34569_DURHAM, DAVID & MARY_20030710

:tcAMA / ❑ DREDGE & FILL
GENERAL PERMIT
❑New ❑Modification ❑Complete Reissue ❑Partial Reissue
Previous permit}#
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
D Rules attached.
Applicant Name Project Location: County
Address r f
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City C i"')1
Stated ZIP
Phone # ("?' ')6
-•• -
' Fax # ( )
Authorized Agent
Affected ElCW
DEW
15VPI-A ❑ ES ❑ PTS
AEC(s): ❑ OEA
❑ HHF
❑ IH ❑ UBA ❑ N/A
❑ PWS:
❑ FC:
ORW: yes / no
PNA
yes ( no Crit. Hab. yes / no
Street Address/ State Road/ Lot #(s) -�;.:k , ,
Subdivision
City ZIP
Phone # ( ) River Basin; , . !' ,r is
Adj. Wtr. Body f�=-� ✓ (nat /man /unkn)
Closest Maj. Wtr. Body —
Type of Project/ Activity
L'•(
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Scale:
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Pier (dock) length
Platform(s)
Finger pier(s)—
Groin length
number
Bulkhead/ Itiprap length
avg distance offshore
max distance offshore
Basin, channel
cubicy ards
Boat ramp
Boathouses 66at� lift)
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Beach Bulldozing
Other
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1,
- -
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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
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rules.
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❑ See note
on back regarding River Basin
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
Permit Officer's jSignature
Issuingb to i Expiration Date
L_
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, 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 (910-395-3900) for more information on how to comply with thesebuffer 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
Location: Fax: [phone]
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / I-888-4RCOAST
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
151-13 Hwy. 24
Hestron Plaza II
Morehead City, NC 28557
202-808-2808
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
910-395-3900
Fax: [phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
www.nccoastalmanagement.net
Revised 10/05/01

SHORELINE MARINE CONST 28010485
ASHLEY BROOKS NCDL-7666496
PH (252)-646-3212 66-152/531
99 CENTURY CT -T 03
SWANSBORO, NC 28584 DATE
PAY
TO THE $ /A,r
ORDER OF 'v Y+�1 " I�� VO(J
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tt Beiee nn
Becht
�TACHOVIA
Wachovia Bank, N.A.
pI'i'�, knoll Shun•a, NC 2&'si7
FOR J �f►t� lT i7U� N �"i �-�'r (� ,,3 9 __ .. - -- - — � --- ---... --_!,- -- - - ----
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ADJACENT RIPARL-mN PROPERTY OWNER STAT[EMEIN '
(FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to rqv', '
(Name of Property Owner)
property located at `7 (/U S-
(Lot, Block, Road, etc.)
on
in a Le,e (.e N' C.
(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 understand that a pier/mooring
piiings/boatlift/boathouse must be se: back a minimum distance of fifteen feet (15') from my ara
e
of riparian access unless waived by me.
I do not wish to waive the setback requirement.
I da wish to waive ti.at setback requirement.
- ---------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
2 ' 2' cpr rya i K
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Sig ature
-'J6LSEP -{ C P-0 g
Print or Type Name
c)5a - 3S2-1 -,2 P-- ca M s6,z -16 33
Telephone Number
Date: z,

"J ak-k-ld 1 EIFAKL-'N PROPERTY OWNER STATENIEN-T
(FOR A PIER/MOORING PILINGSIBOA TUMBOA THOUS,9bL 0 3 2003
I hereby certify that I own property adjacent to U i s
(Name of Prop y Owner)
Property located at 1-7 LIP'
on
(Waterbody)
(Lot, Block, Road, etc.)
in ev0 (00�-S(e- , N.C.
(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 understand that a pier/mooring
pilings/boadift/boathouse must be se: back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
I do not wish to waive the setback requirement.
I d-Q wish to waive trat setback requirement.
--------- -------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOP.NIENT:
(To be filled in by individual proposing development)
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Signature
Print or -Type Name
Telephone Number

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torqUop Piers and Boatlifts, Inc
Ce 141, Co111•I
Tan, ' oho, NC 28584
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MONITORING & COMPLETION REPORT
[CAMA Major Development & State Dredge & Fill Permits]
PERMITTEE' S NAME. PERMIT #
LOCATION:
PHONE: 5-541
DATE OF INSPECTION 51 2j L o3
1} Do thSRqpsured dimen
YES/ O circle one].
COMMENT:
2)
disturbed areas? YES/NO [
FIELD REP.
DATE REPORTEDLY COMPLETE:
s of the development differ from those indicated in the permit and workplat?
UUNTKUL: Has Permittee seeded, grassed, or otherwise stabilized all
one]
COMMENT:
3) FUTURE MO RING &ENFORCEMENT ACTION: Is further investigation or enforcement action
needed? YES O circle one].
COMMENT: