33665_PAULY'S BAY HOA_20030401

'--CAMA / ❑ DREDGE & FILL
^` GENERAL PERMIT
- New ❑Modification ❑Complete Reissue (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 15A NCAC
Applicant Name r,,V,
Address / f N1 a •7 J S
City Ro 1, State A/( ZIP 4 f"
Phone #(f%r4�) E35'- Fax #O
Authorized Agent I':. 1co I
Affected ❑ CW ❑ EW 0 PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑FC:
ORW: yes /'� q PNA yes / & Crit. Hab. yes / no
Previous ermit #
Date previous permit issued
❑ Rules attached.
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City %% r/0, ZIP /'
Phone # ( ) River Basin %4. i- L,'K
Adj. Wtr. Body V (nat ,bFr'ian /unkn)
Closest Maj. Wtr. Body
Type of Project/Activity ti1(,,/f vo J kv A,.• P-1117 1111 lLG
yr / o / f% ,- 0X,i 1^+� ,' far / { (Scale: A& ✓E
Pier (dock) length
Platform(s) t / c 'c K)1 t ---
Finger pier(s)
_
Groin length
number
Bulkhead/ Riprap length
avg distance offshore -
max distance offshore.._
Basin, channel
=�1
cubic yards i � i
Boat ram ----
p
Boathouse/ Koatoft X -
12 1 Ytz t llp/zLflt�
Beach Bulldozing- f C.,c_
Other r
Shoreline Length
SAV: not sure yes
Sandbags: not sure yes 6o -
Moratorium: n/a yes (ho
Photos: yes no+L
Waiver Attached: yes no
A building permit may be required by: f ru N
Notes/ Special Conditions ( p �c j
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on back regarding River Basin
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rules.
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Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
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Application Fee(s)
Check #
1c�a =✓
Permit Officer's Signature
Issuing Date Expiration Date
Local Planningf urisdiction Rover File Name
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Statement of Compliance and Consistency
This permit is subje- 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, certifythat 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 (910-395-3900) for more information on how to comply with thesebuffer rules.
Division of Coastal Management Offices
Central Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888ARCOAST
Fax: [phone]
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)
Morehead City District
151-B Hwy. 24
Hestron Plaza II
Morehead City, NC 28557
202-808-2808
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico 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
910-395-3900
Fax: [phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
www.nccoastaimanagement.net
Revised 10/05/01

MUD BUCKET DREDGING, INC.
ATLANTIC BEACH CAUSEWAY NCDL 8039839
PO BOX 3355 PH(252)726-2191
ATLANTIC BEACH, NC 28512
Pay to the
Order of
3449
3 1 66-30/31
Date 33
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GUARDIANWSAFETY BLUE WDDL

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ADJACENT RIPARIAN PROPERTY OWNER. STATEMENT lGav t;'T �Qys _
I hereby Certify that I own property &-djacent to
property
located at � - Aem rbwk . ,4Je , on
�vE ivt, Block, Read, etc.)
in iN'%� �f•� N.C.
(water Body) — (Town and/or County) zj"iv—
He has described tc me ae indicatea jelow the development
he is proposing at tb&t location and I have no objections
:o his proposal. I understand that a Oier, pilings and
dredging must be set back a minumum distance of fifteen feet
(15') from my area of riparian access unless waived by me.
' /I do not wish to waive that setback requirement_
y i do wish to waive that setback tequi.rement.
Description and/or drawinct of proposed develdpment:
(To be filled in by individual proposing development.)
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doo4cre. or, $t i% ial Avv sr+ apt! F fzr4-rfUc,wOct-
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Signatur
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Phone number
Date

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ADJACENT RIPARIAN PROPERTY OWNED STATEMENT
I hereby certiiffy, t'.1at I own property cidjacent to
KpAo,S �' �Gc�f-i � 0� s Property
Lq ,
114S o on
located at _ U Z Road , et(; . )
�aqvE (Lot, Block,
�oUN/J i n j -4Ar 'C - 6�" , N.C.
lue-dz 'g,EgL "- (Town and/or County) Z,9Sjy
(Water BoOY)
He has described t,: me as indicate? '.(Clow the development
is proposing at th.it location and I have no objections
he
he to his proposal. I u,iderstand that a pilings and
_�i :r,
dredging must be set ')ack a min
umum distance of fifteen feet
(15') from my area of riparian access %inless waived by me.
I do not wish to waive that setback requirement.
-� I do wish to Waive that setback ;:equirement.
Description and�or drawing of ro,�sed development:
(To be filled in )y
individual proposinq development.)
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Phone Number
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