37552_HEDRICK PROPERTY_20040302

❑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 I
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
❑ Rules attached.
Applicant Name If(itrr.f� ,� �� "�` -1(a _ Project Location: County(?,ref
Address
City_ /` ' `c, i, 4, <
eel,
State t'e ZIP
Phone # ( )
`�! 31 �"
Fax # ( )
Authorized Agent
P; (0
❑ CW
O EW
Q PTA ❑ ES ❑ PTS
Affected
AEC(s): ❑ OEA
❑ HHF
❑ IH C UBA ❑ N/A
❑ PWS:
❑FC:
ORW: yes / no
PNA
yes / no Crit. Hab. yes / nc
Street Address/ State Road/ Lot #(s)
Subdivision
City_ _ - ZIP
Phone # (_ _) River Basin
Adj. Wtr. Body ^.'', r• r(r fno+ (nat /man /unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale: )
Pier (dock) length
Platform(s) - -'
Finger pier(s)_ r -� j M 5e (f d
Groin length
number _
Bulkhead/ Riprap length T _
avg distance offshore V
max distance offshore - 1 __.. _ i__ -J_ --� t '+`O ��.
Ni
Basin, channel
cubic yards
Boat ramp -1 �- -
- - - — -
Boathouse/ Boatlift
Beach Bulldozing - -
Ocher
IN
C
4� 1-�
Shoreline Length �-
SAV: not sure yes no N
Sandbags: not sure yes no
Moratorium: n/a yes no L_-
V
Photos: yes no T
Waiver Attached: yes no - --- - -- -
A building permit may be required by: 1,160 W--111 (. ❑ See note on back regarding River Basin rules.
Notes/ Special Conditions • 1 ,I ),", - ! /A'• $-' 4 L
7
i ff
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 A.
t 1 ?
Local Planningf urisdiction 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 1 Other:
U 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
15 l -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 DREDGING, INeY, C—
ATLANTIC BEACH CAUS�/Ay NCDL 80
PO BOX 3355 PH(252)7 39839
2�2i91
ATLANTIC BEACH, NC 28512 3788
O4aY 0 / Date 66-30/eQ 531
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First Citiiens Bank & Trust Company
UUU"' ��, Atlantic Beams, N.0us. 28512
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
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I hereby certify that I own property adjacent to
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U`D RUetC�''i^�A)cIOA 's property
located at Z IZ Q�L-�4l�T►L ��Qe1a el.�l%SLGJ�G/ , on
(Lot, Block, Road, etc.)
r3oqu C SOU AV
4CC6555 emAgAIEL _ in ATI-A,T►e— �964eH N.C.
(Water Body) (Town and/or County) ;2WIZ-
He has described to me as indicated 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
(15') from my area of riparian access unless waived by me.
I do not wish to waive that setback requirement.
6/ I do wish to waive that setback requirement.
Description and/or drawing of proposed development:
(To be filled in by individual proposing development.)
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Print Name
Date
Phone Number

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
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I hereby certify that I own property adjacent to
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located at IZ Q'c .►TIC 'L;6-A01-1 C'y,VSCGJ,gGJ on
(Lot, Block, Road, etc.)
4e(z6W e't-A4AIEL in N.C.
(Water Body) (Town and/or County) -7X►Z
He has described to me as indicated 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
(15') from my area of riparian access unless waived by me.
I do not wish to waive that setback requirement.
I do wish to waive that setback requirement_
Description and/or drawing of proposed development:
(To be filled in by individual proposing development.)
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Feb 14 04 09:57a Sandb 252-726-6112 P.1
MAR-01-2004 10:48 PM P-01
Feb 08 04 04r23p Sandy 252-126-6112 p.4
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
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I hereby certify that I own property adjacent to
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a propertyerty
located at 2/2- ATIA011- -� C�.Ay5E 4r� on
,g�06 �Nfl of , 3 oc tk,Road, etc-)
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N.C.
(Water body) (Town and/or ouRty) 2ffyz�-
He has described to me as }ndicated 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
(15') from my area of riparian access unless waived by me.
`! I do not wish to waive that setback requirement.
I do wish to waive that setback requirement.
Description and/or drawing of proposed development:
(To be filled in by individual proposing development.)
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