61006_DIXON, PHILIP_20121129

❑CAMA / I' DREDGE &FILL
No. 61006
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 area of environmental concern pursuant to I SA NCAC
Rules attached.
Applicant Name Project Location: County
Address Street Address/ State Road/ Lot #(s)
City State ZIP
Phone # ()_ Fax # O —
Authorized Agent
Affected,
CW EW PTA ❑ ES D PTS
AEC(s): Ll OEA J HHF E IH C' UBA I' N/A
7, PWS: !.IFC:
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
SAV: not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no I
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
Subdivision
ZIP_
Phone # () ._^ River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body —�
.• r
0
(Scale: Z ,
__. See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Date Expiration Date
ApplicationFee(s) Check# Local PianningJurisdiction Rover File Name

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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.
(Serves: Carteret, Craven, Onslow -above
Raleigh, NC 27604
New River Inlet- and Pamlico Counties)
919-733-2293
Fax:[phone]
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)

,'Uq-If-cWII 10:104 Fr•oin'JUI MHULIY _ �G:5�2Er6�'i' Pa9e:1�1
NCDENR
' Nor:h Cercii:ra DeparTIMent of Enlironme,nt ant Natural Resources
Division of Coastal Mansg#rr,ent
�Gve'r EaM PerOue, CCverur ( James M. Oregion, Oiractor Get FrOemarn, :.Melary
Date
I _
Applicant Nark c
Mafllag Addr$ss
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x inertlfy that laiive autb ri:eetl (agent) (�'lc�n I � � Bch � ) to act +ao rily
behalf, for the purpose of applylug for and abtaiaing rill LAMA t`crmtts inecessary to
Install or con struCt (activity)
St
1
TN3 certificatt ju is valid thru (date)
Sigxa�t.ure „ Z�
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WO C04nerce Aver,,* More)epa, Lily, N3oh Carcrna 28557
P%o-e; �52-808.280i 1 FRX: 252-247-a34} , Intamet, slaima'iar,emen t,ne;
��+.� �Jp�ar4ul�iy ;Aifirrnabtie.4ctfcn EtnpWy�r � 5J'J, r20CyClCQ 110'h P0� ��R�tmirVapor
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. 11 / 2 Jf 2012 10: L 3 8882993E 51 EDWARD JONES PAGE 02? 02
I hereby cwtify that I own property adjacent to "P dr�saxe 's
tl*i�-r�e t�f Property tawn$r)
property located at _ -2 -7-4
(Address, Lot 81'ockv Roan,
an
aterbodyi (Ctty►Towr afar County) ---
The applicant has descr!bed to rile, as siown beinw, the davalaomoni propaaed at me abov3
I0c4tiory,
V_ ,_ l have no objection to this proposai.
_ 1 have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSEO 0EVELO-PMENT
(Individual proposirg ftYglopmenf MUST Bill In descrlpftn below or atiecty a sit@ cdr°owing)
too
l understand that 9 pier, dock, mooring pilings, breakwater, boathe use, ifi, or groin rn;wt be set
back a minimum distance of 15' front my area of riparian acceas uniess waived by ma. 'M you
wish to waive the aatbaick, you must InItiat"appropriate blank t oiow.)
i do wish to waive the 15' satbauk requirement,
i do not w4sh to waive the 15' setback requirernent,
lPr rty Owner Inib t stfor►) (Adj�Rnt Property Owner 1nformagon)
Ma ink ATress
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Dads Pats
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shone Al �tmbar
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to ►1 r P "D►u v U s
(Name of Property Owner)
property located at ? z4'-- 5, j j 1 a R94 v-, i-,EPn n
- - (Address, Lot, Block, Road, etc.)
on Z�-A _►-- g (, in __.5 N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
locatipn.
+/ I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
fit V 10 Cyr-•�) '5'E 0 i , I ( 9 tLis-e-4) Y I �, &";'T o,:� ,,18 Ly'd I )
1 ob t f
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
back a minimum distance of 15' from my area of riparian access unless waived by me. (If you
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property Owner Information) )
Signature j� Signature/ -
f�>
,Print or Typ Name Print or Type Name
Mai ing A dress Mailing Address
I NS�
Ci � b �tpS � 2 � � � City/State�Zip
Telephone Number Telephone umber
Date Date
(Revised 611812012)
F-Jo-x- 252. `ZZC C6-1,9
7iEV) A W5 Yn t-� S3��IC�i '17���D5lI-s9: t� c . 21 Z;-z —tSaj

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WE) BUCKET DREDGING INC 6069
507 HEDRICK BLVD
MOREHEAD li 'NC 2355--3045 66-112/531
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