53685_BRANCH, JAY_20090526

-. ❑LAMA / [-DREDGE & FILL
GENERAL PERMIT Previous permit#
ONew CModification CComplete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural ROurces
/
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
'�ulesrattached. .i
r
Applicant Name
Address
City
_ State f� ZIP
1
- -
Phone # ( ..
Fax # O
Authorized Agent 1 /
t
`► / f ^=� '�"�`
❑ CW p-EW
[ETA p•ES ❑ PTS
Affected
AEC(s): ElOEA 1-1HHF
❑ IH ❑ UBA ❑ N/A
❑ PWS:
❑ FC:
ORW: yes /;no PNA
yes / no Crit.Hab. yes / no
Project Location: County «-
Street Address/ State Road/ Lot #(s)
Subdivision 1
City_ ij ZIP
% r--� i
Phone # River Basin
Adj. Wtr. Body_ i nat an unkn
Closest Maj. Wtr. Body -
Type of Project/ Activity
(Scale:
Pier (dock) length
Platform(s) -
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore —�_.
I
Basin, channel : -7
cubic yards
Y
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline LengthT
SAV: not sure yes no _ no es sure
Sandbags: not Y
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no-
permit may be required b
A building q
gP Y
Notes/ Special Conditions
--
_
-
—
-
-
1 v.
'�
—
4o.
r
_
�.
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I
77
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-
-
rules.
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1
-
7
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4-5
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—
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i
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y
on back regarding
g
g River
Basin
-
❑ See
note
j,
r.
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit **
r �
Application Fee(s) Check #
Permit Officer's Signature
Iss ' Date - r ExpiT- rationDatte
Local PI ni g sdidion - "-beer

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
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST
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

04/20/2009 08:20 2527560733
04/17/2009 11:31 2527266079
3 1 ; I
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THE HAMMi iCKSUURC'E PAGE 01!03
DEANSARNE.&Aw
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1 I North Carolina Department of Environment and Natural Re$ources
Division of COSSUI ManagOmsni
'I Easley, Govemor James H. Orepon, Director W uarn G. Roes k., �ecrekary
G
l 04
I
pOroperty Owner Appt*g for Permit!
t Address:
II r
Ice' that x have authertzed (agent) lr C1 •mac- C ! to act an my
�Or
beh tbe, purpose of applying for and obtaining all CAMA Permits neeessary to
instal;4r construct (activity) r ogd m B Q 4l + s }
at (rn�,Ioroperty located at) to
I
i�
14
This #Otifleation is valid thru (date)
Signature ate
I;
I
400 Commerce Avenue, Morehead City, North Carolina 28557
phone: [phone]a i FAX: [phone] lntemet: wntiMr.ncccastafmaragement.�ot
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04/17/2009
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YAIi - 0 t
ADJACENT R.I ARIA.N PROPERTY OWNER STATEMENTf
(FOR A Pi8"00JUNG PJZJ?VCSIDOATLLF IBOATHOUS.E) �=
ctay certify that I own property adl'acent to f 19 W C, h
(Naide of Property Owner)
located at /7 &
(Lotq Block, Road. etc.)
on Lr , in 94 L is +c. N.C.
(Waterbody) ('pawn and/or County)
phone 0: �5 2- `( �'t `' 7 MeiliBg Address:
He hasl described to me, as shown below, the development he is proposing at that location, and, I
have n objections to his proposal. I unJcrMrd that a pier/mooring pilings / boatlift / boathouse
must net back a rninimum distance of flft= feet (1 S`) from try area of riparian access, unless
waivel by me. (If you wish to waive the setback, you must inhisl the appropriate blank
Mow.
I do_:aot Wish to waive
I do wish to waive that setback reanirement.
—_---_-_- --- _—_______-_____--------
'DESCRIMON AN DIOR DRAWLNC. OF PROPOSED DEVELOPMENT:
(To beeat in by Individual proposing developmeni)
QZ�t : Z7-=
1
...*.,w.................... ,,, ...��—..__��....--------------------------_..�_
(Information for Property Owner Applying (Riparian Property Owner Information)
for PerlAlt)
Mailin,l Address Signature
ts�Z v
use
City/slu t�Zip print or Type Name
elep pe NUrnbe , Telephone Number
IC4, ` �— J"
atue Date Date
�o /
�DiG,(' `!05

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80/171200
on
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U : 31 2527266619 J�1ltlB
sz�2 "V eri3 6LI
iADJACENT RVAMAN PROPIRTY O WWR STAT'&M"T
(FUR A P.MZWWMG,P,�X, WG'�BtDAT�IFTB[�4T$d USE)
r
I "y certblj that t own propg"Y adjaMt to �A
�rh' w�: g
ot[Propohvuee'j
lwaW at
(,i<^ waa, eta" etc.)
pbioo* at �� �
He h domrii ed to me, as �wh below, the dcvclo�naeat he is proposing at :hat locatsaa, anti, a
have &*txow to hLq pcopoget. X =41MW that a pierhaovriat$ pulnip / boat.97t / boathouse
must net baslk a minimumdist�otn�m iGcat (ice from MY oPripatisn acaxm anleas
waiv bb me. OTyou wtah to WSJ" the setback, Yen nngst tin*Wl the apptoptb►te biaolr
Y wish to waive
I ,fig vAsh to waive that sdbwk rtquimment.
1lSRSC7tl:[ n0N ADI"It DRAWL OF PROPOM DE'dELOPMVqT:
(To be Juk4 fn by devdopm"l) Ca t
LA
t
+�R-W Cart3�p a (�iz
f i IS.Z 4 Z- Cam• Y o S
1
(Imlon istion for Property Owner Apply" (Rlp"o Property Dauer Information)
liar Per ) &4p
tl�illa .��rs, -- Si�tum
I—
CRYISOWZIP "7 /�„x7 Print or Type Name
1Celc a Nim Telophona Nurnb^r
6n Date Date
I

MUD BUCKET DREDGING, INC.
PH.252-241-1504
507 HEDRICK BLVD.
MOREHEAD CITY, NC 28557
PAY
TO THE
ORDER OF
DATE b ' / ! ' U' 9
3762
66-1121531
Efl
Beck.
BRANCH BANKING AND TRUST COMPANY
1 -800-BANK 087 BBT.com /y 99 r 3 Co - _
FOR 5 3� �3 t ,
1160000376211- i:053101121i:0005293218341u• -
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