33187_GRADY, AREY & MARY ANN_20030303

CAMA / DREDGE & FILL
��/ • 3 137-c
GENERAL PERMIT Previous permit# g
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 I SA NCAC
❑ Rules attached.
Applicant Name Project Location: County /" �; f r.4
i
Address 'rn.
City State
Phone # ( Fax # ( )
Authorized Agent L 1, A
Affected CW ❑ EW ,KPTA ❑ ES
AEC(s): IDEA ❑ HHF ❑ IH ❑ UBA
PWS: ❑ FC:
ZIP ' �. 560
❑ PTS
❑ N/A
ORW: yes / no PNA yes / C97 Crit. Hab. yes / no
Street Address/ State Road/ Lot #(s)
Subdivision
City ��'sN Xrar4 ZIP
Phone # River Basin '��' .f< (a Ik
Adj. Wtr. Body M o H 6�,,c+ y (nat Omar /unkn)
Closest Maj. Wtr. Body :�cr r Sc.,H d
Type of Project/ Activity i , {. f+L <� M1b " 4&iro c t)' (cj vo { M 'i n 1 71; y,: t ti
1 ,40ISQ, L, fd, (Scale: AlcA, E
Pier (dock) length
Platform(s)....... .-........ I If -
Finger pier(s)
I i i
Groin length
number t
Bulkhead/ Riprap length I
avg distance offshore 4__ 1l
max distance offshore _.__._ ;__ ___—� I I
Basin, channel -
cubic yards
r 1 gNNNNNNI��
'® I
Boat ramp
wBeach Bulldozing
:� �� ►�
• . - NNNNNNNirI i�NN 1 NNN�
i
-
1 _
Shoreline Length
L
I
_ '
SAV: not sure
yes
(n
o
Sandbags: not sure
Moratorium: n/a
yes
yes
11n0
t
Photos:
yes
(no
I
d
`
Waiver Attached:
yes
no
Ili
A building permit may be required by: Ayd. `,I,
❑ See note on back regarding River Basin rules.
Notes/ Special Conditions
elf C df, r u I,
.`Av I! A,
4, T/IH r l ✓bTf � '.
Ci A, o►{nikrl s
k1n�
t+.Ar 'tit (Fr fN,41f�1yN�i,
ry+ tiIl^f<o l pL.ryllfi fnrN
or�c�r�.,+tc' btal r� r, r, f%
fu,�[
�r
(F�'rlr llhr�F•
� t
it
AAo1r1
1
Ol.iM:T <!(<rt,
1
rn(� Ij� liY �i, ]Ytr'Jly
! J )
'�pM'� �([I iUJ ilt
/
Agent or Applicant Printed Name
Signature Please read cont pliance statement on back of permit
Application Fee(s) Check #
cy
Permit Officer's Signature
i
Issuing Date
/1 IM , " a��
Expiration Date
d:7 oleA
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 [)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 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:
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-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 DREDGINNc. AXICY)
- ✓
DL 8039839 133
Zge
ATIIINTIC BFA PH( 52j 26-2191NCGp#33D t
po BOX 3355
ATLANTIC BEACH, NC 28512
Pay to the
Order of �� Dollars
f/ F(RSI CITIZENS 133
.,�r� pkst.Citizo sBank BTrust Company
llj,%N AUa 1, Boach.N.C. 28572
wvuw.fir citize �.com
For Il' 0 3 4 L 7
�• L3L2L60673 - - —
18.0 5 3 L 0 0 3 0 0 ■ 0 O ___�.�ar, i�S ��� _ f.11ARfl1Al! CAFFT'r PI I IF Wnnl
OClarkr n,„rhnn

x
Q k)�'44 11 c,M/�cl'J
PAU
0 W �L' K a
J+s
1 f3S2. C1-oy��-HAi',ciS'ocl QQ
ADJACENT RIFARIAN PROPERTY OVINLR STATEMENT j3go&J yAILC-,NC
- 28S�a
ZS2 - 24-? �389
I hereby certify .hat I own property adjacent to
41'o"/ �2'�� --- is property
located at J 4�?'� ��V�)(/� T �� _ on
(Lot, Block, Road, .etc. )
in ��1%��Ci� N.C.
(Water Body) (Town anJ/'or County)
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 c)ier, pilings and
dredging must be set- back a minumum distance of fifteen feet
(151) from my area of riparian access .iiiless waived by me.
I do not wish to waive that setback requirement.
V/ . I do wish to .✓aive that setback requirement.
Description ar:c;!or drawing of pz o-�)osed development:
(To be filled in by individual pr()Posinq development.)
lNST�1« -r6o19 N6-tJ '�,ohT LcGTE
IT D �r L t/ ro
N
N
/3
u rX � S'�W,gLL
Date
cx �q'i I)l oCK
is,
T
DeE�Q E \
Imo- --- 13 =_--
��rcnEnr,q�r -rwo Cab^r
"7EC�'TH vf- �4vca _
'crTA L o F 3o C0
r
9
Sigr.at/ re/ Q
�/,0
Prins Name
%
Phone Number

. 4
C
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify Lhat I own property adjacent to
��`�; �LI�IL�t /+✓<v-/'�/4�i _ 's property
located at ) L 3 a`/t-"Co )6,-1 1.) fL , on
(T,ot, Block, Road, etc. )
1�f)GU%• SC)y�Lf� __ in N.C.
(Water Body) (Town ar.:f/ or County)
He has described -.o 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
(151) from my area of riparian access .ir..less waived by me.
I do not wist to waive that setback requirement.
I do wish tp waive that setback requirement.
Description a`nci/or drawing of proposed development:
(To be filled in by individual proposing development.)
lNS(gc� 'Tu7v
/S "
\ IKNII�\
N
N
c1� '�3oqi- ADbCK
/3'
T
��-- - 13;
W��rv�EN,4�r -rwo (3n1r
DEp;H vP
'rc7rA (- c r_ 3o cu Yam.
t
----- /�--
5C
9
Signature
Q
Print Name
Date
Phone Number