46735_MITCHELL, HENRY_20061009

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0CAMA / ❑ DREDGE & FILL
GENERAL PERMIT
ONew ❑Modification El 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
Previous permit #
Date previous pert
attached.
Applicant Name j '' ' - ' i / Project Location: County
Address
I
CityState ZIP
t{ , '
Phone # Fax # O
Authorized Agent
❑ CW El EW ❑ PTA
Affected
❑ OEA ❑ HHF ❑ 1H
AEC(s):
❑ PWS: ❑FC:
ORW:
yes / no PNA yes / no
Type of Project/ Activity
❑,Es ❑ PTS
❑ UBA ❑ N/A
Crit. Hab. yes //no
Pier (dock) length_
Platform(s)L._
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel -
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length f
SAM not sure yes no ---
Sandbags: not sure yes n
Moratorium: n/a yes n
Photos: yes o%
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
Application Fee(s)
Check #
Street Address/ State Road/ Lot #(s)_
r JI.l, ,
Subdivision
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
Issuing Date l f sFkpiration Date
Local Planning Jurisdiction Rover File Name

0
Ak
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:
[� Tar -Pamlico River Basin Suffer Rules Other:
EJ 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 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
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,
Orslow -below New River Inlet- and
Pender Counties)
Revised 06/29/05

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(Bulkheads and Riprap)
I hereby certify that I own property adjacent to / Wd%rv! :s
6.1
(Name of Property Owner or Applicant)
Phone number you can be reached at Z _Q - S � S - Z 3 Z /
Mailing address if different from location:
Property located at /Z:
(Lot, Block, Road, etc.)
on�� �rt*�� r� in � ,N.C.
1(Waterbody) (Town and/or County)
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)
✓G-'CAN C - e4e: II, • '' r -
R;
SEP 2 7 2006
Mo rehQad City ®CM
--------------------- ----------------------------------------
et�, C%.
Signature
iL L, �.r, C�, Ro y'+—
Print or Type Name
Telephone Number
✓ Date: `� ; `
nccrosulmanagement. neLTerm its/ADJACENTR[PARIANPROPERTYOWNERSTATEMENT2.pdf

Mr. William Royal
1010-C Gretchen Lane
Greensboro 27410
336-852-8447

ti
■ ■ ■.9S/1.112006" 02:15 252-559-2207 INTERNAL MEDICINE PAGE 01!01
■%mm . NO.5600 P. 2/3
■}�;■ SEP, 11. 2C•J6 1:29PM SN!ITH ANDERSON LAVA
ADJACENT RIP,ARLAN PROPERTY OWNM lSTATENEEM
I hereby certify that I own property adjacent to , 5
(Name of PmpeTtY Owner)
propty located at 1,,e�ll
Q'ot, Block, Bead, elc.)
on a' ti . , to / er �2�--- --�' N C
e yj (TOT G, &"or CouMy)
Ha has de=ibed M me as shown below, ft de,,velopment he is proposing at that ;.ocation,
and, I have no objections to his praposal.
DESCREMON AMOR DRAWING OF PROPOSED DEVTsI.oPhCENT
(To Be fXed in by individual pmposing development) �7J"
i
D,
SEP 2 7 ?f
Morehoaa
C'ty ACM
Ayxl ( 01/� "� _ D'
Print or Type Name
Telephone Number
Date:
VA

Dr. Mark Dumas
3502 Lakeview Trail
Kinston 28504
252-523-2357

OCT. 2 H-106 12;19PM SMITH ANDERSQN 'LAW
8889 p, i%
SMITH, ANDERSON, BLOUNT,
DORSETT, MITCHELL & JERNIGAN, L.L.P.
LAWYERS
[1nt,e1011. r4OWflf CAROLmA
HAII.I NC ADDRESS
Post Office Box 261)
Raleigh, North Carolina 27602.2611
FAX- 919-B21-680
TO:
COMPANY:
OFFICES
2500 wachovia Capitol Center
Raleigh, North Carolina 27601
TELEPHONE., 919.821-1220
PLEASE DELIVER THIS FACSIMILE IMMEDIATELY
i~ACSLMILE NUMBER:
CONFUZMATION NUMBER:
DEAN BARNES
Mud Bucket Dredging and Marine Construction, Inc.
252-726-6079
252-726-2191
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FROM: Henry A. Mitchell, Jr, DIRECT DIAL. 919-321-6625
NUMBER OF PAGES (INCLUDING COVER SHEET)- - 2 -
DATE: October 23, 2006 CLIEN'T/MATTER NUTABER: 333333.5
SPECIAL COMMENTS:
Attachment.
10/23/06 Statement to N.C. Department of Environment & Natural Resources
If you have trouble receiving this transmission or do not receive all pages, please contact the
sender directly or our Office Services Department at [phone] or [phone],
The information contained tr this facsimile mesNage is uttorncy privileged Land confidential inforrnation intended only for the use of
0te individual or entity named above, If the reader of this message is not the intended recipient, you are hereby noticed that any dissemination,
distribution or copy of this commwnication is striody ?rohibitecl If you have roceivcd the communication it error, p.caae immediately notify us
by telephone (if long uistance, please cal', collect) and relum ilia urigmul message to us at the above add,rsa via the C.S. Postal Service.
Thank you.
M912495 I.DOC

OCm.2', 006 12�11PIuI SMI?H ANDERSON LAW h10, 66B9 F. ?,�%
STATEMENT
To: North Carolina Department of Environment & Natural Resources
Datc. October 23, 2006
This is to confirm that 1 hereby authorize Dean Barnes and Mud Bucket Dredging, Inc. as
my agent, and authorize them to act as my agent to secure the necessary CAMA perinit and
perform the work described in the Permit on my residence at 121 Island Quay Drive, Atlantic
Beach, North Carolina.
This the 23`d day of October, 2006.
OF
�; - 4 1�a" .,
enry A. chell, Jr.
Owner of Property
Mailing Address:
3424 Williamsborough Court
Raleigh, NC 27609
Office Telephone No.: 919/821-6625
Residcncc Telephone No.: 919/782-2208
#9 i 24781 DOC

MUD BUCKET DREDGING, INC. 1936 fl
PH.252-241-1504
507 HEDRICK BLVD. 66-112/531
MOREHEAD CITY, NC 28557 BRANCH 02201
DATE �� `y. OV
PAY
TO THE f I G-C— N )
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BRANCH BANKING ANO TRUST COMPANY
�1.800-�BAN�K BST(�BBandT.com
FOR
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