48956_BUETTNER, DAVE_20070518

❑ CAMA / ❑ DREDGE & FILL
GENERAL PERMIT
❑New ❑Modification El 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_
Previous permit # .� ~
Date previous permit issued
Applicant Name 1� j a �; a 'L _ Project Location: County
Address Sir e i�= }`�.- Street Address/ State Road/ Lot #(s)
City t e. . ; u ock State'; --A s, ZIP sy t ,.,.,...
Phone # 'I b S -9 790 Fax # ( ) Subdivision
Authorized Agent City ZIP 5
❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Phone # ( ) River Basin
Affected ❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A
AEC(s): Adj. Wtr. Body i '_a c (nai'/man /unkn)
❑ PWS: ❑FC: i`• L.t ___� pC Lsl+°-1
ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) length I `•_:
Platform(s) A 3
Finger pier(s)
Groin length
number
-
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel - ---- -
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing -
Other -
i_
Shoreline Length f
SAV: not sure yes ,`no
Sandbags: not sure yes ',no
Moratorium: n/a yes i` no
Photos: yes { no
Waiver Attached: yes 4
A building permit may be required by:
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
(Scale: ~` )
X See note on back regarding River Basin rules.
'PermitOfficer's Signature '
Issuing Date Expiration Date
Local Planning Jurisdiction
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
Iandowner(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 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/ 1-888-4RCOAST
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

May 12 07 04:12p David & Barbara Buettner 4104422000 p,l
May 12 07 06:52a BCC 252-745-4253 D.'
-r•arolina Departn--ent of Environment and Nai iral ?asoi jrces
Division 01 COES`21 Mai'fBE7iriTif�l��
i:diGit`oii r . Easlpy, Go;e no. Charles S. Jones, Director 1;�ril!i8rn G. Ross Jr„ Secretary
Dnic May 9, 2007
Applicant t Iarrc
MIailing Address
Dave Buettner
14676 Mustang Path
Glenwood, Md 21738
I certify that 1 have authorized (agent) Broad Creek Construction to act as my
behalf, for the purpose of applying for and obtaining all CANIA Permits necessary to
install or construct (activity)_Rwu 1 C
at (location) Lot #9 Fulshire Plantation
This certification is valid thru (date)
Signature
May 9, 2008
400 Commerce avenue, Morehead Clity, North Carolina 28557
Phone: [phone] \ FAX,: 252-247-33301 Internet W-i v.nccoastalrnanagt ment.net
An Equal oocortunity 1 Affirmative Action Employer - 50% Re7 rcied 1 104'. Posi Consumer Paper

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BROAD CREEK CONSTRUCTION 51`66
PH.252-745-4252
11 CREEKVIEW CT
MERRITT, NC 28556-9572 66-112/531
BRANCH 01901
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