51572_SPIEWAK, DAVID_20071010

O CAMA / DREDGE & FILL rb - f Z �' 5 U- al 2 r
GENERAL PERMIT Previous permit #
ONew OModification ' OComplete 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 I SA NCAC
( � Rules attached.
Applicant Name p j Q--\J� 0-K Project Location: County.
Address Street Address/ State Road/ Lot #(s)
City
State ZIP
Phone #
Fax # (, )
r
Authorized Agent
4 CW
❑ EW D PTA O ES D PTS
Affected
AEC(s): [I OEA
❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
❑FC:
ORW: yes / no
PNA yes / no Crit.Hab. yes / no
Subdivision
City ti - ,
ZIP
Phone # River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body �R' " -
Type of Project/ Activity
(Scale:�)
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length ' f.i C)
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing—
Other
Shoreline Length
SAV: not sure yes no
Sandbags: not sure yes no '
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required
Notes/ Special Conditions
i
�—
_
t
--
i
-t
--
-
-
T
—
i r
by:
'
`�
>r^
-
cf-,
,�
f;KSee
note
r
--j
on back
' - i
regarding
-
River
Basin
rules.
i..
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
Permit Officer's Signature
JO
Issuing Date Expiration Date
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 (910-796-7215) 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:[phone]
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888ARCOAST
Fax: [phone]
(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:[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

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER
FORM
Name of individual applying for the permit: Ny 10 91 �iE-W l' it
Address of property: (AS m (L (--'� C<-D CTID
(Lot or street#, street of road)
(city & county)
I hereby certify the I own property adjacent to the above referenced property. The
Individual applying for this permit has described to me (as shown on the attached
drawing) the development they are proposing. A description or drawing, with
dimensions, should be provided whit this letter.
I have no objections to this proposal
If you have objections to what is being proposed, please write the Division of Coastal
Management, 400 Commerce Ave., Morehead City, NC 28557 or can [phone]
within 10 days of receipt of the notice. No response is considered the same as no
objection if you have been notified by Certified Mail.
Waiver Section
1 understand that a pier, dock, mooring pilings, breakwater, boathouse, lift or
sandbags must be set back a minimum distance of 15' From my area of riparian
access unless waived by me. (If you wish to waive the setback, you must initial the
appropriate blank below.)
I do wish to waive the 15' setback requirement
_-I>�— I do not wish to waive the 15" setback requirements
Signature 6ate
loa u i C° _ -E v -A:
Print Name
---(z .rah a � � � L 1 --1 ys;7/
Telephone number with area code

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
j- (FOR A PIERIMOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to bA\j 10 g . SG E (N Pf V— is
(Name of Property Owner)
property located at 6 ;2 � m t L L --/> ax 'c)
(Lot, Block, Road, etc.)
on J��(� 1 (Ig'(L %(t-C-�i�5 , in ({i�� (� L Q�i1�-1%�J f� , N.C.
(Waterbody) (Town a d/or 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 / boatlift / boathouse
must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless
waived by me. (If you wish to waive the setback, you must initial the appropriate blank
below.)
L_ I do not wish to waive
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
c- -T- DD 64e- uO / --'rLU D eE-40f
Signature
Print oiVType Name
Telephone Number
Date:

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to A%0 iP . 's
(Name of Property Owner)
property located at 6 a5 MILLS J:CA(
(Lot, Block, Road, etc.)
on C`%. 1� , in pl`I i�' /� L- / ��} fYJL, C.o CZ, , N.C.
(Waterbody) (Town and/or 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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
C° L-6P l' t-t � , 6— t v�c� DC—t Q( KIP APrA 5&i1w /rc.-L..- 1
�S-Cc—_ VIA a U 111.➢&a 64z-� -)VD 0i"t c, r Fl eEs � (��i��n� i + H-L
wo,& tqfrtzo2�-, ty)ft�'T&Ly -�3000 6Q
-16� C-,
Signature
Print or Type Name
Telephone Number
Date: _ 41 —©-a -62

