41365_PATE, WILLIE JR._20050506

;1
C-)CAMA / DREDGE & FILL
GENERAL PERMIT ,rem
_ � __, _i _ Previous it # Y�
New _Modification L:Complete Reissue _IPartial 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 �I f } ✓ G� Jr Project Location: County
Address Street Address/ State Road/ Lot #(s)
City f + _,{"1..� �d' State r,�C ZIPS
Phone # (P} �� �d r Fax # O Subdivision
Authorized Agent tA'j' City ZIP.
-I CW E4t* [9#tA ❑ ES ❑ PTS P
Affected El OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
AEC(s): Adj Wtr !Bodyt (at /man%/un
G PWS: ❑FC: -
ORW: yes / no PNA yes / no) Crit. Hab. yes / no Closest Maj. Wtr. Body "" ` -.�'" v �•-c�
Type of Project/ Activity
(Scale.
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length "
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore '
Basin, channel
cubic yards
Boat ramp
i
Boathouse/ Boatlift
Beach Bulldozing
Other
Gj <f
Shoreline Length
SAV: not sure
yes no'
Sandbags: not sure
yes no .
Moratorium: n/a
yes not
Photos:
yes no
Waiver Attached:
yes no
A building permit may be required by: _
Notes/ Special Conditions
Agent or Appli Printed Na
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
C See note on back regarding River Basin rules.
J"
Perm it Officer` Signature
r
Issuing Date ExpiraFA
tio Date
Local Planning] uriscliction 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:
l 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 J I-888-4RCOAST
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

MAR-11-2005 09:28 FRED MILLER 6179655243 P.02i02
�+ 4L
` ADJACENT pjpARrAN MopUT g OWNER STAT
01OR A P1B14IM04R1Nf; AILINCS/,80AI7lFT/11EOAZ7iW5
I ht mbY c*rti rY that I owm ptOpW,Y adjacent to Cv,//, e
(tlTante n�' 1�ro s
party Orvncr)
PrOlr,dy located at
Block, Road, etc.) '
on �^1
;n —(�'V.otc`rirodr) (Town(Townandlar County)X-C-
Ilehas Nibod m nre, as drown blow, the development he is posing at that )t�tion,
and, I have no ab,�e dmis to his proposal. I undearseend that a
P'Z'v°$ttitt�baatixiu.�c must be set back a minimum distance of fitb Ceet {l�') from ro=anrag
of tipa"an acoss runless waived by n�c.
I -dDJW wish to waive the setback roquirment,
do wish to waive "tat SARck requirement_
nl Clzl<MpN ANUIAIt I)itAWING O FIF OPOSED DEVELOhMem-
M bsJrAcd i s by individual PMposing deve*mcatj
j✓e- W 7
A rl+, kl
Print or Type N
0
Telephane Number
pate: 7 0�
TOTAL P.02 / i�

A , VL
ADJACENT RIPARIAN I'ROPIiTY OWNER STA7'EN[F�VT
(WOR A PIF.R/MOORING PILINGS/BDATL,'FT1N0ATllDUSE)
I hereby certify that I own property adjacent to W1fs
5
p (Name of Yro erfy Owner)
Property lorttcxl at `VC1 G,
(1-0{, B)OCii, Road, etc.) '
in
�(Waterbody) , N.C.
Crown and/or Coar�ty)
and,
Ile has described to n1e, as shown below, the development he is proposing at that location,
I have no objections to his proposal. I understand that a
pilins�/boatlift/boathdUse must be set back a niinimutn distance of fifteen feet (15') from tny�area
of riparian access unless waived by n1c.
10110 wish to waive the setback requirement.
I du wish to waive; that setback requirement.
I)1'SCIIT1"ION AND/OR I)RA`t ING OF PROPOSED DEVELOPMENT:
(TO ba fiAed in by individual proposing development)
G 1 x a) ACC
Sigllatttr-�
Print or Type Name
-D-S 1-7z G - ociso
Telephone Number
Date;

FIRST CITIZENS BANK
MOREHEAD CITY, N.C. 28557
1526
OUTER BANKS MARINE CONSTRUCTION, INC
1501 FIRST AVE
MOREHEAD CITY, NC 28557
[phone]
PAY TO THE
ORDER OF
66-30/531
137
5/6/2005
N. " 1[ IITITI�
One Hundred and 00/100*******�*******�*****��****'�********************************** DOLLARS
D.E.N.R.
MEMO � � c' 4 I T
11000 1 5 2 611' 1:0 5 3 L00 3001:00 L 3 1 2 L8 2 L 2 7112
FIRST CITIZENS BANK
MOREHEAD CITY, N.C. 28557
OUTER BANKS MARINE CONSTRUCTION, INC
1501 FIRST AVE
MOREHEAD CITY, NC 28557
[phone]
AP
1461
66-30/531
137
3/16/2005
PAY TO THE
ORDER OF_ n E N R
$ **100.00
— One Hundred and
DOLLARS
D.E.N.R.
MEMO
11'00 14 6 111' 1:0 5 3 100 3001:00 1 3 1 2 18 2 1