52688_HARGETT, MIKE_20081105

M.
L]CAMA / [-1 DREDGE & FILL & Y15
GENERAL PERMIT Previous permit # .
ONew ❑Modification ❑Complete Reissue ❑Partial Reissue y 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.i
Applicant Name t ti ra't� Project Location: County
Address ( -''y ° '�, '`� Street Address/ State Road/ Lot #(s)
^ 1
n �`I✓ 4 , J
Cityj State ZIP
Phone # O "f ; ;Fax # (_�--''�` Subdivision _ 1
Authorized Agent City ZIP
Affected ❑ CW C1 EW L3 PTA ❑ ES ❑ PTS
AEC(s): OEA CI HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑FC:
ORW: yes / no PNA yes/ - /no Crit.Hab. yes / no
Type of Project/ Activity
Pier (d
Platfo
Finge
Groin
Bulkh
Basin,
Boat
Boat
Beac
Othe
Shore
SAV:
Sand
Mora
Photo
Waive
Phone # () River Basi 1 A
Adi. Wtr. Bodv r e4'7 14 _-- rYI Atl (fia Wman /unkn)
Closest Maj. Wtr. Body 4"
(Scale: 1if i - )
h
TT
- I- -
rm(s)
r pier(s) I _
length I I
-� -
iumber i J
ra
P P length VJ
ead/ Rii _ ✓
avg distance offshore —
,
max distance offshore
channel
cubic yards
ramp , (7C
house/ Boatlift /
- --
Bulldozing
I
r
Al
-- ---
line Length
not surd yes no
bags: not sure yes no� - -- L
-"-- - ---- ---
torium: n/a yes no ' i �'
s: yes no,.?—__ - -
r Attached: yes no - -
A building permit may be required by: 1 { El See note on back regarding River Basin rules.
+
Notes/ Special Conditions
Ale �2
Agent or Applicant Printed Name
Signature Please read compliance statement on back of p7V4.
Application Fee(s) Check #
-- I�Khz
Issuing,D a I--- ';Expiration Date
All
j
Local Planningjurisdiction Rover File Name
A building permit may be required by: 1 { El See note on back regarding River Basin rules.
+
Notes/ Special Conditions
Ale �2
Agent or Applicant Printed Name
Signature Please read compliance statement on back of p7V4.
Application Fee(s) Check #
-- I�Khz
Issuing,D a I--- ';Expiration Date
All
j
Local Planningjurisdiction Rover File Name

A*
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

ADJACENT RIPARIAN PROPERTY OWNF,R STA
(Ft)R r# I'IFR/t>-t0l7i71cVG PILINGS/ROATI_IFT/BpATif(. Q. _C_
vie
..t-
1 hereby certify that 1 own property adjacent to �1 {E6 2C `b
((Maine of Property Owne )
property located at �2-�-� QA V-� 1`' G,,� ,
(Lot, Block, Road, etc-) /
on � �� �- v� to — L `; N. C.
(Waterbody) 'Town and/or County)
He has de: ribcd to me, as shown below, the development he is proposing at that location,
and, I have no objections to his proposal. I understand that a pier/mooring
pilings/bcuidift/boathouse must be, set back a minimum distance of fifteen feet (15') from my area
of ripa►ian access unless waived by me.
I do 1Tni wtslt tt� rv�tive srt
'-? _ I S�2 wish to wilive that setback requirement.
IMSaCltI I'ION ANT/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled irt by i►tdiridual proposing de�,elopment)
-'6c
5��' '' t5z
sub
--------------------------------------------------.-----
��(s
lure -
Print or Type Naine
---j
1'elehhone Number
Date:

10/20/2008 14:03 7032789368 CADENCE CO. PAGEw 01/01
ADJACOff RIFARTM 1"ROMMTY OV49M 5TA
(FOR A FIERIMOORING MNOSIBOAMPTA90A'7'AOUSA) mj
i hemby certify that (own pmporty adjacent to Wttkftj' .'a
(Nam of Ptaimly Owner) U '541O
pmrft-4V locatcd at coo bz,4 U%- _
Mat, Bhxk, Road, etc_)
on b6gJZtsi .ial�lc,
aiierbody) crows smuor Gbnnty)
He has d=rfx d to ar, as gumn blow, die cicvdttprmt he is pr wbzg at that location,
arid, I have no-objec000s w his pmpaW. I umdcrsrand that a pierlmoodug
dMangbmw strut be am Back a miaimum discum of iittem (het (15 ) &um my arcs
of ripar�rt avoa9s unlez waived by nee_
�. I do not wish to waive the setback requirement.
_ i 40 wish tO waive that setback requirement.
OFSCKTP'MN ANDIOR DRAWING OF PROPOSIM DEMOME I':
(7b be f illyd fs by &cl mar PmJa+sfaB d&ftkw ►*W)
�WL,rr- r
Nint or Type Mum
iWepho& Number
rye:

FIRST CITIZENS BANK 3262
firstcitizens.com
OUTER BANKS MARINE CONSTRUCTION, INC 66-30/531
1501 FIRST AVE 137
MOREHEAD CITY, NC 28557
[phone] 10/24/2008
m
0
PAY TO THE H
ORDER OF D. N $*Zgn nn
0
—Two 1-1lund ed and 0 / DOLLARS
II
N
II
D.E.N.R.
3
N
61
LL
MEMO ------ -- �+ j
jr�AUTH D SfGNATURE11'00326 2110 i:053L00300i:00L3L2l82l 71
OUTER BANKS MARINE CONSTRUCTION, INC
D.E.N.R.
10/24/2008
3262
First citizens 200.00

OUVERSANKS
VM i—ja.w..4 iiCOW OW 28553 eo7 cs— — tweammm moom
�� IJfe�lf�r�llde �iwer i�
19mall
ovi
OCT 2 4 ?008
?to

NOV-14-LIM 15:N Fram:" MHDCTY
To:92476332 Paoe:III
AAl
I�tG�ENR
North Carolina Department of Enviran narlt and Natural Resources
Division of Coastal Management
M413eI h. Ea31oy, Gevcmor James H. Sm9son, Director V &3M O, Ross Jr., Secret&y
Datc �I �g
Name of Property Owner Applying for Permit:
Mritiag Address:
-Sic
qk�{ �n 2203�
I certify that l have authorized (agent) _ �y1n ; rr�JL s to act. on my
behalf, for the purpose of applying for aad obtaining all CAMA Permits necessary to
install or eoQ9truct (activity) — Q O U L�.+
at (my property located uq
BIZ
This crrtUkadvn is valid thra (date) _� 31 2.OD 8
<<�[' I
ZPI�ItYOI— Signature Ditto
400 COmrrle►Ce Mamie, Morehegd City, Ndrih Carolina 2855T
Phone; 252-808-28081 FAX [phone] Internet; www riccoaslalmanaDementrlet
411 Equal OppCftt AY1 Alb MAw.Adfon Employer - 50% Recyded 1 10%Putt emtsumff Fspfr
l-d tC99-069-COL 11a6JeH d90:`✓0 80 t 1, AM