44752_MILLER, BOB_20060329 (2)

�cAMA /i � KEDGE & FILL N? 4 4'7 5 2 L
.W
EN L PERMIT Previous permit #
ew M ification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by th S e of North Carolina, Department of Environment and Natural Resources - 7 /j / � 00
and the Coastal Reso rces Commission in an area of environmental concern pursuant to I SA NCAC /(T /
�{ _1.ules attached.
'U Applicant Name ! ��r __ Project Location: County t�,�✓ T��_�J/J
Addressr), O r! —T (ol'e"a V41 Street Address/ State Road/ Lot #(s
City < 1ytl4 State /VZ- ZIP '2—%/0 b_ _ 2 S-0 A9 UI e—
Phone # (36) 72%3 --471 Fax # ( ) _ Subdivision
Authorized Agent Vi Cyc�� CityZIP
Affected
AEC(s):
ORW:
❑ CW
❑ OEA
❑ PWS:_
yes /(F)
�-4W p4wrA ❑ ES ❑ PTS
❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ FC:
PNA yes 6� Crit. Hab. yes / no
Type 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 Bo H J. )]<t�
Beach Bulldozing
Other
Shoreline Length
SAM not sure yes io
Sandbags: not sure yes (p1
a
Phone # (_) River Basin
Adj. Wtr. Body paD/man /unkn)
Closest Maj. Wtr. Body —
Moratorium: n/a yes O�P /
Photos: yes Eol J
Waiver Attached: yes) no
A building permit may be required by:
Notes/ Special Conditions A�'"i
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit*
Application Fee(s) Check #
(Scale:
4,�,,��;
I- See note on back reBasin rules.
f arding River
cK(
Permf er'sSi nature l
3 ' � 7 ��
Issuing Uate Expiration Date
Local P anning Jurisdiction Rover File Name

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor Charles S. Jones, Director William G. Ross Jr., Secretary
April 11, 2006
Bob Miller
201 Trotlers Way Ct
Winston Salem, NC 27106
Dear Mr. Miller:
Attached is General Permit 944752C- to construct (2) 13' x 13' boatlifts at 2580 Bayview Blvd
Atlantic Beach, NC
in order to validate this permit, please sign the permit as indicated. Retain the white copy for
your files and return the signed yellow and pink copies to us in the enclosed, self-addressed
envelope. 1f the signed permit copies are not returned to this office before the initiation of
development, you wiwill be subject to a Notice of
ll be working without authorization and
Violation and subsequent civil penalties.
We appreciate your early attention to this matter.
Sincerely,
Ryan Davenport
Coastal Management Representative
lsb
Enclosures
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] \ FAX: [phone] \ Internet: www.nccoastalmanagement.net
An Equal opportunity \ Affirmative Action Employer — 50% Recycled \ 10% Post consumer Paper

-
,� 1-;'r-EJ T x 0 Yi NJ ,�L � rA. ;�,Aj-:Ep4 x
;FOR A PIERIUNCOVEERF-D BOAT IJIFZ)
�3 <i I hereby c:.rt fy that I own propeny adjacent to
(`iILnre of Property OtiVuer a
property located at p� 50 ��'
(Lot, Black, Road, etc.) 0
On 76C)u-c >(� 0
(Waterbbay) Town ancl"orlCa nty) r'
He has described to me, as shown below, the developf,hent he, is proposing t1;aQp6, .
loG3tion, and, I have no objections to his. proposal. I underst<�nd chat a pier/uncovered blir a
„.j must be sett a minimum ci stance of rirteen i t (I5') ftorn my !area of Hparian aces; u ss
I do not wish to waive .the setback reQuirement.
! I do wish to waive that setback requirement.
i
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PURCHASER, SIGNER FOR DRAW
P PJRRCCCHHAASS\ER, BY SIGNING YOU AGREE TO TIE TERMS ON E)KvE
MONEY/LO'►RfI�D'ER' ADDRESS I GIFT CERTIFICATE: RECIPIENT
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WF Naliaaal Bank
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Saulh CBMIaI
Fa/IbaW(, MN ISSUER/DRAWER:
TRAVELERS EXPRESS COMPANY, INC.
1:09 L900533i:4?, 9494 23 Hie 90
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