30509_BOWEN, CHARLES_20011217

CAMA / DREDGE & FILL ^ 4� N-04 �ft� 10509-C
GENERAL PERMIT JV
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
Rules attached.
Applicant Name J0, 1, c r�,Vi",
Address
City State 11( ZIP : f 50z'
Phone #("' -) r24-III ?o Fax #( )
Authorized Agent Tt is 1�� 11ctr f
Affected CW Z EW 5� PTA k] ES ❑ PTS
AEC(s): OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
PWS: FC:
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 p
avg distance offshore $ '
max distance offshore
Basin, channel
cubic yards_
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing _
Other
Shoreline Length 9G�
—? 1
SAV: not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
Project Location: County 1-
Street Address/ State Road/ Lot #(s) - ' I i ,,
Subdivision
City i, (,V � J _ ZIP I L.
Phone # O River Basin j`
Adj. Wtr. Body Ni G!V ft ; {,f cr 00 ' (nat /unkn)
Closest Maj. Wtr. Body v F 1AVWJ
VJP i c,
(Scale:
A building permit may be required by: f m,-�, &od C See note on back regarding River Basin rules.
Notes/ Special Conditions /1 1a ,�,; tiww i� ,) , ?sr, I
Agent or Applicant Printed Name
Permit Officer's
I
Signature Please read compliance statement on back of permit Issuing Date Expiration Date
Application Fee(s) Check # Local Planningjurisdiction 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, certifythatthis project is consistentwith 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 (910-39S-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 / 1-888-4RCOAST
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)
Revised 10/05/01

MUD BUCKET DREDGING, INC.
ATLANTIC BEACH CAUSEWAY NCDL 8039839
PO BOX 3355 PH(252)726-2191
ATLANTIC BEACH, NC 28512 Date'
Pay to the
OrderofFN�
FIRST CITIZENS-., y ,�
KFirst-Citizons Bank 8 Trust Company
Atlantic Beach, N.C. 28512
7
For
1:053L003001:OOL3LZL60673ii' 02965
2965
66-30J531
133
GUARDIMOSAFETY BLUE WDBL

ADJACENT RIPARIAN PROPERTY O'7NER STATEMENT
�? o, /2ox
tcr�/S-ro•✓� NG
I hereby certif;, that own proper .y adjacent to 2gSoz
(2 CZnnLs
LCS Cj060 1� SZ-SZ7 �peroperty
located at 231 '13A440 '!5/ 0 1,9LG'e'1J,
(Lot, Block, Road, :etc.)
on
-90q06 SOoNr>
A P e 6<�-5 (2 y x/ti/ - _ in — TL,,l )-17 ► . = A!!��-Q (2 N . C .
(Water Body) (Town ar d/or County) Z8SlZ-
He has described to me as indicates below the development
he is proposing at that location and :. have no objections
to his proposal. I understand that a pier, pilings and
dredging must be seL back a minumum distance of fifteen feet
(151) from my area of riparian access unless waived by me.
I do not wi_h to waive that se' --back requirement.
I do wish to waive that setback requirement.
Description and/or drawing of p>oposed develo mp ent:
(To be filled in by individual prc:posing development.)
If (s t 4LC TIDtii F �� Z C!N Fr O e /46'Gv -rO f�Ef�LAte�=
?�E i ERioQ..¢TC-✓J /aSBEs'(oS� CoN ��ETE S�=';.�s}L�..
prz�r�gE� �i{ C IL i(_L S!� b/LS' TO gL= `�� G�C�C�� Off✓ W62/C
�►Q f OQ- TO l �l Sr/1 LL [<lC� n(CW S�4 k]s�LL
a
M
N&V ✓ q. C_ VC-7 6e, r a--A<}ifta
S6A Wq C,�_ SE/,1,'JA41-
Date
Sigr 4 -Ytur
Print -N-ame
Phon_ Number
w
P

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
n n ass -
IGr�/S-ro•✓f /J�
I hereby certifl, that I own proper�y adjacent to zBSoZ
C^ n L6S /� 1
�p, 6/_/ ZSZ- sproperty
located located at 23) eAGf [)E/ o �GU✓�, , on
(Lot, Block, Road, -etc.)
'80gJ '� S'OcJl.IO
in T�9 ,471 C ���.4 e N. C.
(Water Body) (Town and/or County) ZBSI2—
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 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.)
[NSr�c G 4 fID�! or; Z' G!N FT o F KCw UWr 11- T6 4)4LL- -ro
7�Ei ERioQ..�TC-✓� /aSgES'ioS��oN��ETE 5'��rw4�-�-.
1P(LC_ Sfob/LS To 9L: PL.AC65-0 ON Wb¢!< 2��+
�n10.2 TD /alSr/a._L(t/y ,.f�Gp SE4ki.¢LL .
U O
I I
E M
TJUe 1L
O
Ct Nc=W l ✓ �/y L Dc-T rk21 v�
U SE/IGJAGL
N
.,Q
Date
S' r.
9�Prin
Phon Number