47397_BLESSINGS, BOBBIE_20060828

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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 Resourc;/1and the Coastal Resources Commission in an area of environmental concern pursuant to 15A N❑ Rules attached.
Applicant Name Project LocCounty
Address J Street Address/ State Road/ Lot #(s)
City State ZIP
Phone # O Fax # (` )
Authorized Agent
Affected - Cw - EW _ PTA
AEC(s): — OEA — HHF - IH
PWS: - = FC:
ORW: yes / no PNA yes / no
Type of Project/ Activity
Pier (dock) length
Platform(s)
j Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards_
Boat ramp
Boathouse/ Boatlift
7
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
ES ` PTS
UBA N/A
Crit. Hab. yes / no
Y }'
Agent or j ppjicanp,Ptinted Name
Signature Please read compliance statement on back of permit
7
Subdivision
City ZIP
Phone # ( ) River Basin
Adj. Wtr. Body (nat /mane /unk�
Closest Maj. Wtr. Body
(Scale: i ,
❑ See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Date /
Expiration Date
Application Fee(s)
Check #
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, certifythatthis 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
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:
❑ 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
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
Fax: [phone]
Location:
Parker -Lincoln Building
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
2728 Capital Blvd.
P
Counties)
Raleigh, NC 27604
919-733-2293
Morehead City District
Fax: [phone]
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

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1 WACHOVIA BANK, N.A. 66-1521531
J U. F. S., LLC MOREHEAD CITY, NC 28557 3332
101 DOLPHIN WAY
DATE
BEAUFORT, NC 28516 Aug 8, 2006
252-728-7576
Pemo3�ots 16, 17, 18 BulkHead
TOTHE One Hundred and 00/100 Dollars
ORDER
_ OF:
CAMA
I�
II'003332u■ 1:0531015291:
5�,61 005441u■
AMOUN*r* * * * $ 100 . 0 0
WACHOVIA BANK, N.A. 66-152/531 3297
U. F. S., LLC MOREHEAD CITY, NC 28557
101 DOLPHIN WAY DATE
BEAUFORT, NC 28516 Aug 1, 2006
252-728-7576
AMOLIe * * * $ 100 . 0 0
PA'Vemo�,ot 17 Phase5
TOTHE One Hundred and 00/100 Dollars
ORDER
OF:
CAMA
II■003 09711, 1 : U 5 i I i5 �41: 546 L UU544 LII'

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Adjacent Riparian Property Owner Statement
(FOR A PIERIMOORING PILINGS/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to "6664 7965i A .S is
Name of Pr4erty Owner
property Iocated at Lz4 j,4- /7 94ck C. err 7
Lot, block, road, etc.
on Th A-p.� ,Wega ARf , NC
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 do- not wish to waive the setback requirement.
I do wish to waive the setback requirement.
Description and/or Drawing of Proposed Development
(To be filled in by the individual proposing development)
Signature
%om.n 7 111AI-l"
Print or type name
Telephone number
e-3-o2a�
Date
S ee After c.(#,,l
n?Ire

r--*, E C, Ir B-2 a V
pi I to
Adjacent Riparian Property Owner Statement 4 U G 1 7 2006
(FOR A PIER/MOORING PILINGS/BOATLIFTBOATHOphead City DCM
I hereby certify that I own property adjacent to _
property located at Ld / # // Aloe 4
Lot, block, road, etc.
on —];; ki'-' C'da//z;, /
Waterbody
13les/� I
Name of Pro eM Owner
in ��lf��' , NC
Town and/or county
I
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 do not wish to waive the setback requirement.
x I do wish to waive the setback requirement.
Description and/or Drawing of Proposed Development
(To be filled in by the individual proposing development)
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Signature v
76)-P - Y V ho& Hl\r
Print or type name
os�--2as-�>oV7
Telephone number
V 0� (2t
Date
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