51813_KLIMEK, CHET_20071128

0 CAMA / ❑ DREDGE & FILL 5 13 C ,
GENERAL PERMIT Previous permit#
❑New ❑Modification [-]Complete Reissue El Partial R ' , Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Res rces
and the Coastal Resources Commission in an area of environmental concern pursuant to 15 NCAC
M Rules attached.
Applicant Name
Address
City State ' 71 i
Phone # O Fax # O
Authorized Agent _r'?
Affected iO CW ❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ 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
City ZIP� 0 G
Phone # O River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
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Agent or Applicant Printed Name
Signature* Please read compliance statement on back of permit
Application Fee(s) Check #
2,,1
Permit Officer's Signature
t�
Issuing Date Expiration Date
Local Planning] 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 ❑ 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
Morehead City Headquarters
Mailing Address:
400 Commerce Ave
1638 Mail Service Center
Morehead City, NC 28557
Raleigh, NC 27699-1638
252-808-2808/ 1-888-4RCOAST
Location:
Fax: [phone]
2728 Capital Blvd.
(Serves: Carteret, Craven, Onslow -above
Raleigh, NC 27604
New River Inlet- and Pamlico Counties)
919-733-2293
Fax:[phone]
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

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to l C� L—LM-E-y-, 'S
(Name of Property Owner)
property located at
(Lot, Block, Road, etc.){
_ � , N.C.
(Waterbody) (Town and/ County)
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/boatlif3/boathouse
must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless
waived by me.
I do not wish to waive the 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)
"� vv-6tiL
'j-
/%-rv,e-,
Signature
Print or Type Name
Telephone Number
Date:

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILLVGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to �� ► ��� ]�� _I_ t =—'s
(Name of Property Owner)
property located at cg-71-i I \U 'SocH
(Lot, Block, Road, etc.) ff) V�r.
�.���� Ski .—�� in_
N.C.
on
(Waterbody) (Town and/County)
He has described to me, as shown below, the development he is proposing at that location,
p%pI. I understand that a pier/mooring pilings/boatliftlboathouse
must be set back a minimum distance of fifteen feet (15) from -my -area of riparian access unless
waived by me.
XI do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
------------------------------------------------------____---__-------------------
DEACRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
OX� 161
SlgnatuT� G
/ ©hl, A,`f�aov-�'
Print or Type Name
25z - z49 - 15-6 9
Telephone Number
Date: it L�- /n 7

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400 Cor lierce kvenue, r.!oreh,,�ad City, Ncn('h-.. Carcima 28557
Phone: [phone],'7j8'%FAX: [phone]"OkInternet: ,t!.,-.rw.rt=astalmanauemen"(.rlgt
Aii Equal Ornodum-tykAffarriative Action Employe-r-50% Recycled I IOT'. PcsteonsurwrPrrer

BROAD CREEK CONSTRUCTION
PH. 252-745-4252
CREEK NC CT
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Division of Coastal Management
VIOLATION COMPLAINT LOG SHEET
OWNER OF PROPERTY:
ADDRESS or LOCATION OF PROPERTY: � 70 Nod Suck I-M(E-
COMPLAINTANT INFORMATION
NAME:C
ADDRESS:
PHONE NO.:J���7
COMPLAINT ,PHONE
RECEIVED ❑ E-MAIL DATE:
❑ IN PERSON
❑ LETTER
NATURE OF THE COMPLAINT(C V
ry\ s
TIME: RECEIVED BY:
V
i
REFERRED TO: bvJ cn(,V_1rl AGENCY/DIV.: D cm
DATE OF REFERRAL: ���-7�Dg
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REPORT OF INVESTIGATION: �` 5 ��� 1 �n �%�� `
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'�je � n�ca c A L 1
SIGNED BY INVESTIGATOR: A"41i
FINAL DISPOSITION: to �� cjfisi �-W
6x rl c0f7h)
DATE:
Pe (LAIes
SIGNED: DATE:
ENFORCEMENT RESPONSE: n is (1 eJ
FOLLOW-UP CALL TO COMPLAINTANT BY: \ ���1 _��P DATE:

Feb 29 08 02:49p BCC
252-745-4253 PA
O. p
Sr
Broad Greek Construction, Inc.
P.O. Box 268
Merritt, NC 28556
Phone: [phone]
Fax: [phone]
Email: info(&BroadCreekConstruction.com
www.BroadCreekConstructon.com
Pay[: l a� g 1- S. � � � Pages:
Phone:
Re:
Date:
cc:
❑ Urgent 0 For Review ❑ Please Connment ❑ Please Reply ❑ Please Recycle
0 Comments:

j Feb 2P 08 02:50p BCC
252-745-4253 p.2
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existing
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5 spaces a@ 10721
f(gravel base
I �PRUPOSED DOCSI c
---t-- J FACII.ITiES
(see details sheet 3)
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f �
25 % OF CRM- mTH_
lE % 40' LONG
OWNER: CHESTER P. KUKEH
IME: 350.8 LINEAR FIXT T SENECA TRAIL j
f. 1403.2 SQ. FT. RR 5, BOX 272
MYS: 220 LINEAR FEET X 5' =1100 SQUARE FEET OAK RIDGE, NEW JERSEY f
= 302.20 ; TOTAL SQUARE FOOTAGE OF STRUCTURES: 1402.2 SQ. FT. f
N$Ir LR19D SURVEYIlfl6, P.O. BOX 12947, NEW BERN, NORTH CAROMM [phone]; MOBILE [phone]