52140_LONG, JOHN JR._20080205

❑CAMA / ❑ DREDGE & FILL `% Nl�) 4AI(I "
GENERAL PERMIT Previous permit #
v
[]New❑Modification El Complete Reissue El 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
L] Rules attached.
Applicant Name
Address
City State ZIP
Phone # (i) Fax # (i)
Authorized Agent t
i
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # () River Basin
Adj. Wtr. Body (rnat /man /unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale: r )
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore_--
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
-
— --
I
i
i
i
I
AF—
I
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I
I
Shoreline Length �.
r �
SAV: not sure yes no - - - -- --
Sandbags: not sure yes no
Moratorium: n/a yes no I
Photos: yes no .!
Waiver Attached: yes no ! t
A building permit may be required : ` Elardin
g g See note on back re River Basin rules.
Y re9 b Y Notes/ Special Conditions �" V
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
PermitOfficer;s Signature
Issuing Date Expi tion 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 [)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 (910-796-7215) 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 27699-1638 252-808-2808/ 1-888-4RCOAST
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 I - Z`1-6'YS
e � Ay
F" F-6
Applicant.Name ry L��� M�rp►���
J - Choi [D CM
Mailing Address %cL O 5 RIC),
N 1 l l s, r-dL; Z.-7Z-)
I certify that I have authorized (agent) I " v c� �� G ����fi.� to act o Amy
behalf, for the purpose of applying for and obtaining all CAINIA Permits necessary to
install or construct (activity) 'Bv I L hz-xa CO
at (location) Z 'I Lob to r/ pz, P its N , 6,
i'zq. Lob%o%f7 DriL_-C­'Pks
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 \ Affirmative Action Employer — 50% Recycled \ 10% Post Consumer Paper

ADJACENT RIPARIAN PROPERTY OWNER
STATEMENT FOR CAMA MINOR PERMITS
I hereby certify that I own property adjacent to
(Name of Property Owner)
property located at I -2 FEB 1 2008
v�l � ,. ,� Address, L: Block, Road, etc.)
oni� « S� G �^'� C_ . In 1� I� Mwehead City DCM
Maberbody) (Town and/or County)
He hesdescribed to me as shown in the attached application and project drawing(s), the development
he is proposing at that location, and, I have no objections to his proposal.
-
(APPUCATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHED)
Sonature
Lo A C.c; u IY�= I �.
Print or Type Name
Telephone Number
Date
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ADJACENT RIPARIAN PROPERTY OWNER
STATEMENT FOR CAMA MINOR PERMITS
herebythat I own adjacent to b h '� L� �` ; 2 s
�Y Pr�rtY J
(Name of Property Owner)
property located at J 2 Lc> 6 �� 4
Address, Lot, Block, Road, etc.)on --iF, In
aterbody) C� (Town and/or County)FEB
He 9<
has described to th71e
eand have noo obj application
e to his proposal. ect dra�nng(sk e� city Dee
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(APPUCATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHED)
re
Print or Type Name
Tel ,phone N ber
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MUD BUCKET DREDGING, INC.
PH.252-241-1504
507 HEDRICK BLVD.
MOREHEAD CITY, NC 28557
PAY
TO THE
ORDER OF_ b� U L 0� l ' 2
ORDER
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2779
66-112/531
BRANCH 02201
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