47008_TALTON, JIM_20061031 (2)

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❑CAMA / ❑ DREDGE & FILL
GENERAL PERMIT
❑New ❑Modification ❑Complete Reissue [-]Partial Rei ue
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
Applicant Name Project Location: County
Address Street Address/ State Road/ Lot #(s)
City
State ZIP
Phone # ()
Fax # ( )
Authorized Agent
ElCW
ElEW [I PTA ❑ ES ElPTS
Affected
ElOEA
ElHHF ElIH ElUBA ❑ N/A
AEC(s):
❑ PWS:
❑ FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Ripraplength
avg distance offshore
max distance offshore
s
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAM not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature "Please read compliance statement on back of permit"
Subdivision
6 ,
Previous permit #
Date previous permit issued
❑ Rules attached.
4 71, 0 8
City ZIP
Phone # ( ) River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
(Scale:
❑ See note on back regarding River Basin rules.
Permit Officer's Signature
a
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, certifythatthis project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
n Tar - Pamlico River Basin Buffer Rules ❑ Other:
D 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
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
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
400 Commerce Ave
Morehead City, NC 28557
202-808-2808/ 1-888ARCOAST
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
910-796-7215
Fax:[phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 06/29/05

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
N
(Bulkheads and Riprap)
I hereby certify that I own property adjacent to 11) rn TA,
(Name of Property Owner or Applicant)
Phone number you can be reached at 2 5 2 ZZ 3 49 07
Mailing address if different from location: `t I't 0
Property located at Z 1-t + L o "�? _► �- � �� G � G A u S �'`^ k'`t
B�_ (Lot, Block, Road, etc.)
on G A,,-a-L , in N.C.
(Waterbody) (Town and(or>County), t He has described to me as shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
-------------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
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Print or Type Name
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Telephone Number
Date: /0 `r / ©�
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SEP-E6-2006 02:21P FROM: 10:12527266e79 P.2/E
09/18/2006 10:40 2527266079 DEANHARNES PAGE 03.
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AC NT IU-P kRIAN PROPERTY OWNER STATEMENT
(Bulkheads and Rlprap)
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] hcf ` y cc ify that 1 own properly adjacent 'to
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on--�----
s$o� (Tows and/or County)
H de ' 'bed to me as shown below, the development he is proposing at that location,
ind, I hav�i obj ions to his proposal.
'------------------------------------------------------ ---• --- ...- -- --• -- --
ION AND/OR DRAWING OF PROPOSED DEVELOPMENT
i (To be f Ued in by indbUmal roposing davv10Pm#n0
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OJAC On"ARSAN PROPEItTMWNERSTATU4ENil •pc!

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North Carolina Department of Environment and Natural Resources
Division of Coastal Management William G. Ross Jr., Secretary
Michael F. Easi.ey, Governor Charles S. ,forties, Director
Date 1, S ' O (�'
Applicant Name —�—
Mailing Address kD
c-
to act on my
I certify that I have authorized (agent) -�'�'�
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary
to
install or construct (activity) _,_� �1
at (location)
This certification is valid thru (date)
Signature
400 Commerce Avenue, 7i33301 nt rneorehead City, tierth Carolina 28557
www,nccaastalmanagement.riet
Phone. [phone] FAX. 25
An Equal opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post consumer raper

MUD BUCKET DREDGING, INC.
PH.252-241-1504
507 HEDRICK BLVD.
MOREHEAD CITY, NC 28557
1959
66-112/531
BRANCH 02201
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PAY
TO THE Y\ r 12- s �
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