35004D - Branson

0 CAMA/ . DREDGE & FILL 35 O4.
GENERAL PERMIT Previous permit#
)C _,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 7// /�.07-) .
❑Rules attached.
Applicant Name ProjectCounty `
fGe (�:c� �/:�o'r� Location: �����,�cc>iG�.
Address /-'Q 7/:30C 6607 Street Address/State Road/Lot #(s) L,p 7 f 2.
-
City .5/ Gn (a74e (NC ) State NC ZIP 8 q96 C.:.--a ye,/ 5 ce-f"
Phone# (;370) Fax # ( ) Subdivision
Authorized Agent City '7)cea- T/G B c.a c/i ZIP �5 VC,9
Affected cww PTA ES PTS Phone # ( ) River Basin Lcc sr7r
s OEA ^HHF IH UBA N/A
AEC : Adj.Wtr. BodyCa-r7�*�- i
PWS: FC: (nat lrD/tinkn)
ORW: yes PNA yes / no Crit. Hab. yes / no Closest Maj.Wtr. Body 6)/ t4.)
no ;
Type of Project/Activity Cer-,7 Lec /Ve.r c/ L) 4- edG-7/ L'Ft
(Scale: /Pi, 2 )
Pier(dock)length -1-.20
Platform(s) X/3
Finger pier(s)
Groin length
number .G A /
Bulkhead/Riprap length _ ----- ----�__,
avg distance offshore
max distance offshore
Basin,channel
cubic yards 1 / /3 '
Q / .
Boat ramp Ft o v r ,
Boathouse/ oatlift �7 X/2. I. r )4-
Beach Bulldozing - 4- /5 ' O ! . /G ...--)1
I s
Other •
Lb .t,20
Shoreline Length So 9 I I
SAV: not sure yes no I ----
Sandbags: not sure yes no ✓ LG-77Crr-tG'
Moratorium: n/a yes o c`7G-C 4//7G c54G a �-
Photos: yes r1 L-
Waiver Attached: / es / o L —
A building permit may be required by: (,. :, erf
a
ra/) 6--/ BC4C11._ . .�LI See note on back regarding River Basin rules.
Notes/Special Conditions �/l Gir7)�/7"/0-i25 of '0Z 9///a /9 z/g
foe Or.n5J ) Cam.< ->tee- fjee.
Agent or licant Printed Name Permit Officer's Signature
/3...Ger."-k.4-e.t.`�✓ 9'•.3o is• ?o . 03
Signa ' Please read compliance statement on back of permit** Issuing Date Expiration Date
/ ) 1 L /a73 CP a r-) /5/e. /vo 93O /5/1
: 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 I)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,certify that this project is consistent with 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(910-395-3900)for more information on how to comply with thesebuffer rules.
Division of Coastal Management Offices
Central Office Elizabeth City District Washington District
Mailing Address: 1367 U.S. 17 South 943 Washington Square Mall
1638 Mail Service Center Elizabeth City, NC 27909 Washington, NC 27889
Raleigh, NC 27699-1638 252-264-390 I 252-946-6481
Location: Fax: [phone] Fax: [phone]
(Serves:Camden,Chowan,Currituck, (Serves: Beaufort, Bertie, Hertford, Hyde,
Parker Lincoln Building
2728 Capital Blvd. Dare,Gates, Pasquotank and Perquimans Tyrrell and Washington Counties)
Counties)
Raleigh, NC 27604
733 2293 / 1 888 4RCOAST Morehead City District Wilmington District
Fax: 9I9 733 I495 I5I-B Hwy. 24 127 Cardinal Drive Ext.
Hestron Plaza II Wilmington, NC 28405-3845
Morehead City, NC 28557 910-395-3900
202-808-2808 Fax: 9 I 0-350-2004
Fax: [phone] (Serves: Brunswick, New Hanover,
(Serves: Carteret,Craven,Onslow-above Onslow-below New River Inlet-and
New River Inlet-and Pamlico Counties) Pender Counties)
www.nccoastalmanagement.net Revised 10/05/01

