45774_MELTON, DENNIS_20060619 (2)

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DREDGE
GJENERAL PERMIT
Previous permit # r
New ❑Modification ❑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
Applicant Name
C �le�s attached.
Project Location: County
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Address �� 1-7 err^,, `O��y
Street Address/ State Road/ Lot #(s) `t
State IV �IP d�7
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Phone # PO ��� ��r! Fax # ( )
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Subdivision �
Authorized Agent` C�'�'' `gAA
City-'
-rEVG &VTA 0 ES ❑ PTS
Affected
Phone # ( ) River Basin �-
AEC(s): ElOEA ElHHF ❑ IH ElUBA ❑ N/A
/ _ —_ ,O
Adj. Wtr. Body W `^ `" �' ` nat Jman unkn
❑ PWS: ❑FC:
ORW: yes / � PNA �' / no Crit. Hab. yes / no
Closest Maj. Wtr. Body P� ��^
Type of Project/ Activity
Pier (dock) length 'ry
Platform(s)
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
(Scale: N
iVIA.:
Y
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P.A
Shoreline Length 7 - V I - P/
SAM not sure yes j� ---
Sandbags: not sure yes n 1 4 y .-_- - N' 11- 1 (Y�orJaJ►`
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Moratorium: n/a yes n f l
Photos: yes n
Waiver Attached: eCAP
s
of AJO ``
A building permit may a required by: Y `^ " ❑ See note on back regarding River Basin rules.
Notes/ Special Conditions Q Y �' N`"�` �`���i� a"� ' �J ^'� 4v� `�'�` -
Agent or Applicant Printed Name
Signatu "Please read compliance tatement on back of permit"
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Issuing Date Expiration Date
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RCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor Charles S. Jones, Director William G. Ross Jr., Secretary
June 19, 2006
Broad Creek Construction
ATTN: Fran Law
P.O. Box 268
Merritt, NC 28556
Dear Mr. Law:
Attached is General Permit #45774C
In order to, validate this permit, please sign the permit as indicated. Retain the white copy for
your files and return the signed yellow and pink copies to us in the enclosed, self-addressed
envelope. If the signed permit copies are not returned to this office before the initiation of
development, you will be working without authorization and will be subject to a Notice of
Violation and subsequent civil penalties.
We appreciate your early attention to this matter
Si erely,
Stephen Lane
Field Representative
lsb
Enclosures
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] \ FAX: [phone] \ Internet: www.nccoastalmanagement.net
An Equal Opportunity \ Affirmative Action Employer — 50% Recycled \ 10% Post consumer Paper

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILLNGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to PPNN /S i Tsl.1vA me P TON 's
(Name of Property Owner)
property located at L of B , tA)N 0 A ! 0-'y 114qR 40A- SP-0 WVi'A e ele-I--U
(Lot, Block, Road, etc.)
on -B/Zvw/YS (I -Reek ,in'pAmtico C Nh� 4e/LRi ff- N.C.
(Waterbody) (Town an 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. I understand that a pier/mooring pilings/boatlift/boathouse
must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless
waived by me.
I do no wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
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Print or Type Name
Telephone Number
Date:
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOOKCVG PILINGSBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to -Per?A .s f 1_41V/j %-le 1�oly 's
(Name of Property Owner)
property located at Lpf 8+ IVAuK I oiY (3ROa1N.s 6zPPle- ��
(Lot, Block, fload, etc.)
on 73/zVWt'4.5 - in Am ieo �ou�a—�� , NiE22r7f ,N.C.
(Waterbody) (Town and/urlCounty)
He has described to me, as shovrn below, the development he is proposing at that location,
and, I have no objections to his proposal. I understand that a pier/mooring pilings/boatlift/boathouse
must be setback a minimum distance of fifteen feet (15') from my area of riparian access unless
waived by me.
t/ I do not wish to I waive the setback requirement.
I do wish to waive that setback requirement
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
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Si�tt ture
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Print or Typo Name
ephone Number
Date: :i -- / 7`' 6 4.
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