57840_PIKSCO INC_20110411

❑ CAMA / ❑ DREDGE & FILL
GE111ER�/o1L PER1/11 I Previous 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
Address
City
State ZIP
Phone # ( )
Fax # ( )
Authorized Agent
Affected ❑ CW
❑ EW ❑ PTA O ES ❑ PTS
AEC(s): ❑ OEA
❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
❑ FC:
ORW: yes / no
PNA yes / no Crit.Hab. yes / no
Date previous permit issued
❑ Rules
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # () River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity
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Agent or Applicant Printed Name
F
Permit Officer's Signature i
Signature ** Please read compliance statement on back of permit ** Issuing Date
Expiration Date
Application Fee(s)
Check #
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 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

NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: PIKSCO Inc.
Date: April 11, 2011
General Permit #: 57840C
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 Name
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
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
SB
Dredge ❑ Fill ® Both ❑ Other ❑
160
160
SIB
Dredge ® Fill ❑ Both ❑ Other ❑
800
800
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 ❑
252-808-2808 :: 1-888-4RCOAST :: www.nccoastaimanagement.net revised: 02/e= '

- -I_--- _... _... - -,,, �,,,,,�„k uilU 1111LU1 UI I\GJVUI IiCJ
Division of Coastal Management
Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secrelary
r
Date
r 1 RECEIVED
`
APR 8 2011
Applicant Name r, �Sc o -- DCM-MHDCny
l ", 00 p, 0
Mailing Address �, D � oX 3C6
I certify that I[ have authorized (agent) __Til f., 0 to act on my
behalf, for the purpose of applying for and obtaining all t✓AMA Permits necessary to
install or construct (activity) �o � , q z : � �j � � 0 ])"
This certification is valid thru (date)
Signature
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internet: www.nccoastalmanagement.net
An Equal Opportunity 1 Affirmalive Action Employer — 50% Recycled 110% Post consumer Paper

I hereby certify that I own property adjacent to 1k C� r,e4t h 's
(Name of Property Owner)
j RECEIVED
property located at C.e L, E
(Lot, Block, Road, etc.) APR g 2011
on Gg� �Pe a�l�'�3� in KS , N.C.
(Waterbody) (Town and/or County) DCM-MHDMY
Applicant's phone #: 752 ?Z52254. Mailing Address: X-3 oaktE-„ae-
�S �J 4
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 / boatli.ft / 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)
5
�o"
a
_
(Information for Property Owne 1 ing
for Permit)
?0 P3� 33 c,
Mailing Address
City/State/Zip
'KO-x )0-/ -5 = IaC-,DS
�rian Property Owner Information)
tkl
Signature
Print or ype ame
2 S Z -7 2-5 'Z--� 9 6 6�-�-614
Tee one Number Telephone Number
Signature Date Date

. - -
I hereby certify that I own property adjacent to -plug 's
(Name of Property Owner)
property located at )6 3
(Lot, Block, Road, etc.) APR 8
on ��2ti�x ?a2k�eSiN , in �KS , N.C.���
(Waterbody) (Town and/or County) lbcm-mHDC`T
Applicant's phone #: ��2 �725 Z74 �' Mailing Address: 163 0 k(E a
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 / boatli.ft / boathouse
must be set back a minimum distance of fifteen feet (I T) 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:
'L (To be filled in by individual proposing developin nt)
�' Sb d 2>
(Information for Property Own lying arian Property Owner Information)
for Permit)
Mailing Address Signature
A4-Lem-4,- I;e-- p<-h-Zl'512- �, - C- ��r�-� t-.
City/State/Zip Print or Type Name
�-sZ -) 2 Is - Z fd, �: - o - 3 J" 3G
Tele hone Number Telephone Number
------------
Si ature Date Date

MUD BUCKET DREDGING INC - 4954
507 HEDRICK BLVD 66-112/531
MOREHEAD CITY, NC 28557-3045
y t 2/
Date
Pay to theorder of
BFtANC' BANKING
BBT BBTTCOMPANY
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FOR
000049541I' 1:0531011211:00052932183411I'
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North Carolina
Beverly Eaves Perdue, Governor
Date
r�
NC®ENR
Department of Environment and Natural
Division of Coastal Management
James H, Gregson, Director
Applicant Name 1 5e _L r1C�_>� e a
Mailing Address
Resources
Dee Freeman, Secretary
��•�-L.s�..� << � -.n� � �-' � Z SSA � Z
f certify that 3(have authorized (agent) _�L,19 8 � , 1<<` I D' � , n Ito act on my
behalf, for the purpose of applying for and obtaining all LAMA Permits necessary to
install or construct (activity) Co ., !? -1 11� h o ^ E�d�T , j3a:� „* ,
at (location) _� �� �2 j�� �2 /G3 o L --C:
This certification is valid thru (date)
Signature ,'/' �fz'e e_
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone]O 1 Internet: www.nccoastalm'anagement.net
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper

