43659_FOUTS, JOEL_20060220

IL
'AMA / J DREDGE & FILL
GENERAL PERMIT
ONew JModification ❑Complete 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
Applicant Name( '/ C_ '-'` Project Location: County
J { /
Address_" �Q +^ !.��y Street Address/ State Road/ Lot #(s)
City J �' State t ri ZIP
2-- �-��.
Previous ermit
Date previous p it issued
attached.
Phone # ( ) -% Fax # ( ) Subdivision
Authorized Agent City ZIP
Affected •.p CW FEW tFA O ES [IPTS Phone # (_) _ River Basin
Ll AEC(s): OEA ❑ HHF ❑ IH ❑ UBA El N/A Adj. Wtr. Body (nat /man /unkn
❑ PWS: ❑FC: f
ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body / '_ `
Type of Project/ Activity
Pier (dock) length , >
Platform(s) . f
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore_-_
max distance offshore
Basin, channel
cubic yards.
Boat ramp
Boathouse/ Boatlift 7 1
Beach Bulldozing
Other
Shoreline Length %
SAV: not sure yes %nog
Sandbags: not sure yes
Moratorium: n/a yes I.na
Photos: yes —
Waiver Attached: yes /�nno I I
A building permit may be required by:
Notes/ Special Conditions
3-��-��
Agent or Applicant Printed Name "
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
L
See note on back regarding River Basin rules.
rermrt vmcer s signature
Issuing Da •e f Skplratioh Date
r�
Local PlanningJurisdiction Rover File Name

*r
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 (910-796-7215) for more information on how to comply with these buffer 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
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
400 Commerce Ave
Morehead City, NC 28557
202-808-2808/ 1-888-4RCOAST
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
910-796-7215
Fax:[phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 06/29/05

'3f 316
0�
ADJACENT RIPARIAN PROPERTY OWNER AT STATEMENT
(FOR A PIERIMOORING PILINGS/BOA L
JtrE' 's
1 hereby certify that I own property adjacent to
(Name of Property Owner)
property located at
5z� fo PIP —
(Lot, Block, Road, etc-)
1�U 5 � �� N.C.
6)4 in
on (VVaterbody) (Town and/or County)
He has described to me, as shown below, the development he is proposing at that location,
I understand that a pier/mooring
and, I have no objections to his proposal- from m area
pilings/boatlift/boathouse. must be set back a minimum distance of fifteen feet (15) y
of riparian access unless waived by me.�
I SI n wish to waive the setback requirement.
I d %vish to «xaive that setback requirement.
_ - ------------------------------------------------------------
DFSCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPNIDRAWING
(To beftled in 6y' in(i►idua( proposing derclopiuenc)
S
" R'�k' ' I'
-------------------------------------------------------------------
---------------------
Signature
Print or Type Name
Telephone Number

1
)Oct, FoAT5 PlEj? L,,�ynL4r-
8 So t 5owrop Dk>I OF

FEB-17-,2005 01:05 AN SHORELINE MARINE CONST. 1+252+393+7934
Shoreline Piers and
Boatlifts, Inc.
Floating Docks - Piers - Sea Walls - Boatliffs by Hi -Tide
601 Peletier Loop Rd
Unit D24
Swansboiro, NC 28584
fax [phone]
m [phone]
DATE:
To:
FROM Ahl�64(
Fax Cover Sheet
FAX # a 47- 3 3� 0
TOTAL PAGES: �j-
NOTES;RIC-
,
91,a�N,
P.01

UNTED STATES POSTAL SERVICE First -Cass Mal f ,
Postage b Fees Paid
- ' llSPS
Pofn* Nm G10 4
• Sender_ Please print yots not
am, address, and ZIP+4 in this bo
e1•
lm Xt� i & - hA
n�
5-&ww)s b&-o Atc
L261 56SS h000 0
SEA l7 &AM "o Pwwpm" -V
mom❑ . tin
«91L -S
oN ❑or•a...� IlMnoep�M &3AA
W p a ttt a wn+1 Ili r Hipps A��P w Q
W OV Q ii"
ti
WW AmAxPA ` L L99 WJC�J- Sd
TTE SOU aigWW ROW a 1
11
amid �j�w�g �4�JL
a tvw �w 's
-G a goods g Woy atµ Uo Jo I
%=op t aril W >wQ a# of Pm Wp 4mW ■ I
V" a9 µ x► on u+qw taro"MR oa
QMWPat OX Uo soaippQ Pw Omm maf V*d ■
'Po*MF el AMAM PKWPvd A > uAq j
+gym awY -SPUN vt >iat spoumo ■

FEP-17-2006 01:06 AN SHORELINE MARINE CONST.
1-4-252-393-7934 P.03
ol
w
b'
C0
3,
0
ri

Shoreline Piers and
Iw
M�1R 0 6 2006
Morehead City DCM
Boatlifts, Inc. 601 Peletier Loop Road Unit D24 Swansboro, NC 28584
Floating Docks - Piers - Sea Walls - Boatlifts by Hi -Tide Gear Dave
FAX/OFFICE [phone]
MOBILE [phone]
N.C.D.E.N.R.
Division of Coastal Management
Morehead City, NC 28557
owner of the property located
rr,/ ' hereby authorize, Ashley Brooks of Shoreline
Marine Construction, to act as my agent in obtaining all CAMA and local building permits
required to construct and install my pier, boat lift and/or seawall.
Thank You,
Owner Signatur

SHORELINE MARINE ONST-96
ASH LEY BROOZ 6pH 46_3212
601 PELETIER LOOP
2g58 �24
SWANSBORO,
NC
PAY
TO THE
ORDER OF-fi
04 77
28012249
66-21/530
eflANcli 11,14
DATE
1 s /��•
WACROVIA rip
Wachovia Bank, N.A. _
uT �' 20st r 255
FOR „ 1:0.53000 2 L9 •
II�O L 2 249