55221_BOCK MARINE BUILDERS INC._20100115

❑CAMA; ❑DREDGE & FILL
GENERAL PERMIT 0-� 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
n Ri dac ntt—h-1
Applicant Name, C,>( I, 0..` ii i .1R f�1 i
Address
City G . �.( r ; State �� ZIP
Phone # () Fax #
Authorized Agent
Affected ❑ CW ❑ EW C' PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit.Hab. yes /• no)
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # ( ) ' !r J River Basin : r� i '`f
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Agent ok,ApplicantYrinted Name
Signature Please read compliance statement on back, of permit
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Application Fee(s) Check #
P(erm'tOfficer'p` Signature
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Expiration Date
Local PlanningJurisdiction
Rover File Name

40
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:
❑ 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
Morehead City Headquarters
Mailing Address:
400 Commerce Ave
1638 Mail Service Center
Morehead City, NC 28557
Raleigh, NC 27699-1638
252-808-2808/ 1-888-4RCOAST
Location:
Fax: [phone]
2728 Capital Blvd.
(Serves: Carteret, Craven, Onslow -above
Raleigh, NC 27604
New River Inlet- and Pamlico Counties)
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)
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

JRN-13-i-!b10 lb:gb From:UUM MHUUIY
10:'1JrcftS5Id1i FIa9e:Cf1J
ADJACENT .RIPARL4, N PROPERTY QWNEIZ STATEMENT
1 hereby certify that I.c:tivn property adj.aceut to C\ P- I s
z (Name of Property wncr) rr
Property located at 2�3 (zc-C C e1K
. .. . ,,, f,. (Lut Block, Road., etc.), ,
on�� Cr , in
{WutGrbady} (Town and/o-r Etrtrnty�
Applicant's hone #: `
g Address:
He has described to me, as shown below, the development he•is proposing at that location, and, I
have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(fo befilled in by aroperty owner froposirc
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(Information Mr Property Owner Applying
for Permit)
Mailing Address
City/State/.Zip
(Riparian Property Owner Information)
S ignattne
Print or Type Name
i'eieph e Number Telephone Number
&�LOait'-c
IdSignature / Date

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JAN-13-2010 10:4B From:DCM MHDCTY To:972851B9 Page:2/3
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I owu property ac!jaceui to _ ���i�il` / I�G d� I �1� 's
j� (Name
eoof^Property Owner) _''
property located at 223 co � C C'ee� J�-t.� � ") fo
(Lut, Block, Road, etc.)
on -&— e Cre ek , in ��_ �C_'1 L4 N.C'.
(Waterbody) (Town and/or County
Applicant's phone #: 1-- 2JZc- &"SIailing Address: 23J (PLc-c-
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal.
DESCRIPTDON AND/OR DRAWING OF PROPOSED DEVELOPMENT:
rfo be filled in by property owner proposirc
? 0 %
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(Ac h
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - \
(Information for Property Owner Applying
for Permit)
23 Cam- I
Mailing Address
&Zao JCIC_I�
City/State/Zip
(Riparian Property Owner Information)
Signature
Print or Type Nana
Teleph e Number Telephone Number
Signature atc Date

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BOCK MARINE BUILDERS INC
233 CORE CREEK RD 252-728-6855
BEAUFORT, NC 28516-7525
In
11-08 1660
Date fQ U 66-30 005
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