55067_GODWIN, BONNIE_20091203

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g�CAIVIA / ❑ DREDGE & FILL � F 6 " C
GENERAL PERMIT Previous perm
if
]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 &VO ,C%%e ,aocwJ.� Project Location: County �;; (-AI I r rt
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Address `b N C � pG►^ K� • Street Address State Road/ Lot # s
ti / ()
,4j �ICZIP `I�jl(o �1Q�
I
City r�,� State � Q^"`< �U.) t lrf1'►c• �,n
Phone # (`) `{i 'n�3!_ Fax # () Subdivision
Authorized Agent City '� ��P ZIP
Affected ElCW ElEW ❑ PTA 2$ES [IPTS Phone # (i ) �tl �- I S �'�i River Basin ,AJ b, ! a 61 k
OEA ❑ HHF ❑ ❑/ IH ❑ UBA NIA
AEC(s): Adj. Wtr. Body at Jrnan unkn
ORW: yes /no PNA yes / ono Crit.Hab. yes / no Closest Maj. Wtr. Body
Type of Project/ Activity ` L or, rt t-Y; "V
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length -- —i
number
Bulkhead/ Riprap length SS X x y'
avg distance offshore _—Z_
max distance offshore_ f
Basin, channel —
%L -
cubic yards_
Boat ramp
Boathouse/ Boatlift
(Scale:
Beach Bulldozing_
Other -----`--'
i
- - __ — "—
I _
I I
Shoreline Length I�
no'
3arring a major shoreline change due
SAV: not sure yes
4 _�_ ___ _ _
Sandbags: not sure no, �
-
_ __.: o a storm or other significant event,
yes
C
Moratorium: n/a yes no �
he alignment of this structure must be
g i
Photos: yes no _._
Ipproved by a DCM Rep. within 120
�.
Waiver Attached: yes no
lays of the onset of construction.
A building permit may be required by: \ hn0rc �(� �� rQ
❑ See note on back regarding River Basin rules.
Notes/ Special Conditions A c-rr if' WQ
Agent or Applicant Printed Name
Permit Officer's Sig a ure
Signature Please read compliance statement on back of permit
IssuingDatle Expira ion
Date t
Application Fee(s) Check #
Local PlanningJurisdiction 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 (910-796-7215) for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Raleigh Office Morehead City Headquarters
Mailing Address: 400 Commerce Ave
1638 Mail Service Center Morehead City, NC 28557
Raleigh, NC 27699-1638 252-808-2808/ 1-888-4RCOAST
Location: Fax: [phone]
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
Elizabeth City District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
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,
Onslow -below New River Inlet- and
Pender Counties)
Revised 08/09/06

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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
n; ctor William G. Ross Jr.. Secretary
Michael F. Easley, Governor James H. Gregson, Ire
Date .)©• 1-2- cD9
Name of Property Owner Applying for Permit:
IvN r£ �a9j Iw'
Mailing Address:
N O V 1 f 2009
Morehead City DCM
I certify that I have authorized (agent) W L.�j to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) inpl� b u I Kh£ D
at (my property located at) b
This certification is valid thru (date)
0
Property Owner Signature
Date
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] \ FAX: [phone] \ Internet: www riccoastalmanagement.net
An Equal Opportunity \ Affirmative Action Employer — 50% Recycled \ 10% Post Consumer Paper

IL
10/12/2009 21:29 2527266079 DEANBARNES PAGE 01
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W
,. �. ADJACENT RIPARIAN PROPERTY OWNER STATEMENT, S i->> 0 9
(FOR A PIERMOOR17VG PIUNG IBOATLITTIBOATHOUSE)
I Imileby certify that I own property adjama to i Its
(Name of Property -owner)
(Lot, Block, Road, etc.)
;n - �11e J C� iCi `� l�, N
(Town and/or County) N.C.
ii ,{ �'s phne M m
He has ibed to me, as shown below, the development he is proposing at that location, and, I
have jections to his proposal. I understand that a pier/mooring pilings / boadift / boathouse
must back a minimum distance of fifteen feet (l5') from my area of riparian access unless
waived me. you wish to waive the setback k, you most initial the appropriate blank
j below.
I jig t� wish to waive
1 E i I I2 wish to waive that setback requirement.
ESG'l &TIION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To beflied In by lndlvldual proposing development)
1 1�.
(ln% for Property Owner Appbift Mi a Properly Owner loormation9
for Pe ) ��
Mail ss
City/s 'p Print or Type Name
T N r Telephone Number
Cb &M 12- !z
s li tk oa Date

9 11:55A FROM GODWIN MUSIC 9199652799 TO:12523545946 P-2
2M 21:29 2527266079 VEANWRW6 �►i •-----
AGENT PROPER -IV OWNER STAIMMENTd
I mortify that I owl,' adjactnt to f D I �� G `ems t c
(�+Fowe. of Property Owner)� D f 14
Few at.�--i'T.-
�^ I (>t, , Road, ete.}
00
'- ) (Town and/or +Co"tO }
ff - ' 'a pholme il; } i Matflag Addrv:l d �bj
;t
He has scribed tome, as below, the development he is proposing at dw location, and. I
eve j ...ons to his p jai. I underaorA that a pier/mooring pilings i boauift / boetaouse
mast back a minimum 4�. ce of fifteen feet (i S) from my axes of riparian access unless
waived me. (If you wish ti iwaive the wtbsci4 you mint initial the appropriate blank
below, I �
I. 11ofwish m i
! Ilk wwt I waive jv setback requirement
(TO
Cot
R MAVVVW OF PROPOSED DEVELOPMENT:
In b►ybAs~p„aposing dMIOPMMI)
{Iitio t for Property O finer Applyin {Ftipurigs PmPertY O"Or Isf"Ostltia)
for Pe ) E��-/9
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Print at Type
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Telephone Number
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MUD BUCKET DREDGING INC
507 HEDRICK BLVD
MOREHEAD CITY, NC 28557.3045
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