39665_GIACCHINO, BEN_20041013

`D 1'4
CAMA / DREDGE &FILL
GENE AL PERMIT Previous permit# f
,1
New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued i:%
As authorized by the State of North Carolina, Department of Environment and Natural Resources
and the Coastal Resources Commission in an area of envir ine tal concern pursuant to 15A NCAC
(-1 Rules attached.
Applicant Name''" (s ' ca C Project Location: County
Address Street Address/ State Road/ Lot #(s)
City ; State ZIP-T
Phone # ( ) �' Fax # (} Subdivision
Authorized Agent
City `' ` ` ' '` r
ZIP
CW
DEW El PTA C}ES 0 PTS
Phone # ( ) y_.
River Basin
Affected
AEC(s): OEA
❑ HHF IH ❑ USA ❑ N/A
Adj. Wtr. Body i f `''
(
(aat /man /unkn)
El PWS:
❑ FC:
Closest Maj. Wtr. Body
ORW: yes / no
PNA yes / no Crit. Hab.
yes / no
Type of Project/ Activity
(Scale:
tV o ,% (�L )
Pier (dock) length
j
Platform(s)
Finger
fv
'
pier(s)—
i
Groin length
number --
Bulkhead/ Riprap length
avg distance offshore =�
max distance offshore '� s
Basin, channel
cubic yards i
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAM not sure ' yes no —,-- —
Sandbags: not sure yes
Moratorium: n/a yes
Photos: yes41,61
_
Waiver Attached: yes no -- --
A building permit may be required by:
Notes/ Special Conditions
E�ilee note on back regarding River Basin rules.
'l J .
Agent or Applicant Printed Name f Permit Officer's Signature
Signature "Pleasereadcompliancestatementonbackofpermit Iq Issuing.Date) �/j Expiration Date
J
Application Fee(s) Check # Local Planningf urisdiction 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:
J Tar_-amlico River Basin Buffer Rules ❑Other:
LQ4euse 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
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888ARCOAST
Fax:[phone]
Elizabeth City
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
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.nccoastaimanagement.net
Revised 10/05/01

�BBROAD CREEK CONSTRUCTION
PH. 252-745-4252
11 CREEKVIEW CT
MERRRT, NC 28556
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MERRrrT, NC 28556
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09/14/2004 12:00 2527454253 BROAD CREEK CONSTRUC PAGE 02
I hereby certify that I own property adjacent to T�7 ,
(Name of Property Owner) $
property Located at l.0-� gi �/ R.vrx
(Lot, Block, Road, e,"'c.)
on
in L�,����
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(Watet-body) (Towel and/or Ca nty) N. C,
Re has descn'bed to me as shown below, the development he is proposing at that Ivcaiion,
and, I have no objections to his proposal.
DESCRIPTION AND/OR DRAWNG OF PROPOSED DEYELOpM.ENT
(To be.,Wed in by ia&Yidaal pn,F=osing development)
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09/14/2004 12:00 2527454253 BROAD CREEK CONSTRUC PAGE 03
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09/14/2004 12:00 2527454253 BROAD CREEK CONSTRUC PAGE 01
BROA_D CREEK -P.O. Box 268� �����.
19725 NC HWy 55 E
Mearrirt, NG 28556
fie: (2s2) 745-42.52
Fax: [phone]
Ltd to:
Office bcadm 7- LO
0ff i�
F'ax mnnbe�,
252-247-3330 P h o m "U'
0 �J"O:"" C] Rqlh ASAP mot; n
Your
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