32338_WOODFIN, FRED_20020710

CAMA / DREDGE & FILL '1
323�0.1
GENERAL 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
Rules attached.
Applicant Name -r t C' l - 'Cx 'ho Project Location: County —
Address -4 'Lc, ',,+, } 4, c is , Street Address/ State Road/ Lot #(s)
City -+— _ +iig State_ —
Phone # ( _) Z .r C:- I Fax # ( ) Subdivision
Authorized Agent 0,(k i4h �+, t e City
Affected ❑ CW T EW P PTA ❑ ES ❑ PTS Phone # ( ) River Basin —
AEC s : OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adi. Wtr. Body t"' /--r l.t j _ fat /ma
❑ PWS: ❑FC: n /unkn)
I
ORW: yes / no PNA yes / no Crit. Hab. yes / no
Closest Maj. Wtr. Body _-----__ -_-
Type of Project/ Activity
(Scale: )
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length -
number
Bulkhead/ Riprap length j
avg distance offshore
max distance offshore f ( j
Basin, channel i---.— f,
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 n[ i
Photos: yes no
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 #
See note on back regarding River Basin rules.
Officer's Signature
Issuing Date
Local Planning Jurisdiction
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 ❑ 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: 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)
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 Z, 133
Pay to the
Order of ✓�� F 1 $
Dollars B E=- —'
0 flwrOTIZCNS,,o
RANK
FilslCilizans Bank S Trust Company
ly"1 I� Atlantic Baach,NC. 28512
www.firstcitizens.com
Fo f??! �3<P-
1:053 100 3001:00 13 42 160673I 03 170
tiUADD—A SAFETY BLUE WDBU

ADJACENT RIPARIAN PROPERTY O�%NER STATEMENT
I hereby certify that I own property adjacent to
�cLE�J lic)C-V 10 rr(4� is property
located at _ !o,7-1 �2`�0�� /'` / Jar on
(Lot, Block, Road, etc.)
�ocU'c S
in _"P( 416 I v- 4t7 S N. C.
(Water Body) (Town ar d/or County) yf�SiZ
He has describe(. to me as indicated 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
(151) from my area of riparian access unless waived by me.
I do not wish to waive that sEtback requirement.
V,I- I do wish to waive that setbac% requirement.
Description «nd/or drawing of proposed development:
(To be filled in by individual proposing development.)
� � S 7"� mac.-.!�-� � � ►-( � � �oA� C,� rT`�
-9 & 01 V/- I
dN glaO �O�j24 y
I�
3('
7-(0-0
Date
1-0v.4T
i
&0
'a
S .at re
�p _ . an
Pr i :t ame
.-t5 _79��
_ 7) ! - SS3
Phcn? Number rno��p/3G

ADJACENT RIPARIAN PROPERTY OL_NER STATEMENT
I hereby certify that I own proper_, adjacent to
fob - 220�
l�t��rU10 -14-1 is property
located at _ �1-7v1 on
(Lot, Block, Road, etc.)
pC 04�- S O J
('A AIA L in pt �(� l�N o c N. C.
(Water Body) (Town an3/or County) IZ—
He has described to me as indicates below the development
he is proposing at that location and J. 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 pr��-osed development:
(To be filled in by individual prcposing development.)
Si/a�-( 6 r7 1701i`r Cal r�r
N.CJT
�C'06
0�j
0Io-r(4.
COB
Dat
t ,—!
�vA LI "
I
I _
6>o'
�Sig.•:ature
i
1 't Name
__ _' - -�(o-
C3�1�27
Pho .e Number