33668_WALL, AARON_20030402

-'CAMA / —1 DREDGE & FILL I" % 6
GENERAL PERMIT _ Previorr�t#
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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
Applicant Name /fe VV,% f f
Address 172 S k", /l -r
City f?.i,e7e � f
t%te"rt
Stal
Phone # (: �-1 ) "j„
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Fax # I
Authorized Agent
Affected ❑ CW
❑ EW
-'PTA
AEC(s): ❑OEA
❑ HHF
_I IH
❑ PWS:
❑FC:
ORW: yes / no
PNA
yes / no
Project Location: County irr, f e —
Street Address/ State Road/ Lot #(s)
ZIP ielqlz , A�/o� 'r 7�df` �AVreLti
Subdivision
City ZIP r77���
cS OPTS Phone # ( ) River Basin ),4
JBA ❑ N/A i y 7n:^ ti4s r (_
Ad-. Wtr. Bod k . � r�;<• v+c % nat rsia�r /unkn
Crit. Hab. yes / no
Closest Maj. Wtr. Body
Type of Project/ Activity 1,
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fee t✓a// or &^r /V47 Aft,"Ire
(Scale: )
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number
f
Bul head/ Riprap length_
avg distance offshore
max distance offshore JIF
Basin, channel
cubic yards :' ., %
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing_
Other _
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on back regarding River Basin rules.
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Shoreline Length
SAM not sure yes no ''
Sandbags: not sure yes (no
Moratorium: n/a yes ono -
Photos: yes po
Waiver Attached: yes to
A building permit may be required by:
Notes/ Special Conditions C c t,4 -
Fxrr• I 6- b, , �, �� Pell. 111�
c 411,01
See note
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174
gent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
Permit Officer's Signature
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Issuing Date
Expiration Date
I GY:l t(c
Local Planningf urisdiction
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
Iandowner(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:
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 Elizabeth City District
Mailing Address: 1367 U.S. 17 South
1638 Mail Service Center Elizabeth City, NC 27909
Raleigh, NC 27699-1638 252-264-3901
Location: Fax: [phone]
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888ARCOAST
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.nccoastalmanagement.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
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ii�� Atlantic Baarh, N.C. 28572 'vK-C
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1:0531003001:001312160673i1' 03449
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66-30/531
Date ;5003 133
Dollars B o.,..,.,,,,
GUARDIAN9SAFETY BLUE WDBL

ADJACENT RIPARIAN PROPERTY C'V ER, STATEMENT
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I hereby certify that I own property adjacent to
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located at LP�� /Z4AliIC 1-1(2�4 12AL)N�04G
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(Lot, Block, Road, etc.)
AgCC-S9 in ��(L�/�/l�C /��/-1�1� N.C.
(Water Body) (Town and/or County)
He has described to me as indicates below the development
he is proposing at that location and 1 have no objections
to his proposal. I understand that a pier, pilings and
dredgin must be set back a minumum distance of fifteen feet
(15') rom my area of riparian access unless waived by me.
do not wish to waive that s,r_>>ack requirement.
I do wish to waive that setback requirement.
Description and/or drawing of p aposed development:
(To be filled in by individual proposing development.-
W.5'fA(-LA-rioAJ OF l03 Lis.l. Fr Or- U IAJtq- TO 124�444406' V&T6ie102.d7'60
WoodEN J-64Z-).Act- l.YtArvftuq+.rec rO2�l�q�alj OF 8 3o.A-r
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ADJACENT RIPARIAN PROPERTY CVNER STATEMENT
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I hereby certify that I own property adjacent to
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located at AF�4 A,11-IC 1<�-,4(214 (2AU-3,te-70,4
on
(Lot, Block, Road, etc.)
/� C'e S C��.� q �✓,y�C_ in lz�A- c-" , N.C.
(Water Body) (Town ar d/or County)
He has described to me as indicates below the development
he is proposing at that location and ! have no objections
to his proposal. I understand that a pier, 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 s<c'Dack requirement.
I do wish to waive that setback requirement.
Description and/or drawing of pt.---)posed development:
(To be filled in by individual proposing development..--)
IUS'rA(-LAT-(oN of 10-7 LfA-!•r-r OF• L)'uyL S4E4'JA'-L TJ 124.oc/-4¢LF• VEEIT Xlo.Q.dT�O
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Print Name j]
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