32036_EDMONDSON, DEAN_20020606

CAMA / DREDGE & FILL
GENERAL PERMIT
New Modification Complete Reissue Partial Reissue
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
Applicant Name f & trAFAtk -Xt
Address 04 0. 001 , lNh N,
State Ij4 ZIP 7153C
Phone # (9�� -) - 0b 1-5 Fax # ( ) —
Authorized Agent _1W
Affected ❑ CW MEW )U PTA ❑ ES ❑ PTS
AEC(s): OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑FC:
ORW: yes / V PNA yes / rno Crit. Hab. yes / no
32036 -�
Previous permit #
Date previous permit issued
IIM'J
E Rules attached.
Project Location: County �,, 4r r c j --
Street Address/ State Road/ Lot #(s)
Sib u'.^f ft F,
Subdivision
City ZIP i F112
Phone # (u) River Basin Wt I. 6b k
Adj. Wtr. Body Mai. • Jr toha ( (nat / /unkn)
Closest Maj. Wtr. Body —I tvI fzyv
Type of Project/ Activity 1 t t pt. q,J r; a +f 4 ("
(Scale: Ater
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/ 64ift t'j S� i< j' J
Beach Bulldozing
Other
q1 X L,# . . I I --
-It I_!-
10
`Ii 1
N� b
W
Shoreline Length -
PJu^ I� �-
SAM not sure yes (no
Sandbags: not sure yes -o �S N
i
Moratorium: n/a yes Q ir wriSt
pe
6
Photos: yes no
Waiver Attached: yes no -__--._---
A building permit maybe required by: i ion j r �Pa [C See note on back regarding River Basin rules.
Notes/Special Conditions �% �!^ ` r.tnttfIia�n jII if AOrkiwS TroffS j. (7)4uc. r,,.rc—cf
� I p
Agent or Applicant Printed Name
Signature "Please read compliance statement on back of permit **
Application Fee(s) Check #
-&J f - - -
Permit Officer's Signature
E GZ 9 �. t
Issuing Date Expiration Date
tllav�
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, 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 (910-395-3900) 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: Fax: [phone]
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888ARCOAST
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. 3126
ATLANTIC BEACH CAUSEWAY NCDL 8039839
PO BOX 3355 PH(252)726-2191 66-30/531
ATLANTIC BEACH, NC 28512 Date Z 133
Pay to the
Order off � 6& I $
Dollars e ,
/ '- �/
RRST CITIZENS -i
� A j�jil FirstCitizons Bank 8 Trust Company
j�ru �i� Allarrtic Baach, N.C. 2B512
mm.f i rstcitizenssjA'�OM
For
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1:0 5 3 L00 300400 L 3 1 2 L 60 6
730 03126
GUARDIANMSAFM BLUE WDBL

ADJACENT RIPARIAN PROPERTY O�JNER STATEMENT
t (4f q, 1?i1Ae r cam/./
-toSgoe�, f l e
I hereby certify that I own properly adjacent to 27S3o
's property
located at ���a <(�(s—(Dh/ /4Je on
TDgvc ,SZ>0/1� (Lot, Block, Road, etc.)
A(Zct5y 0 ,41AI- i n _ &A,4TI C ; 1054_ (ZO c , N.C.
(Water Body) (Town a d/or County) ZSSry
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 set back a minumum d12tance of fifteen feet
(15') from my area of riparian access unless waived by me.
I do not wish to waive that sk,tbadk requirement.
I do wish to waive that setback requirement.
Description and/or drawing of proposed development:
(To be filled -In by individual proposing development.)
Date Phor e Number

ADJACENT RIPARIAN PROPERTY 01,iNER STATEMENT
I hereby certify that I own property adjacent to
s property
located at ���� (C/�(S� ah/ /4Je , on
c-00go' (Lot, Block, Road, etc.)
.4'ZeE5T �'�4!%(-�L in _ %I e 1964C'k4 N.C.
(Water Body) (Town ar d/or County),�ry
He has described to me as indicate(, 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 set back a minumum G_.Ltance of fifteen feet
(151) from my area of riparian access unless waived by me.
I do not wish to waive that sE-tback requirement.
I do wish to waive that setba�,k requirement.
Description and/or drawing of proposed development:
(To be filled J.n by individual proposing development.)
c1�t2��2 J��;�� ti
Pri,ic_ Name
G� Asa
Da tie Phoi e Number