60276_HOUSTON, JOHN_20120807

ECAMA / DREDGE & FILL r� e No. 60276
GENERAL PERMIT Previous permit#
❑New ❑Modification I ]Complete Reissue DPartial 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 ' �' ',', State ZIP
Phone # ( ' .) �f ;t Fax # O
Authorized Agent
Affected —" CW iEW ❑ PTA ❑ ES ❑ PTS
AEC(s): -1 OEA —i HHF ❑ IH ❑ UBA ❑ N/A
CI PWS: ❑FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
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
Type of Project/ Activity
(Scale: )
Pier (dock) length
Platform(s)
Finger
Groin
Bulkhead/
Basin,
Boat
Boathouse/
Beach
Othe
Shore
SAV:
Sand
Mora
Photos:
Waiver Attached yes no
A buildingpermit may be required b t j :
p y q y:
Notes/ Special Conditions
on back regarding River Basin rules.
r "
}
'• f f
F See note
i
pier(s)
length
number
Ri ra
i
Agent or Applicant Printed Name
Permit Officer's Signature
Signature ** Please read compliance statement on back of permit ** Issuing Date
Application Fee(s)
Check # Local Planning Jurisdiction
Expiration Date
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, certifythatthis project is consistentwith the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
❑ Tar - Pamlico River Basin Buffer Rules ❑ Other:
1 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/ 1-888-4RCOAST
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)

MUD BUCKET DREDGING INC 5896
507 HEDRICK BLVD
MOREHEAD CITY, NC 28557-3045 J 66-112/531
Date-
Pay tothe 4400
Order of
V
4 BRANCH BANKING AND TRUST COMPANY
1-800-BANK BBT BBT.Com
FOR ----
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NC®ENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary
Date 5,r2 5' 12
Applicant Name �oH►l�� Fl Cyj5!f 0t4
Mailing Address
M� �UIE7 R f119Z1
Ivy
I certify that I have authorized (agent) 11Dy �L 4o act on my
behalf, for the purpose of applying for and obtaining all LAMA Permits necessary to
install or construct (activity) KC(J I,Acc- Yn�'►ti'
at (location) 12.. I Ga_e-'� V K S . (,. Z t 1-2—
This certification is valid thru (date)
Signature
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] \ FAX: [phone] \ Internet: www,nccoastalmanagement.net
An Equal Opportunity \ Affirmative Action Employer — 50% Recycled \ 10% Post Consumer Paper

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
1l I hereby certify that I own property adjacent to L UJa - -'s
(Name of Property Owner)
property located at 12 ) 61--� '
(Lot, Block, Road, etc.)
Fon in V—� , N.C.
(Waterbody) (Town and/or County)
Applicant's phone #:5-W Z-75 ISn Mailing Address
r
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 property owner proposing development)
(Information for Property Owner Applying
for Permit) ,l
Mailing Address
1 P l fE VA 1 *1 <� 2 l
City/State/Zip
Telephone Number
Signature Date
(Riparian Property Owner Information)
re
—j6n �P-11L
Print or Type Name
Telephone Number
7ctZ.
Date

t
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERINI00)?INGPILINGSIBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to
(Name of Property Owner)
property located at 2 e c 02F rZ '
(Lot, Block, Road, etc.)
on a vim. A in , N. C.
(Waterbody) (Town and/or County)
Applicant's phone #: 7 o S 10'8Mailing Address: 4 3 !,4 ' 1 1
—T4 IIkr PA Z�Z�
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 / boatlift / boathouse
must be. set back a minimum distance of fifteen feet (IT) from my area of riparian access unless
waived by me. (If you wish to waive the setback, you must initial the appropriate blank
below.)
I do not wish to waive
I do wish to waive that setback requirement.
------------------------------------
--------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
(Information for Property Owner Applying
for Permit)
Mailing Address
3-iv`�I,lI
2u—) '--lL :S cl -
Telephone Number
Signature Date
------------------
(Riparian Property Owner Information)
Signature
Print or Type Name
33 L/ 3T
Telephone Number
z
Date