?,rcin::LA-M IMMU11-11 t 0 i CAWM f 7 a ge. I" i
ADJAICENI'MIA RRAN PROPERTY OWNER STAIINIENT
(to,R A plr g1,W00Rj,'VC, P[Lf.AiGSI-BOATLIFTIBO,,ITIIOI)SE)
I hure!,�Y ccrd�1hal I U'IProptrty adW
(Marne of Property Ovnacr)
0
property located A I<. (.tea '-f- -
(Lol,'Black, Road, etc.)
N.C-
-'aterbody) (Town andior County)
Applicant'l phine MalUng Address:
z
bas tL-scribel to yne, as ,bowil below, the d-velopnient hc is ;),.,oposing m that locavon, wid, I
have, I)-) oNec(ijns to his pmPwfil I lmdemoilld thet a j.nnj-'nioorUtq, pilLigs / bomthft / 1)0,11110,Isc
nose "m 'm bLw a 111i.11hinkill �fistaw,,- of rlReell f.;(;( (I rl,) froni my w:La of r1pai izui iicxr•Sg 11,01A.S.3
wai-vcd by ime. If you wjsl 10 wAive tlic getblick, you must initial the appropriate blank
below.)
I do not wish' 0 Waive
I d2 *ish to waive diat setback mquirement.
------
----- ....................................................
ANDIORI)RAWING OF PROPOSM) DEVELOPWNT:
(To heel filled in by individual proposing drvelopmene)
(Information
for Permit)
L Ic L-) a-ao
O
a Property Owner Information)
iZ) &i�go Add Sipatura
e,4
<
cityi$tate/zip Print or Type Name
To elphonc Nu
Signature Datc
Telephone Number
Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/NIOORING PILINGSIBOATLIFTBOATHO USE)
V► ks co
I hereby certify that I own property adjacent to n<<�.��et s
('dame of Property Owner)
property located at on IK(,-d c ©r I U c—
(Lot, Block, Road, etc.)
on GUeLt.,wL-Pe in P KS , N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: 'ZS z ?Z5 Z"7c16 Mailing Address: 1�p�3 Oat«t-wo-' P,41 iik
He has described to me, as shown below, the development lie is proposing at that location, and, I
have no objections to his proposal. I understand that a pier/mooring pilings / boatli.ft / boathouse
must be set back a minimum distance of fifteen feet (IT) 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)
i
Q'
-------------------------------�Own�le
-----
(Information for Proper1 ing
for Permit)
Mailing Address
h4L,a,..,j«
City/State/Zip
Tian Property Owner Information)
Signature
Print or ype ame
-z 5 2 -72 S �7-�-
TelWhone Number Telephone Number
Signature Date Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER13110ORINGPILINGS2OATLIFT/BOATHOUSE)
1 i-5c o
I hereby certify that I own property adjacent to Piggy gaa,c,.���.� rrQ �e.p is
(Name of Property Owner)
property located at )6 3 O iqkL_4�,6--1- V r)
(Lot, Block, Road, etc.)
on ,in T9S N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: 2�'Z ^7ZS Z��t�' Mailing Address: 163 0-4 kte ear 'j7c I "'iz-
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 / boatli.ft / 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
AL 5_ I do wish to waive that setback requirement.
---------------------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
'L (To be filled in by individual proposing developm nt)
� goxlax3 � 27z �
/'�rG �— (IDS
Sn!
iD
--------------------------
-----------
(Information for Property Own 1 ing
for Permit)
Mailing Address
A4LoJ;,-- 4)c-h 2� -5"r2
City/State/Zip
z-s"z '1 2S - Z '-) G �-
Tele hone Number
Si ature Date
-- -- -------------------------------------------
arian Property Owner Information)
L Signature
Print or Type Name
Telephone Number
11 Z1��i
Date