= BROAD CREEK
SITE ��\
ALTERNATE
DOCK
U 7
{{
I
S.
�' 1320
v
D�_
j!
4( s'? 1
�'���
APPROXIMATE
�2 _
.....
�•
WATER LINE
L2�
I' VICINITY SKETCH
O
_ ......
.
t NOT TO SCALE
�1g
LEGEND
EI
�
-
,uol"�"" "
� �"�"-----• -
• UP EXISTING IRON PIPE
1
- \-
O SIP SET IRON PIPE O?
• NPS NO POINT SET EIP
I� Q CAMA FLAG
TREE
J��
111
G
AREA.
Z 69,3?0 SQ- FT/ .... .;
REFERENCES �+ 1.593 ACI�ESI
D.B. 232, PG. 564
i , �,,� �-_-:.-.• - ,`per
EIP
PROPERTY OF o 1 - -'.'. EIP
PAUL C. BRADYco
D.B. 230, PG. 82 �j\ '�:.".:. (7 / of
TAX ID: KO81-67 647 2
PROPERTY OF
D.B.
259, PG. 274
t
ll z
TAX ID: KO81-69
2� w IP N63'48 g6"W
A N2 05' �"E-) 160.51' (71E)
75' MBL'
64'12'11 "E
/
�EI,P J ✓- 1
/
EIP 61.20"
EIP
�J •� / MILLS ROAD
a`y/mil
5`O9/ �c (60' R/W)
EIP EIP �
�N81'15'12'W
2f.00' (TIE)
i
i
�` I
�O
i
P !.
EIP
N 4
I;
PROPOSED
DOCK
W
U !
j i
w �
CAMA DELINEATED
MARSH LINE
o/
65'01'36"E
33 Qn'
CAMA LINE TABLE
LINE
I BEARING
LENGTH
Li
N6538'39"E
60.97
L2
N81'49'02"E
120.66
L3
N89 42'28"E
38.57
L4
58136'25'E
39.40
L5
S11'47'24"E
11.86
L6
S15-2527'E
23.85
L7
S23'40'19"W
81.87
LS
S85'3438"W
14.45
L9
S32"07'41'W
30.79
1-70
552*55'42"W
37.11
L11
S36'58'00"W
29.45
L12
S62'58'43'W
44.59
L13
S63'45'28'W
30.22
L14
--Li5
S6314'27W
5M58
S3137'16"W
20.93
L16
S3613'27E
17.50
L17
S43 41'30"E
15.16
LINE TABLE
-LINE
BEARING
LENGTH
L18
N7131'55"E
47.57
L79
N85'46'05"E
38.38
L20
N73'49'15'E
23.27
L21
N88'31'41"E
21.57
L22
N8012'35E
32.93
1 L23
N66'27'05"E
15.76
L24
N7932'32"E
51.60
L25
S80'26'49'E
16.33
L26
N3817'54"E
7.36
L27
S86'O8'37"E
12-77
L28
S28'45'32"E
7.60
L29
S1336'45"E
18.08
L30
50611'13'E
30.66
L31
S29'51'01"W
17.98
L32
S13'44'16'W
38.93
L33
S2844'O4"W
49.27
L34
S1 S37'41'W
34.50
L35
S64'20'48'W
33.60
L36
S57-09'23"W
31.39

MA`.'',-08-2007 1.2:56 AM
May 07 07 01r3lp Dave Spiewak
(9761 774-0735 p, b
A DJ
11
1 hereby ce tif
property located at�
on &',, f •b /.-
He has describ
have no oblect
must be set ba4
waived by me.
below.)
NT RIPARIAN PROPERTY OWNER STATEMENT
A PIERIMOORING PILINGS/BOATLIFTIROATHOUSE)
that 1 own property adjacent to
(Name of Property Owner) ~�
T4
ILL. S rL- L`1 ,o
(Lot. Block, Road, etc.)
in : C f i\,7JA V1 w tc; C.1' . N.C'.
V4terbody) (Toor County)
tr me. as shown below, the development he is proposing at that location, and, I
�s.to his proposal. I undcratand that a pier/mooring pilings / boatlift / boathouse
a 6inimum distance of fifteen Meet (15') from my area of riparian access unless
if i ou wish to waive the setback, you must initial the appropriate blank
_ 1 do wish to waive
1 �do ish to waive that setback requirement.
------------�---- - ' ---- --------------------------------__--------------------
-------------------:---------
BY -SC i iON AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be fllled in bV individr+ai proposing development)
A6 14 C-- D l--),l�
i
----------------------- -- ------ - ----- --- ----- ----------
Signature
t_... -� d
Print or Type Name
Telephone Number
Date: SZ 7
I

MA`:'-08-2007 12:56 AM
May 07 07 01:31p Dave Spiewak (97e) 774-0735 p.4
1
AD.1 t ENT RIPARIAN PROPERTY OWNER STATEMENT
I
I hereby c$r"fy that I own property 4acent to DA\;
j (Name of Property Owner)
property locatedi nt{ W .� . M [ C( ° is
j (Lot; Block, Road, etc.)
on flu � �., (° e f -- it , in C,' �•:c• n l I L / rrj s Yl w L � � G', �, N.C.
(Water n y) (Town and/or County)
He has s nbed to me as shown below, tho development he is proposing at that location,
and, I have no j�tions to his proposal.
1 T1ON AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled In by individual pnopueing demkpment)
I
i
_luL, 1 `� �•� LJiV Vly_� i`�✓+.'•\,j �`. �.% l.' T� lit 1 i C•
l D:ti-Ti r� L
i
Signature
Print or Nome
Telephone Numbcr
Date: -ih Lo
,
P.02

May 07 07 01:30p
Dave Spiewak
19781 774-0735 p.
ADd
DIVISION OF COASTAL MANAGEMENT
RIPARIAN PROPERTY OWNER NOTIF ICATIONIWAIVER
FORM
Name of in i-dual applying for the permit:_ ;irN 1 F 1
0
Address of r►perty:
j_ (Lot or frrcca►, fir�at of rwtl)
(City CcentyY
I hereby ce ' the I own property adjacent to the above referenced property. The
Individual tying for this permit has described to me (As shown oft the attached
drawing] ih t,,velopment they are propoa:ing. A description or drawing, with
dimensions, suld he provided whit this letter.
fi
I hav nj objections to this proposal
If you have ections to what is being proposed, please write the Division of Coal
Mattageme , 00 Commerce Ave., Morehead CRY, NC 29557 or call (252) 80 2808
Within W d of receipt of the notice. No response is considertd the same as no
objection if o have been notified by Certified Mai].
Weaver Section
I dnderstan alnk
at a pier, dock, mooring piliftgs, breakwater, boathouse, lift or
sandbags mhe set back a minimum distance of 1S' From my are& of riparian
access unies(ved by me. (If you wish to waive the setback, you must initial the
appropriate below.)
wish to waive the 15' setback requirement
c
1 KQ.1l2Lwish to waive the 15" setback requirements
1. �f 7 a
Signature
�_ .. mate
Print Name
Telephone nu cr with area code-- —
i
i

ALTERNATE
DOCK
.01
'
APPROXIMATE
WATER LINE
�21
VICINITY SKETCH
NOT TO SCALE:•:•_
-
LEGEND
(P EIP DOSTING IRON PIPE
-.-
- -
- -
. " -
_
0 SIP SET IRON PIPE
•NPS NO POINT SET
EIP
Qo CAMA FLAGI�
.-
/
/
TREE
t')
1Z
REFERENCES
D.B. 232, PG. 564
PROPERTY OF
PAUL C. BRADY
D.B. 230, PG. 82
TAX 10: K081-67
AR�A.
i 69,3 0 SQ.FT. �-
1.593 Acl
J / A
EIP
I f � rod
EIP
0;
LA
Na �z SIP N63'ae'a6w S64" 12 11 "E
V EIP
, r 12 .05 �"F) 60.51' (T1E) ElP 61.20'
� J ElP
w - -
MILLS ROAD
ti
(60' RAW)
EIP EIP
�N81'15'12"W
W-00' (TIE)
0
�!
P
EIP
r �
N
PROPOSED
DOCK
J
Lil
U
r
w
O<
Q
-A
f—
CAMA DELINEATED
MARSH LINE
65'01'36"E
LINE TABLE
LINE BEARING LENGTH
PROPERTY OF Lia N7131'55'E 47.57
1n�j
L19
N85'46'05"E
38.38
�V D.B. 259, PG. 274
L20
N7349'15'E
23.27
TAX ID: K081-69
L21
N88'31'41"E
21.57
L22
N80-12'35'E
32.93
L
L23
N6627'05"E
15.76
L24
N79 52'32"E
51.60
L25
S80'26'49"E
16.33

