45777_OCEAN BAY VILLAGE HOA_20060620

❑❑GAIbIA / ❑ DREDGE & FILL
GENERAL PERMIT
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
❑ Rules attached.
Applicant Name
Address
City J % State ZIP
Phone # ( 2r- (. I .� ., ; ,Fax ,# ( )
Authorized Agent - r' 0
4
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
Type of Project/ Activity
Pier (dock) length U
Platform(s) Y
Finger piers)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards_
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAM hot sure%- yes no
Sandbags: not sure yes no;
Moratorium: n/a yes no,
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # ( ) River Basin
Adj. Wtr. Body_ (nat /man /unkn)
Closest Maj. Wtr. Body
(Scale:
❑ See note on back regarding River Basin rules.
e O• �( i-4i
J J N 2 2 Z006
Agent- }Applicant Printed Name
Permit Officer's Signature
,
[)CAA
Signature "Please read
compliance statement
JlrY6kVdY0dVMkWY Wing'
Expiration Date
/Date ! -
11
Application Fee(s)
Check # Local Planningjurisdiction
Rover File Name

10
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:
�___I 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
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
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)
Morehead City District
400 Commerce Ave
Morehead City, NC 28557
202-808-2808/ 1-888-4RCOAST
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
910-796-7215
Fax:[phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 06/29/05

I.
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT_'
I hereby certify that I own property adjacent to tOtf-c o W BAD'y, l is s IS
(Name of Property Owner)
property located at 44 ] 4-z—e— 19 0
(Lot, Block, Road, etc.)
on .C- -, Z 'Sto",, , in T k, ' , N.C.
t f aterbody) (Town and/or County)
to descnb Y me as shown,below, the development he is proposing at that location,
and, I have no objections to his proposal.
-----------------------------------------------------------------------------------------------t------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
fir.► � ►�� �� fir► N7.,4y17tr
RIF BRED
MAY 1 9 2006
Morehead City DCM
PS IZOVE a
JUN - g 2006
Morehead_C p M
---------------------------- --- ----------------
Signature
L l� Ec� � �y (• (��r�ic�
Print or Type Name
Telephone Number Date: Vy/Z)61

05/19/2E06 01:02 2523548964 EMERALD ISLE REALTY PAGE 01/01
ADJACENT RLPAR7,AN PROPERTY OWNER STATEMENT
I hereby certify that 1 own property adjacent to t-e.�j
(Nafne of Property 0wncr)
Property located at SCE � L �. T44 _
(tot, Block
Road, etc.)
on �`' 'a"'�' , in "?.k— <�; , N.C,
('Waterbody) (Town and/or County)
�'i'
describ mews shobelow hedemelopmec�t he is Pr,, g h t
} y , , , t o sin at t a,iocationt
and, I have no objections to his ,proposal.
--------------------------------------------------------------------------------------------------- ... ....-----
DESCRIPTION AND/OR DRAWLNG OF PROPOSED DEVELOPMENT
(To he filled in by individual proposing development)
AY ] 9 ?OD6
(M�oru�noeaa C,rY O�I
v
1
JUN - g 2006 �
Morehead-Qty oem
nature
-7o -C'-' V J�
Print or Type Name
Telephone Number
Date.: t7 •�

v
MUD BUCKET DREDGING, INC.
PH.252-241-1504
507 HEDRICK BLVD.
MOREHEAD CITY, NC 28557
1610
66-1121531
BRANCH 02201
DATE (D• �'��
PAY
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