40778_KUZLOW, CHRIS_20050201

('ICAMA / `DREDGE & FILL
GENERAL PERMIT Previous permit #
-iNew LIModification -Complete Reissue -:Partial Reissue Date previous permit issued
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
Rules attached.
Applicant NameProject Location: County______
r
Address_ i Street Address/ State Road/ Lot #(s)
City +' State _ ZIP
Phone # Fax # ( ) Subdivision
Authorized Agent City__ t� �' " " ` ZIP -� y
Affected 0 CW F� EW PTA -� ES PTS Phone # ( ) River Basin
❑ OEA -i HHF FAH - UBA N/A
AEC s : Ad'. Wtr. Body' nat /man unkn
❑ PWS: FTC:
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/ Riprap length _ L !
avg distance offshore
max distance offshore _
Basin, channel
cubic yards_
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other -
Shoreline Length
SAM 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
(Scale: )
ffi-9ee note on back regarding River Basin rules.
Agent or Applicant Printed Name Permit Officer's Signature
Signature ** Please read compliance statement on back of permits Issuing Date
Expiration Date
v}l,yA
Rover File Name
Application Fee(s) Check # Local Planning Jurisdiction

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:
[_', T - Pamlico River Basin Buffer Rules [ _I 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 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:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888-4RCOAST
Fax: [phone]
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
MERRFTT, NC 28556
BUT
BRANCH BANKING AND TRUST COMPANY
KERN NORTH CCAROQNyA�
_ f-~ k—mS u l LLJ �I
1:0 5 3 10 L L 2 Li: 5 2 900 5 1 1601110
�L,
2672
2672
66-112/531
Mal

COASTAL MARKETING 252 633 S027 01I13rOS 02:15pm P. 001
01r10!2005 07:39 2527454253 BROAD CREEK CGNSTRUC PAGE 01
I hereby certify that I own property adjacent: to 15
(Name of Ps
rope y Own "",
Pzoperty located at Lof it 3 J thine i oan4 ►n
(I Ot, Block, Road,
N, C'
(Waterbody) (Town and /or'Co.nty)
He has descn'bed W me as shown below, the devf4opment he is progosing at that locadon,
and, I have no cbjecdons to his proposal.
1
I
DESCRUMON AND/OR DRAG OF FROPOSED DEVELOP1VmENT
(To be Jelled in by individual pruposing development)
S9 1
r 60'riP. rap srawn.l
1 KuziW Qroptrty�
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Prim or Type Name
R-�. - �33 -- �r q
Te!e7p ione Number .—.._.1 ._
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COASTAL MARKETING 252 Gas G027 01113105 04:27am P. 002
COASTAL MARKETING & DEVELOPERS OF
Pelican Point
DEVELOPMENT COMPANY ATY
"NORTH CAROLINA WATERFRONT SPECIALISTS' Bay Shores
The Mo wiw
The Oaks
Mitchell Harbour
Shine Le dng
Rimr shore
gl9I L c rd C'« f ropes
q ir�Ax VA �-�030
70 3 ,-, q 3 - 3007
elmaf c - hswiahm! e. e oto1. con.
(rodvvol xe t �e[i n Gut / l Sf ✓L
800-566-5263
309 MIDDLE STREET • SUITE # 9 • NEW BERN, NC 28560 252-633-6091
www.coastaldevelopment.com FAX [phone]

I hereby certify that I own property adjacent to tom( I S «zi W 's
(Name of Property Owner)
property located at Lvf # 31 Shire Land rA
(Lot, Block, Road, e1x:.)
on in_.3'm l Lco_ Count iy , N.C.
(Waterbody) (Town ;and/or County)
He has described 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 filled in by individual proposing development)
A —A- Dawson C,rcek!,.A, I
59
l 5,
40�ri�i_ra� Seawai� '
jCuzrW �r0�erty _I
Slzriature
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Print or Type Name
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Telephone Number
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