54310_RICE, TOM_20090729

E--" CAMA / [J DREDGE & FILL
-. r3ENERAL PERMIT
❑New ❑Modification ❑Complete Reissue El Partial Reissue
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 I SA NCAC
Applicant Name
Address
State ZIP %lam
Phone # O Fax # (3-------
Authorized Agent ; i .r-`.•i`-
Affected ❑ CW CI EW D PTA El ES ❑ PTS
AEC(s): Ll OEA HHF 1 IH ❑ UBA ❑ N/A
MS: n FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Previous permit #
Date previous permit issued
Rules attached.
Project Location: County_ __ _
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # ( ) River Basin
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Agent or Applicant Printed Name
Signrre Please read compliance statement on back of permit
Application ee(s) Check #
Permit Officer's Signature
Issuing Date t.,, 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 consistentwith 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 Morehead City Headquarters
Mailing Address: 400 Commerce Ave
1638 Mail Service Center Morehead City, NC 28557
Raleigh, NC 27699- l 638 252-808-2808/ 1-888ARCOAST
Location: Fax: [phone]
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
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

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 ­7. 21 • O ci
Name of Property Owner Applying for Permit:
Mailing Address:
ODD
I certify that I have authorized (agent) 1 y 1 a-' f �� L7 to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) Paul-�E i nvS f 1-2,4,;K 0'r-L ,
at (my property located at) 10
This certification is valid thru (date)
erty Owner/Signature
Date
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] \ FAX: [phone] \ Internet: www.nccoastaimanagement.net
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled \ 10% Post consumer Paper

a
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILIIVGSIBOATLIFTIBOATHOUSE)
I hereby certify that I own property adjacent to T rn-4 K—IArz&�N eICE° is
(Name of Property Owner)
property located at i r ���n- +• �R �� 1 +—`
(Lot, Block, Road, etc.)
on � L� M A L , in ? N C• . , N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: -7 Z 6-0 13-S Mailing Address: D^
T
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 (15') 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)
n,�)ia ►1 1�1� ..� SL awo-�i. '7?rx��l��rzo�%?
3, - 1d 'F ► BLS 'D`- I;
4
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---------- ------------------------------------------
(Information for Property Owner Applying
for Permit)
--E , A �• D �9 6 ry '� c
Mailing Address
f 0(, P2b.),Z.1-1L.4a
City/State/Zip
F!C5 N.(� ,
Telephone Number
Signature Date
P CC �q 11
3Dzo Z
(Riparian Property Ow r Information)
Signature
Print or Type Name
Telephone Number
17 ,�7%
Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILIIVGSBOATLIFTIBOATHOUSE)
I hereby certify that I own property adjacent to -TO ►'n, L�Z's
(Name of Property Owner)
property located at _ I 0 w �- b a%z � A ig Dil
(Lot, Block, Road, etc.)
on A w 4 1-- , in P K S. , N.C.
(Waterbody)
Applicant's phone #:
'72�; 0/35
(Town and/or County)
Mailing Address: 0 (o H P, bOKL�, r) ,O€
P)K 5 N . 1:�-
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 (15') 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:
j y(To becfilled in by individual proposing development) p
$,�, 1 c.) S •-ri 9 i 1 % f o :¢ � �� '?7 mac. !C
F . D.
DO/ - - -
-------------------------------------------------------------------------------------------------------------------
(Information for Property Owner Applying (Riparian Property �'wner Information)
for Permit) � ,., �rl n n
O »7 A w p K Q l2-C�'l 1 CE-
Mailing Address
City/State/Zip
?K5. N -C-
Telephone Number
-7 2 c, O 13 -S 2(, oci
/ Signature
X-1 �j ( I,, v y, ' F (
Print or Type Name
Telephone Number
44
Signature Date Date

MUD BUCKET DREDGING INC
MOREHEAD CITY! NG 285D57-3045
PAY
TO THE
ORDER OF�� ORDER
3851
66-112/531
DATE -7- Z q '6
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MONITORING & COMPLETION REPORT
[CAMA Major Development & State Dredge & Fill Permits] V
PERMITTEE' S NAME: i1 O im C PERMIT # 5�4-3)D
LOCATION: (� C�o�L+ ` � I fi FIELD REP. tJ Coon ell
l ]`� MONITORED BY
PHONE: /7pL — 01 3 g- DATE REPORTEDLY COMPLETE: , � �
DATE OF INSPECTION ' f ✓7' U g
1)
2)
Do the asured dimensions of the development differ from those indicated in the permit and workplat?
C n YFvirelP nnPl i n .
SEDIMENTATIO.Dirk EROSION CONTROL: Has Permittee seeded, grassed, or otherwise stabilized all
disturbed areas? E NO [circle one]
3) FUTURE MONITORING & ENFORCEMENT ACTION
needed? YES [circle one].
COMMENT: S C-0 N1
M n,�9 i A
Is further investigation or enforcement action
�t 4 ( (I &( C 9 �)