58351_TALTON, JIM_20110831

S UCAMA / ❑ 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.
I' N P L C
App icant ame
Address
City State ZIP
Phone # (�) Fax # O
Authorized Agent
Affected ❑ CW ❑ gW ❑ PTA
AEC(s): ❑ OEA ❑ HHF ❑ IH
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no
❑ ES ❑ PTS
UBA ❑ N/A
Crit.Hab. yes / no
roiect ocation: ounty
Street Address/ State Road/ Lot #(s)
Subdivision
City ) ZIP
Phone # ( ) River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
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Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit **
i
PermitOfficer's Signature
Issuing Date Expiration Date
Application Feels)
Check# Local Planningfurisdiction
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/ 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)
Revised 08/09/06

MUD BUCKET DREDGING INC
507 HEDRICK BLVD
MOREHEAD CITY, NC 28557-3045
Date i 2 1 rt I
f,
Pay to the
Ordir of
Dollars
BRANCH BANKING AND TRUST COMPANY
1-800-BANK BBT BBT.com
FOR � f �/.�G`-ems -- --- "r
1I10000 54 L 7iI' i:0 5 3 L0 L L 2 Li:000 5 29 3 2 L8 34 Ln'

z NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary
Date 1 ' (
Applicant Name
Mailing Address
I certify that I have authorized (agent)19to act on my
� �� P
behalf, for the purpose of applying for and obtaining all CAMA Perinits necessary to
install or construct (activity)
at (location) 2 t a ]4 C cf
This certification -is valid thru
Signature
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] \ FAX: [phone] \ Internet: www.nccoastaimanagement.net
An Equal Opportunity \ Affirmative Action Employer — 50% Recycled \ 10% Post Consumer Paper

ADJACENT RIPAWAN PROPERTY O'iNi`iER STATEMENT
ff ORA p1E INloORINGPILI.IVGSIBOATLI.FTIBOA7IIOUSE)
I hereby ccrtify that I own property adjacent to
(Name of Property Owner)
property located at —2 1
y- (Waterbody)
(Lot, Block, Road, etcl)
in_14
(Town and/or County)
Applicant's phone #: `t� a Mailing Address:_ 1 � �gj -
I le has ciescribcct to zne, as Shown below, the development he is proposing at that IOCati()n, anti, I
have no objections to his pro1)0'gal. I understand that a picrfnloorl:lg pilings / boatlift / boathouse
n71:St be set back a I inji-num LlSt3Ilt:f' of tIf(een fcet (l� ; fraln ;lr✓ :area of riparian access unless
waived by me. (If you wish to Nvaive 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 D]EV]ELOPMENT:
c"
(To refilled in by individual proposing development)
q Y OS cv�
_�' -� -----3----- ° ----------------------'-------- ------ --- ---------
(Information for Property Owner Applying (Riparian Property Owme Info mation)
for. Permit)
Mailing Address Signature
r,ity/State/Zip
'22
TeleAholle. N er
S mature Date
Print or Type Name
Telephone Number
Date

ADJACENT RIPARIAN PROPERTY
Y OTLIFT R s,r OUSSENT
(lr'+i7R fl ppE'R/1Vj00RI1VG plLl
I hereby certify that 1 own property adjacent to Am—�-- P Pert pwner)
property located at-_z O G V e w
(Lot, Block, Road, et
in tt � ____,, N.C.
on C4 r'`*L" - ('Town andlor County)
{�'Jaterbody)
23 LAIJ o $ Milling Address:_ �0
Applicant's phone #:_____._' < -
d"�;cri ,cd to r.i 4 ���w11 ULlo�y, the development he is proposing at that location, turd, l
have no objectio-Is tc his proposal. I understand that a pierly"aortng p, ings l���Rt t ibta��Cious"e -
must J)e set back a m nimum distance of fiflecn feet {I )from >>iy areE. of riparian access unless
waived by me.. (if YOU wish to waive the setback, you must initial the appropriate blank
below.)
I WIQ "ish to waive
77
I dg wish to waive that setback requirement.
_ ----------------------------------
DESUtIYTION. AND/OR DRAWING OF PROPOSED DEVELOPMENT:
c j (To be filled in by individual proposing development)
5I- �
(Information for Property Owner Applying (RiT—
Jperty Owner Info ation
for Permit)
40 �b �x=� ��00 — — 1 Signature
Mailing Addre.;:s 8
City/statelip
o �>
Teletahhone NW—Ibey,
!�ignature Date
C Ml?-L-Es w oo Z�
Print or Type Name
Telephone Number
Date

M
�;Oplicant: �' J
Date: '-�3• \ I
043(rtwf UAIIA-
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 blame
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)amount
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
Dredge Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Olher ❑
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 ❑
u252 010J 0 ,. 1 ;3u .:C0A_;>i ni.4f