63475_ETC Custodian and FBO Katerina Braman_20181213

CAMA /"D'DREDGE & FILL" '6 0 !7r
No.", 7295
-C D
k, �GENERAL
A` .'B'
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Previous-perrhit ;R A GENE L-PERMIT—
on oMp pte Reissue, ElPiftial'Reis'sue, ­d,
Date prbvious�permit ssue
UNek: ❑`.-IlModificati 1jC
iiuithorized, by.ike;Statii of North taroliria 'f Envrcifirnental Qliva ,Depaftmenti _q:, t
Is
y
Resources Commission in an,area.oT environmentalconcern p -
;and the Coastal Resources to 15A.NcAc'-
KRUIes,attiched,., , s"
Appliciant I op County,
Pr
oject: Location:
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AddTess_ Street Address/'State RdadPL t.
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zip
Phone
E-Mail
Subdi'vision,"
A 5, Autk'orizM *e6t City- •7 ZIP
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Affected ­• , .,- �V . I , , . f/
El OEA El HHF, El 1H El UBA 0 NIA
(/ea7n).,/ukn
,AEC(s): Adj. Wtr. Body nat'� 0 PWS:
PN ORW: yes / A -Closest Maj. Wtr'. Body ZQ_,,4422
Po ' S no
Type -of Project/ Activity
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Pier
Float
Fingi
groij
-.Bulk
Bash
Boat
Bow
Beac
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e_
(Scale:
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A'builcling,permit'may be required by:
Local, Planning jurisdiction)
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-Notes/ Spioic:iall Condition
NDDlicant Printed. Name
, ''** P �( d i I Ii
1�,.rwrayre, klasej-94 cpmp iance statement on back of permit
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Ap/(Hfi�con Fee(s)Check #,
See note on/back regarding River, ;Basin rules..
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Permit pffiqer's Printed Name
Signature'
Issuing Date Expiration Dater

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AOJACiNT-klPAKlAN,,PROPEk-T-Y 6v1
STATEMENT
-ceftify.that 1, own- prope4 acfjacenttb ETC.Custodiah' FBO,Kati6fi'na:Braiina6,,!RA.-,S-
(Name of 'Pk6p'_iarty'Own_er)
-property�:Hwy :45
, located -at
(Addr4ssi,L6;j-Bl6dk; Rbad,-'ef6j'
f in, Swandua'rtiler;:H QA eouhItIVL.
(VU,
T
#PM64y), (tity/Tdw-h 4ndIdr-.C-6unty)
The, apOucani:has- deseribed'-,fo -me, as shown below, the development proposed at the above
16c . atiqp_
.1 have no.objection-to this proposal.
I h@ye.,qbjeonj��tp-,Ois proposal-.
0 _tClRiPTION AhDibR-_bFzAwjNG,-_.OF PP.6,P�OSED"DEVELOPMENT E
[=koLoAngrd �LV-6-146*
0
WAIVERSECTION
t,iffiderstand that a. pjjer_06ck, mooting pilings, -boat. ramp, -br6akwater­ - bpathouse, lift, or groin
MI amimcni -my.area, of.'ripa : Han acre : ss�'unles§ waived
m6_.(jf,YRQ.wistI_ o-,wa-ihe, adk,_you in 06si,ihAlai the appriopriate Blank below.)
1-66,,wi'sh-t"ov-Va'iVe^tfi6:15'setback �reqpltement.-
I.-do:fi6t,_Wisfi`t6_waive the 151-setback requirement.
(OtdbdrtvV_Owne"r uffoimatfid_111` Adlac"PrbOertv dwM*44drmailonj
C 27
addh��,
-1 1
or
Cor-A,
PrPit o-r Type Name'
0 A;,-2�0 - 30 192,11—r.
Madifig Address. c
5t%'A 6N, 61 __
'I'Y/Vre 0 9 2 a' 7 2-
Tel6ph666 Nurnber-16070 dddiess
Dafe*
(Revizedkjg 2014)
*Valid.forone-calehdar,.v6a,rafter signature`

ADJACENT -RIPARIAN PROPERTYOWNERSTATEMENT
1-hereby-ceffify that lown-property:Odjacentto ETG.Custoclian FBO Katet-ina-Braji-rian, IRA.
(Name. - of Property-Ofter)
PTIOp6rtv ib tat6d. at _Hwy 45-
-(AddTeSS, Lot., Block; Road. etc:)
on -Wrfih Ditch in _ Swan Quarter; Hyde IountY
(Waterbody) (City/ToWh and/or County).-
-the applicant has- describedto me,. as shown below,. the dev6lopment-prpppsed -at--Ahe above
loca6 on_
-1 have --noobjection to this:proposal.
:1 have_objpclion-s -to-this-proposal,
,,.-DESCRIPTIONANDIORDRA-W,,ING-.OFPROPOSED DEVELOP.M--E,..N,T--'*-'--"
Di'q out-Ben.IyTarfin'ditch
WAIVER SECTION
LunderstandAhat-'ap F, dock, -mooring pilings, boat -fa - rnp. breakwater,-'Aoathouse, lift, or,groin
. mutbe's4f'6ack- a---Minimiu-n AistafOce- Of . 15'! frbiii t'ny-af6a,q,-d'O 'r p -fao. acceit§ unless waived by
me-. (it y6y wish* idWaivia-thesethatk, yog"Muit initial the qpOr6pbAte-bl8rIkIb&Iow.)
LI 4&—,, 1 -d6 wish- to waive'Ahe,-W, setback requirement._
-I donotwish- 16 6--waive.the 16 'sitliackre4uirement
(Or qpA- bfter fnfbfindtton) (Adjade*ntProp4iiy.Owndt,lrifd-rm*
NI
MiAng .Address
S,,ran Quarter,-NC-2 885
Ckstatez,
61-2221355�.
. ope Number- 1ma' -6J"I.-addre S-'s
61V I - T
Walid for one calendaryearafter signature,
..7 7/64,
.2 ey
DatO
(ReyisedAug--20-14)

