76463D - Broadfoot

%LAMA / ❑ DREDGE & FILL N9 76463 A B
PENERAL PERMIT Previous permit#
kNew ❑Modification []Complete Reissue ❑Partial Reissue Date previous permit issued
-ized by the State of North Carolina, Department of Environmental Quality
:oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC U Z
` ❑ Rules aattached.1
t Name 'r DAr v0, �P:Ot Project Location: County
-TCJG C` Street Address/ State Road/ Lot #(s)
v _ c kc. f1 State S � C ZIP Zcl{-y S n 14 r .
CO S /E_Mail Subdivision
edAgent mg uA.., S City S.J Oo1 ZIP 2 l`ks
,MW ❑ EW i8► PTA ❑ ES ❑ PTS
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
yes / no - PNA 6�1 no
Project/ Activity
�� vE
:k) lengt 2-C) `
Ittform(s)
Platform(s)
igth
nber
f/ Riprap length
distance offshc
x distance offsh
cannel
)ic yards
ip
se/ atlift 10 x i V
illdozing_
tiS1-rkC flQ
I /V` S\ t7 H
Phone # ( ) River Basin Lv
Adj. Wtr. Body L41 G �(_ ., t L, nC at_ r
Closest Maj. Wtr. Body l oCTCtI G o Go
is
Length
not sure yes sf r S G
jy? ..... r
cum: n/a yes
yes�.......... - —.._.. I....
kttached: yes V �+ l
ig permit may be required by:
_ocal Planning jurisdiction)
(Scale: Q 1
❑ See note on back regarding River Basin rt

Mail - Brock, Brendan O - Outlook
N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date -�7 2�? — Zy
Name of Property Owner Applying for Permit:
/2�/'/
Mailing Address:
I certify that I have authorized (agent)Aevz:s-to act on O1y
behalf, for the purpose of applying for and
//obtaining all CAMA Permits necessary to
install or construct (activity) 'S�f Ll' ?` !� HC� a Ve,< r't Ole r- /� k d geee5- E!
at (my property located at)
This certification is valid thru (date) 7 `1 Z-
Owner Signature
Date

Mail - Brock, Brendan O - Outlook
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION[WAIVER FORM
Name of Property Owner:��A� Iii.i-drT/ 1
�2 GSrti��•�— ?srr< sS�% Sum
Address of Property: �
(Lot or Street #, Street or Road, City & County'} I
Agents Name #: -;: ; i olYla S Mailir+^ Address: © it ly ""7� ZAI
Agents phone #: _ _ &ac-A NC 2 Q
I-ereby certify that. ' :':aerty adjacent to the above reterenced property. The individual
applying for this perr- ' - as Described to me as shown on the attached drawing the development
,,hey are proposing. ' -- - c,. on or drawng with dimensions must be provided with this letter.
0j_ki I have no objections to this prod : I have objections to this proposal.
ff you have objections to what is being proposecl. ; o-- must notify the Division of Coastal Management
(DCM) in writing wrtzhin lv days of receipt of t? 's ^otice. Contact information for DCM offices is
available at http Nww nccoastalmanagement.net_ .veb cm!staff-listing or by calling 1-888-4RCOAST.
No response is cones 'c'e-nc the same as no objection you have been notified by Certified Mail.
WAIVER SECTION
1 understand that a pier. dock, mooring pilings, boa! -amp, breakwater, boathouse, or lift must
be set back a minimu— distance of 15' from my area of riparian access unless waived oy me. (if
you wish to waive t' _ _e'cack, you must initial the appropriate blank below.)
1 ct _ waive the 15' setback requirement.
I do not ,, naive the 15' setback requirement.
(property information)
si��.� J
print or Type Name
Mailing Address
(Riparian Property Owner Information)
. L,1r' ` LL I- C
Print or i ype rvamc
140 1JAQA1m- &_ R d ..s�,
Mailing Address
I I
r'itv:StarP1, in

