35278_BARKER, WALTER_20031007

❑CAMA / ❑ 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 Project Location: County
Address Street Address/ State Road/ Lot #(s)
City
Phone # O _
Authorized Agent
Affected ❑ Cw
AEC(s): ❑ OEA
❑ PWS
ORW: yes / no
State ZIP
Fax # ( )
❑ EW ❑ PTA ❑ ES ❑ PTS
❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ FC:
PNA yes / no Crit. Hab. yes / no
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger pier(s)
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 not 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
T?" A �
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
f
Subdivision -
City --
Phone #
Adj. Wtr. Body
Closest Maj. Wtr. Body
ZIP
River Basin
(Scale:
(nat /man unkn
See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Date b Expiration Date
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 ❑ 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 (910-395-3900) for more information on how to comply with thesebuffer rules.
Division of Coastal Management Offices
Central Office Elizabeth City District
Mailing Address: 1367 U.S. 17 South
1638 Mail Service Center Elizabeth City, NC 27909
Raleigh, NC 27699-1638 252-264-3901
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888-4RCOAST
Fax: [phone]
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
151-13 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 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
910-395-3900
Fax: [phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
www.nccoastalmanagement.net
Revised 10/05/01

MUD BUCKET DREDGING, INC. ATLANTIC BEACH CAUSEWAY NCDL 8039839
PO BOX 3355 PH(252)726-2191
ATLANTIC BEACH, NC 28512
Pav fn fly o
i ANKLITIns8ank ,
Atlantic zone Bank & Trust Company
Atlantic Basch, N,C, 28512
www.firstcitizens.com
For SZ 7
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66-30/53I
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ADJACENT RIPARIAN PROPERTY OWNER STATE KlrlSTa+�,NC-
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I hereby certify that I�o��n property adja2�Lts22-/2'77
1 . ,."? " 'dI7rlr-t) Is property
located at (Lot, Block, Road, etc.)
ado v6 S'ooA/O S'�+ 5 . C .
4Ae '6Z e 4,44 L- - i n ��� KN aL�- ' Z9517—
(water Body) {Town and/or County)
He has described to me as indicated below the development
he is proposing at that location and I have no objections
to his proposal. I understand that a pier, pilings and
dredging must be set back a minumum distance of fifteen feet
(15') from my area of riparian. access unless waived by m
e.
I do not wish to waive that setback requirement.
r-
I do wish to waive that setbac.k requirement.
Description and/or drawing of proposed development:
(To be filled in by individual proposing development
W<'rA 1-LAr1C"4 Op 'E6)4T '-rFT,
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Signature
Print Name — I�
PhnnP Number

ig 30 03 09:02a Sandy and Dick Dolgas
252-726-6112 N•1
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT kiA/S-rar1, N�
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I hereby certify that I own property adjacent to �y�7
property
located at -�_(lot, Block, Road, etc.)
"d ?L/6 �vo�l0 (Pig6 KfV044& N.C.
,fee e4d,4 1. in ZOP.7-
(tJat ody) (Town and/or County?
He has described to me as indicated below the development
he is proposing at that location and I iexe npl�ngscandns
to his proposal. I understand that a p Pfeet
dredging must area
riparianaccess
of set baUmum ck
stance of
area unless waivedtbynme-
(�5') from my
I do not wish to waive that setback requirement.
--�-- .
` I do wish to waive that setback requirement
Descri Lion and/or drawingof ro osed develo mer.t:
(To be filled in by individual proposing development.)
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Signature
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