50258D - Tracy

dAMA / ❑DREDGE & FILL ,,
GENERAL PERMIT Previous permit#
New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
iorized by the State of North Carolina,Department of Environment and Natural Resources f j
Coastal Resources Commission in an area of environmental concern pursuant to I5A NCAC /-7 K . I2UC� 1Yi , 1t;
❑Rules�attached.
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CLEMENTS MARINE CONSTRUCTION INC 1200
112 CIRCLE DRIVE 910-270-9110 t
HAMPSTEAD,NC 28443 Date5— 11 "O DG
66-30/531
(� 365
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( '"0 � Dollars 8 7417
First Citizens
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COASTAL VIEWS'

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redging ' roject i' " -�. it
Proposed Disposal Area .•
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(Property of Ruppert Piyer) *
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DIVISION OF CUA51 AL 1v1A1NAU1✓1vir,1v I
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FOT
Name of Individual Applying For Permit: Gi n; l c
Address of Property: et/t- ©/✓ /9„,
(Lot or Street#, Street or Road)
4' t42- VencVfr----
-
( its anc County)
I hereby certify that I own property adjacent to the-above reference&property. The
applying for this permit has described to me as shown on the attached drawing the develol
are proposing. A description or drawing,with dimensions, should be provided with thi
I.have no objections to this proposal.
If you have objections to what is being proposed, please write the Division c
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910
within 10 days of receipt of this notice. No response is considered the same as no o
you have been notified by Certified Mail.
WAIVER SECTION ..-
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat Ii
set bck a minimum distance of 15' from my area of riparian access-unless waived
you wish to waive the setback,you must initial the-appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
62—
Sian Name Date
Print 14am ►'`Ami>�

111V161V1N '.Jr 1 •uu • .
ADJACENT RIPARIAN PROPERTY OWNER NO 1 IFICATIONIWAIVER FOF
Name of Individual Applying For Permit: 1 G()) I c
Address of Property: p2/ ej‘-‘,"/(07"
(Lot or Street#, Street or Road)
vabencie,47--
= its an County)
I hereby certify that I own property adjacent to the-above-referenced_property_ The
applying for this permithas described to me as shown on the a-t ched&awingthe develop
are proposing_ A description or drawing,with dimensions, should be provided with thi
--�:- I have no objections to this proposal.
If you have obj tions to what is being proposed, please write the Division o
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910.
within 10 days of receipt of this notice. No response is considered the same as no of
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat fi
set bck a minimum distance of 15' from my area of riparian access-unless waived
you wish to waive the setback,you must initial the-appropriate blank below.)
I do wish to waive the 15' setback requirement
I do not wish to waive the 15' setback requirement.
Sim e Date
v fJ aat2y •
Pilot Name 1#411%1`,

Letter of agent
I 7. . i6 , '�2d�C� have retained Mark Clements DBA, Clements
Maline Construction Inc, to make application for any and all permits needed to start
construction on the work requested for our property or properties.
By allowing Mr. Clements to make such applications I do understand that this will in no
way relieve me of any obligations to perform all work according to the building codes of
North Carolina, CAMA, DWQ or any other state and or county ordinances.
DA-N itom- 5 ,
Print e
}Led 6
Signature
510 064- ?"0 date,- /o..-d .
Contact information
- -70 3 - 73 22

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28,2008 09:36P 5403649092 pagE
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,0 UNITED STATES OFpAME ICA . 1625-0027 .'.,
t, . • DEPARTMENT OF HOMELAND SECURITY
'IIIIII � UNITED STATES•'COAST GUARD
NATIONAL VESSEL DOCUMENTATION CENTER
'i CERTIFICATE OF DOCUMENTATION
VESSEL NAME OFFICIAL NUMBER • IMO OR OTHER NUMBER YEAR COMPLETED
'' J4ORROWED HORSE 557599 • 'j
1974
HAILING PORT HULL MATERIAL . MECHANICAL PROPULSION
•
MARSHALL,VA FRP(FIBERGLASS) YES
'', GROSS TONNAGE NET TONNAGE LENGTH BREADTH —DEPTH `"
50 GRT 40 NRT 48,0 152 10.4
PLACE BUILT -
BRADENTON FL •
tir
.-
OWNERS OPERATIONAL ENDORSEMENTS
•j MARJORIE A TRACY RECREATION •
DANIEL B TRACY
4.1
MANAGING OWNER ;
MARJORIE A TRACY '.,,
;,17: 6112 HAWKS NEST LN
MARSHALL.VA 20115
Ik'
CF i
�' RESTRICTIONS • RI
NONE
ti. :.a
4
w
1, ENTITLEMENTS ?�
'I. NONE
m'
. REMARKS — ,}'
• ,
NONE 4:'
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•
ISSUE DATE 1
r /.1 • :",-

Droposec S3ecificctions
Main Slip (Red)
Cut Dimensions — 50'x20'x-5' (3.5' Cut)
Final Grade — —5' MLW
Excavation Volume (w/ slumping) — 1 65cy
Approximate Existing Depths (MLW)
5' 3' 1.5' 0'
A
50 ' � "� Existing Pier
0 La
i�
-� -I- 2 0 '
Existing Pier

May 5,2008
Maritech, LLC do Adam Knierim
108 Circle Drive
Hampstead,NC 28443
Dear Mr. Knierim,
1 grant permission for use of my property located on Spring (iarden Road in Hampstead
to dispose of dredge spoil material. Disposal will be limited to the upland portion of the
property. Sedimentation and erosion control measures (silt tencmg) will be in place
before placement of material on the property.
Sinceory, .
e, •
Rupert Piver
PO Box 206
Hampstead,NC 28443