34560_EDMUNDSON, DEAN_20030818

1tAMA / DREDGE & FILL
GENERAL PERMIT
Previous permit #
-New 'Modification-lComplete Reissue L-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 ? GG
❑ Rules attached.
Applicant Name 1%WI Project Location: County /0 r try
Address P `1
1)A V!
City 6.1rg, o
State n/( ZIP f-
Phone # (9111) -17
6 _ l;(, I
Fax # ( )
Authorized Agent
4;)(a
❑ CW
El EW
E PTA ❑ ES ❑ PTS
Affected
AEC(s): ❑ OEA
rl HHF
❑ IH ❑ UBA ❑ N/A
❑ PWS:
❑ FC:
ORW: yes / no
PNA
yes / no Crit. Hab. yes / no
Street Address/ State Road/ Lot #(s)
`-ll Al 1/ r 4t •_ 4 ✓f-.
Subdivision
City 'lfN l;�c.;'1 ZIP �^� S12
Phone # ( ) River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
Type of Project/Activity ?� per;
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(Scale:,Jw
)
Pier (dock) length
Platform(s)
Finger pier(s) I
Groin length �j
number
Bulkhead/ Riprap length j —I
avg distance offshore
max distance offshore
Basin, channel
cubic yards
11
Boat ramp
Boathouse/ oatli
i
Beach Bulldozing_
Other i
1 M (L-
Shoreline Length
SAV: 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: �+ tw
Notes/ Special Conditions l k ! f -
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❑ See note
Basin
rules.
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Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
Permit Officer's Signature
Issuing Date Expiration Date
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, 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 / 1-888ARCOAST
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.nccoastaimanagement.net
Revised 10/05/01

MUD BUCKET DREDGING, INC.
ATLANTIC BEACH CAUSEWAY NCDL 8039839
PO BOX 3355 PH(25) 26-2191
ATLANTIC BEACH, NC
fJ Fl[RST CITIZENS ill
Fl6a kB TrustCompary
Arlanbc rsrLilizc Bead+. N.C. 28512
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For
1:0531003001:0013L21606
OCIarMe /ImerKan
3621
66-30/531
Lp-p Date 133
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Rug 14 03 02:43p Sandy and Dick Doleas 252-726-6112 p.l
06/14/2003 14:56 9197702305 PAGE 01
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a03RCENT tiI PnRIAN PROPERTY OWNL•:li STATEMENT YhSTO
1 heccby certify t=+at I own property adjace"t to
9fw-978_ n4/S
_.^.., °l� Eahl �� M'1(Ja1 O S � �•( � p r ope r t y
1�cated at r- ILt,4 Srp/J AP6 _ on
iL?t, Block, Road, elc.)
c�goE sov,00 i►e.t a.c.
eC>{ in-.ALILAaJTJG _
�Watet T! y) — crown ai1/c�r Coctnty) aBSIy
:is nas deacribed'v:a me as indicateu below the development
re i6 proposing at thlt 1pcatiOn anti I have no Object'"6
V.o r.is proposal. I ulderstand that a pies, pilings and
.icedging must be sat -3aC!k a minu0lum distance of Cifteen feet
(15') Crom my area Ot riparian access unless wzlvei Ay me.
_ I da not wish to waive chat s¢tt>ao` re•tuir,3,neni .
i '.Jo wish to waive that setback ceclux1:17menc.
Description anc'/or drawing of proEoSed development_:
tTo be filled is, '=y individual psopc;ninq do tloQment.l
t2kso �cc D6Lo -OoAf N r_r w i rm ' .NdW W e&l.4PCX1'&CJ
4*511-1 ori, STET KFw '300* PPf*' Q41/N0.
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Rug 14 03 02:43p Sandy and Dick Dolgas 252-726-6112 p.2
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify
r flat I own property adjacent to
✓6A,t4 �r�►VI 0I40 .5d> ^_ s property
SlCoSToN .�yG on
located at —
(L�t, Block, Road, etc.)
'130906 S0040 in i�'Cl-.�4TIG %gCy"" , N.C.
-- (Town and/or County) Z- S!2
(Water Body)
He has described 1:a me as indicated t'elow the development
he is proposing at that location and I have no objections
to his proposal_ I u,derstand that a pier, pilings and
dredging must be set pack a minumum distance of fifteen feet
(15') From my area of riparian access unless waived by m
e.
I do not wish to waive that setback r.erluirement.
I do wish t:o waive that setback requirr:ment.
Descri tion and/or drawing of pro osed development:
(To be filled ir• '-,y individual proposing development-)
EX���ln w`vrK ov S-rF�-oow�c r1t.4rGoa�vt aNO '�t�a�aiE
E�oA1, UGT OLJIWAQp TO 4t-1efN WtT►F T1aC '�L4C�O2{�.
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