55212_GRYB, BOB_20100303

1:1 CAMA D DREDGE & FILL
GE1 4,AAL PERMIT Previous permitE]New * DModification EJ Complete Reissue DPartial 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 15A NCAC
❑ Rules attached.
Applicant Name Project Location: County rT
Address
Street Address/ State Road/ Lot #(s) (Ali 1 lv�-'
Phone #
Authorized Agent
Affected El Cw
AEC(s): El OEA
Ej PWS:
Fax #
[I EW Eg'PTA
E HHF El IH
11 FC:
ORW: yes / no PNA yes / no
[RES [-] PTS
El UBA 0 N/A
Crit.Hab. yes / no
A
Subdivision
City j r j ZIP
Phone# C I River Basin
Adj. Wtr. Body- 1J (!-'It (nat /man /unkn
Closest Maj. Wtr. Body
Type of Project/ Activity \ r-, ce-
Pier (dock) length
Platform(s) io )I-
Finger pier(s)
-f
F->( i r)
--!"\ ( . V
lin
(Scale:
Oil
I Vf
7 Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
V,
-A7
Shoreline Length
SAV: not sure yes no' 11-4,
Y
Sandbags: not sure yes no
no Moratorium: n/a yes no
Photos: yes no
X77
Waiver Attached: yes no
A building permit may be required by: ["d e []See note on back regarding River Basin rules.
Notes/ Special Conditions �i AC A
It -A
�ento�Applicant Printed amp 1
$ignature Please read col liance4tat e4 back of permit"
MID f 5e`n—,t
Application Fee(s) Check#
Per, CrIce Is Sign'a'ture
77-5710
r
Issiuli Date
Expiration Date
Local Planning) urisdiction
Rover File Name

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

it 04 10 10:54a [phone] P.1
MPR-3-2010 09:41P FROM:FOLEY&FOLEY 252633(6312f7
/ TC:6370461 P.1
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North C aroiinat Department of Environmeal & Netural Resources
Division of Coastal Management
James Gregson, Director
Beverly Eaves Perdue, Governor
Date Febniary 15, 2010
Applicant Namt Boh Gryh
MaiftAddms 210 West Wilson Pt
New Bern NC 28560
William G. boss, Secretary
I eestiiy that I have authorized (agent) Fes, Contractors, LLC. to act on my behalf, for
purpose of applying for and obt2ining all CANIA Permits necessary to imstall or construct
Bulkhead, at 210 West Wfl—son P
This certification is valid thru (date) year
Signature
400 Commerce Ave., Morebeed City, Nortb Caroliaa 211557
Pbode 252-828-28W Fox 252-247-3330Internet: w___vM.nccotrs.slmanagementnet
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Telephaft Number and Date
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Serial Number Year Month, Day Post Office U.S. Dollars and Cents
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17346627180
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e:00000800 21: 17 3 4 6 6 27 180'112'

NC Division of Coastal Mgt. Habitat Impact Computer Sheet
r
Applicant: Bob Gryb
Date: March 3, 2010
General Permit #: 55212C
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
Habitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
Dredge ❑ Fill ❑ Both ❑ Other X
570
570
Dredge ❑ Fill Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