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GENERAL PERMIT Previous permit#
❑New [-]Modification ❑Complete Reissue ❑Partial ReiObe 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 �' ) `5( (}I Street Address/ State Road/ Lot #(s)
City StateN ZIP
Phone # O i� ��'7 Fax # ( ) ---
�;
Authorized Agent % c' �i i .� r
Affected ❑ CW ❑ EW ❑ PTA , )ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: C FC:
ORW: yes / no PNA yes / no Crit.Hab, yes / no
Subdivision
City- ZIP 1
Phone # ( )_ �' f River Basin VJ I i-(-/0-,
Adj. Wtr. Body.�t t• '. (nat(%man.>/"kn)
w
Closest Maj. Wtr. Body —
Type of Project/ Activity
(Scale: Al—t )
Pier (dock) length
Platform(s)
Finger
Groin
length
number
(,1 r\
Agent or Applicant Printed Name
Si nature "Please read compliance statement on back of permit.**
Application Fee(s) Check #
9
Issu' D'ate`Expi, tion Date
Local PlanningJurisdiction

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 I) 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 (252-946-648 [)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/ 1-888ARCOAST
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

ALT7i:"awA
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
Name of Property Owner Applying for Permit: ii
TI N E
Mailing Address:
P� 0 lf�0 --,e Cl 0 5
Ak4'.j , . B,=- ,j, -, N, , . 2 e
I certify that I have authorized (agent) )�1 �, c< 1�,. k`j �t��{,i�.; to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) `D E )a .-- n L L
at (my property located at) K / rue ) S jCC)rZ o,-CEYZ
This certification is valid thru (date)
Property Owner Signature
Date
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internet: www.nccoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer - 50% Recycled 110% Post Consumer Paper

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Pine Knoll Association Inc.'s
(Name of Property Owner)
property located at King's Corner ,
(Lot, Block, Road, etc.)
on King's Corner , in Pine Knoll Shores , N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: [phone] Mailing Address: P.O. Box 905
Atlantic Beach, NC 28512
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)
Installation of 56.5' of Shoreguard vinyl seawall with 10' panels average
embedment 5' depth. New concrete deadmen poured -in -place anchors to be
installed 10' back with 518" galvanized tie rods. The water system consists of
6"x6" treated timbers tied back every 5'4': The upper face plate is 27x6'; rear
face is 2 "x4" lagged in place with 2'x12' cap.
(Information for Property Owner Applying
for Permit)
P.O. Box 905
Mailing Address
Atlantic Beach, NC 28512
City/State/Zip
(Riparian Property Owner Information)
�-Z
252-240-1717
Telepho e Nu V�,
ter. 17
Signature Date
C� A`
Signature
Print or Type Name
�7�
Telephone Number
Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Pine Knoll Association Inc.'s
(Name of Property Owner)
property located at Kin2's Corner
(Lot, Block, Road, etc.)
on Kin 's Corner , in Pine Knoll Shores , N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: [phone] Mailing Address: P.O. Box 905
Atlantic Beach, NC 28512
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)
Installation of 56.5' of Shoreguard vinyl seawall with 10' panels average
embedment 5' depth. New concrete deadmen poured -in -place anchors to be
installed 10' back with 518 " galvanized tie rods. The waler system consists of
6 "x6" treated timbers tied back every 5'4' . The upper face plate is 2 "x6 ", rear
face is 2 "x4"lagged in place with 2'x12' cap. I� J Q y�l-h f
--------------------------------------------------------
(Information for Property Owner Applying
for Permit)
P.O. Box 905
Mailing Address
Atlantic Beach, NC 28512
City/State/Zip
252-240-1717
Telephone Number
-----------------------------------------------------
(Riparian Property Owner Information)
10-M/, ze���
Signature
U� �►Akdo
Print or Typ& Name
S�--72 6- 001t�)
Telephone Number
�4 'L. J114/68
Signature Date Date

MUD BUCKET DREDGING, INC.
PH. 252-241-1504
507 HEDRICK BLVD.
MOREHEAD CITY, NC 28557
3386
66-112/531
DATE j I• -� - 0-6
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