41790_ANGSTADT, LINA_20050609

9 02 % 0 6)/G9 '/d eta l e-'
_'CAMA DREDGE & FILL`
dENE L PERMIT Previous permit#
[]New ❑Modification ! i-Complete Reissue ❑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 I SA NCAC
❑ Rules attached.
Applicant Name L-,, ti 4 IIAIJ Project Location: County
Address `i (Yrf�a /r 7- /`>s Street Address/ State Road/ Lot #(s)
7Z5
City - �� � ; State 'r F � ZIP ? - —
Phone # Fax # ( ) Subdivision - - -
Authorized Agent` '?t'�r S City - "u `'' _ ZIP_ - - -
❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Phone # (_ ) River Basin
Affected J OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
AEC(s): El PWS: El FC: _Adj. Wtr. Body_ "j (gat Iman unUn
ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) length
Platform(s)_
Finger pier(s) ('
Groin length ' ~�
number - - — —.—r— ---- — ----
Bulkhead/ Ripraplength 1 -
avg distance offshore
max distance offshore _
Basin, channel
cubic yards
Boat ramp
�iti cr
V ;
A4 . �-
Boathouse/ Boatlift
! � v
Beach Bulldozing j f
l
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
�f 1� z ) vj r.3 A 4 �,-)'T >
Agent or Applicant Printed Name
Permit Officer
(Scale: )
l I
l:
See note on back regarding River Basin rules.
Signature ** Please read compliance statement on back of permit Issuing Date
Application Fee(s) Check # Local Planningjurisdiction
Expiration Date
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, 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 (252-946-648 I) or the Wilmington
Regional Office (910-395-3900) for more information on how to comply with thesebuffer 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 / 1-888ARCOAST
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
151-13 Hwy. 24
Hestron Plaza II
Morehead City, NC 28557
202-808-2808
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
910-395-3900
Fax:[phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
www.nccoastalmanagement.net
Revised 10/05/01

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
4 V9,e�S
/! 9 QvAILCfLoV i VR_
gOC�S�OLO , f-lC
I hereby certify that I own property adjacent � G 7--2
O
ara -WS _
r� /til A/J S �- ' s property
located at �ng S/�1���-1 ,_fin
(Lot, Block, Road, etc.) y
"'
gee655! C�N4�L- _ in ALAkTI e 136ACO N. �
)t C
d
(Town an/or County)
(Water Body)
'b d to me as indicated below the development,�
He has descL e
he is proposing at that location and I have no objections
to his proposal. I understand that a pier, pilings and
dredging must be set back a minumum distance of fifteen feet
(151) from my area of riparian access unless waived y m
e.
I do not wish to waive that setback requirement.
I do wish to waive that setback requirement.
Description and/or
drawing of
proposed
development:
(To be f-illed in by
individual proposing
development.)
rYla►f1`�. ve&O'?'E� two aoAi- Sutp 4x6W
!2'vl x /6'r
Q9'mov/W9 Ac)q. 2,
VC-PrH of 5P»/1.57. TOTAL
4F1' ?d eu. y05
►o CAE R6MovED.
S6T-1/,v y or Two AI&w
130.4T- ^90A 114Y
�I_,"47c.
S =- 3c' - 05--
/6'
Lr-x .'3r oAi 'Do1QtC_
50,
J/ /
Signature
lluber--M- 'Yaw n
Print Name
Czs�) ��t(-q3q�
Da,*- e

S
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
119 QVWCCZor'i DR_
qot _&St36ea , a/C
I hereby certify that I own property adjacent to Z�S
Q(4 - 0qf-&
Lo,14 Amos-I-,Ayj- 's property
located at
(Lot, Block, Road, etc_)
4 e eESS Cs�A/q C..._ _ in �`A 14T f e f3�-1W N �- N . Cw- '
(Water Body)(Town and/or County) �Ssf
He has described to me as indicated below the developm t .�
he is proposing at that location and I have no objections'L
to his proposal. I understand that a pier, pilings and1,.
dredging must be set back a minumum distance of fifteen feet,
(15') from my area of riparian access unless waived by me.
I do not wish to waive that setback requirement.
I do wish to waive that setback requirement_
Description and/or drawing of proposed development:
(To be filled in by individual proposing development.)
rylarµ _ 4�2c=o¢� r"wo �oq� Soto 4,.04' 12"w x �G' ; 2LI'oic-c lAly 4(jq_ z
VC-PrH of i07AL vc 30 ev,yps 1_0 CAE )2cLMov&D.
5,C-171411 dF Two 46k) 5&47-
4
NEW
Pr�Ngs �
�x . r`3aAi Tjoetc
010101
64
Signature
Gk
Print Name

J.
o'l
A
f
DEAN BARNES BUILDERS S NC
DBA/MUD BUCKET MARINE & DREDGING 1104
PH 252-241-1504
507 HEDRICK BLVD
MOREHEAD CrrY, NC 28557 66-11:2/531
PAY DATE O 02201
To THE
ORDER OF
-D 0 L L A R S
Bfl&T
BRANCH BANKING AND TRUST
COMPA Y /7e
BEAUFORT, NORTH CAROLINA
f
FOR 0
"'00 L104118 1:0531011211:52932113090iis