GENERAL PERMIT COMPUTER FORM
.APPLICANT NAME: ,--/D-C a ,,
ADDITIONAL NAMES:
AEC DESIG: i k) Pr DEVELOP AREA: _ lJ% PROJ DESC: P -
(Will only take 6) (Will only take 1)
WORK: 8 L / f', /Z (-)k (o ,20
(Will only tale 4)
Ti /3" 8
MAINT:
(Will only take 4)
IMP: G G()
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: 9. O - 03 /2 • 30 • 03
CAMA MAJOR DEVEL REQUIRED: 9- 3-0 - 03 i 2 • 3 0 . 03

+ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete VS.. . ure �/
item 4 if Restricted Delivery is desired. - :--4 0 Agent
• Print your name and address on the reverse / 7 f� 0 Addresse
so that we can return the card to you. B. Received by(Printed Name) C. Date of Deliver
• Attach this card to the back of the mailpiece,
or on the front if space permits.
D. Is delivery address diff iorn 0 Yes
1. Article Addressed to: If YES,enter deliveeP �s�l�w1 /1/� No
GU/am ,/A fvt A (f ex/5 pU G 2 8 2003
ee /9 K S 5 v I 3 3. Se ' e Type f t4
_ Certified Mail \._ �h
6.45 Tci n•1/9 l N G 0 Registered f 3tad�R�G I for Merchandis
v—rO 55 0 Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
2. Article Number
(Transfer from service label) 7 o2, ,l5© Ct?a3 „2..2/0 I 7,
PS Form 3811,August 2001 Domestic Return Receipt 102595-02-M-15

UNITED STATES POSTAL SERVIC 01TE N� First-Class Mail
Postage&Fees Paid
PM USPS
r_ Permit No.G-10
• Sender: Please printotir b' e, address,and Z{Pf4in is bc»r•
jcE ORIM,5c, J
P 6 x 66c7

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Name Of Individual Applying For Permit: e 84,1 ycn,4
40"
Address Of Pronerty: 0 cnilvFit/
acE/1A, 5bCgmcg iff/c z ,1Iy7
(Lot or Street #, Street or Road, City & 'County)
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 development
they are 'proposing. A description or drawing, with dimensions,
should be provided with this letter.
• V - I have no objections to this proposal .
Tr \7011 11RITP obj!=cti ans to what is b=king nrOnosri, Pi wri trati .
Di si on of roA st ai Ma nagemt, 12 7 rardna1 DrivRxt 4=nsi on
Wilmington,. North rarolina, 28110 Or c-711 910 399--4900 within 10
Mays of rerp,irit of- this nntirP, No 74.snonsP is ronsirirri SRMP
nr) obj on f you hv b=,Pn notifi3 by rctsrt fi c=q-1 NiR
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat
house or boat lift must be set back a minimum distance of 1.5" from
lay area of riparian access - unless waived .by me. (If you wish to
• 'Waive the setback, you Trtilst- initial the aoPropriate blank below. )
a do wish to waive the 15 ' setback requirement .
I sin nor wish to waive the 15 ' setback requirement.
AM
Sign Name Date
)L , V)
ASZIftwerigimprek .MMiNniciugagraz.
Telenhon.e Number With Area Code
E12. 1 D4R1 MT 1-17-- .
7....'14vmDmmairr AND N-ZURAL.REZLJR

...®—
M 10 0 3
BRANSON BUILDERS, INC.
n
P.O.BOX 6607 (�
-e,67-7235-2532
SHALLOTTE,NC 28470 DATE . k
$ boa
PAY
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a TO THE DOL RS U ..........
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ORDER OF
COAs
TAL FEDERAL68
BANK SUNSET BEACH,NC G-P3 5_001-4 --- -____—_—
/` 2355�• L 258 5 256��' �.�_,.. �.. . .__ �
FOR a■00 L003n■ �. 253 7 ._. .6