44761_MASTRODONATO, GARY_20060329

V
-1CAMAV `-]DREDGE & FILL
3
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GENERAL PERMIT
�ou
Previous pe mr` it #
[-!New' I (Modification UComplete Reissue
❑Partial Reissue Date previous per i 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
//-
Applicant Name [.Tw '� 11' % �� ° 9 `' `' ""
ules attached.
Project Location: County-
%
: =;
Address
Street Address/ State Road/ Lot #(s)
City _ State ZIP
Phone # ( ) Fax # O
Subdivision
Authorized Agent " r
City__ '� ` �j ' ._ ZIP_
ffrCW [9EW [9*tA 0fS ❑ PTS
Phone # ( ) River Basin
Affected
❑ OEA ElHHF ❑ IH ❑ USA ❑ N/A
AEC(s):
I ! — ✓A. c.� ' >�­ L
Adj. Wtr. Body j,.-J � ' nat ma ' unkn
❑ PWS: ❑FC:
ORW: yes / no PNA yes / no Crit. Hab.
Closest Maj. Wtr. Body_�l�`
yes / no
Type of Project/ Activity 0il4 - . i� i*,Lv-
OKJ 0Ae r tI ,F 7'�121-r �/PY® (Scale: )
Pier (dock) length —
Platform(s)_ ' _;,o
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
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/ Specials Conditions
Agent orApplicant Printed Nam.
Signature" **Please read compliance statement on
Application Fee(s) Check #
f
See note on back regarding River Basin rules.
3 2�05 Permit'Ufficer'sSignature
Issuing Date
i
City .
Local Planningjurisdiction
V
Expiration Date
J2::� s �a �
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, certifythat this project is consistentwith 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 (910-796-7215) for more information on how to comply with these buffer 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
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
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

I hereby certify that i ,, i.a,n property adjacent tolr��arne
p
y?�
of 1't-o a �j s
�' Sexier)
Property located oc at _
t.1.,,,t, Bloch, Road et
1a)-------__y
on � - f 4
(Wa body)t , N. C,
(Tov,m can lOr `COunt )
-He has descried to me &:.shown below, the develc E: men he is Proposingthat
locaizon,
and, I have no objections to his proposal.
DESCRIPTION ANDA."IR DRAWING OF Fl�i.f���
I DEVELOPMENT
�lL' (To be feu. Paz by hzdividua[ propoM.-zg development)
i it
i k 7(f
0 4`
Signaturf!
print or Type Name
rlepholf; Number
Late;

I hereby certify tizat Irn.,R 13r� y adlaeentpmperty located at
.,lat, Black. R®adi etc-)
9
on (Water
He has ae-'CTR7e-d to
me i�Gwn bela-�rv, the deveI a,: merit he is .Drop,, g at that 1 a and, I have no obiections to hji ?:r S ,,,
110i' i AN�.aE� -HIR DRAWS € F
L� "- �i•°i �y �aLGLbvca.6lLLll
i
s
I
7S-n�a �rure-
i'LITIt or '� yPe i arne ""---
Teieph0-,,! Number
Date- ?/ 7l,%4

Broad Creek Construction, Inc.
P.O. Box 268
Merritt, NC 28556
Phone: [phone]
Fax: [phone]
Email: I nt,.O kConstruction.g+_M
www.6-oadCrookConstruction.com
Fimm
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03/28/2006 10:38 2527454253 BROAD CREEK CONSTRUC PAGE 02
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BRANDON MANSOUR
134 LEONARD DR.
NEW BERN, NC 28560
THE
66-7704/2531
08629187024
7,
2084
—1 $� ..>.
State E
m loees' Credit Union-
Washington, North Carolina
MEMO
253 177049l:08629187 2084
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