42746_JOHN SHEPPARD BUILDERS, INC._20050901

-CAMA /,7 DREDGE & FILL
GENERAL PERMIT
CNew ❑Modification ❑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 I SA NCAC
N+u�
Previous permit #
Date previous pern t issued
❑ Rules attached.
Applicant Name ✓ J '" Project Location: County
Address '� U �Ix Street Address/ State Road/ Lot #(s)
City
State t� ZIP
Phone # (?�) 7 i J ` 7-r q Fax # ( ) Subdivision s
Authorized Agent A Us / (!e- �>t11i• City t '' t ZIP Pi
Affected E CW 0EW P-PTA E3CS ❑PTS Phone # ( ) River Basin
-OEA =iHHF ❑IH ❑UBA ❑ N/A j ,., �.✓ l
AEC(s): Adj. Wtr. Body (nat�/man /unkn)
E PwS: ❑ FC:
ORW: yes / no PNA yes '/ no Crit. Hab. yes / no Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) length
Platform(s)_ _
Finger pier(s)-
Groin length
number
Bulkhead/ Riprapiength
avg distance offshore
max distance offshore ` J
Basin, channel
cubic yards_
Boat ramp
Boathouse/ Boatlift
Beach Bulldozi
Other
Shoreline Length
SAV: not sure
yes
Sandbags: not sure
yes
n
Moratorium: n/a
yes
L3'
Photos:
yes
n
Waiver Attached:
yes
n
A building permit may be requirea Dy:
Notes/ Special Conditions
/I I n
Agent or Applicant printed Name
Signatur ` Please read c hipliance statement on back of permit
Application Fee(s) Check #
(Scale: ("IfF )
U aee note on oacK regarumg River Dasu+ rules.
rerma wnwer s aignature
Issuing Date Expiration Date
U p
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:
.__ Tar - Pamlico River Basin Buffer Rules Other:
Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmer.-,al 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/ 1-888-4RCOAST
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,
Onslow -below New River Inlet- and
Pender Counties)
Revised 06/29/05

12/04/2004 06:57 3363420123 JEFF JOHNSON PAGE 01/01
I heraby Certify that I awn property adjacent to
prtPert(Namc of �rapert� awsserj ""`--�s
y k1caw a
!]:ot, Sxack, 7l il, etc.) ,
on
w
( in
atexhody} (Tovt analor C ) , N.C_
8e has dew tu me, a;; shown below, the develop menr he is
Pr'P°aing at fttac
and, I have no objections to his prvow'
DESCP'rP7',I0N ,lt►R DRAG flF P�.OFpS�D DF.'V�' (TO be fxilecT in by rrr�'iuuttrr aIFroPesil,g devalnprnent)
t
1 7 �L 40
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( A
Sty ' - J
CFF W . J oSe,
isrt or Type Nazme
�zo lot
TEi�hone Nurr�bc2'--�-_.�
i0 3evd Df1 uSNI33 N3-34D GVCPJH 5006/LI/60

Af I hereby certify that I own property adjacent to
s
(Name of Property Owner)
Property located at,�
17:ot, Block, Road, etc.) .
on
N.C.
(Waterbody) (Town and/or County)
He has described to me w; shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
DESCRIPTION AND/,(-)R DRAWING OV PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
UOT
Signature
Tint or Type Name
Telephone Number
Date:

BROAD CREEK CONSTRUCTION
-D PH. 252445-4252
11 CREEKVIEW CT.
MERRITT, NC 28556
BRANCH BANIUNG AND TRUST CO MPANY
,NEW §ERN, NORTH OARokmA .
3224
ow, a�/ �/J 66-112/531
01901
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