40367_BAILEY, ROBERT_20050128

FJCAMA / ❑ DREDGE & FILL
GENERAL PERMIT
❑New C 1Modification _iComplete Reissue LPartlal 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
Applicant Name _
Address
City State _ ZIP
Phone # ( ) Fax # ( )
Authorized Agent
L CW --1 EW DPTA
Affected
AEC(s):
❑ OEA U HHF ❑ IH
C-' PWS: ❑ FC:
ORW:
yes / no PNA yes / no
Type of Project/ Activity
Pier (dock) length
Platform(s)
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
❑ ES ❑ PTS
❑ UBA ❑ N/A
Crit. Hab. yes / no
r n q
Previous permit #
Date previous permit issued
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City
Phone #
Adj. Wtr. Body
Closest Maj. Wtr. Body—
i
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 by:
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit **
Application Fee(s) Check #
4..
F Rules attached.
ZIP
River Basin
(nat Iman /unkn
(Scale: )
See note on back regarding River Basin rules.
Permit Officer's Signature
0 r /zk:'/as
Issuing Date Expiration Date
A
I
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
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:
_1 Tar - Pamlico River Basin Buffer Rules Other:
D 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 (910-395-3900) for more information on how to comply with thesebuffer 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 / 1-888-4RCOAST
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
151-B Hwy. 24
Hestron Plaza II
Morehead City, NC 28557
202-808-2808
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
910-395-3900
Fax: [phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
www.nccoastalmanagement.net
Revised 10/05/01

BROAD CREEK CONSTRUCTION 2634
PH. 252-745-4252
11 CREEKVIEW CT I66-112MI B MERRITT, NC 28556 1 /eg I 01901
$ '20o
BRANCH BANKING AND TRUST COMPANY
NEW BERN, NORjH CAROLINA
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9L
0Ij3 1012 11.
1600 2634

12/17/2004 08:48 2527454253 BROAD CREEK CONSTRUC PAGE 01
BROAD CREEK CONSTI?UCTION-, WC.
It Creekview Court N.C. General ContracrorS Lice rse #45686
Merritt, NC 28556 Office: [phone]
Email: flaw@coastalnet-com Fax: [phone]
Home: [phone]
.-C p- 0t5-P

12/17/2004 08:48 2527454253 BROAD CREEK CONSTRUC PAGE 02
I hereby certify that I own property adjacent to —2d 4. 'S
(Name of Property Owner)
property located at —R L)
(Lot, 331ock, Road, etc.)
on e, Q-r Pt'o r— , in _ Ck 1M �,� D • , N.C.
(Waterbody) (Town and/or County)
He has de= --bed 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 fined in by indivfdual proposing development)
IN
Prins: or Xype Name
Teln,?hone Number
Date;— / 'e)T
z

12/17/2004 08:48 2527454253 BROAD CREEK CONSTRUC PAGE 03
I hereby certify that I own property adjacent to IS
(Name of Propert Owner)
property located at
.
(Lot, Block, Road, et.c.) '
on _hLau twoe in — A�dZ N.C.
(Waterbody) (Town and/or)tounty)
He has described to me as shown below, the development he is proposutg at that location,
and, I have no objections to his proposal.
DESCP-HM0N-AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be fitted in by individual proposing development)
1
1 e
3p� I
i
I
1 1
1
,
1
1
rLL-e.,&
e.
Signature
Print or Type Name
—,I.'-9 00SY9
Telephone Number
Darr: nL CJl%u2,00*