41973_KING, MIKE & HSICH, SHIA & SHUNG, IMAG & PACILLO, ARLENE_20050722

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CAMA CSREDGE &FILL IV}
/' /i.973
GENERAL PERMIT
Previous permit #
JNew Modification 7Complete Reissue ClPartial Reissue Date previous permit issued a' {
As authorized by the St7orh Carolina, Department of Environment and Natural Resources
and the Coastal Reurcemi 'on in an area of environmental concern pursuant to 15A NCAC
Rules attached.
Applicant Name �1►� `' jr'. /JA J f�%,�� Project Location: County
Address ``" Street Address/ State Road/ Lot #(s)
City i,//f"Od State/V 7 ZIP jr7 "'
Phone # (b �� '' J1 ' Fax # ( ) Subdivision
Authorized Agent 4 (-' `'' G` `''1 ' City �'.1 "'�` ✓ ZIPS'
Ll CW QEW Ei-PTA El ES ❑PTS Phone # ( ) River Basin IV
�``
Affected ❑ OEA ElHHF ElIH ElUBA El N/A AEC(s): Adj. Wtr. Body e-. at an /unkn)
❑ 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) % J
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ram
(Scale:✓�"� )
i
_
{
�
l oo j i,
r`
J
Boathouse/ Boatlift
Beach Bulldozing
Other<'
Shoreline Length
SAM not sure yes
Sandbags: not sure yes ro
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
c _ J
L .\A
Agent or Oplicant Printed Name / >
n
Signature Please read compliance statement on back of permit"
�11 r
U See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Date x iration Dat
Local Planningjurisdiction Rover File Name
Application Fee(s) Check #

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 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 (910-395-3900) 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 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)
Morehead City District
151-13 Hwy. 24
Hestron Plaza 11
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

DIVISIO. OF COASTAL LNULNAGEvLI:`T
AiDiACE`T RIPtIRIAN PROPERTY OWNER NOTllF ICATIO.NAV 1I`'ER
` FORA
Nance of individual applying for permit:
Address of property: Sl`J!/�- l._1/fix �. ,/J)«zN: ref. S'i o c_ /Jsl �l/� .-Y 4'/A
...... ......,. H .tr—t nr read)
(City & county)
I hereby certify that I own property adjacent to the above referenced property. The
individual applying for this permit has described to me (as shown on the attached
drawing) the development they are proposing. A description or drawing. with
dimensions, should be provided with this letter.
I have no objections to this proposal.
Ifyou have objections :o what is being proposed, please ;Trite the Division of Coastal
Management, 400 Commerce Ave., Aloreltead City, NC 28557 or cull [phone]
within 10 days of receipt of this notice. No response is considered the same as no
objection Ifyou have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift or sandbags
must be set back a minimum distance of 15' from my area of riparian access unless
waived by me. (If you wish to waive the setback, you must initial the appropriate blatilc
below.)
I do wish to waive the 15' setback requirement.
A_ I do not wish to waive the 15' setback requirement.
Signature Date
Print Name
Telephone Number With Area Code
PP 19a, 0

DIVISIO\ OF COASTAL itLV AGE,tiIl tiT
1 ADJACENT RIPARI —N PROPERTY OWNER L OTIFICA'1*10. /WAIN'EId.
FORM
Name of' individual applying for permit: 4,/- -:23
Address of property: SAAje Lf1No1,A-y
r
(City & county)
I hereby certify that I own property adjacent to the above referenced property. The
individual applying for this permit has described to me (as shown on the attached
drawing) the development they are proposing. A description or drawing. with
dimensions, should be provided with this letter.
.A--" _ I have no objections to this proposal.
If you have objections to ;vhat is being proposed, please write the Division of Coastal
Management, 400 Commerce Ave., Morehead City, NC 28557 or call [phone]
within 10 days of receipt of this notice. No response is considered they same as no
objection if you have been notified by Certified Mail.
WAIVE,R SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift or sandbags
must be set back a minimum distance of 15' from my area of riparian access unless
waived by me. (If you wish to waive the setback, you must initial the appropriate blank
below.)
I do wish to waive the 15' setback requirement.
_ I do not wish to waive the 15' setback requirement.
J Gl ce 1/�4
�i _''
*_ature�' DMe
47 b PR S a r ` i��� • v 3 c} u m p -� .� .q 1.9.E L
Print Name �'� /� ''/ C P
Telephone Number With Area Cute

DIN1SIO. OF COASTAL INIANAGENIE T
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONAN'MVE• R
FORM
Name of individual applying for permit: ��' / ,,).3
Address of property: -JJ/7'/NC 21 LA
n IN :rr..,•r nr mad l
(City & t_ounty)
�o9�vSc.� Gre e PIlt
I hereby certify that I own property adjacent to the above referenced property. The
individual applying for this permit has described to me (as sho xn on the attached
drawing) the development they are proposing. A description or drawing. with
dimensions, should be provided with this letter.
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, 400 Commerce Ave., Morehead City, NC 28557 or call [phone]
within 10 days of receipt of this notice. Na response is considered the same as no
objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift or sandbags
must be set back a minimum distance of 15' from my area of riparian access unless
waived by me. (If you wish to waive the setback, you must initial the appropriate blank
below.)
I do wish to waive the 15' setback requirement.
.>�, I do not wish to waive the 15' setback requirement.
Signature Date
Alhyll? I/,- pie 61 il us
Print Narne
'5`/ 792. �?G 59'
Telephone Number With Area Gxte
'?/G 6 F 19,v PO -. -le c' T
1/9

DIVISION OF COASTAL NLI AGEM NT
ADJACENT RIPARI:%- PROPERTY OWNER \OTIFICATION/ l'AIVER
FORM
Name of individual applying for permit: �� 3
Addt ess of I;roperty: _ _ ' 7 _-
n... ,._ ........ w ...r nr mad)
(city & Lounty)
%� 19zc>1' cry Crrt. toe
I hereby certify that I own property adjacent to the above referenced property. The
individual applying for this permit has described to me (as shown on the attached
drawing) the development they are proposing. A description or drawing, with
dimensions, should be provided with this letter.
X_ I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, 400 Commerce Ave., Moreheatl City, NC 28557 or cull [phone]
within 10 days of receipt of this notice. No response is considered the Sallie as no
objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift or sandbags
must be set back a minimum distance of 15' from my area of riparian access unless
waived by me. (If you wish to waive the setback, you nitist initial the appropriate blank
below.)
I do wish to waive the 15' setback requirement.
X I do not wish to waive the 15' setback requirement.
zzy
ignature Date
2c f 9 ;)- d A.2,2 t,Saw
Print Name
y/3 �7% L/Fln0,"
"Celephone Number With Area Code
S pi/t.> C' C:2 o U C P'0/ 0<
S'o a f/ f��� ! py '77 .9 0v c) 257'
Pet,j �trtR I ASS
cy►as-

DIVISION OF COASTAL INL:_NAGU'VLL T
ADJACENT RIPARI:L\ PROPERTY OWNER NOTIFICATIONAN-M``1?R
FORM
Name of individual applying for permit: �e,� / 'U
Address of property• S11,,Ne ZAA:a.� /7�G2,c s S.,o C PWi &C
'I,.............H .•..Anrrnad) `
(city & Lounty) - — —
,/�.9 e ic.� (A V" e �
I hereby certify that I own property adjacent to the above referenced property. The
individual applying for this permit has described to me (as shovti'n on the attached
drawing) the development they are proposing. A description or drawing, with
dimensions, should be provided with this letter.
I have no objections to this proposal.
If you have objections to what is being propose(l, please )write [lie Division of Coastal
Management, 400 Canmerce Ave., Morehead City, NC 28557 or cull [phone]
within 10 clays of receipt of this notice. No response is considered the same as no
objection if you have been notified by Certified Rrail.
WAIVE, It SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift or sandbags
must be set back a minimum distance of 15' from my area of riparian access unless
waived by me. (If you wish to waive the setback, you must initial the appropriate blank
below.)
I do wish to waive the 15' setback requirement.
-I do not wish to waive the 15' setback requirement.
-- Signature el Date
Print Name
C - 6 - 3S' 1/' 1/.5iP 7
Telephone Number With Area Code

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BROAD CREEK CONSTRUCTION 3105
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