Mail - Brock, Brendan O - Outlook
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONNVAIVER FORM
Name of Property Owner:��-�'
r 7 !]. Al
Address of Property.
Agents Name #: 6&7Z-aa2aS
Agents phone
3.32 L11&f;51k
(Lot or Street #, Street or Road, City'& County)
Mailing Address:
A-) C_
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the developmeIt
,hey are proposing. A deschution or drawing with dimensions must be provided with this letter
VK _ I have no ohjec'ions to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at http•//www ncc oa s talmanaaement.net/web/cm/staff-fisling or by calling 1-888-4RCOAST.
No response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings. boat ra—c, breakwater. boathouse, or lift must
be set back a minimum distarce of 15' frem my area cf r'parian access unless waived by me. (If
you wish to waive the setback, you must initial the appropriate blank below.)
�— I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requi•ernent.
(Property Owner,�formation
) (Ripan Property Owner In ormat orJ
4M dj, ,
Print or Type Name
o :7--
Mailing Address
A/ aimrlc e z
Signature.
G/V
Prin4uType Name
Mailing Address
�sh I" 2g4s9
r-;+„/c#�se/7,n ---

Mail - Brock, Brendan O - Outlook
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner:Z
Address of Property: ' � S " " C 12W
i
/(Lot or Streeter#i, Street or Road, City & County)
Agent's Name #: / ` / v, �/� t Mailing Address:_
Agent's phone It_ -5 iij1 f � � 29
Gi
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this perm±t has described to me as shown on the attached drawing the development
they are proposing. A des notion or drawing, with dimensions must be provided with this letter.
64< I have no objections to this proposai. _ I have objections to this proposal.
if you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at http.11www.ncco,&3ta1m*naomenL nevWeb/cm/staffilistinq or by calling 1-888-4RCOAST.
u- racrsnnco is ennsidered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must
be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If
you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
j I do not wish to waive the 15' setback requirement.
(Property Ow_Wr Information)
Signatur
s ue .r X
Print or Type Name
-7
(Riparian Property Owner information)
Signature v
dCr---
Print or Type Name l `'
-3;tZ 0�0541Li+t)" Of i tiQ
Mailing Ad ress
Mailing Address

Mail - Brock, Brendan O - Outlook
F-, Jan K.Dale
t-AM Surveywig
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Capes ROW SP.vcaw NC 294•
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NN" _ _ �'A
ai SNORE INKSIUMT GROUP INC, AND R.1 Y H17-
S.1 ACRE t TRACT

Mail - Brock, Brendan O - Outlook
�lpfr : 4 / Je pXllw e/
s�Pt o#off rip,=pne�hn 6ow�a�y
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prbposa prer(,od)
afpfvx l,.4. 6y eol,
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W

Ch-A
White Kehaya
Bank of America_
Frust
same
Fidelity
David Butts
BB&T
Gary and Martha Pope
BUT
Gary and Martha Pope
BUT
- -
rdson/Richardson Cc James McMillan
BB&T
ro II
same
.,Aquesta Bank
ro II
Judy Garst
_
u_esta Bank
struction, LLC
Shepard Broadfoot
CresCom Bank
tion, LLC
Daniel Clements
FCB
Nathan Faulkner
BB&T
Construction_ Co.
Diane and Dave Rodgers
ISouth State Bank
kty
same
BB&T
Colu-6
I CoA-7 cof-8
C.I.
2424 $ 400.00 GP #76472D ' KE rCt. 10785 _
1022
$ 400.00 GP #76519D -
BB rct, 11532
10146
$ 200.00 GP #76464D
BB rot. 11527
GP #76518D (one check written for $800 split between two
7461
$ 400.00 its).
BB rct. 11531
GP #76517D (one check wr tten for SOW splft between two
7461
$ 400.00permits)
BB rct. 11531 _
_
7757
1593
$ 200.00 GP #76462D —
$ 200.00 GP #76468D
BB rot. 11530
BB rct. 11529
1592
$ 200.00 GP #76549D
BB rct. 11528
3201
_
$ 200.00 GP #76463D
BB rct. 11534
269 $ 200.00 GP #76560D
8835 $ 200.00 GP #76559D
11849$ 200.00 GP #76470D
8495 $ 200.00 GP #76586D
JD rct. 10821
JD rct. 10820
KE rct. 10783
JD rct. 10819
78571
S 204.00 .GP 971873D
JD rct. 10847