57975_FULCHER, EDWARD D_20110606

❑ CAMA / O DREDGE & FILL
GENERAL PERMIT Previous permit#
❑Nevi OModification ❑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
0 Rules attached.
Applicant Name
Address
City State ZIP
Project Location: County
Street Address/ State Road/ Lot #(s)
Phone # () Fax # ( ) Subdivision
Authorized Agent City ZIP
Affected ❑ CW ❑ EW E PTA ElES ❑ PTS A Phone # ( ) River Basin
AEC(s) : ❑ OEA ElHHF 7-1IH ❑ UBA ElN/A Adj. Wtr. Body—�D
❑(nat /man /unkn)
El PWS: FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body
Ir
IN
ME
No
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ONE
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Agent or Applicant Printed Name
Signature "Please read compliance statement on back of permit
(
PermitOfficer's Signature
Issuing Date r Expiration Date
Application Fee(s) Check # Local Planning] uriscliction
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 (910-796-7215) for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Raleigh Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ I-888-4RCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
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

Applicant:
Date. `.J V "' � 1,
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
Habitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
tem acts)_i
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
mpact mo
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
Dredge Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
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06/02/2011 12:48 910-327-1433 COASTAL MINI STORAGE PAGE 01/07
COASTAL DREDGING
2075 14WY 172 / .PO BOX 295 PHONE [phone] l
SNEADS BERRY, NC 28460 FAX [phone]
FAX MESSAGE COVER SHEET
DATE- - f
PAGES INCLUDING COVER SBEET
ATTENTION ��"� �( ��� COMPANY
FAX_ _.✓_°A��`�
FROM: `(�•�1L
I!
,SUBJECT
REMARKS

05102/2011 12:4e 910-327-1433 COASTAL MINI STORAGE PAGE 02107
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor James H. Gregson, Director William G. Ross Jr., Secretary
Date tp r 1. I
Applicant Name � �•^o���%� �-.� ���.,
Mailing Address .5'Z., /-.c.
J
l certifFy that x have authorized (agent) to act on my
behalf, for Me purpose of applying for and obtaining all LAMA Permits necessary to
install or construct (activity)
at (location) _ M -C> t�/-f Q, cf r1 \'w_
This certification is valid thru (date)
Signature
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] t FAX: [phone] Internet: www.nccoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer - 50% Recycled � 10% Post Consumer Paper

06/02/2011 12:48
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COASTAL MINI STORAGE
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t r I
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06/02/2011 12:48 910-327-1433
COASTAL MINI STORAGE
PAGE 04/07
ADJACENT RIPARIAN PRQPERTY OWMM STAB
z hereby certify that Z Own propcxty adjacent to
(Name a Pzo ext 'S praperty� located at
�' Y Owner)
PC
(Lot, dock: Road, etc.j
onl 1L'n J
�. r
(Waterkd3rj . in N. G
('lawn and/or co�uIIt�r
He has described to mom, as shown below, the development he is
Pro,posirxg at that location, and, z have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be ia.11ed by ink-vidua7. propasing development)
I
Signature
� ly
Px int or Type Name
Qua-?�,G -S?-7��
Telephone dumber
0

06/02/2011 12:48 910-327-1433 COASTAL MINI STORAGE PAGE 05I07
ADJACENT . -RIPARIAN PROPRTy R STATEMENT
I hereby certify that'T own property adjacent to
(t zzie of FrOpertY Ower) S ProPerty located at
3 (,,c- C4pz,, Cap; l sQ- fv,c
�R �] (Lot, 131ock, toad,
on Y �C7 QLA.l1 ` I' i _J
(Waterbady) in (.xvwza
1Or ccaunt�r
He has described...to m4, as showrx below, the development he is
Proposizag at that location, and, T have no cbjections tc hie."
proposal.
DESCRIPTION ANWOR. DRAW1
( To bo Fi1 led .art by ind<i
OF PROPOSED DEVELOPMENT,
al proposing d��reiopznEnt )
Signature '
Print ar Type Name
y z- 1` ;9�f .
Telephone Number '_

06/02/2011 12:48 910-327-1433 COASTAL MINI STORAGE PAGE 06/07
-JLVX4-xx \ X xx_'. A JL;'JLX I I lJ VV iN r'K Z!� J. /l J
(Bullheads and Rxpirap)
Z hereby certify that Z own property adjacent to f .g WA r` r/
(Name of Property Owner oz• Appkant)
Phone number you can be preached at—
Mailing address if different from location: Ste/
Property located at (f e act r-{Lr e„-
(Lot, Block, toad, etc.)
on
in AC.
( siterbody)
(Tovun and/6r 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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
-------------- — -----------------------------------------------
Signature
Print or Type Name
Telephone Number
Date: (�> I , _ 2,() 1 /
nceaastalmann&cMcnt.nedpetmits/AAJACENTP TARIANPROPERx'Y OWNEpSTATEMENT2.pdf

06/02/2011 12:48 910-327-1433 COASTAL MINI STORAGE PAGE 07/07
(Bulkbeads and Riprap)
Ed,,,d D,Rdckar
I hereby certify that I own property adjacent to'f
_ 5
�(l� 2me of Property Owner or Applicant)
Phone number you can 'o be reached at r' ~~ S S'7
Mailing address if different From location:
Property located at_.�
(Lot, Block, Road, etc.
on
(atexbody) - Y y, N.C.
(Town and/6r 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,
DESCRIPTION AND/OIL. DRAWING OF PROPOSED DEVELOPMENT
(To be, filled in by individual proposing development)
Aigna
Print or Type Name
z s',_ — 2 6 7 �
Telephone Number „
Date:
nccoastilrrxangemem.nct/permits/ADJACENTkUPARiAN*PROPEp,TYOWN13PtSTATEMEN '2.pdf

COASTAL DREDGING, LLC
2075 HWY 172
P.O. BOX 295
SNERDS FERRY, NC 28460
[phone]
PAY TO THE /f � C /
ORDER OF � l/
MEMO , '/—/ 7 �1(15
340
FIRST FEDERAL
HAMPSTEAD, NORTH CAROLINA 28443
67-7194.2532
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