40336_WILKINS, JOHN_20041117

AMA / ❑DREDGE &FILL, �'�+�' �43 NERAL PERMIT V `
Previous permit #
New Modification CComplete 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 �� Pt,i f' . + Project Location: County_
Address Street Address/ State Road/ Lot #(s)
City - t ! z I,: i 1, State_ ZIP
Phone # 7 Fax # ( ) Subdivision
Authorized Agent City _ _ _ — - ZIP
CW 5 EW 5PTA ❑ES ❑PTS Phone # ( ) - River Basin
Affected
AEC(s): 11 OEA ❑ HHF ❑ IH UBA ❑ N/A Adj. Wtr. Body_ (nat /man /unkn)
❑ PWS: ❑ FC:
Closest Ma'. Wtr. Body — { --- _
ORW: yes / no PNA yes / no Crit. Hab. yes / no
1 Y
Type of Project/ Activity
l i (Scale: )
Pier (dock) length;, t "
Platform(s) r
Finger pier(s) ! A.
i
Groin length
number -- - - — -. - - - - ---- - ._
Bulkhead/ Riprap length
avg distance offshore fr -� -�- -'
max distance offshore ?.
Basin, channel i----�- +
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
41
i Ir
Shoreline Length
]� a
SAV: not sure yes no --,_,„.'„,:, r' - --- .------
Sandbags: not sure yes no
1
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 compliance statement on back of permit
— - See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Date Expiration Date
Application Fee(s) Check # 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, 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 _i 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 / 1-888-4RCOAST
Fax:[phone]
Fax:[phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
151-B Hwy. 24
Hestron Plaza 11
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

FIRST CITIZENS BANK
MOREHEAD CITY. N.C. 28557
OUTER BANKS MARINE CONSTRUCTION, INC
1501 FIRST AVE
MOREHEAD CITY, NC 28557
[phone]
PAY TO THE
ORDER OF
1202
66-30/531
137
9/15/ 004
I One Hundred and 0011 DOLLARS
D.E.N.R. / I -
PIP
MEMO
11100 L 20 21" IM 5 3 L00 300i:00 13 L 2 1,8 2 L II'

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07/15/2004 13:34 9197793151
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SEP 1 4 2004
ADjAkCENT RIPARIAN pROPER'x Y OWNER STA TEV WIM
{FOR A PIER/MOORING PILINGS180A7V FT1BDAT'i'JMhead Clty DGM
I hereby certify that I own property adjacent to I4GAn V1 k • `r I `t`"4-%.g Is-
_ - (Name 1of ,P�ir,.�opUty Owner) -1
property located at
("t, Block, Road, etc.)
t D _ N.C.
. .. . Yaterbodr)
(Town' ohd/dr County)
He has deseribed 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 pierlmooring
pilings/boattift/boathouse must be set back a minimum distance of fifteen feet (15'} from my area
of riparian access unless waived by me.
X I do net wish to waive the setback requirement. {.
l SIR wish to waive .that setbac, requirement.
---------..----------------------------------...._-------------
DESCRIMON kND/OIz T)RAWING OF PROPOSf1J DEVELOPMENT:
(To be filled in by individual proposing development)
seq- (.-F]�i1C,�Q,O� �(QW�h
---------------.-----------------------------------•------- ----
Town of Beaufort
BY. p
Signature
Terri Parker-Eake5
Print or Type Name
[phone]
Telephone Number
Date: July 21, 2004

08/31/2004 10:01 9197783151
R N ROUSE
Jul-30-04 11:06A W Fred obrecht MD ti�Rwx
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PAGE 03/03
1 910 642 3687 P.01
rp=- nx10.1
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PI,I;R/NOORING PILINGS180ATLIFT/$OATHOUSE)
I hereby certify that 1 own property adjacent to k/enneti., W ► lk'� c s
(Name or Property .Owner)
property located at 1 _� 1 �`1+P•f W ou�Wrar►�" �,,p"� ,
(Lot,_ Block, Road, etc.)
r``
-
Yaterbody) Gown 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/moonng
pilings/boadifti/boatirouse must be set back a n+inimum distance of firmn feet (15') from my area
of riparian access unless waived by me.
I .do DQE wish to Waive the setback requirement.
I to wish to waive that setback requirement.
------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPNIENT:
(Ib be felled in by individual proposing developmea!)
s� see a. t
SEP 14 2004
Morehead City ®CM
-- ------------------- -- -- - ---- ------
signa�tu/re J //
t�-
Print or Type Name
/-91h9 -- ( �a-V777
Telephone Numbcr
Date: �.1 A +-

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11/15/2004 09:37 9197783151 R N ROUSE
PAGE 02/02
FRONT STREET (66' R!W)
HANDRAIL
ONE SIDE
ONLY
CORNER \' 80.86•
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ADDITIONAL PILING
LOCATION MAY VARY'
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PROPERTY
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