59766_DBMC, LLC; JACK BEST_20120405

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❑ CAMA / ❑ DREDGE & FILL .
GENERAL PERMIT Previous permit#
❑New ❑Modification ❑Complete Reissue El 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 I SA NCAC
❑ Rules attached.
—� Applicant Name 't ,.� ,(j � � Project Location: County
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Address ) , X Street Address/ State Road/ Lot #(s)
City � State__ZIP
Phone # (`') Fax # O Subdivision
Authorized Agent ±
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
City
ZIP
Phone # (—) River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
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Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
PermitrOfficer's Signature ya
Issuing Date Expiration Date
Application Fee(s)
Check# Local PlanningJurisdiction
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 ❑ 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
Raleigh Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-8884RCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
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)
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 08/09/06

BLUE WATER MARINE
CONSTRUCTION INC.
P O BOX 93
MOREHEAD CITY, NC 28557-0093
DATE 3-S- -/ Z.
7208
66-112/531
PAYTO THE P/
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NCIDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary
Date 2— 14-12—
l�-
Applicant Name C' le Gs
Mailing Address SOJ% /p/// Xpao.�
601WS4o'-o 275"3y
I certify that I have authorized (agent) lili it 004*H,�ye to act on my
behalf, foz the purpose of applying for and obtaining all CAM[A Permits necessary to
install or construct (activity) �Ou
at (location) z yob �G
This certification is valid
Signature ael
f It r .0 J� /.S f'AZT
ors Sf. A AeAtrce�7C f-t /A1.(f
(date) - 30 - /�2
RECEIVED
MAR 0 12012
DCM-MHD CITY
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] t Internet: www.nccoastalm'anagement.net
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled \ 10% Post Consumer Paper

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Y `r ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
�N116
AG+A0.I hereby certify that I own property adjacent to 3
( (Name of Property Owner)
property located at 1 5-�&VV -� _
Si � (Lot, Block, Road, etc.)
on �P— �dC , in �9"C--h" Ca''�r," 4- , N.C.
'aterbody) (Town and/or County)
Applicant's phone #J! f'q Z0 5� iViajling Address: &- /)1 i,
- z
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal.
DESCIUrflON AND/Olt DRAWING OF PROPOSED DEVELOPNM-NT:
(To be frlled in by property owner proposing development)
t7e
&-i L'S4-
(Information for Property Owner Applying
for Permit)
ftr-K
Mailing Address
[ Q< 4n1w
CitvrState/Zip
1120
Tel hone Numbe
fklu&
Si na re Date
CSC
�O�u
(Riparian Property Owner Information)
O C E A nt %.e. S C A''' 1 Tye k- J— I-G
8 'L-A 1 :... u., 1� /K A is Gi� E
Gr. l i Yi oT H'Y —?A-r E
Z,- 14. 1lz_
Signature
Print x Type Name
Telephone Number
Date
RECEIVED
MAR Q 12012
DCM-MHD CITY
me

•
o21- o i . 2012 15, 02 FAIT 2.2 217 1956 SCCOAST CWLAIUNIC?,TIO`S
2 (ls)6
ADJACENT IJ.PARJAN PROPERTY OWNER STATE' MEN T
DB m L Lc(- A-q- tP-�k )3�j -
I hereby certify that I own propert;' adjacent to
(Name of Property Owner)
mob � 2405' Evans Street
property located,.t--
(Lot, Block, Road, etc.)
on t.l£ , in-ja,.,�&�
(VS'aterbody) (Town and/or County)
Applicant's Phalle #: 1 - Mailing Address:
He bas described to me, as shown below, the development he is proposing at that location, and,1
have no objections to his proposal.
------------ --------- ----- -- — — -- — -------- -------------------
DESCIUPTION ANWOR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by property owner proposing development)
f�-I
A �s-A' -1
(Information for Property Owner Applying
� (z for Permit)
14
Mailing Address
G-C ►2C fN�
City/State/Zip
RIB � 2,
Telephone number
14
Si nature Date
('s)
(Riparian Property Owner Information)
D',ghally tlgned"Mi1Ge Maxwell
DN; rn-Millie Maxwell, o, ou,
Millie Maxwell [e-mail]
c=U5
ignature
Mildred Maxwell
Print or Type : Iame
919-828-1858 or 624-1150
Telephone Dumber
2/16/12
Date
roe io
RECEIVED
MAR 0 12012
DCM-MHD CITY