42450_WHITE, ERIC_20050907

❑CAMA / ':1 DREDGE &FILL
GENERAL PERMIT 4
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
,f � ✓/ ' �� ❑Rules attached.
Applicant Named Project Location: County_
Address ti ti �f (.� <. 1><<</
Street Address/ State Road/ Lot #(s)
Cityv f/. i�'' " Statef' t ZIPS
l '
Phone # ( ) -' rJ Fax # ( ) Subdivision
Authorized Agent City------,— ZIP
Affected ❑ CW 9'EW Ei PTA ❑ ES ❑ PTS Phone # (_ ) River Basin
OEA ❑ HHF [IIH ElUBA ❑ N/A
AEC(s): Adj. Wtr. Body gnat /man /unkn)
I._! PWS: ❑FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr.'Body
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 Applicant Printed Name
"eR ` —T
Signature t Please reed om�e statement oh beck of permit
(Scale: .
See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Date
Expiration Date
0 rC':). Ci I i7
Rover File Name
Application Fee(s) Check # Local Planningjurisdiction

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 I) 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:
L j 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 0.
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 / 1-888-4RCOAST
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.nccoastalmanagement.net
Revised 10/05/01

I�AMA / ❑ 13REDGE & F
01-1-u5nmol
�rILL lti 0 42450
"GPNERAL PERMIT-C_
Previous permit #��� ----
[-)Partial
ew ❑Modification ❑Complete Reissue
Reissue Date previous permit issued +i
As authorized by the State of North Carolina, Department of Environment
and Natural Resources �
7[/Q
and the Coastal Resources Commission in an area of environmental
_�y
concern pursuant to 15A NCAC
� ' /��j
Applicant Name_
[ `u`Jles attached.
Project Location: PhN^`�CU
L `��� `"T�____
__,____ County
Address C/`e`�{ YI` `�
_ Street Address/ State Road/ Lot # s
City-- 'p StateyC- ZIP
Phone # (`)� l`f Fax # ()__-_—
--
Subdivision
Authorized Agent ..--.
�-�� 1ti� � /� C. ZIP
y Citr _ U
❑ CW [,W C9-6A ElES ❑ PTS
Affected
❑ OEA ❑ HHF ❑ !H ❑ UBA ❑ N/A
AEC(s):
Phone # River Basin
(--)- —
Adj. Wtr. Body A ,, ff 'f G 2i,ji(
i'at /man /unkn)
❑ PWS: ❑FC:
� _
�-
ORW: yes / io PNA yes / @ Crit. Hab.
Closest Maj. Wtr. Body—e'`tf'e " /"
yes / no -- -�-
Type of Project/ Activity
(Scale:
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length r
avg distance offshore
max distance offshore r'
Basin, channel
cubic yards r"—
Boat ramp t !✓ —�
Boathouse/ Boatlift
r
Beach Bulldozing r
Other J NW L �� ,�, 41(-"�
Shoreline Length 1 of-,
�XV" n}
SAV: not sure yes no
'r,l clt
> Of
Sandbags: not sure yes
d
Moratorium: n/a yes
Photos: yes
Waiver Attached: yes no
tlr�u
A building be by:
c
- ---- ---
i^
River Basin
permit may required
Notes/ Special Conditions (
_`� Seen note on back regarding rules.
w fM? h I r � Or(�r d�
/J
J-/l /'oar i C a r1/�� �c� D'^f '�
oo
® f4w- 1 ji-a-4 /h
, f
�enJs�cY<n , �)`�1
��"l��^�a ron f/6/0l;
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit **
a •Q M,,, o, �S"1�1 977
Application Fee(s) Check #
Pe(mit Officer's Signature
GT,-7,6-f—
1 X_7 or
IssuingDate
Expiration Date
p
P _111 o C
AUJ!'2q)( 14
Local Planning Jurisdiction
Rover File Name

FM
1�
C®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 7, 2005
Eric White
449 Creek Place Rd
Arapahoe, NC 28510
Dear Mr. White:
Attached is General Permit #42450C
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.
Si erely,
Stephen Lane/lsb
Coastal Management Representative
Enclosures
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] \ FAX: [phone] \ Internet: www.nccoastaimanagement.net
An Equal Opportunity \ Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper

DtA&-rffl . - - .

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIN100RING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to 6 %- t L
(Name of Property Owner)
property located at
(Lot, Block, Road, etc.)
A RA P4l...v ----
on T Q , in 7�tO 11C-o C C) L�, n) , N.C.
(W terbody) —(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. I understand that a pier/mooring
pilings/boatlift/boathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
I do not wish to waive the setback requirement.
I d-o wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual propositi; development)
A —/..Ole
------------------------------------------------------------------------------------------------------------------
r nature
Print or Type Name
Telephone Number
Date: J �,

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE) AU6 4 1 2005
I hereby certify that I own property adjacent to I C `✓t��{.1 t "r' -LIs DCM
(Name of Property Owner)
property located at f-6 (LE E K f �,9C F- Ro -4 1 ,
(Lot, Block, Road, etc.)
on Go 7 OFt& to 14)X!/?/-✓-If1Ct_ � �< 2 � / C L (-Q: 'U i , N.C.
(Waterbo y) (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. I understand that a pier/mooring
pilings/boatlift/boathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
_ g I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWLNG OF PROPOSED DEVELOPiNIENT:
(To be filled in by individual proposing development)
Signature
Print or Type Name
JA--, - &21 - G76C,
Telephone Number
Date: -'Tay 2 'y

08/24/2005 15:32 2526330150 NC BUILDING AND ENCL PAGE 01
nor _
NC FLOATING DOCKS AND LIFTS, LLC
FACSIMILE TRANSMITTAL SHEET
TO, FROM—c-�
COMPANY: DATE:
r•AX NUMBER: TOYAL NO, OF PACES INCLUDING COMB:
?s128o g -Aga 8 ,s' • 3 YV- T Yd 9
PHONE NUMBER SENDER'S REF> R5NCE NUMAP.R:
RL{:
YOUR Rn E ENCE NUMBER
❑ U1tGFNT ❑ rOP R$VIEW CJ PLFASE COMMENT ❑ PLF_ASF REPLY ❑ PLEASF PROCESS
NOTP-9/COMMENTS:
'1 (BALL NE .TF Ai IY �c)�'J7rXct�pG
F. O, BOX 19907 - NFW Br%RN, NC. 28561
'TELEPHONE: [phone]. FAX,. 252-633-0150