32342_STALLINGS, EDDIE_20020710

~'CAMA / DREDGE & FILL * 24 !
WGENERAL PERMIT Previous permit
New Modification 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 15A NCAC
Applicant Name
Address
State �,k ZIP
Phone # Fax # ( )
Authorized Agent Dot
Affected ❑ CW EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no
Type of Project/ Activity
Pier (dock) length
SAV: not sure
yes
no
Sandbags: not sure
yes
no
Moratorium: n/a
yes
no
Photos:
yes
no
M
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 #
Rules attached.
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City_ .:ir >)'7 r ZIP
Phone # ( ) River Basin
Adj. Wtr. Body (nat /rrian /unkn)
Closest Maj. Wtr. Body -
(Scale: )
F See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Date
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 consistentwith 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 (252-946-6481) 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:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888ARCOAST
Fax: [phone]
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)
Revised 10/05/01

MUD BUCKET DREDGING, INC.
ATLANTIC BEACH CAUSEWAY NCDL 8039839
PO BOX 3355 PH(252)726-2191
ATLANTIC BEACH, NC 28512
3170
66-30/531
Date ��� 133
Pay to the
Order of_��,���
Dollars
HBS"T CITI7,ENS 1n <(/v
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jjr1/ I� Atlantic Bea ', N.C. 28512
www.firstcitizens.com
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-- -- -"TR1 '12.30 FAX [phone] Huntley—Nyce & Associate I�UUl/UU1
»� 0-012 09:19 AM GUNDOWNR NOTELQMUDDUCKET 252726611222Z;2 33 P'.02
I
AD,7ACENT. .itTPARIAN PROPERTY OWNER STATEMENT
I hereby ccZt1Cy I Qwn F";vPCrt-y a<5JxcCnt to
-. __.....�-. t� iJL _ - "l•.�u � �-c C�} ...... �2r %��✓ Is propurty
ct! G�r'G� J � r on
located :�t ._.�
...�......___..
�eCC-!; CAwAL i'' - v'r.�r� F'.'Mo��c_ t c� zS , N.C.
(taa'�:r'i �Trwn anci car CO 7n�ty)
Ilr has desuribed to me a:, !?e1VW L"e dovelopmment
hC 1s prOPO-Sixty Cal-'a1,E.vc n4
' to his proposal. Y urtderst,�:n<'s i:i,at a pi.c>: , Tailings and
dredging mist be sei: t��<,b; :� m�r7uMum t:1jotanc;e of f.ifteel feet
(15') fro,,, my are.1 r_ i nari ;n arc_ess In i ess waived t7y i' O.,
I do riot wi5,t7 to waive that s<:C17c'ICK requirerncnt.
do wish t o waive tr,at requirement.
pc� ,r1•i�ti.o17 _r,`.�Ci,lc� �c�t't7winy.. ��r �_ �F�vv _ ��—
(To be fillcd i.z by inr3ividu.�i Ttrr.:as:ng developmer7t.)
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ADJACENT RIPARIAN PROPERTY ONNER STATEMENT
�,eEss
I hereby certify that I own property ac3acenz Lu
278 58 .
pD(Lf- S•r-/ALc-(a 6) Is property
located at
(� q Q,, O J45- on
(Lot, Block, Road, etc.)
jo0,) U.�- SOJ�D
�1eeC--9$ C4kJA in _���� k'n�oc� S(- N.C.
(Water Body) (Town ar d/or County)�-
He has describe(' to me as indicatec below the development
he is proposing at that location and _ 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 finless waived by me.
I do not wish to waive that s(cback requirement.
I do wish t.o waive that setback requirement.
Description and/or drawing of � dosed development:
(To be filled in by individual prc.?osing development.)
Date
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