45216_BEYARD, ROB_20060530

❑CAMA / ❑ DREDGE & FILL
GENERAL PERMIT
Previous permit #
❑New ❑Modification El 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 I SA NCAC
Applicant Name Project Location: County
Address / / / Street Address/ State Road/ Lot #(s)
CityState ZIP
E I ,
C;
Phone # O Fax # O Subdivision
Authorized Agent City ZIP
b
ElCW ❑ EW O PTA El ES ❑ PTS Phone # ( ) River Basin ! r
Affected ElOEA ❑ HHF ElIH ElUBA ❑ N/A 1
AEC(s): Adj. Wtr. Body a •man unkn
❑PWS: ❑FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale: � J
Pier (dock) length
Platform(s) -i - - — _..-+ — — --- -- -- I - - -- - -T
Finger pier(s)
Groin length
-
r
number
Bulkhead/ Riprap length
lc ! a
i
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
See note on back regarding River Basin rules.
AgentorApplicant Printed IN fr `" ti `•.,4 rmitOfficer's Signature
jSignature Please read compliance statement on back of permit ** Issuing Date Expiration Date Moreh&ad-uty DCM
ApplicationFee(s) Check# 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, certifythatthis project is consistentwith the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
❑ Tar - Pamlico River Basin Buffer Rules ❑ Other:
EJ 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/ 1-888ARCOAST
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,
Orslow -below New River Inlet- and
Pender Counties)
Revised 06/29/05

is-uj mc..mn 1 1[wA KuA m JrK%jrV U Y V WVAK , t'All'ilblkNJL'
(FOR A PIERR(HOORING PHMGSBOATLIFT'BOATIIOVSE)
I hereby certify that I own property adjacent 1a�_'t k iti 11, 'S
(Name of Property Owne4
plopestyIocaf�edat C C Q�,,�,��, F--. -
�etr•)
as GediAao in Oezlzn T Prk _ , N.C.
Materbody) . (Town andloir Coway)
He has dmcnlied to me, as shown below, the dmiopmpnt he is p wposing at that
location, and, I have no ' objections to his p mpo=L I wed that a pier/mooring
mmtbe setbackaminim= dstmom offd= fed (M from my area
of r4mrian access nnIess waived by me.
I do nat wish to waive the setback
140 wish to waive that setback regwr+emmt:
DESCRIPPION AND/OR DRAWING OF PROPOS) DEVELOPMENT:
(To be jiIIed in by & ividud pmpoAmg deveropmw)
—1�9&i
Print or Type dame
a5-k d 4 � D �,fp
Telel3 m Number `

0Y- •SECTION
■ 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.
f 1. Article Addressed to:
OQ�F_EmAl # r1c . 0�5-1 t
A. Signature
X ❑ Agent
L/ ❑ Addressee
B. Received b Prin dd Na e) C. Date of Delivery
/ �L1
L.L.
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number itlOg5 yB Q i�p�4s34, 23 5228
trW� from service lab;eo ! ; . .. .
1 PS Form 3811, February 2004 —Domestic Return. Receipt—102W5-02-M-1540

P
UNITED STATES POSTAL SERVICE
First -Class Mail
Postage & Fees Paid
LISPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
TQ^
V�10
6V-�r1, v1c . S11

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INNERRANKS MARINE CONSTRUCTION, INC. :�' �� "�'� ``�`'��' �, 2126
P.O. BOX 190 PH. 252-249-1429
ORIENTAL, NC 28571 }�,'' ' 66-30/531
DATE 606 j� an
PPAY �p � ^�
ORDER OF --AY J 17 / Y y'\ -- --- $ �'00. Lair
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Two �V��%� C71►�U _ ( iDOLLARS «�
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RRST CITIZENS 472-l�.t
D A W First-C,tizons Bank 8, Trus[ Company 11 - % ` l
��-�i ,l` 0,i.ntal, N.C. 28571
` www.firstcitizen's.com
FOR
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