39325_SMITH, KERMIT_20040930

rV
❑CAMA / ❑ DREDGE & FILL
GENERAL PERMIT
Previous permit #
❑New -]Modification LIComplete 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 7x
❑ Rules attached.
Applicant Name 'tKr' �; `�j f�7 I T61 Project Location: County V
Address % T ��' Street Add ress/ State Road/ Lot #(s) ' Ll °'� ,
City ;' A. <; State ZIP -_
Phone # ( ) /a� `/� Fax # O Subdivision
Authorized Agent city City 4/7"'� ��?�«� ZIP
Affected
❑ CW -i EW (,PTA ❑ ES ❑ PTS Phone # ( ) River Basin
� . � , . � + �,`
AEC(s): ElOEA - HHF ❑ IH ❑ ❑ N USA /A Adj. Wtr. Body t' (nat ./man) /unkn)
❑ PWS: ❑FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body
Type of Project/ Activity
il I<-e. /
Pier (dock) length _
Platform(s)^
Finger pier(s) f _;
Groin length -
number
Bulkhead/ Riprap length
avg distance offshore
max distance pffshor1
—? channel�5 — y�'S
K' V-4kOAA
cubic yards }
ff
Boat ramp
Boathous Boatli t�_�
Beach Bulldozing_
Other
a
a
(Scale: All )
Shoreline Length
SAV: not sure yes o
Sandbags: not sure yes Co
Moratori
n/a yes o ..... _I
(r' �s _ r
Photos: yes no
T � G
Waiver Attached: yes no —
A building permit may be required by: �.i" ��� ` �❑ See note on back regarding River Basin rules.
Notes/ Special Conditions ' `J ,C/ f' R' ' y ! t 1,>> 1!,4 Col '+
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
Permit Officer's Signature
Issuing Date
l iJ
Expiration Date
Rover File Name
Application Fee(s) Check # Local Planningf urisdiction

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 consistentwith the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar - Pamlico River Basin Buffer Rules
Neuse River Basin Buffer Rules
Other:
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 / I-888-4RCOAST
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)
www.nccoastalmanagement.net
Revised 10/05/01

MUD BUCKET DREDGING, INC.
ATLANTIC BEACH CAUSEWAY NCDL 8039839
PO BOX 3355 PH(252)726-2191
ATLANTIC BEACH, NC 28512
4027
66-30/531
Date v 133
Pay to the
Order of_ �✓ ��i , I $
HRST CITIZENS M
JJANII First-Citizo- Bank a bust Company
l� Atlantic 8—h. N.C. 28512
fi"tcitizens.com
For Et 7—L
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Sep 14 2004 11:59RM THE EAST GROUP 2528303954 p.2
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
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located at / 2&/
Sdu"D j7GLt JE , on
(Lot, Block, Road, etc.)
`"ao9u F .So uHd
Ae"CS
in A'ri-ANT►L' g6Ae14 N.C.
(Water Body)
(Town and/or County) 2 $S1Z
He has described
to me as indicated 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.
do not
wish to waive that setback requirement.
'I
� 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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Sep 14 2004 11:59AM THE EAST GROUP
•SEP-14-04 11:34 AM SANDNAN.AND.DICKERSON
Gar 12 2004 1141PM THE EACT GROUP
2528303954
919 676 4617
262g30a964
ADJACENT RZYARXhN PROPERTY OMER %TATHM]it�1R'
P. 02
P.2
I hQreby Cartiiy that i own property adjacent to
K6 ! 4T- Aft -4A.SC 's propestr
located at l EY Ckwulzig ' on
t, oc a0 etc.) �iaq�E Jvwvp r� 6.C.
Aens LP in ArLAvrla t�E e
Ha er o yf (Town an oac oun y 7 aS�Ar
Ne hss deaCEibed to we as indicated be204 the development
he is proposing at that location and 1 have no objections
to his proposal. Z underatand that a pier, pilings and
dr9aging swat be not back a lninumus diatancs of tiftsen feat
t151! from aW aced of riparian &cease unless waived by Ina.
Z do not Kish to waive that d0tbeck requirement.
✓ 2 do wish to waive that setback requirement.
Qascti Lion and/er drawing of iuOpo=ed devel2Mnt:
(To be filled in by individual proposing development.)
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