47275_WILLIAMS, DAVID_20060828

❑LAMA / ❑ DREDGE & FILL
GENERAL PERMIT
Previous permit #
❑New ❑Modification ❑Complete Reissue
❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources
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and the Coastal Resources Commjssion in an area of environmental
concern pursuant to 15A NCAC
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❑ Rules attached.
Applicant Name i1 J
Project Location: County
Address
Street Address/ State Road/ Lot #(s)
City State ZIP
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Phone # ( ) Fax # ( )
Subdivision
Authorized Agent
CityZIP
❑ Cw ❑ EW ❑ PTA ❑ ES ❑ PTS
Phone # ( ) River Basin
Affected ❑ OEA ❑ HHF ❑ IH D UBA ❑ N/A
AEC(s):
/f ,
Adj. Wtr. Body ' . +- + (nat /man' unkn
❑ PWS: ❑ FC:
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ORW: yes / no PNA yes / no Crit. Hab.
Closest Maj. Wtr. Body
yes / no —�
Type of Project/ Activity
(Scale:
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 Length /
—
SAM not sure yes o 1
Sandbags: not sure yes /'no
Moratorium: n/a yes no
Photos: yes
Waiver Attached: yes no -
A building permit may be required by:
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❑ See note
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on back regarding River Basin rules.
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature "Please read compliance statement on back of permit"
Application Fee(s) Check #
Permit Officer' ature
awl
o� h)"/o 6
Issuing bate Expiration bate j
Local Planning Jurisdiction Rover File Name

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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, certifythat this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
El Tar- Pamlico River Basin Buffer Rules El Other:
U 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
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/ 1-888-4RCOAST
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

MUD BUCKET DREDGING, INC.
PH.252-241-1504
507 HEDRICK BLVD.
MOREHEAD CITY, NC 28557
1794
66-112/531
BRANCH 02201
DATE
PAY pa
TO THE y {� N `
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DOLLARS 8
BB&T
BRANCH BANKING AND TRUST COM PAN
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FOR
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ADJACENT RIPARIAN PROPERTY OM NER STATENIL, MT
I hereby certify that I own property adjacent to,_��a�%C� !�'��'s
(Name of Property Owner)
property located at UGI�i� ti —
(Lot., Block, Road, etc.)
on Z �J?e- , N.C.
,{ �+aw
(Waterbody) (Town and/or County)
Os describO me as shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
-------------------------------------------------------------------------------------------
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DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPM ,
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(To be filled in by individual proposing developrnenAlorel7ea
CITY DCM
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Signature
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Print or Type Name
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Telephone Number r c
Date: / —z

• ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I herebycertify that I own property adjacent to -
Y 1 P Y J �C7G'f c�' /ems"�� ���5' 's
(Name of Property Owner)
property located at e7
(Lot, Block, Road, etc.)
on ��.��F� , in�. ���,' ` , N.C.
(Waterbody) (Town and/or County)
describo me as shown below, the development he is proposing ahat,locaic
and, I have no objections to his proposal. Q0,p
------------------------------------------------------------------------------------------------------- -
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
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Signature
A'A-
Print or Type Name
Telephone Number
Date: Z-- %s-- 0 6

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