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❑CAMA / ❑ DREDGE & FILL
t GENERAL PERMIT
❑New ❑Modification []Complete Reissue
❑ Partial Reissue
Previous permit #
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
,[7] Rules attached.
Applicant Name
AddressT%` City A r—� State !�J i_ ZIP i' ;7!J
Phone # O ! f ?.. Fax # (---j-_---
v
Authorized Agent I --
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ 1H ❑ UBA ❑ NIA
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s) , ii % U"I yz ✓ y', ' <.
Subdivision
City h `v ZIP
a
Phone # ('�) /` %' River Basin `
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Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
Permit Officer's > ignature — 1 f
Issuing Date ; � � Expi76tiortD
Local Planning Jurisdiction Rover File ame
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
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:919-733-1495
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ I-888-4RCOAST
Fax: 252-247-3330
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
Elizabeth City District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
Fax:252-264-3723
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: 252-948-0478
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax:910-395-3964
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 08/09/06
04/15/2008 13:21 2526336027 COASTALMARKETING PAGE 01/02
Apr` 14 08 04.46p BCC 252-7454253 p.[
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A pIERlMOORING PIL fNGS1BOATUFT/BOATHOUSE)
I hereby certify that I own property adjacent to��-ri�9�
(Name of Property Owner)
property located at
(Lot, Block, Road, etc.)
(Waterbody) (Town and/or County)
Inc bas describers to me, as shown below, the development he is proposing at that locatirna,
and, I have no objections to his proposal- l understand that a pierfmooring pilings/boadiftlboathouse
must be set back a minimurn distance of fifteen feet (15' ,from my areas of riparian access unless
waived by me.
I do a wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCi,Xp'Tx0� AND/OR. bRAWtNG OP PROPOSED DEVELOPMENT:
(To be frTled in by individm9 p%posing develOPMe"') 1
I
I
(
Si�aivre
% 17%(01A-ee! f/r^ o r*-y
Print or 'type Name
d S-�-- c�y-�
Telephone Number
Date: `�-/ S�-d'T
North Carolina Department of Cnvironnnent and NatVa
Division of Coastal Management
Charles S. Jones, Direciar
Applicant Name�`��
AMailing Address `MCA R49i (6n'(\) _
Reso,arces
�`•�i�l��t:r; �= I*,r_.55 J` . S2�r�a rr
I certify that I have authorized (agent): cz-5 K--0 GQ 1to act on my
behalf, for the purpose of applying for and obtaining all CAn'1A Permits necessary to
install or construct (activity) 2&a-CLL� /� ��� (� ,
at (location)
cation is valid thru (date) A5 C
Signature
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: 252-808-2808 � FAX: 252-247-3330 � Internet: www.nvoastalmanagement.net
An Equal Opportunity l Affirmative Action Employer — 5T'6 Recycled'.10% Pcst i onsurner Paper
Page 1 of 1
Site: 636 DAWSON CREEK BLVD
127.17 3E
r a 4 39 _� 5
'' 8-�
70.30 32.57
1.25A
1° 3 0250 '�?r
f 1.04A H 094-1-4
8175
/00 H 094-1-3 ^►'��
1.45A•
7015�
H094-1-271() N.
