47012_PERRY, RICHARD_20061102

❑,LAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous rmit#
❑New ❑Modification ❑Complete Reissue ❑Partial Reissue Date pr i us 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 15A NCAC
Applicant Name Project Location: County
Address Street Address/ State Road/ Lot #(s)
CityState ZIP
Phone # () Fax # () Subdivision
Authorized Agent City ZIP
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Phone # (-) River Basin
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body (nat /man /unkn)
❑ PWS: ❑FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Win Body
❑ Rules attached.
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
i
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 e
Waiver Attached: yes no -'
A building permit may be required by: See note 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's Signature
Issuing Date Expiration Date
Local PlanningJurisdiction Rover File Name

V.
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:
n 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:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
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/ 1-888ARCOAST
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

Sep 13 F66 05:42p PERRYS CONSTRUCTION CORP p.3
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AI)JA,OF.IN'r YGPARIAN PROMRTY OWMR grA'ITIOVVT'
I hereby tertet'y that I own property adjacent to Lab &2 AR—A)l
(Nome or Property Owncrg
pay located xt 5ftl10 5g �hl-14
(Lot, Akwk, Read, etc.)
on in -Aflprh�ncl KC.
(Waterbody) (Town and/or County)
He hxS de". -OM to Me as SWwn beknv, the dcVtJopment ho 6 projxming at tbat ioCadott,
and, I have +io objectforat to his prop ml,.
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Sep "3 J6 06:42p PERRYS CONSTRUCTION CORP o.2
ADJACi:NI' RIPARM PROF Wry 0WqE, R S'fXrEMENT
I hereby certify tlta! I own property acdjaeeilt to •y
(Name of Property Owner)
(Lot, lilockc Rnad, etc)
�----r . AN.C.
(Watlerbody) w (Town andfar County) _—
14C ha% described to me as .Qwwn below, the development he is prvposing at that location,
wnd, t have no objections to his proposal.
nnsckIP•nON ANDJOR DRAWING OF PlxClt't?SFQ DioVk;L(*)PMF-.NT
r,ra be fitted i€S by inrtiriduQl prtl,pu3zrtg deve[upmelrla
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Print or Type Name
Tc?ephone Nvnibcr
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Ar-
HIC , EHR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor Charles S. Jones, Director Witham G. Ross Jr., Secretary
Date
Applicant name i G ►4►c. r� �� r r y
Mailing Address PA, If '40
I certify that I have authorized (agent) D-12-to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity)
at (location)
This certification is valid thru (date)
Signature
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] \ FAX: [phone] \ intemet: www.nccoastalmanagement,net
An Equal Opportunity 1 AffiirmaWe Action Employer — 50% Recycled ! 10% Post consumer raper

MUD BUCKET DREDGING, INC.
PH. 252-241-1504
507 HEDRICK BLVD.
MOREHEAD CITY, NC 28557
DATE 11 'ev-1 ^6p
1959
66-1121531
BRANCH 02201
PAY
TO THE {� / C YV J2- Is
ORDER OF I Qa
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BRANCH BANKING AND TRUST COMPANY
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