51175_SEAGRAVE, THOMAS_20080623 (2)

11 CAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit #
ONew ❑Modification ❑Complete Reissue ❑Partial Reissue JN' 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 I SA NCAC
❑Rules attached.
Applicant Name ' L. Project Location: County
Address ! 1`- ' �� c Street Address/ State Road/ Lot #(s)
City State �Ji ZIP
Phone # (`) Fax # O Subdivision
Authorized Agent C4r7T City ZIP
Affected El CW ❑ EW ❑ PTA ❑ ES ❑ PTS Phone # ( ) _ River Basin
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A i
AEC(s): Adj. Wtr. Body � - /. ' ��`' / lt`t (nat /man /unkn)
❑ PWS: ❑FC:� 11
ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body L\�
Type of Project/ Activity
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 f/
Boathouse/ Boatlift '-'
Beach Bulldozing
Other
Shoreline Lengthf
SAV: not sure yes
Sandbags: not sure yes o
Moratorium: n/a yes no
Photos: yes -
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions`~
Agent or Applicant Printed Name
Sigbature Please read compliance statement on back of permit
Application Fee(s) Check #
J V,
(Scale: t 1 C' )
See note on back regarding River Basin rules.
PermitO,ffiicer's SiSbature
_
Issuing Dat
Expiratio Date
OD
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 (252-946-6481) 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
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
Morehead Cif Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST
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

MUD BUCKET DREDGING, INC.
PH. 252-241-1504
507 HEDRICK BLVD.
MOREHEAD CITY, NC 28557
PAY
TO THE I /
ORDER OF
DATE
I $
3049
66-112/531
BRANCH 02201
Wmgm
BRANCH BANKINCM T COMPANY
1-800-BANK BBT BBT.com
IVP
FO0000 911' �:0 5 3 10 1 1 2 1i:000 5 29 3 2 18 3 41116

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIVIOORING PILIIVGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to n—=z r - 's
V
(Name of Property Owner)
property located at ) S b vc'_� I`.
(Lot, Block, Road, etc.)
on in N' . ,N.C.
(Waterbody) (Town and/or County)
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.
I do not wish to waive the setback requirement.
V I do wish to waive that setback requirement.
--------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
---------------------------------------------------------
(Applicant Information)
Mailing Address
11 &-5,4L4z-1-Z &44 h )2 .� �
City/State/Zip
PI .,& k" 1 I -s h"2-5
Telephone Number
zs z -? ) -1 V3j3
Date
.7 3, Dg
&o ,_, ,'f Li ie_ �- 'o 'J �? s Lam,
(Riparian Property Owner Information)
Signature
A, '-s. oyk tnc
Print or Type Name
�2sz '72-z,7177
Telephone Number
Date

�A
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 � 5
Applicant.Name
NlaiIing Address
I certify that I have authorized (agent) Z%)� �ic� ,% to act on my
behalf, for the purpose of applying for and obtaining all CANIA Permits necessary to
install or construct (activity)
at (location) / 1� 6 ��i��r 1ell
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 i Affirmative Action Employer — 501% Recycled \ 10% Post Consume: Paper

Jug, 6• 2008 9:540 No. i298 r. 2
{ y
ADJACENT RIPARIAN PROPERTY OWNER
STATEMENT FOR CAM'A MINOR PERMIT,
I herby oertfy that I awn propet1y adjacant to 'u'�`°r`y " ' '`� �' ` ("} e
(Na of Property OWTW)
prOputy IO� at / U i.7 �:7v-!•'t'
Addrec-a, l,.ot, i oO, Road, eta.)
a
v+; an"'_`-- P4,�
x (WaWbo'dy) (Town wxU*r County)
V r.
St has deserlbed tome as *wV►"n in tie attached app4cation, and project drawros), ttie developnem
; he is propoerlg at tat location, and, I have no oNec Uor* to his proposal.
(APEUa TiON AND DRAWING OF P5QCWEQ DEVELOPMENTATI�l�
re 0
Prdnt or Type Name
nA Telephone Nwnber

2�C.8 9 , 55AI�
From, unknown Page: 2t2 Date; 615/2006 7:14E28 Pm
rr
wT7a raw •�.
f
i
.e. rrr y
Jlm Ssgrays I i
both Wave* I.�I
v x' I °J
This fax was receioed b7 Segrsve Aviator. wwW,segrawoom Recieved on 0

jur 6. 20 18 9:54.0
From: unknown Page' 112 Date: 61o12C08 7:25,28 PM
�jr 129`v -
_ ADJACENT RIPARIAN PROPERTY OWNER
STATEMENT FOR OAMA MINOR PERMITS
`1 mW r own propartf e�er,t co I'•� c wc. r.�j., ��
Name oCf, Propaity 0*7W)
-'�;,' �•' . ;- ix'®Plft'y�4Ci at � � �c�c+•• 1 �.Cf✓ '�a..-�, f `o �.i
(
�,.�'����•:r?.;,,.yf.�' ,:Ati, - �GL{,J`o-. }n .� �_�,_,,, N.C.
(Towm ardlo► County)
t" DD �Maas
ut,in ft ii� Mad 0019 t�W dnQ p 0t 0rwV a�a), fhs don
ip�r$rR
�; '�"�, �"21 ��.•y'�":,'.1"�'.tR iii hok iu'va4o+y��aM. I have no objwttm to hks pPgx=',
OF
P
Prst or Type Nome
(Y3�) -Said 6S
7VA-ph06® N U M W
G S-02?
DOM
This fix was received by Segrave Aviation. wNw.segrave.00m Recieved cii 0

Frain, unknown . 212 Datr, EJ5/M ?:2e:28 PM
IT
Ir
This fax was receirid by Segruwa Aviztior.. www,aagrawe.eom Recieved cr 0