41155_CHAMBLEE, JOHN_20050427

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GENERAL PERMIT
�� OI� previous per t#
L ,New, ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issiied
As aut6rized 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
iElRules attached.
Applicant Name Project Location: County_
Address"' �+ Street Address/ State Road/ Lot #(s)
City 1; . �:..r State ZIP
Phone # ("' ) Fax # ( ) Subdivision
Authorized Agent City / (. iL� J ; ZIP J _.
CW CMG- 0 PTA ❑ ES ❑ PTS Phone # ( __) River Basile
Affected9
AEC(s): ❑ oEA ❑ HHF ❑ IH ❑ UBA ElNJA Adj. Wtr. Body i ( nat Iman /unkn)
PWS: ❑FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body-71
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 ' 1
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
(Scale:
_._ See note on back regarding River Basin rules.
Permit Officer's Signature
_.
Signature ** Please read compliance statement on back of permit **
Issuing Date
Application Fee(s) Check # Local Planning] urisdiction
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, 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 'I Other:
J 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 Elizabeth City District
Mailing Address: 1367 U.S. 17 South
1638 Mail Service Center Elizabeth City, NC 27909
Raleigh, NC 27699-1638 252-264-3901
Location: Fax: [phone]
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888-4RCOAST
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

[—] :A.MA / L-6REDGE & FILL
M 41155
.. GENERAL PERMIT
Previous /V�/4- r <
permit #
��w ❑Modification `'Complete Reissue ❑Partial Reissue Date previous permit issued /V/
As authorized by the State of North Carolina, Department of Environment and Natural Resources u J J-0 0
and the Coastal Resources Commission in an area of environmental concern pursuant to 1 SA NCAC l
Applicant Name h'^� �' /�
]-Rues attached.
Project Location: County T�
m
Address l
Street Address/ State Road/ Lot #(s)
City ' %w / / �i(s �a� State L ZIP
(rj J— Al r>A Cam%
Phone # ( 2 Fax # ()
Subdivision -�
Authorized Agent 1 { — g-d� "�
City �l�^Q n �� • f�ti'.� fj�1'^LZ►P �' -�lL
ElCW � TA ❑ ES [IPTS
Affected
/
Phone # O River Basin
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A(„/�
AEC(s):
JCrw�
Adj. Wtr. Body /H� n (nat man unkn)
El PWS: ❑ FC:
ORW: yes no PNA yes / �fio ) Crit. Hab. yes / no
�—
Closest Maj. Wtr. Body�"'�
Type of Project/ Activity f^<4 i'^"' �G �K � C ays ° v` a ��
��! r � � f �� �x 4/ n X if Is fia n
NL-L-V
(Scale:
Pier (dock) length �— -._ - -- --- - — -- --- --
gpier(s)O
Platform s r- 1r--
Finger / {
Groin length - - i - j t -I - r _
I
number •— _.__. __ r � ! - - -- - - i � ___ -_._ ----.
Bulkhead/ Riprap length — -
i - - -
avgdistance offshore — t i
max distance offshore
i
Basin, channel % 3 /�� %`% �r - I I -- P� ,9• - - �xrs�!"} - --- - --..
T I
cubic yards
Boat ramp
Boathouse/ Boadift
- - - - --
Beach Bulldozingw
Otherc k Y
Shoreline Length 3 — -- - -- not sure
SA -
y - - - --- --_— -- - - - - -- --- - ! -
V: es �-
Sandbags: not sure yes n — - - 7-
Moratorium: n/a yes n rt i
Photos: yes na J....
Waiver Attached: yes no - - - -- - - - - - - - -- - -- -- ---- - -- - - --- -
r
A buildingpermit may required b �' '
p y be re : q y m '❑See note on back regarding River Basin rules.
Notes/ Special Conditions A� emu" �8 �� Ilt fi C. .( �, �''� N f-L✓• �1l
;l,- fi � Ala e' w,"Ir " J, j k _q,,i- .k' z -?a' 115% /V H-W
Agent or Applicant Printed Name
Permit Of�.er'sSignat.re
l f a.'?-0-r-? X"7-0 J—
Signatu "Please read compliance statement on backof ermit **
...�/o o - ao �333
Application Fee(s) Check #
Issuing Date
Expiration Date
f`t 1
11 j a Y/31,?A
Local Planning Jurisdiction
Rover File Name

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor Charles S. Jones, Director William G. Ross Jr., Secretary
April 29, 2005
Mud Bucket Dredging, Inc.
Atlantic Beach Causeway
P O Box 3355
Atlantic Beach, NC 28512
Dear. Mr. Dolgas:
Attached is General Permit #41155C- to conduct maintenance, excavation of a 13' x 40' x 1.25'
to a final depth of —5' below NLW at 105 Acorn Ct. Pine Knoll Shores, NC
In order to validate this permit, please sign all three (3) copies as indicated. Retain the white
copy for your files and return the signed yellow and pink copies to us in the enclosed, self-
addressed envelope. If the signed permit copies are not returned to this office before the initiation
of development, you will be working without authorization and will be subject to a Notice of
Violation and subsequent civil penalties.
We appreciate your early attention to this matter.
Sincerely,
Stephen Lane/lsb
Coastal Management Representative
Enclosures
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] \ FAX: [phone] \ Internet: www.nccoastalmanagement.net
An Equal Opportunity \ Affirmative Action Employer— 50% Recycled \ 10% Post Consumer Paper

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
014k Qt4A 13LC— %2(0 -?��/
V s property
located at _ j D -t;7 /A(20Q N (:2T, , on
(Lot, Block, Road, etc.)
�dE SovN�
A (f 41AI-- in �I�clGr I<AIOZ-Z. Si08267g N.C.
(Water Body) T (Town and/or County)
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_
Description and/or drawing of proposed development:
(To be filled in by individual proposing development.)
M41 &)-r6M 4. Ne-C `-)Qe6041'4 f or- i&4,F cA p r
�"Q 1. 75, 'vE-PrH OF
/3'w x �o', r2�Nt0 � Avg.
of 3`f eu. ypS To '06
1" leo .
9RC-o9"
0
Z
0
Date
14, S6'
Signature /
L4 "'ru_,J u= C-Lv(>STV—
Print Name
?St-2,qo -S L55-
Phone Number
11
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Apr,19 05 09:09a Connie Munden 828-654-9001
Rpr 09 05 12:28p
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
�r h-eerreby certify that I own property adjacent to
7210-7?NJ s property
Located at % D /-�@oQN on
(Lot, Block, Road, etc.)
�dE Sovyp
AeeEss i'A �/ A _ i n �r�C Kl�io [.G_ SfiiolQ ES N '�S1Z
(Water Body) (Town and/or County)
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 adcess 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_)
l�ta r ►s-f v a. C `Q¢eD&?I or- 1(&,*r L+ F f I-lec�► —
• zEiror/,ag ,4 vq . 1.75' c�vr•� o c S Port S',
13 x , AV
of 31f ev YOS Te �dE 2ElhoDEp•
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/ P• n t Name
a e Pho e Number
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MUD BUCKET DREDGING, INC.
ATLANTIC BEACH CAUSEWAY NCDL 8039839
PO BOX 3355 PH(252)726-2191
ATLANTIC BEACH, NC 28512
MST CITIZENS -
BA1�IIm--ila-11.-d T— Company
l � K AIIaMIo Bosch, N.C. 28512
www.firstcitizens.com
For
1:05 3 100 3001:00 L 3 12 L606
CO- gx„r.an
4233
Date 66-30/531
Z�r133
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7311' 04 233
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Dollars���: