42903_SMITH, TARA_20050922

ile
❑CAMA / ❑ DREDGE & FILL v * 2903
GENERAL PERMIT /6
� Previous permit #
❑New ❑Modification ❑Complete Reissue ❑Partial 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 Project Location: County
Address_ '' " r } r �f� rt 1 Street Address/ State Road/ Lot #(s)
City ' `1 State C" ZIP
Phone#,'Fax#( )
Authorized Agent
Affected r-J CW ❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): �:] OEA -:1 HHF ❑ IH ❑ UBA ❑ N/A
L _ PW S: ❑ 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 f
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 Applicant Printed Name
Signature ** Please read complianci `statement on back of permit
Subdivision
City ZIP
Phone # O River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
(Scale:
See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Date Expiration Date
ApplicationFee(s) Check# Local Plan ningJurisdiction
Rover File Name

4
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 consistentwith the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
❑ Tar- Pamlico River Basin Buffer Rules _ j 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 (910-796-7215) for more information on how to comply with these buffer 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
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
400 Commerce Ave
Morehead City, NC 28557
202-808-2808/ 1-888-4RCOAST
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
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 06/29/05

,�,t+AMA/.'DREDGE & IL More N° 42903
G ` ERAL PE T e
revious permit #
New ❑Modification E]Com ete eissue artial ssuer ate previous permit issued
As authorized by the State of North Carolina, De rt at nt of Environment and I a Qes ,7//_ Kidd
and the Coastal Resources Commission in an area ironmen I oncern pursuant to I SA NCAC
C �ol'Gh.��(� '} /� �Rulesattached.
Applicant Name �f1'�^- .J ice, -/� , Ci' 1 Pro c't�� 0aiiiQounty ��/�-TE2 %
Address I-IiT 17 19-0 rr tied �,�1/t
City -i(a le / 9 11 State A/" ZIP �2- 76 16
Phone # 3ff) 72 7V Fax # ( ))
Authorized Agent
Affected ❑ CW *W A'A ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
Street Address/ State Road/ Lot#(s) e
Subdivisions
City ZIP
Phone # ( ) River Basin 1-c.J4 P2•+�
Adj. Wtr. Body{) /�Z ve ��i - (nat / a� nr asks)
❑ PWS: ❑FC:
Closest Maj. Wtr. Body
ORW: yes / o PNA yes /� Crit. Hab. yes / no
Type of Project/ Activity C�� 5 v� d d it U / 1J Y
Pier (dock) length
I 1
cubic yards_
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing -
Other
Shoreline Length �SP Y Cl/
SAM not sure yes
Sandbags: not sure yes
Moratorium: n/a yes 6
Photos: yes
Waiver Attached: yes ____ _/ _ G __-�J
A building permit may be required by:
Notes/ Special Conditions /� �U�it GtG��' D� �—+%7 1.✓c�1
dUr6e
Agent or Applicant Printed Name
Signature ** Pleasq read compliance statement on back of permit **
/D© ! �? 6
ApplicationFee(s) Check#
(Scale: /U ! '5� )
See note on back regarding River Basin rules.
'r,> dal%• z�-�//
Permit Officer's Signature
41- 2 2 -,05
/2. 2. 2 -D5
IssuingDate
Expiration Date
l'' / 7wlzlG ----
Lto 6)6 / 33 /f- —
Local Planning Jurisdiction
Rover File Name

OUTER BANKS MARINE CONSTRUCTION, INC
1501 FIRST AVE
MOREHEAD CITY, NO 28557
[phone]
PAY TO THE
ORDER OF
D.E.N.R.
FIRST CITIZENS BANK
MOREHEAD CITY, N.C. 28557
1677
66-30/531
137
8/ 19/2005
$ * * 100.00
:*********t<ka�******�k***********�k************************* DOLLARS
MEMO � b3 �/
iiroo1E7?III s:0531,003001:00L3L2L132L2711,
w

NC®ENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor Charles S. Jones, Director William G. Ross Jr., secretary
September 26, 2005
Tom Smith
4817 Forrestville Rd
Raleigh, NC 27616
Attached is General Permit #42903C
In order to validate this permit, please sign all three (3) copies- as indicated. Retain the white
copy for your files and return the signed yellow and pink copies to us in the enclosed, self-
addressed envelope. If the signed permit copies are not returned to this office before the initiation
of development, you will be working without authorization and will be subject to a Notice of
Violation and subsequent civil penalties.
We appreciate your early attention to this matter.
Sincerely,
Mark Hardeman/lsb
Coastal Management Representative
Enclosures
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internet: www.nccoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110%a Post consumer Paper

Aug 19 2005 8:21AM HRS PROPERTIES 252-G37-4112
P.1
Friday, Aiigust 19, 2005 7.51 AM Tim Grimes [phone] P 02
ilk
AUG 19 2005
AD-JAC M"RIPARIAN PROPERTY OWNER STAT' .MF1 rCity DCM
(MIR A PIBRAVOORING PIUNG~S/804TUF IBOAMOUSB)
l hereby certify that i own property. adjacent to 1 ovvl z5n)
(Natlse of Property Owner) �-
y�or�rty
([.ot, Block, Road, etc.) `
on n _t�C, L.
Ovallerbady) crow a and/or County) T
IN Nu described to ma. as shown below. tltc th vclopment he i, proposing at thu location,
and, I have no objections to his proposal. I understand that a pier/mooring
PitiMW`b(%.-UlifVboatthouru atust bo =book a minimum di'31ance of fitken fca (l5`) from my area
Of ripaliaa atxess unkeas whived by me.
1 do 1101 wish w Valve thca bAck requirotmni.
-_ i IQ wtSTt lO waiv@ t.lot selbuk reggircment.
------ ------ --------------------------------------------------
IMSCRIM'lON AND/OR DRAWING OF TROPOSrr) 11FVFu orMF.N-1't
(To be filffd fit by l,fdiridaR1 proposinir Aerclop,nueq
Sigr awre
2
Print or Type Nome y -"
2S'2 - �.3 e -6//(r,
7-elephone Numlxr

Rug 18 05 12:13p
Commercial Inv Mgmt 9194872#8079
ADJACENT RWARIAN PROPERTY OWNER STATF.NIE,W
(FOR A PI SR/,MOORING PIUNGSB0A77JMA,4
_ pity UCM
1 hcrrby certify thni 1 own prnposty adjacent to I c)vv\ [ i4- _is
(NnvmorProperty Owner)
propcAy located at b ,
(Ut, A10cic, R0sd, C(C_)
on CgL� L , in CJ4t P,,--XLi-- N.C.
(Wwicrbady) (Town and/or County)
lie has &-scribod to nv, u shown below, the dcvdo(�t he is proposing at that Location,
ac►cl, r have no objections w his proposal. ll undcrstantf that a pierlmooring
Pilin„ WbCMdi t/bauhW.= ►nest b . 3a back a minimum distance or ftMen tt^ec (m) from my area
of rip;triin access unkaa waivrd by me.
—1-- 1 do „N wish tv waive the setbm k requirtment.
1 ttQ wish to wnive that setback mqu4crim t.
1)r9CR1MOM ANO/OR DRAWING OF PROPOS D DEVM.OPMFNT, T�~
(To be found in by k(fi4dual p►vpostnb► Acrclopmear)
.....eL
Print or Type Name
1'clephone Number
�1 DaLCc: <� — /,-� — cs

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