53344_GROTHER, RON & SANDY_20090225

❑LAMA / P- DREDGE &FILL
GENERAL PERMIT
❑New ❑Modification ❑Complete Reissue ❑Partial issu1t As authorized by the State of North Carolina, Department of Environment and Na al esources
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
Previous permit # r
Date previous permit issued
D Rules attached.
Applicant Name Project Location: County
Address Street Address/ State Road/ Lot #(s)
City !'I� {,' State i ' ZIP
Phone # O
Fax # O
Subdivision
Authorized Agent
City ' ! i ( t\
ZIP
�t
❑ CW
❑ EW ❑PTA El ES ❑ PTS
Phone # (_)
River Basin
t'
Affected OEA
AEC(s):
ElHHF ElIH ElUBA ❑ N/A
} "
Adj. Wtr. Body 1 ! �_ 1
nat man _L.nkn)
❑ PWS:
❑FC:
1 I I
Closest Maj. Wtr. Body
I i
ORW: yes / no
PNA yes / no 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/ Boatlift
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:
Notes/ Special Conditions
,r
Agent or Applicant Printed Name
Signature ` "Please read compliance statement on back of permit"
Application Fee(s) Check #
(Scale:
See note on back regarding River Basin rules.
-fir
Permit Officer's Signature0:
_
( r /
Issuing Date Expiration Da e
Local Planningf urisdiction Rover File Nar-Ad

e
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
Raleigh Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
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)
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 08/09/06

Fob 12 09 01:15p Tim Grimes [phone] p.1
uoaw�y, i oviu�ir �u, twa .r.t �m ulu �wntli �L�L� L4�-WaC P•Udc
ADJd,Ck= RIPARIAN PROPERTY OWNER STATL MN't
(FOR A PILR/ASo(MWG pJLfN6:VMATUF7'/SOATROUSE)
I hereby certify chat ! nwa prupercy adjacent to �� .... ����•-
�*� (Name of Property Owner)
property locntcd rtt _ V pv_O� k
//���,���•���� (Lot. Block, Rand. etc-)
N,C
-body) (['awn and/or Cauufy)
ApprwwnVs phone#.
IIt: has dr_-n-bccl W Mc, 8x silown below, the development he is Tn"osing at that locatiori sud, i
havr no objections to his prupo9ai_ [ oitderstuad theta pierintooring pilings / boattitl Ibcathouae
must Ft set hnc k a minimum distance of fifteen feet (1 S'j froth my =& of ripitrian access unless
waived by me. (If you wish to waive the setback, you must initat the appropriate bLwk
below.)
} do wish to waive
do wisL to waive that Metbsck rcquiremcnt-
DESCXTPTION AND/OR DRAWING Oil PROPOSED I)EVE1.0PMFN'c-:
(To b6 filled in by individud preprrntng develcpewu)
(fntormaflon for property Owner A. Pi tan µ (Riparian Property Owner IurormYtion)
for Permit) J,
Mailing hddtxas signature
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6ty/StatelZip
bane Number
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ADJACENT RIPARIAN PROPERTY OWNER STATE
is 1
I hereby certify that I own property adjacent to Ron & Sandy Grotheer's D&, q ZIP)
(Name of Property Owner) d 6 2008
property located at, 1301 Front Street, Beaufort, NC 28516 Ore"eaao C!t}0
(Lot, Block, Road, etc.) C,,
On Taylor's Creek , in Beaufort, Carteret County, N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: [phone] (cell) Mailing Address: 9605 Savannah Crossing Court
Vienna, VA 22182
He has described to me, as shown below, the development he is proposing at that location, and, 1 have no
objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by property owner proposing development)
We propose to move the (2) west most Pilings 3 feet to the west
(See sketch following sheet)
(Information for Property Owner Applying
for Permit)
Ron Grotheer
Mailing Address
9605 Savannah Crossing Court Vienna, VA 22182
City/State/Zip
[phone] home [phone] cell
Tele ne Nu ber
�kw 8/28/08
ignature Date
(Riparian Property Owner Information)
Sign4ture —"- !
Print or Type Name
Telephone Number
Date

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ADJACENT RIPARIAN PROPERTY OWNER A
"�
I hereby certify that I own property adjacent to Ron & Sa;F' a
(Name of Property Owner) DF (, 1 6 MfIR
property located at , 1301 Front Street, BeaufortNC 28516 410r►, $ GIB (Lot, Block, Road, etc.) -/ 0CM
On Taylor's Creek , in BeaufortCarteret Coun , N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: _ [phone] (cell) Mailing Address: 9605 Savannah Crossing Court
Vienna VA 22182
He has described to me, as shown below, the development he is proposing at that location, and, I have no
objections to his proposal.
DESCRIPTION AND/OR DRAFTING OF PROPOSED DEVELOPMENT. -
(To be filled in by indiridual proposing de►,elopmerit)
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Signature i
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Print or T) pe Name
Cl
Tr)e ')ione 19umbOr
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FIRST CITIZENS BANK 3329
firstcitiz®ns.com
OUTER BANKS MARINE CONSTRUCTION, INC 66-30/531
1501 FIRST AVE 137
MOREHEAD CITY, NC 28557
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[phone] 1271612008 m
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PAY TO THE "
ORDER OF $ v
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DOLLARS
wo Hundred an
D.E.N.R.LL
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MEMO
;ORlZSIGNATURE
115003329110 i:0 5 3 100 3001:00 13 1 2 18 2 1 FAIT'

12/23/2008 15:42 FAX [phone]/
[A 001/001
14CDE14R
North Carolina Department of Fnvironment and Natural Resources
Division of Coastal Management
Michael F. Easley, Govemor James H. Gregson, Director William G. Ross Jr., Secretary
Date (20 L O's
Name of Property Owner Applying for Permit:
r, I ► (!�arz
Mailing Address:
{ (QO '�;AS IANN Atk G�c S E G ►
I certify that I have authorized (agent)
V uTr& eAg)e-S �A ltI ►fi e='
60j6tWM0-)1 -rim &Rl m e -6
to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) i'-I OJe (20 R-k-t$ A-r l-� m s 1 To' v./es
at (my property located at) t301 FPoN..tT STIZee'T 13 CNto% Fi>ocr r IJG 2$5�
This certification is valid thru (date) TAW $0 20041
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Property Owner Signature Vale
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internet: www.nccoastalmanagement.net
An Equal Opportunity l Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper