33946_KING, KELLY_20030417

CAMA DREDGE & FILL
' GENERAL PERMIT Previous
evious permit #
1New GModification L'Complete Reissue JPartial 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 C
�] Rules attached.
Applicant Name !f h
f i
Address
City �, r I!, State ZIPY1�'�
Phone # (' K) 4-r _ f f� (1 i-J Fax # ( )
Authorized Agent E t 01f. 3
Affected ❑ CW ❑ EW F7 PTA J1 ES OPTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑FC:
ORW: yes /in� PNA yes / .nod Crit. Hab. yes / no
Project Location: County /,, ft, r i
Street Address/ State Road/ Lot #(s)
Subdivision
City /I ZIP SFj
Phone # ( _) River Basin //..%X 4, 4y k
Adj. Wtr. Body / fur rtleje /0,0e, l (nat /man /unkn)
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Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit"
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Application Fee(s) Check #
Permit Officer's Signature
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Issuing Date
Expiration Date
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Local Planningf urisdiction
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, certifythatthis project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
❑ Tar - Pamlico River Basin Buffer Rules n 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
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888-4RCOAST
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)
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.nccoastalmanagement.net
Revised 10/05/01

OUTER BANKS MARINE CONSTRUCTION BB&T 5854
1501 FIRST AVE BRANCH BANKING AND TRUST COMPANY
MOREHEAD CITY, NC 28557 MOREHEAD CITY, NC 28557
[phone] 66-112/531
4/9/2003
PAY TO TH �`00.00
ORDER OH E N R
Two Hundred and 00/100*************************************** DOLLARS
D.E.N.R.
CPC33Wk
MEMO
11200585411l Ii:05310 112 0:1 2310 IS 2
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ADJACENT RIPARL-�N PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFTIBOATHOUSF)
I hereby certify that I own property adjacent to Y1 's
(Name of operty Owne.
prope.-y located at I O / / a -�- SG 6z,,/ /`'. ,
(Lot. Block, Road, etc.)
on , in C, N.C.
(Waterbody) (Town and/or County)
He has described to me, as s1hown below, the development he is proposi-= a_ that location,
and, I have no objections to his proposal. I understand tha_ a pier/mooring
piiings,boadiftlboathouse must be set back a minimum distance of Fi�een feet from my area
of riparian access unless waived by me.
I do nnt wish to wa v-- the setback requirement.
I -Q wish to waive t�at setback recuireme:it.
DESCRIPTION Ati"D/OR DRAWD G OF PROPOSED DEyELOPtiFN-T:
(To be filled in by individual proposing development)
APR 1 6 2003
-VX(2�1
Prnt or Type Name
,2 (^,;--%z6`�--,9-
Telephone Number
Date:

pr 15 03 02:51p AB Public Works 252 726 4460
p.l
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to )
is
c (NamA�ooperty Owner)
c
property iocaied at wt-50 (DZ1 V6
(Lot, Block, Road, etc.} '
on _3x,1,
in
L.
(Waterbody) '—�'���-� , 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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
le,,recolt
1.",
4--
Signature
Print or Type Name
74 - 06�
Telephone Number
Date: