47155_BRADDY, BILL_20070110

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❑CAMA / ❑ DREDGE & FILL
GENERAL PERMIT 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 ' an area of environmental concern pursuant to 15A NCAC
❑� Rules attached.
Applicant Name I I Project Location: County
Address /) ;�� +` : ., ' r¢ Street Add/ressss//Sttate Road/ Lot #(s)
State ZIP i 0 / 0
Phone # () Fax # ( ) Subdivision
Authorized Agent City ZIP
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Phone # ( ) River Basin
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body (nat /man /unkn)
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale: )
Pier (dock) length
Platform(s)
Finger
Groin
Bulk
Basin
Boat
Boat
Beach
Other
Shoreline
SAV:
Sand
Moratorium:
Photos:
Waiver Attached. yes no -- --- -- --
A building permit may be required by:
Notes/ Special Conditions
❑ See note on back regarding River Basin rules.
pier(s)
length
numberPermitted
Nursery
-This Facility is located withiuse PNo Ps are
Area, and is not for boating
for vessels wash will be ctonsidered a
Any kicking or Prof t and of the CAMA and
_
Agent or Applicant Printed Name
Permit Officer's Signature
Signature ** Please read compliance statement on back of permit **
Application Fee(s) Check #
Issuing Date
Local Planning Jurisdiction
Expiration
Rover File Name

L,
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 El 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
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
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
400 Commerce Ave
Morehead City, NC 28557
202-808-2808/ 1-888ARCOAST
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
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover,
Orslow -below New River Inlet- and
Pender Counties)
Revised 06/29/05

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ADJACENT RIPARIAN PROPERTY OWN-E, R STATEMENT
I hereby certify that I own property adjacent to� 's
(Fame of Property 0 r)
propzrty located at l l Z )It/LE77-L: Z17�
(Lot, Block, Road, etc.)
on in N.C.
(`Naterbody) (Town and/or CoGto
He has described to me as shown below, the developrrient he ILD
and, I have no objections to his proposal. QEG = 4 2006
x--.�.�� - - --- -- --- -- - -- - - ----------------------
___�VIe�eFie-
DESCRIPTION AND/OR DRANVCL G OF PROPOSED DEVELOPMENT
(To be filled in b}•tindi(-idual proposing dei•elopment)
v `i
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pmf
Nil
& c - �-
Signature
Print o, Type
V
ToIonhone.Number

sO 11-6 �2 67
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
f /
I hereby certify that I own property adjacent to f% ! 's
(Fame of Property 0 n r)
property located at7/
(Lot, Block, Road, etc.)
on \ / LJG.( V�.GL.
(`rVaterbody) (Town and/or Cou ty) -
He has described to me as shown below, the'development he I t�l� t
and I h ve no objections to his proposal. �:a[
..— � _ 4 ?_Q06
DEC
� r'e�hesel GRY ®6MI
DESCRIPTiON AND/OR DRANVCL G OF PROPOSE LOP�\IEt�
(To be jille(l in bvfin(li1•idual proposinag de)•elopment)
--
--------------------------------------------
---------- -- - ------ --- --- -------------------------
1
Signature
Print o, Type Name
Olt
Telonhone.Miniber

WNW
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor Charles S. Jones, Director William G. Ross Jr., Secretary
Date
Applicant Name .4q01
Mailing Address
I certify that I have authorized (agent) yj�i- /)
to act on my
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)
Signature
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internet: www.nccoastalmanagement.net
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