0_
n�
Z
N
D
°
�
0
1�
o
0
�wvJ
1j;;,... cL A
4 Y) `
At
°r A-
'�, +mil
� Ia
s� �sfic
,p�etr
--' I! j 0) -cam
�� al-U-� 4•J ' Gt� o o � )
10
r
m,
ri o-A I
era
ZO'd '1SN00 3NIaUW 3NI13aOHS Wd 99:60 S00Z-80-Dno

ci•7
p �
i- 2 3 I'' l..k:. /1 C-I
<..f'E'�k` '.tl�= ��.'' F1 f'rrl, Ic C/1t �rr'r•.T lca
NOT FOR RCCOROING
1,PATE D. PN/LL/P5 N4w40Y CEN70F thAr
TN/S MAP WAS DRAWN UNDb'R MY SUPER-
VISION FROM AN ACTUAL 54)RVE4' MADE
UNDER Mr SUPERvIS/ON; THAT THE RATIO
OF PRECISION AS CALCULATED OY
LAT ITUDFS AND DEPARTURES IS
/MAT TNI;„4f4P was A eooARfO IN
ACCORDANCE WTNII 4 p • j D AS
AMFNDFw.M1.�` M :� AND SEAL
rMr8 • ••� I S�
• SEAL ,,•
" L049
•
REGI S
SrrE
�Jic.illirY M��
(oo
3c
SATE PHl� � IPS AND ASSOCrQ TES PQ
P.O, C'�)( 2/4
SURVEYOR NO.yt SWANSBORO
CAROLINA
PRaxc r NO
ADJACENT RIPARLAN PROPERTY
OWNER
LWNBOA STATHO TEMENT
(FOR A PIER/MOORING PILINGS
I hereby certify that I own property adjacent to & Is.
(Nance of Property Owner)
property located at 1. 3 C-•Cx")�' 1G C � � -
(Lot, Block, Road, ete, )
o n iC . in CA,� �"Lf ��_ , 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. I understand that a pier/mooring
pilings/boatlift/boathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
I clo nat wish to waive the setback`requireblent.
I dn wish to Naive that setback rqquiremtnt.
_ ------ ----------------
__DESCRTMON AND/OR DRANI'INC OF PROPOSED' DEVELOPNt'ENT:
(To be filed to by individual proposing derelopmenc)

DESCRiT''1 ON AND/OR 1)HAVV lt'Nt, v,• ,.,L-, T
(To be filled if' by itidividual proposing developmen[)
-2
Sihn-,lire -
Print or Type- Name

SHORELINE MARINE CONST.
ASHLEY BROOKS NCDL 7666496
PH (252)-646-3212
601 PELETIER LOOP ROAD D24
SWANS80RO, NC 28584
PAY
TO THE
ORDER
ORDER OF / V
A WAcxovrA
achovia Bank, N.A.
w
A achoNa.com
FOR C/v'�11L
II'0 1 198 7►I' i:0 5 3000 2 19i:
28011987
66-21/530
^� BRANCH 7I614
DATE 8 oC 3 dS

AUG-29-2005 06:42 PM SHORELINE MARINE CONST. 1+252+393+7934
P . 01
Marine Construction,Inc.
shoreline Niar�
Floating Docks - Pi�� saw:
Wa - DEALER f °r Hi Tide Boat L'
F
� c
fax 91tf . 326 R 8523 Cover Sheet
m 252-646-3212
r : -T 1 3 JOs Fax # 2,l+7- 3 33 �
y
s e t u ireM-rl
Coos,F: CQEsK
301 6j r4VL-Dk RaA�
,,4,j /Ve&,05-0 . .

AUG-29-2005 06:42 PM SHORELINE MARINE CONST. 1+252+393+7934 P.02
SJL Al EMINT
) n
0rru
DUB 1
' r1�C
,�C� -
apj
. �J (FOR A P15R/tifooRrNG 5
if that I own property adjacent to
F Owner)
(Name of Prope Y
l hereby Certify ,
property located at -� gtock,'Road, etc•)
Lot,
in 7 �tncy�
on ao� ('town eit,dlor Co a at that locztion,
(Nvaterbody) ment he is proposinn 1er/mooring
the develop that a p
his proposal. 1 Understand area
)-Ie has described sect onss to°�vn be °`�' distance of fifteen feet (15') from m)
and, 1 have no object
pt linpslboatliftlboathouse f-nust be set back a minimum u"
of riparian access unless rvRiv'ed y ,lck, r` U�retlleilt.
� �y�ei wish to Waive the s�.lbn
t o wish to %Waive thac sGtbaci: rec�uirei�ient.
s�
-------------- O1'��\"
---- -- -- NG OF PROPOSE Dr i-L
SCRifrl'IO``beNiltc�cl iZt/01Tt� ri ►�ci�'al p,-oposing developmertt)
(o
-------------
Signaturz
1 tint or Ty'p Nai11e
"Celepho ee Nt tbcr �

AUG-29-2005 06:43 PM SHORELINE MARINE CONST
1+252+393+7934 P.03
JUPAMAN ]'ROPEI OWNER STATEMENT
AUJACE
.(FOR
A PIER/MOORING PILINGS/BOA7"LIFTIBOATHOUSE)
Jill i I j, 1 c. - ,� ----�11 s
I hereby certify that I own Property adjacent to A pwncr)
(Name of Property
property located at
Block, Road, etc.) , N.C.
& , in
on(TJ n and/or County)
(w aterbody)
the development he is prosing at that location,
po
He has described to me, as shown below, I understand that a pier/mooring
hisea
and, I have no objections to proposal. feet (15') from my ar
tliftJboathouse m�+st be set back a minimum distance of fifteen
pilings/boa of riparian access unless waived by me.
1 tWila wish to waive the setback'requirenient.
J l -wish to Nvaive that setback requirement.
_�----------------------------------- F PROPOSL•D DE�'ELOP��iCNT: "_.._ -
�nESCRIffION A1�1)lCiRiDRAWING c(,lOproposi►+g de►�cloP,rle►:t)
(To be fills y
H
'gnature
print or Type Name
Telephone Number
3v 2Z

ADJACENT RIPARIAN PROPERTY OWNER
(FOR A PIERIMOORING PILINGSIBOATLIFTIBOArpNt3US G 2005
I hereby certify that I own property adjacent to (Nzme� oVf PProp yOwner)
Property located at l Q..
(Lot, Block, Road, etc.)
N.C.
C�, C'.F�K , in CAI
on G (Town and/or County)
(Waterbody)
He has described to me, as shown below, the development he is proposing at thto; location,
and,
I have no objections to his proposal. I understand that a pier/mooring
pilings/boatliftJboathouse most be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless -waived by me.
Z.
4-a�-ate ..•
I do not wish to waive the setback"requirement.
1 du ��'ish to waive that setback rgquirement.
- ---------
DESCRIPTION AND/OR DRMWING OF PROPOSED DEVELOPMENT:
(To be f lled in by individual proposing development)
------------------------------ -
Si jn!',�Are -
Print or Type Name
"Celephone Number