Property Details:
START 1499 UNIQUEID 1472
ACCTNUM 27177 71LASTNAME SKULNICK, STEVEN L TRUSTEE OF THE
FIRSTNAME CAREOF SKULNICK FAMILY TRUST
ADDR1 409 RAGAN RD ADDR2
CITY IIORICNTAL STATE NC
ZIP 28571 PARRECNUM 15645
NAME 11 SKULNICK, STEVEN L TRUSTEE OF71 MAPNO H094-1-3
CONTROLNUM PIN
CLSCODE DISTTOWN D05
INSERT H094 11 DBLCIR
BLOCK
1 1
PARCELNO
3
SITEADDR
11636 DAWSON CREEK BLVD
SITUSADDR
636
SITUSROAD DAWSON CREEK BLVD EXEMPT
LEGDESC1
LOT 3 DAWSON CREEK BLVD
LEGDESC2
PCA 150-11
TOTACRES
1.04
CRNTTOTUSE
0
CRNTTOTDEF
0
CRNTLANDVA
168000
CRNTBLDGVA
0
CRNTOBLDGV
0
TOTCRNTVAL
11168000
FIRECODE
S
IIHOUSECODE I ISEWERCODE
SALEAMNT
300000
SALEDATE
8/14/2007
SALEDATE2
75469
SALECODE
S
ROADNUM
1302
PCTCOMP
0
WILLBOOK
0
WILLPAGE
0
DB PG
501/172
DEEDBOOK
501
DEEDPAGE
172
11PLAT
PCA 150-11
JIMOBHOME IIO I1
http://www2.undersys.comiscriptsltestadvlusiwebpc.dll/usi?formis=ptmap&MouseX=O&... 4/ 10/2008
BROAD CREEK CONSTRUCTION
PH.252-745-4252
11 CREEKVIEW CT
MERRITT, NC 28556-9572
m BRANCH BANKING AND TRUST COMPANY
1-8WBANK BBT BBT.eom
1:053101120:000 S292?a
Harland ClnAc
3�06187
6187
66-112/531
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Fax Send Report
Date/Time JUN-16-2008 10:48AM MON
Fax Number
Fax Name : DCM MHDCTY
Model Name SCX-5x30 Series
No. Name/Number StartTime Time Mode
037 97454253 06-16 10:46AM 01'38 ECM
DIVISION OF COASTAL MANAGEMENT
AGIA
NCDENR
Ennaoxncrrt.u.o H.a.w��Po/jwMea
TO: Can � 1�1ansou�
OFFICE: �CoG�I cope 9n `/
TELEPHONE: (1 FAX: f2�1 -7 Y� 4�2: -2
FROM:
Morehead City Office
400 Commerce Avenue
Morehead City, NC 28557-3421
Voice: (252) 808-2808
FAX: (252) 247-3330 ////
Re:_ ATE✓C 3zC, /"i'e-
DATE SENT: 41by
TOTAL PAGES INCLUDING COVER SHEET: V
Page Result
006/006 O.K
DIVISION OF COASTAL MANAGEMENT
NCDENR
NORTH CAROLINA DEPARTMENT Of
ENVIRONMENT AND N�QURAL RESOVRCES
TO: C-�a n Jan
OFFICE: �C®gACU-'� C
TELEPHONE: ( ) FAX: (22) 2 /4--
• FROM: (Cc' j (0 rlq'e—
Morehead City Office
400 Commerce Avenue
Morehead City, NC 28557-3421
Voice: (252) 808-2808
FAX (252) 247-3330
Re: �✓� ��C r„'n
DATE SENT: %
G'
TOTAL PAGES INCLUDING COVER SHEET: r
Z - Aw-
HCOEHR
North Carolina_ Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Govemor Charles S. Jones, Director William G. Ross Jr., Secretary
Date
Applicant Name
Mailing Address
I certify that I have Authorized 'agent) '�� ���� � S` o act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity)
at (location) Lo-r- — %\j L
This certification is valid thru (date)
Signature y
40-1
r'►r
r;q 4x/
JUN � ci zoos
fife®rehe,ai� City DCM
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: 252-808-28081 FAX: 252-247-33301 Internet: www.nmoastalmanagement.net
An Ecpral Opportunity 1 Affirmative Adios SWloyer — 50% Regded 110% Post Consumer Paper
0ri rJ� Vol�1,2 1 6187
EEK CONSTRUCTION
66-112/531
BROAD CR
1-4252
1 C25 REEKVIEw CT vC
MERRITT. NC 29556 9572 J
TAY
j gggNCN BANKING AND T.eoTRUSm
T C 'IANY
•�„��r s��T p 5 29 27v,8r 06 L87
1:053LOLL2L�:0
Jun 09 08 10:35a BCC 252-745-4253 p.3
MCDEM
North Carolina_ Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Govemor Charles S. Jones, Director WilRarn G. Ross Jr., Secretary
Date / 4zfDa
Applicant NaiIIl:e��%�(�
Wlakiing Address
C
I certify that I have authorized (agent),'�-��, (1�-SCiy-actonmy
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity)
at (location)
This certification is valid thru (date) �, /Z�- /"�-) c-?, -
Signature -
440 Commerce Avenue, Morehead City, North Carolina 28557
Phone: 252-808-28081 FAX: 252-247-3330 4 lntemet www rtccoastalmanagement.net
An Equal opportunity 1 Affirmative Action Errooyer- 50% Recyded % 10% Post Corrsurrw Paper