43472_BABUIN, PATRICIA_20051024

61105 -�
�',CAMA / - DREDGE & FILL
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 qi envirmental concern pursuant to 15A NCAC
i onMI ❑ Rules attached.
Applicant Name Project Location: County ___ _ ___
Address ' Street Address/ State Road/ Lot #(s) _ -
City l` - "! State ZIP
# ('� ��) ' Fax # O
Phone
Authorized Agent
Affected -' CW ❑ EW O PTA ❑'ES ❑ PTS
AEC(s): 71 OEA 1 HHF ❑ IH ElUBA ElN/A
I PWS: ❑FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no
Type of Project/ Activity
Pier (dock) length__ _
Platform(s)
Finger pier(s)_
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel —
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
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 #
Subdivision
City
Phone #
Adj. Wtr. Body
Closest Maj. Wtr. Body
ZIP
River Basin
—Cnat man unkn)
(Scale:
See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Date Expiration Date
t4
Local Planningf urisdiction Rover File Name

t
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:
L I 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 (910-796-7215) 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/ 1-888-4RCOAST
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,
Orslow -below New River Inlet- and
Pender Counties)
Revised 06/29/OS

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al MUD BUCKET DREDGING, INC. 1216
I PH. 252-241-1504
507 HEDRICK BLVD.
MOREHEAD CITY, NC 28557 DATE 66-1102201
PAY J ,
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ORDER OF p $ f OL7 l�
DOLLARS 8
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BRANCH BANKING AND TRUST COMPANY
B_EAUFORT, NORTH CAROLINA
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AI)JA(:,EN 1' RII'AIUAN' PIZOPEICfY 011INER 5'1'ATENrwr
l llevQl)y ,,ertify that I own property acljacent to ?,44JL)414 & 03, i I
(Name of Property Owner)
pro[wily lucatud at 2 ® A k LS4.1c Di" t v -
__� (Lot, Block, Read, Leas.)
on so-wo _, N.C.
Ivaterbody) (Town and/or County)
He has describes! to ►nc as shown below, the development he is proposing at that location,
and, l have no objections to his proposal.
DESCR[Y'11ON ANDIOR DRAWING Or PROPOSED DEVELOPMENT
(To be filled in by individual proposing developmeal)
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Sig tune
Print or Type Name
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Telephone Number
Date:--
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