34539_ANGEL, KEITH_20030702

CAMA / ❑ DREDGE & FILL
GENERAL PERMIT
❑New ❑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 NC/
Applicant Name 11 r �,
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/ I N f r j
Address (3 > i'- ► H
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City
State t-k ZIP
Phone # (�•) tj { �;
Fax # ()
Authorized Agent
Affected ❑ CW [K] EW
21 PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF
❑ IH ❑ UBA ❑ N/A
❑ PWS:
❑ FC:
ORW: yes / no PNA
yes / no Crit. Hab. yes / no
Previous permit #
Date previous permit issued_
O Rules attached.
Project Location: County �o r it, 4
Street Address/ State Road/ Lot #(s)
ger'-"- Kot'l't-k'
Subdivision
City lG'v+ h f. r.•t. ZIP
Phone # I(—) River Basin f�-4
Adj. Wtr. Body ryI G' t- G 11, l f"4" � (nat /man /unkn)
Closest Maj. Wtr. Body +A -A LA c {
Type of Project/ Activity d J t. f ' w-
f
ely, 0 W l . (Scale: A-44- C )
Pier (dock) length
Platform(s) -+ -. _.. �.._, ..- .. -.. r-..-..__ .__ — -�— - - - —'
Finger pier(s) j
i -
I
Groin length
number !- ! ,
IN -
Bulkhead/ Riprap length !
avg distance offshore _, _- I !
max distance offshore _,_.... _ .f Vr ._..SfIY - f0-
Basin, channel ! i i tw4l I
cubic yai
Boat ramp _
Boathouse/ Bi
Beach Bulldog
Other
Shoreline Len
SAM nc
Sandbags: n(
Moratorium:
Photos:
Waiver Attacl
v
A building permit may be required by: 4{U 41 a Rec L
Notes/ Special Conditions 0 A11 tjw k rAUi J k' /ft[/rt W ►
❑ See note on back regarding River Basin rules.
4.--I Pf hrJF(I,1 l Ire t%f TI P/' Liu4 1C
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit"
0, 1-G G0
Application Fee(s) Check #
Permit Officer's Signature
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Issuing Date % Expiration Date
/'-!!G,p t•
Local Planning Jurisdiction 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
151-13 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

— - 3561
MUD BUCKET DREDGING, INC.
ATLANTIC BEACH CAUSEWAY NCDL 8039839 2oT�3 66-30/531 33
PO BOX 3355 PH(252)726-2191 Date
ATLANTIC BEACH, NC 28512
Pay to the $ ��
Ord of
171 PO Dollars 6
01fRST CITIZCNSstC y-��NK FirslCltizo Bank. Trust Company
LK'H_I-r j� Atlantic Baach' N.C. 28512
firstcitizens.com
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT %4(,33 p4w5 geae,E ?v
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I hereby certify that I own property adjacent to
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's property
located at 4FLAV7 (C 66Aei-4 (2Aof6'-&)' on
(Lot, Block, Road, etc.)
in /-I'TL-4z4 1 IC 1zi-f N.C.
(Water Body) (Town ar d/or County) j
He has described to me as indicates. 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.)
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT 7�- 33 nwwg geor.E Re
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I hereby certify that I own propert`".y adjacent to
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located at tit 4"ILA(2AJ5E4r%Aq on
(Lot, Block, Road, etc.)
in -TLAz4l 1C �L��/r1�Tfi N.C.
(Water Body) (Town ar d/or County)) r
He has described to me as indicates. 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 aistance of fifteen feet
(15') from my area of riparian access unless waived by me.
I do not wish to waive that setback requirement.
_I I do wish to waive that setback requirement.
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Description and/or drawing of proposed development:
(To be filled in by individual proposing development.)
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