ADJA(%NT-_MFARIAN PROPERTY OWNER STATEMENT
X,
I,ti
6te1 b
- certify
t . 6 , ifyth& 1 6w6 q,-6r6p�-a4jaceht'tq, ETC'Qusto'diaih FBQ'Kaforin�,n -a,Braan IRA s
ft
Winer (N6ine�,of Prop erty'-M
prd_­�4 dfe�dai j4.vqy,45-
property I.orc (Addte_.ss,..Lo.t, Block, Road;:etc.)
inS,,van,QtHyde",Couiity, N.C.
.. Liarter,.
'(Wpteir body)'(City/Town-and/or County)
The -applicant -has describ6d,to tne, as -shown below, the develophient proposed at -the' above
16ca on.
'n 01JI ction-to this.prqp6§a 1.
I ha:Ve;,6bjQqo!*_tb't,fiIs pos'61_
OF PROPOSED DEVELOPMENT
WAIVER'_ SECTION
u M
V: "6r _dAhaL`a­pi0r, dock b. 6akWhter, boathouse, HfL� 6T;,qpoln
mooring' pf ipg& boaVrEimp­
R,, m-inimum"d Mu be _sL istanc'e-6t,'-15"*,,fiorh..mV,- area- of,vparian-acc6ss, unless, Wai%fed'b y
Me. (Ifyou wish thvaive_-:the.setlatk,,ybu must initial the appropriate blank below.)
I d_6,,Wish4d_WaiV.e_theA5' setback reqpifeffient.,
wish I 5'�se. ack requirement
io ido.6hj &W-ne'446rmition)
Ti`p 16� r"kf rmait "n"­ r
- K2ft4riha,Br@man
Print ot Type Name
Mailing -Address .
CHYISWOOP
Te�fepW7Nurpber 6m47ac(divss
Dafe*
(Revised Aug. .2014)
*Valid'for onexalendar year -after signature''

'ADJACENfAiPAMAN PROPERTY 6WNER8TAT-EMENT
'Custodi'a-n.FBO-Kafierina.'Bramzj IR ,s
:irt1fy-,t-, 6 fbwiirpiooerty- a*djac-dnt'to E-TC_
(N6me,bfFroperty:Owner-)
A"
praj3erty tH
-�an,,
on;, :S1, Lfari yde,c X
.(Wdt4tb6dy)" -(CityMowh 'and/oft-06uhty),
The applicant has -desciibed-to,me, as shown below, the clevelopmeht-prioposed at the above
-16catiom
-1 have,-po,'oojoqtiq!i.to.this,propqsal.
-h �oble�ction§.tb-.this J proppsal-
bEt-CRIPTION AN&IOR-. DRAWING, OF PROPOSED DEVELOPMENT
g)
Di-g,c,ut-,Be0v,1arti--n ditch
WAIVER -SECTION
pii - ----- akwat6r,bo6thou�e, Ii
1: boat-. rarrip,,� bre ft; �,a groin
Guini rst-
r ri'
muk be,§e,.,,b" k" minimijm �dfstdn'ce o m, my �i-
ac, a, dpp_ an acces§,uhless�Wa"Jved by
if--Yo-,U,,,Wkswwpivt!th,e,qe "dk,yop must initial the 'appropri6.bI6nKbeIow-)-
,at
1, d6. wigh,to waive -the 15' setback requirement.
I db not -wish to waive the 15' setback requirement.
(Proi (Adjati6f0r.'60L rmation)
-'264-.--Main,Street-
'Mailing Address, I
S�v6 q: Q - u - arter, NC27885
C11NIVSt - t&Z , , -
1� a -21355-
5-61-22 -- -
(Revised Aug 2014)
Wdlid forone.dalendai-year 'after signature'

NC Division of Coastal Mgt.. Habitat Impact Computer Sheet
Applicant: r"r' iGi01 F� �C7 Imo!/'��t5 ,t3/�� v►
Date: 1-3 04z4 kT_
General Permit #:a�
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
Habitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount)
Dredge] Fill ❑ Both ❑ Other ❑
�,�9
j
Dredge ❑ RIX Both ❑ Other ❑
Dredge ❑ Fill Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
252-808-2308 :. 1-356-4RCOAST a. www.nc;ceastalmana9,enjent.not revised:02/03,'1tt