55395_DUNN, DERRICK_20100427

❑CAMA / ❑ DREDGE & FILL
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 15A NCAC
r ❑ Rules attached.
Applicant Name, ; ^ i`>-C� ( }(; 1 Project Location: County
Address _ Street Address/ State Road/ Lot #(s)
oe
City \. :. \ V I Ne State ZIP rT !7
Phone # (^' -1 -7` ^ "` (�� Fax O Subdivision
1
_ r
Authorized Agent _'t J. 1�. City ZIP t
Affected ❑ CW ❑ EW ❑ ETA L`tE5 ❑ PTS Phone # ( ) _ River Basin (; _ i t�l
OEA ❑ HHF l IH UBA N/A `! C
AEC(s): ElElElAdj. Wtr. Body [ -;, Ul' (nat /man lunkn)
❑ PWS: ❑FC: t t
ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body
Type of Project/ Activity A,.ri ti t �, i
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
Photos:
yes no
Waiver Attached:
yes no
A building permit may be required by:
Notes/ Special Conditions
Agent'or Applicant Printed Name P r
Signature Please read compliance statement on back of permit I sui
ApplicationFee(s) Check# Local
Date
I,
(Scale: )
❑ See note onback regarding River Basin rules.
The time period requirement for this
development is suspended until 12-31-
2010, pursuant to Senate Bill 831. The
effective datof,exp` ration for this
permit is �..�--�� 1
Expiration Date
--- i ) s�
Rover File Namef

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
❑ Neuse River Basin Buffer Rules
❑ Other:
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 (252-946-648 I) 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/ 1-888ARCOAST
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 Ciq 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

4.
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIEVMOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to - _ Ur�, 2 tz , Z jL._ J v i•J t`I 's
(Name of Property Owner)
property located at
/ (Lot, Block, Road, etc.)
on [ f3 ti I� i— , in �)-� �� i3 c 'Ac_ , N.C.
(Waterbody) (Town and/or County)
Applicant's phone #.-0 Mailing Address: ,/`� G• `� �C`�'�
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse
must be set back a minimum distance of fifteen feet (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 not wish to waive Yf�
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELO
(To be filled in by individual proposing development)
IL���1 INS i
3
(Information for Property Owner Applying
for Permit)
Mailing Address
City/State/Zip
4 - �s G Off
Telephone Number
,00 4 )— a7c"t;j
- a
Signature Date
0
r
N
(Riparian Property Owner Information)
�--7�- /C.-)
Signature
Print or Type Name
Telephone Number
Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to 06 2, fl , L jL L' til l'l 's
(Name of Property Owner)
property located at 1 �-� IF- l "i
(Lot, Block, Road, etc.)
on A ti P (-- , in �i-� � � , C B c= a C � , N.C.
(Waterbody) (Town and/or County)
Applicant's phone C)IM Mailing Address: A�- 1635
He has described to me, as shown below, the development he is proposing at that location, and. I
have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse
must be set back a minimum distance of fifteen feet (IT) 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 not wish to waive
I do wish to waive that setback requirement.;,
----------------------------------------------------------- —---- —--------- --5---- ZL-----4
DESCRIPTION AND/OR DRAWING OF PROPOSEDVEVYOP
(To be filled in by individual proposing development)
L T°f T.
r
(Information for Property Owner Applying
fo Permit)
Mailing Address
WIN-��rtvrUET/V,L,Z`1'S4
City/State/Zip
ENT:
2�C�- -�D5
(Riparian Property Owner Information)
Signature
Print or Type Name
d5d-?,;)>-- al�,I
Telephone Number
Telephone Number

2 <�,-z

0
r
CDEN
CC EnvifOnmc'i i.
Divisi,-Dr of Coastal ManagamerIC
3everljl_av'es Perdue, Govel.-noi James f1, GregsOn, Director Dee reeman, ��tCr?ic(i
Date L) • 2(e 1'D
Applicant Name
Mailing Address � � ��� � � J
I certify thi t I have authorized (agent) "A' to act on niy
behalf, for the purpose of ap
Install or construct (activity)
at (location)
0
g for and obtaining all CAMA Permits necessary to
This certification is valid thru (date)
Signature
o �o
o r'
o
n
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] \ FAX: [phone] \ Internet: www.nccoastalmanagement.net
An Equal Opportunity \ Affirmative Action Employer — 50% Recycled \ 10% Post Consumer Paper

Aaolicant '
Date:
�1a�1
Describe below the HABITAT disturbances for the application
found in your Habitat code sheet.
��Sq3Q--
All values shoul match the name, and u its o measurement
TOTAL Sq. Ft.
FINAL Sq. Ft.
I TOTAL Feet
FINAL Feet
(Applied for.
(Anticipated final
(Applied for.
(Anticipated final
DISTURB TYPE
Disturbance total
disturbance.
Disturbance
disturbance.
Habitat Name
Choose One
includes any
Excludes any
total includes
Excludes any
anticipated
restoration
any anticipated
restoration and/or
restoration or
and/or temp
restoration or
temp impact
temp impacts)
impact amount)
temp impacts
amount
Dredge Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Bolh ❑ Other ❑
Dredge: ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ l ill ❑ Doll, [] Othcr [_l
Dredge ❑ Fill ❑ Both ❑ Other
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑

MUD BUCKET DREDGING INC 4307
507 HEDRICK BLVD
MOREHEAD CITY, INC 28557-3045 l ^� 66-112/531
Date I r Z [ 1
a�
Pay to the�l 00
Order Of
D !lcus �"•
BRANCH BANKING AND TRUST COMPANY
1-800-BANK BBT BBT.eom
Sfl�D
FOR
11000004307110 I:053101 12 11:0005 293 21834111/
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