41184_SAYLOR, SYLVIA_20050405

r CAM A / - l DREDGE & FILL
GENE L PERMIT �%/Pr iouspermit #
JNew JModification Complete Reissue JPartial Reissue �' " to 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
// 71 Rules attached.
Applicant Name 1 'y ; c _ `?,c V ('' Project Location: County
Address 2 r e
City + ': J, . y '. l= , State NL. ZIP
Phone # Fax # (�)
Authorized Agent I ,� r p- e S
Affected -1 CW ,2 EW (SEPTA ❑ ES ❑ PTS
AEC(s): 0 OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
--1 PWS: ❑ FC:
ORW: yes / no PNA yes / no : Crit. Hab. yes / no
Type of Project/ Activity
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
Boathouse/ Boatlift
Beach Bulldozing
Other
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
Agent or Ap cant Printed Name
Signature Please read compliance statement on back of permit
Street Address/ State Road/ Lot #(s)
Subdivision
City_ s ,.:.t, ! _ i ><< %, ZIP a 1 ;e-Q
Phone # ( �) �'7 t River Basin ! r
Adj. Wtr. Body "A", t- e e _ --- (nat /man /unkn)
Closest Maj. Win Body
(Scale: )
See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Date Expiration Date
f �... it /
Local Plan ningJurisdiction Rover File Name
Application Fee(s) Check #

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
Iandowner(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.nccoastalmanagement.net
Revised 10/05/01

t Fill uu, L`t Gat nu V 1 V Ur W110111L nkrrLn 1 Mix tiL. 4 P. 02
ADJACENT RIPA.RUN PROPERTY ()WNjER STATEMp
(FOR A PIFRIMOONNG PIUNGS1AOATLipt/80ATIIOUVX)
NT
I hereby certify that I ount properly adjacent to 2-�' L)
(4ante of k'ropeoy Owner)
property loclurcl at � O�
on —(W;—Iierlvdy)
(Lol, Block, koad, etc.)
(Town andlor County)
lle has drseribcrl t0 Itse, aS si 0W below, the (levelupirmt he is proposing at that lOcatirni,
ant], I hava ra oblectiali t0 his ,Proposal. I understand that a pier/mooring
pitin8xlb0atl'1ftlbmtthws0 mutt be set back a minitmlm Clstance of fi cm feet 05'? from my sxca
of rilarian access tlnitss waived by mc-
�� , Io-M wish to ovarve rite setback rccjuircmerit.
i & wish to waive that setback rctluirelnent-
DILSOUPTION ANDIOR DRAWYNG OF pR()p D6l_:D I)E V:s.3.mAMi:;�"3;
(o be filled in by Indivbl(�al proposin;�, development)
>v S�e%R
Print or Typc, Xame
clephone Nunter
Dale; G,5

MAR-04-2005 04:12 PM ALLRED CONSTRUCTION 252 504 3335 P.02
• •• " 6vvti , nWn w' t.1 ru, ray WIV W vvmo i Ml. IRM t ?HA NU. q
P. 02
ADJACENT RIPARIAN rRopERTV OWNER sTATEMMvT
(FOR A PIRR/MOORINO PIUNcpAOArl,lpr/BQATN000N13)
I hcmby cortiry that I oval proparly oQ zcmt to
�Pr+fpWr Owner
pmpmty 10etuo4 at
(I.ol, Btnrk, Road, ate,
�(Watertsody� E"Lawn andior County) Ile hu dowdbed to ma, as Shown below. the cizv"mmt ho 14 propo5in1, tt th Lt locaLlm,
t!!ltl, I hove no objections to N3 pmpoul. 1 understand that a plerlmocriq
P1lta~M'b0UftL to must be rat beck § tnhlitnuM djSM0ft of fift n feet (13) ftvm lay aroa
oltiPSMAn 2=31 tmlcil wltival by me.
Oil"' w!!h to walva tho setback mqulroment.
1 do wish to w6vathol actbaek racluirbment.
-------....-�.Y... YM-.. Y-.�....
DESCHTltlTtON ANWnR 111"WrNG OF FWP'OSED DEVFI.OPMF."
rh be f 11 ed to by Indlbfdwol pmposimp davetopme4tj
...---------------------- .................... ---•---
......
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�C �3o mac. .LL.L
Print or 7jx Name
Tcle0bona Numbcr
Date 3 —it — L

FIRST CITIZENS BANK
MOgEHEAD CITY, N.C. 28557
OUTER BANKS MARINE CONSTRUCTION, INC
1501 FIRST AVE
MOREHEAD CITY, NC 28557
[phone]
PAY TO THE
ORDER OF
D.E.N.R.
MEMO U C>_ �{ IOC �1.J-b L
11 00 14 5 911' 1:0 5 3 100 3001:00 l 3 1 2 18 2 1 2 7
:
1459
66-30/531
137
3/14/2005
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