44600_HILLER, SETH_20060316

-7CAMA / DREDGE & FILL
GENERAL RERVOIT
DNew ''Modification �lComplete 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
Address
City
Phone # ( )
Authorized Agent
Affected —_ CW
AEC(s): OEA
G PWS:
ORW: yes / no
State ZIP
Fax # ( )
EW —', PTA C7 ES ❑ PTS
-1 HHF F- IH El UBA ❑ N/A
❑FQ
PNA yes / no Crit. Hab. yes / no
IType 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
cubic yards
Boat ramp
Boathouse/ Boatlift
1
Previous permit #
Date previous permit issued_
U Rules attached.
Project Location: County -
Street Address/ State Road/ Lot #(s)
Subdivision
City --
Phone # ( )
Adj. Wtr. Body
Closest Maj. Wtr. Body
ZIP .�
River Basin
(nat man unkn
(Scale: )
Beach Bulldozing
Other
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: ' See note on back regarding River Basin rules.
Notes/ Special Conditions
Agent or Applicant Printed Name Permit Officer:s Signature
.3 Morehead City L�Yivl
Signature Please read compliance statement on back of permit Issuing Date Expiration Date
Application Fee(s) Check # Local Planningjurisdiction 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, certifythatthis project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
L _j 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

t1-UJ tX%1rAL 1 turF► rc , A !,4 r.KUrl:�K 1 Y V MNEK Lb A 1'hMLN'1'
(FOR A PLERIMOORING PILINGSBOATU BOATHOUSE)
I hereby certify that I own property adjacent to kw. is
(Name of Property Owner)
property located at l hLL I
(Lot, BIock, Road, etc.)
on �`. VDA-- a L� 111J) in � �� c i� , 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
pi7ings/boatIiMoathouse must 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 requirement.
I -do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOP14ENT:
(To be fined in by individual proposing development)
Signature
Print or Type Name
Telephone Number
Date:

IN Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
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,pqa �--�trt -kTj v-,n01� U� E- .
A. Signature
X ❑ Agent
❑ Addressee
B. Received by (Printed Name) I C. Date of Delivery
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
�Mertified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
C ��� t'� ��\ 14. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 1 7003 2260 0002 2063 7796
(Transfer from service label)
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
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r1JvJ1M'k1VL'4 1 xL r1 x, w1r rKgJr.LK1 Y V W NJ&K S 1A1 ML{'iV'1'
(FOR A PMRIMOORING PH- INGSBOATLlFl MAMOUSE)
I hereby certify that I own Prop' adjacent to
(Name of Property Owner)
property located at 414
(Lot, BIock, Road, etc-)
on C S ("- , in A2ji,�oc )I N.C.
(Waierbody) . (Town andlor County)
He has descn`bed 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/boaddYboathouse must be set back a minimum dismance of fift= feet (15') from my area
of riparian access unless waived by me.
I do not wish to waive the setback Leq irement
I -o wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOP'YK1T:
(To be JMed in by individual proposing deydapnent)
Signature
Print or 'Type Name
Telephone Number
Date:

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A a n c.e d d rr�m e n t. S I b a n k ToT d e t a r 7s:
,� X . 2094
INNERBANKS MARINA CONSTRUCTION, INC .f 4 ;
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P.O. BOX 190 PH.252 249 1429 ! J'
ORIENTAL, NC 2857166-30/531
.DATE V V 472
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