43589_EGAN, BILL_20051122

L� ­CAMA -I DREDGE &FILL
l
GENERAL PERMIT
Previous permit #
❑New JModification LIComplete Reissue El Partial Reissue Date previous permit sued
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 Name Project Location: County
Address Street Address/ State Road/ Lot #(s)
City State ZIP >,
Phone # ( ) ; ' Grp Fax # ( ) Subdivision
--- -- - - - - ---- ---------------
Authorized Agent N City_ ZIP
Affected ❑ CW ❑ EW I PTA ❑ ES ❑ PTS Phone # ( ) River Basin
AEC(s): ❑ OEA ❑ HHF - IH '1 UBA ❑ N/A Adj. Wtr. Body __-_-____- _ — ---_-__(Rat man /unkn
❑ PWS: ❑
ORW: yes / no PNA yes fno 'I 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
avg distance offshore_
max distance offshore
Basin, channel
cubic yards_
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAV. 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
Agent or Applicant Printed Name
i
(Scale: )
See note on back regarding River Basin rules.
Permit Officer's Signature
Signature Please read compliance statement on back of permit
Issuing Date Expiration Date
Application Fee(s) Check # 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 [)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:
L] Tar - Pamlico River Basin Buffer Rules El Other:
_f 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 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
Fax: [phone]
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 Mail
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

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NOV-16-03 WED 09:39 Am J F KENNEDY '517 662 6191 P.02
t hereby cmrdfy that s own sty adjacent to ,^ NJ 's
(Nfane of Property Owner)
FmpcM boeamd at
(T'a)i; Mock. Road, etc.) .
ont1'^ -,vt ka J� N.C-
(Waterbody) own and]or (, linty)
He has deserg)ed to the as shovm below, the deveIortnene he is ptoposing at that locadon,
and,1 have no objections to his FiMIPOW.
DE5CRI]MON AND/QIZ DRAWING OF PRO'POSED DEVELOPM M
e•jv, (To be fuTed in by fn&Wual propaAig devel"eat)
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Print at Type Name
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Telepho v: Number
Date: L/0- / 4 , 2yU 5
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I hereby certify that I own property adjacent to _5zLL )a-r it i s
(M, me of Property Owner)
property located at __ _ K. L'� � C .
(Lot, Block, Road, etc.)
one ��f� _, in ` CAI , N. C.
(Waterbody) ('Town andlor County)
He has described to me as shown below, the develoF ment he is proposing at that location,
and, I have no objections to his pic►posa.i.
DESCRIPTION ANDMM' DRAWING OF PROPOSED DEVELOPMENT
(To be filled Zit by individual proposfla development)
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Print or Type Name
Telepho ie Number
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BROAD CREEK CONSTRUCTION 3694
PH. 252-745-4252
11 CREEKVIEW CT ` ✓
0190
MERRiTT, NC 2855&9572 Cower / 66-1 1
019D1
_ / I� $ '40O a
BST �' >`
BRANCH BANKING AND TRUST COMPANY - W
NEW BERN, NORTH CAROLINA /t
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m:0S3101120:S292?846,i 94 .