34741_GROTHERY, RUN_20030812

f. Y;K-�, *1 T •� h .�i'i, 3iX :�.St JIF^•.":T';i sr;; .. U.T.-,'-_.-_ —'6^
WCAMA / ❑ DREDGE & FILL;
GENERAL PERMIT Previous permit #
❑New []Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
As auth 'zed by the State of North Carolina, Department of Environment and Natural Resources
and the oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
1 V11.17S/alach
Applica Name j` Z�. 1T('T� I (J Project Location: County U 7
Address I v r _ Street Address/ State Road/ Lot #(s)
city f �„ ► Stag! az�Pci
Phone #
Authorized
Affected ❑
AEC(s): ❑
ORW: yes /
Type of Pro
Pier (dock) length
ax # (`)
Subdivision
it g 6 t„_,,, r
J+'
City
`�q Z
ZIPS
q.EW ''' PdA [I ES PTS
Phone # ( } )- i ' �`'C
7 7 3
River Basin i
A ❑ HHF ❑ IH ❑ UBA ❑ N/A
- �+'
Adj. Wtr. Body.. i
-
,'
fS: ❑ FC:
Closest Maj. Wtr.
r�\
--'
PNA yes / no Crit. Hab. yes / no
ody
;t/ ctivitY
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length_
avg distance offshore_
max distance offshore
Basin, channel
cubic yards
Boat ramp -
Boathous Boatli
Beach Bul il
l
ll
Shoreline Length 5 I !
SAM not sure y no i
-F
Sandbags: not sure yes
Moratorium: n/a yes
Photos: r yeSr s no
Waiver Attached: 'a yesl no -!
A building permit may be required by:
i
Notes/ Spe 'al Conditions '7 r"`
r
Atent 1o{{dApplicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
�ME
V r_
(Scale: II ( S. )
❑ See note on back regarding River Basin rules.
V A ,'./— L.LA, 1 „ . i
Permit
Wod Date

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:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888ARCOAST
Fax: [phone]
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
151-B 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.nccoastaimanagement.net
Revised 10/05/01

'�i:. - _ ca - rza cen rm�❑ S r r u r r t y r n it a n r_r d A n r u rr r r+ I S der I s. ISI-------- _----- '-- ---= -- --- -
_ >Z R
_ 2328
BLUE WATER MARINE CONSTRUCTION, INC.
P.O. BOX 93
MOREHEAD CITY, NC 28557 66-112/531
DATE OO 1
Gam, / 0 -7 02301 TO HE $ f O O. /O!O
PAY
ER OF-M
DOLLARS
BUT
BRANCH BANKING AND TRUST COMPANY
MOREHEAD CITY, NORTH CAROLINAQo q'7 t
�» np I7 Mr
FOR o'i-
11§00232811' i:OS3L0LL20:S2L4986S9211'

�LL
Ro rl �� �G P e ✓`
opt-,
�GIMA ONSJ
/<ev;eLj
qv3 — 2 r-/y —
a
s
3.4
p'AOpSecP
S Iry�

05/29/2003 16.32 2527283982
M-y-29-03 03:35P Ron Gvothc2Gv
BEAUFORT
703 319 0189
� � 3 — Z 4y— ?8 S-e
ADJACENT RIPA.RLNN PROPERTY OWNER STATEMENT
(FOR A FIERIMOORING PILINGSIBOATLIFT/BOATHOL-SE)
I hereby Certify that I own property adjacent to
pmpea^y locates at
1*01 fo�
(Lot, Block, Road,
PAGE 01
s
(Name of Pea ep rtv Omer)
on "TAIWIV!2 (112eL�L , in ' LA f N.C.
(Waterbodv) (Town and/or County)
Kc has dm,-oed to me, as shown below, the deve?opmenz he is pt'opos-._ cs that loc--d on,
and, I have no objec-dons to his proposal. I ttrdersaand t�z a pie'lmminQ
piiings�aoatliir/boathouse must be se: bark a minimum distance o► Ei=-:1 fee: (:S) from my s rea
of riparsn access unless waived by me.
/ I do rent wish to wei ,the se:bzck requirement.
I jL wish to waive t;zt setback =uiramrnt.
DESCRIFFIOK A`'DIOR DRAWr%G Of PROPOSED DEVELOPMENT:
APft '2+x to (To bg J fled in by Individual proposing divi!opment)
17r, 14 o
fLA ifog-r
o e
L-YTVJSq 4+�t DF • o
ST^mprit fkq�em o
Lor w r1L I ii
I �f
P.02
M001P I FrtCA4jC-' 'Rev.
To t urMN t,L 96 �-
PL^Y"revH 4 Fioi er L I M-
��o M1a��TA►N APP�,
51 K 1 t,�K�L �j�'i �jOCG(G
P(Sorl A07ACOM LOT'
t-- =--- �� �b't}t StOFS �Q� us1•ttitAJ
S5� Sim hit. [G.
�S f )S'-Ynature Q
(f TQ' VN
D G1 N yp�'
Print or Type Name
'?sz 7?- Fr-Zly
Te-!ephvne Numce-

F='Chi ;?I,r age ur_i.th• Irc. FH . i!i-. =1i1 2' ��12 Jun. 2�; 2E1E3 0=:: 41 F 1
JUN-24-A.� nq !-2:4 AM MIPPI
tf
ADJACL
(FOP A PIERJMOORINC , lLlj'Y S/BOA77.I 7/BOA7'HO'Sr)
S berCby deri�j that I own property adia=t to . _ + 'S
(%(acne of Proptrty Owr«r)
properzy located at
(Loft, Wo&,, Road, etc.)
(Waterbadv) (Town ancIfor County)
He has d~ ;roes W me, as "Own blow, the developme a be is propos::. j at that loczdoi ,
any,, i hxvtv no objwkdons to his proposal, I unde.s'��td tl•a: �ie,lmoarin�
piiirps'boael ft/boathcusa must be wback a minimam dis=ce of fiftcv-n fez' 6-5) from my are-,
of rp a ia_n waived by mt.
I wisl~ to ee the setaack reauiremanz.
T � �is5 ;� waive �r:�=. Sttback z�;uiro:r►rnc.
17ESCPJ?'n0N ANINOR, O&k`,VrN*G OF FROI,>05 Ij DEVIL.Op'`'E`'i:
�P# •'l xao (ro be fzied ijz Sv iAdivrdual proposf,tg devempmenra
Vell 14-
�ki�aSl�lo � s � �i.Nri �Rtt.!`t'7�*1� ,.. •,,.
LOT u # L --- ,,.,.�..- �1
� t OTA'rts Poo maw
Si nansre
f /I
Pint or TyFe N:=e
Taro^.one Num:e.