47274_SCOTT, CHARLES_20060828

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0 CAMA / ❑ DREDGE & FILL
GENERAL PERMIT Pr4vi
�s permit #
{New ❑Modification ❑Complete Reissue EJPartial Reissue Date
revious 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
� 4P.� Location: County
/' ❑-1'Rules attached.
Applicant Name �-- �� •� < ,Project
` /-�"�
�<^-'� /`J
"' I J ��'o T 'c' /Atreet Address/ State Road/ Lot #(s)
Address
City�r A ( ✓1 P !' State`'j(f ZIP 2-1 Sod 'I
Phone # Fax # (—) Subdivision
O
Authorized Agent City j l
_ ZIP
❑ CW ❑ EVi% 'PTA ❑ ES ❑ PTS Phone # (_)
River Basin (•`%^
Affected
❑OEA ❑HHF ❑IH ❑UBA El N/A � 1.
Adj. Wtr. Bod �
�+ ` ��i�-�;•`
c.�=�` + (bat /man /unk�
AEC(s):
❑ PWS: ❑ FC:
Closest Maj. Wtr. Body
/ J` �� � LL-
ORW: yes / no PNA yes / no Crit. Hab. yes / no
Type of Project/ Activity
(Scale: ,! ( � )
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length I`
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp j
Boathouse/ Boatlift
I
Beach Bulldozing
Other
Shoreline Length
SAM not sure
yes do
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
Agent or Applicant Printed Name
Signature "Please read compliance statement on back of permit" )`
Application Fee(s) Check #
See note on back regarding River Basin rules.
7
Issuing Date Ir�c{nrauon vase
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:
El 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
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

MUD BUCKET DREDGING, INC. 1794
PH. 252-241-1504
507 HEDRICK BLVD, 66-112/531
MOREHEAD CITY, NC 28557 BRANCH 02201
DATE
PAY
TO THE
ORDER OF
DOLLARS
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800-BANK BBT BBandT.com
FOR
11100179400 1:0531011 211:0005 293 2 183t-, Lill
....... . ................. . . ................. ....... .. —1 . .... .... ......... ... . . ... . ....... ...............

ADJACENT RIPARIAN PROPERTY OWNER STATEMEN'.0
I hereby certify that I own property adjacent tois
(Name of Property Owner)
property Iodated at A -5'� e e,
(Lot, Block, Road, etc.)
on ��/j/�� , in l'V1,9A,,71le- ��c'�� , N.C.
(Waterbody) (Town and/or County)
has descnb,o�me as shown below, the development he is proaj
and, I have no objections to his proposal. t
AUG 2.4 2006
------------------------------------------------------------------------------------ t------------
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DECRIPTION AND/ DRAWING OF PROPOSEDEVELOPMENT ,1
SD 'y')CM
(To be filled in by individual proposing development)
ITS/
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A:4�� A��-
Signature
4 ,l e e I (�5' 4,- f
Print or Type Name
Telephone Number
Date: ;7 - /J--- 06

iu PROPERTY OWNER STATEME NTF ADJACENT RIPARIAN PROPE
I hereby certify that I own property adjacent to--. Is
(Name of Property Owner)
property located at Z/
(Lot, Block, Road, etc.)
on in N.C.
(Waterbody) (Town and/or County)
e
described e as shown below, the ,development .he
prQ
and, I have no objections to his proposal.
AUG 2 4 2006
----------------------------------------------------------------------------------- ----------------- V-7 ----------
Morehead City DCM
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
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knature
-V N.L. S'
tvpo� S J Print or Type Name
Telephone Number
Date: z &/0

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