41991_BENSON, KEN_20050713

7, ,
flCAM�A / iJ DREDGE & FILL
GENERAL PERMIT
DNew JModification (Complete Reissue ❑Partial Reissue
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
1;2
-'
Previous permit #
Date previous permit issued %
u/ jsv a /
Applicant Name
T-
'
❑ CW EaEW
f r*A ❑ ES
Q PTS Phone # (--
River Basin
Affected
❑OEA CIHHF
❑IH ❑UBA
—)
[I N/A
-
L .y ll
AEC(s):
Adj. Wtr. Body
fat roman!/unkn)
❑ PWS:
❑FC:
� f
Closest Maj. Wtr. Body
ORW: yes / no, PNA
yes /(no/ Crit.
Hab. yes / no
Type of Project/ Activity
7" � %!r
4 c -_ 4-`'
/0, k o
`' )
(scale:-77
Pier (dock) length---
—
—., - - — -- -.. l- h
T N� (✓.
Piatform(s)__
Finger pier(s)
Groin length
number
_
Bulkhead/ Riprap length t `'
avg distance offshore
max distance offshore
Basin, channel
�.,
cubic yards
Boat ramp
X 1 oG k ' 0' 7'
Boathouse/ Boatlift
Beach Bulldozing
Other - —o
Shoreline Length
SAV: 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
iv -
Agent or Applicant Printed Name
y`
Signature Please read compliance statement on back of permit
Application Fee(s) /Check #
--See note on back regarding River Basin rules.
Permit Officer's Signature
lJ 103 _
Issuing ate Expiration Date
Local PlanningJurisdiction 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:
_I 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 (910-395-3900) 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-B 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

�I
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
V-F-w '36N!goo Zs4o-2S/G +s property
located at /ZS W14 1174� AS'N TIZIOA , on
(Lot, Block, Road, etc.)
'3ogv � Sou MO
AfCEgS (A401. _ in �f Wc= k�i�/ot� o2ES , N.C.
(Water Body) (Town and/or County) 284-17--
He has described to me as indicated below the development
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 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.)
tusfALtq; toil of 305' Llq.r-f NEW VIucfL
VE.gwAcc. .
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MA+NTENANe6 vjuroglsm or- Iwo Boar ooca
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Date
Pa"'� Ql'�- /NN
Signature
Print Name
Tos-
Phone Number

3I
9
L
A
i
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjaceno
IG�t�f '�E�,rSON 2�o-25IL ,s p rty�9�0
located at /Z� Vi%il t`IF ,d�S'N `t72tJ� --Q, on
(Lot, Block, Road, etc.) a-
3o && Soo No
AfCESS' (�AyAL _ in �tNL-� ti�/OC.C_ S'a-}o2ES N.
(Water Body) (Town and/or County) zas
He has described to me as indicated below the development
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
(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.
d ment:
Description and/or hawing of P ro tosedevelo
(To be filled in by individual proposing development.)
W9
pQEoA / � o
HU S4-A c.L q, td#/ of I&T NEW VIAJ yL
VEPLAQENtENi !'tAWALL .
Ts-
MA'#,r1EKA4C6 'OQE0414q of tu�o 804� OOC,C
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Date
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ignatu e
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Print Name Q
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Phone Number

DEAN BARNES B RS INC
DBA/MUD BUCKET
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PAY MOREHEAD Cm, NC TO 28557ri �'l i ��\ ? \ /�
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