Locality
Ocean Hazard Estuarine Shoreline ORW Shoreline
(For official use only)
GENERAL INFORMATION
Permit Number
Public Trust Shoreline Other
LAND OWNER pp
Name �Qt3 i g F0✓K iNh !J �ii t �� 1�
Address C� 6-1 ey) & V Cm V e,
City State °`1 zip �o l ai °1 Phone
& 2S7 3 a Ll q
AUTHORIZED AGENT
Name
Address % US`� 5 r U �G X {�
City' State Zile lo Phone�--
LOCATION OF PROJECT: (Address, street name and/or directipns to site. If not oceanfront, w,4iat as hj name of the
adjacent waterbody.) (p 2 S (Yi i ! (S l�e� . (j f t �vl �r,l ( 2 �s57 I / !g ►r's
- D ID V0. m 't o i D a (e ka rd 6,f'e e M t t [5 9-d
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) rC�Li;►'" �', Q rGa ual e��rt UE.`
Rtprap Seawall ; -fill : &CI_ h_ Alps / wt�l- t;ihdf_r,a"0
► y%► I i , es i ek i 89-%4 (ad h,6vA& 1 3 o vo sit _ v
SIZE OF LOT/PARCEL:
square feet 1 • 5 tt 3 acres
PROPOSED USE: Residential (Single-family Multi -family ) Commercial/Industrial
Other
TOTAL ENCLOSED FLOOR AREA OF A BUILDING IN THE OCEAN HAZARD AREA OF ENVIRON-
MENTAL CONCERN (AEC): r 31>O0 square feet (includes all floors and roof covered decks)
SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT -UPON SURFACES IN THE
COASTAL SHORELINE AREA OF ENVIRONMENTAL CONCERN (AEC)- square feet
(Calculations includes the area of the roof/drip line of all buildings, driveways, covered decks, concrete or masonry patios,
etc., that are within the applicable AEC. Attach your calculations with the project drawing.)
Choose the AEC area that applies to your property:
(])within 75 feet of Nonnal High Water -for the Estuarine Shoreline AEC
(2)within 575 feet of Normal High Water for the Estuarine Shoreline AEC, adjacent to Outstanding Resource Waters
(3)within 30 feet of the Public Trust Shoreline AEC
(Contact your Local Permit Officer if you are not sure which AEC applies to your property.)
STATE STORiVIWATER MANAGEMENT PERMIT: Is the project located in an area subject to a State Stormwater
Management Permit `isssued by the NC Division of Water Quality'?
YES NO V
If yes, list the total built upon area/impervious surface allowed for your lot or parcel: square feet.

o. OTHER PERMITS MAYBE REQUIRED: The activity you are planning may require permits other than the CAMA minor development
permit. As a service we have compiled a listing of the kinds of permits that might be required. We suggest you check over the list with
your LPO to determine if any of these apply to your project. Zoning, Drinking Water Well, Septic Tank (or other sanitary waste treat-
ment system), Building, Electrical; Plumbing, Heating and Air Conditioning, Insulation and Energy Conservation, FIA Certification, Sand
Dune, Sediment Control, Subdivision Approval, Mobile Home Park Approval, Highway Connection, and others.
STATEMENT OF OWNERSHIP:
I, the undersigned, an applicant for a CAMA minor development permit, being either the owner of property in an AEC or a
person authorized to act as an agent for purposes of applying for a CAMA minor development permit, certify that the
person listed as landowner on this application has a significant interest in the real property described therein. This interest
can be described as: (check one)
�an owner or record title,TIL
itle is vested in �1Utj 1�- AMe��O�+"£� p ee Deed Book _Z
page � in the PQ C,a County Registry of Deeds*e
an owner by virtue of inheritance. Applicant is an heir to the estate of
probate was in County.
if other interest, such as written contract or lease, explain below or use a separate sheet & attach to this application.
NOTIFICATION OF ADJACENT PROPERTY OWNERS:
I furthermore certify that the following persons are owners of properties adjoining this property. I affirm that I have given
ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit.
(Name)
(1)
(2)
(3)
(4)
(Address)
sr0g' 4- yeb+&V) mo, vfXh
FOR DEVELOPERS IN OCEAN HAZARD AND ESTUARINE HAZARD AREAS:
I acknowledge that the land owner is aware that the proposed development is planned for an area which may be susceptible
to erosion and/or flooding. I acknowledge that the local permit officer has explained to me the particular hazard problems
associated with this lot. This explanation was accompanied by recommendations concerning stabilization and ftoodproofing
techniques.
PERMISSION TO ENTER ON LAND:
I furthermore certify that I am authorized to grant and do in fact grant permission to the local permit officer and his agents
to enter on the aforementioned lands in connection with evaluating information related to this permit application.
This application includes: general information (this form), a site drawing as described on the back of this application, the
ownership statement, the AEC hazard notice where necessary, a check for $100.00 made payable to the locality, and any
information as may be provided orally by the applicant. The details of the application as described by these sources are
incorporated without reference in any pen -nit which may be issued. Deviation from these details will constitute a violation of
any pen -nit. Any person developing in an AEC without permit is subject to civil, criminal and administrative action.
the day ofV,`�y`J 7 , 20
Landowner or person authori ed to){ct as his agent for purpVse of filing a CAMA permit application.

5579
BROAD CREEK CONSTRUCT►ON 66-112/531
,H.252-745-4252 BRANCH 01901
11 CREEKVIEW CT
M.ERRITT, NC 28556-9572
Awl.
j lr
//rt•-oirXv• o
BRANCH BANKING AND TRUST COMPANY el 1i
�-- 1-800-BANKABST SOT.c0m
„r,r<Y /'T A cn-/J�(�l 4" W�L`VL�• ,)i9nr rrrr_..__��'-_"-'fir'.".__...✓V,�v,y,!=--' M'
4:O�F-S3 10 L i t Li:0005 29 2?8 61 055?9