39351_BOND, NEAL_20040715

D CAMA / ❑ DREDGE & FILL
GENERAL PERMIT Pre /Iosrmit #
ENew ❑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 1 SA NCAC
D Rules attached.
Applicant Name V r° Project Location: County
Address ��"hX —7 Street Address/ State Road/ Lot #(s)
a,
City ' Statef'1`" ZIP
71
Phone # O % ' b" `' s Fax # O ' Subdivision
Authorized Agent °� ' t` ,• �'' G ' ;' f i City ` ` / 1 V ZIP
i
❑ CW ❑ EW QiPTA ❑ ES ❑ PTS Phone # ( ) River Basin ✓rt
Affected ❑ OEA ❑ HHF ❑ lH ❑ USA El N/A AEC(s): Adj. Wtr. Body (nat;/man /unkn}
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body
Type of Project/ Activity
'
(Scale: )
3
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore_
max distance offshore
Basin, channel
�—
_
I
�
j
-
i
cubic yards
Boat ramp
Boathouse/ Boatlift
!
Beach Bulldozing
Other
!
Shoreline Length
SAM not sure . yes no -
(n7c-
Sandbags: not sure yesyes 0
Moratorium: es a n/ rno
y
Photos: Yes no _
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
,
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a: t
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-PSee note on back regarding River Basin rules.
Agent or Applicant Printed Name
Signature **Please read compliance statement on back of permit
Application Fee(s) Check #
Permit Officer's Signature
Issuing pate Expiration Date
r j r
Local Planning Jurisdiction 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 IOther:
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
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888-4RCOAST
Fax: [phone]
Elizabeth Citv 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)
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 Mail
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.nccoastaimanagement.net
Revised 10/05/01

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■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
pj �
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SECTIONCOMPLETE THIS ON DELIVERY
A. Signatur
>/ ❑ Agent
t )
X - <<
O Addressee
B. Received by (Print d Nae) C.%ate ofpDelivery
D. is delivery address different m item 1? ❑ Yes
If YES, enter delivery addr ss below: ❑ No
3. Service Type
❑ Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7004 0550 0000 3921 6521
(Transfer from service label}
PS Form 3811, February 2004 Domestic Return Receipt 102595-02 M-1540

UNITED STATES POSTAL SERVICE First -Class Mail
111111, Postage & Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
TV)YlQ2kA P1I0 VY na7ii--vISC 1(qe .
P.C.(bu'I< t�V -
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■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
Article Addressed to:
�.a-t�►r�t, +nLx'�Tl. �cx�
c"I
A. Signature
X
B. Received by (Printed Name)
❑ Agent
❑ Addressee i
C. Date of Delivery
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
❑ Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7004 0550 0000 3921, 6538
(transfer from service label)
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540

UNITED STATES POSTAL SERVICE
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
PO, %K
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INNERBAN$S MARINE CONSTRUCTION, INC.
P 0. Box 190
Oriental, NC 28571
Phone/Fax [phone]
www.innerbanks.biz
Address Service Requested
CERTIFIED MAIL.
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4 0550 0000 3921 6538
s ,09 ✓1 Ist Ndtpu
?nd Notice
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INNERBANKS MARINE CONSTRUCTION INC.
IBX
PO. BOX 190 ORIENTAL, NC. 28571
Phone [phone] Fax [phone] Email [e-mail]
DATE :Su,n & L
DEAR SIR/MA'AM,
MY NAME IS PETER OVERGAARD, OWNER OF INNERBANKS MARINE
CONSTRUCTION, INC. IN ORIENTAL, NC. I AM WRITING TO YOU REGARDING THE
PROPOSED CONSTRUCTION OF A C L . FOR WHICH YOUR
NEIGHBOR LOCATED AT G ��> v� C�. , ON
cif (WATERBODY), IN og!Ln ✓� 1 NC WOULD LIKE TO
HAVE BUILT. PART OF THE PERMITTING PROCESS IS NOTIFYING THE ADJACENT
PROPERTY OWNERS OF THE TYPE OF WORK THAT IS TO BE DONE, AND ALSO
PROVIDING A DRAWING OF THE PROPOSED CONSTRUCTION. IN ORDER TO
OBTAIN A PERMIT FOR THIS WORK. I MUST PROVIDE CONFIRMATION THAT A
WRITTEN STATEMENT HAS BEEN OBTAINED SIGNED BY YOU, INDICATING THAT
YOU HAVE NO OBJECTIONS TO THE PROPOSED WORK; OR CONFIRMATION THAT
YOU HAVE BEEN NOTIFIED BY CERTIFIED MAIL OF THE PROPOSED WORK_ SUCH
NOTICE SHALL INSTRUCT YOU TO PROVIDE ANY COMMENTS ON THE PROPOSED
DEVELOPMENT IN WRITING FOR CONSIDERATION BY PERMITTING OFFICIALS TO
THE DIVISION OF COASTAL MANAGEMENT WITHIN 10 DAYS OF RECEIPT OF THE
NOTICE. NO RESPONSE WILL BE INTERPRETED AS NO OBJECTION.
PLEASE REVIEW THE PROPOSED CONSTRUCTION PLANS ON THE FOLLOWING
PAGE, AND IF YOU HAVE NO OBJECTIONS, FILL OUT THE BOTTOM PORTION OF
THE PAGE, AND RETURN IT IN THE ENCLOSED STAMPED ENVELOPE. ANY
COMMENTS YOU HAVE MAY BE WRITTEN ON THIS AS WELL. IF YOU OBJECT TO
THE PROPOSED CONSTRUCTION, PLEASE CONTACT ME DIRECTLY AT (252)
249-1429. IF THERE IS NO RESPONSE FROM YOU WITHIN 10 DAYS, IT WILL BE
INTERPRETED THAT YOU HAVE NO OBJECTIONS TO THE PROPOSED
CONSTRUCTION. THANK YOU FOR TAKING TIME TO READ THIS, AND IF THERE IS
ANYTHING THAT INNERBANKS MARINE CONSTRUCTION, INC. MAY BE ABLE TO
HELP YOU WITH IN THE FUTURE, PLEASE DON'T HESITATE TO CALL.
SINCERELY AND RESPECTFULLY,
PETER H. OVERGAARD, PRESIDENT
INNERBANKS MARINE CONSTRUCTION, INC.

ru jrx%,r.1v1 nirtuuAll rKUrEKI Y UW1NL:K,i1A1kA1hN'1'
(FOR A PLWMOORING PILI7VGS1B0ATLIFT1B0ATH0USE)
I hereby certify that I own property adjacent to ,)-z ( CLx!,,t1 2 ,s
(Name of Property Owner)
property located at ,'Y l�lr 1,�,� '�� nT 1p +'1 '
(Lot, Block, Road, etc.)
on n p - m Ur.�Fvr y-� I , N.C.
(Waterbody) (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/boadi tlboathouse 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 do wish to waive that setback requirement.
1 DESCRI MON AND/OR DRAWING OF PROPOSED DEVELO MEiV�'T:
(To be , f Ued in by individual prnposing development)
�l
Print or Type Name
Telephone Number
Date:
7

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MARIN E CONSTRUCTION,lNC-
IN!��RBANKS
BOX 190
P.O. B
ORIENTAL, NC 28571
252 -249-1429
DATE �l -
1651
66-30/531
472
$ /00 CA;,
PAY,
TO THE, DOLLARS
ORDER
,
FIRST CITIZENS472
FiTst-citizans Bank &Trust Company
GYP
211111
www.firstcitizens.com
L.? 120Lr-28 2 211FOR1:0 S 3 100,301.003N
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