32515D - Broadfoot

0 CAMA / DREDGE & FILLi,:: 32515-D
GENERAL PERJ'%/lIT Previous permit#
) --' _New Modification Complete Reissue Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources ��^^V}}
and the Coastal Resources Commission in an area of environmental concern pursuant to ISA NCAC 7 1-I . I as
G Rules attached.
Applicant Name 't�gAI Fc 9 I.dr l l� P (7A i Project Location: County N ki"ti- V--Q.
Address {cr0'7 B L)f i3A V t Pr C( ,e Street Address/State Road/ Lot#(s) 1631 eDieotk-44
City W t Lm 11.1 •TO J State C_ZIP Z 1 I Vl S"t`lA- Ct'r cie, Ler 4 3 A
Phone#( ?') •�'i QQ j( VI
#( )_ _ Subdivision
Authorized Agent JC k J Vf tj s - City W 1 Lmit N.1c f\) ZIP 2..42jy-I ,
cW XPTA ❑ES LJPTS Phone # ( )--^-��t River Basin A---PE R.f'te.
Affected
❑OEA ❑HHF IH ❑UBA ❑N/A
AEC(s): Adj. Wtr. Body 6-: ,_ -_ An man unkn
❑ PWS: ❑FC:
ORW: es/ no PNA (L)/ no Crit. Hab. yes / no Closest Maj.Wtr. Body
Type of Project/Activity 45 I. \I 1)
,,,,,,,/ I 1 (Scale: I l I— v�/)
Pier(dock)length , J k 1- T
Platform(s) -[ i . -4-- '
•
Finger pier(s) f. , , i F ,
::: rap
length C
number `{' iii i.er 4! , ,,:„_41-- 4 . -'` I t
•
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length \� _......._ l�' fit... t, � F
avg distance offshore _ _.___. -_____�_._.�_____...
i } l
max distance offshore __ _ era, .....- I i
Basin,channel
- - ---
—
r- I
cubic yards I (I i I
t i a4- ' ' i
Boat ramp — — .-.._. — _! — - - - i
Boathouse/Boatlik '
I j- .-
Beach Bulldozing j I ! F v, .—.- , /
+1 ' 44, I
Other r I 1 �_ ,./— -
1 _
Shoreline Length__- s i i
a
SAV: not sure yes o I $ _
{
Sandbags: not sure yes no - i n .—..
Moratorium: n/a yes '; -'— ---•
Photos: (yell no _ _ i ! I - I
Waiver Attached: no I ---- l
I
A building permit may be required by: tJ f+'C0 . 1.f.Js(2('T"7 0-15 �I See note on back regarding River Basin rule
V
Notes/Special Conditions kJj.p r S(-ifti1 L)p""f' e„x.('e., ) 1.-�11/43,61-1--+- t: c
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TeLl Ari +-t o V tSS 1Lt.-s
--...,_3:otrtir---V-41 - - i-. - ......, '. qi-fil-b--,C:r-9---
Agent or Applicant Printed Name Permit Officer's Signature
. '}
VA— ‘(Ait4 64 W' 7)
Signatur -Please read compliance statement on back of permit** Issuing Date Expiration Date
c,,:;, ail- �, }.--Co p - +� ) a,aA
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 252-264-3901 252-946-648I
Location: Fax: [phone] Fax: [phone]
(Serves:Camden, Chowan,Currituck, (Serves: Beaufort, Bertie, Hertford, Hyde,
Parker Lincoln Building
Dare,Gates, Pasquotank and Perquimans Tyrrell and Washington Counties)
2728 Capital Blvd. Counties)
Raleigh, NC 27604
9I9 733 2293 / 1 888 4RCOAST Morehead City District Wilmington District
Fax: [phone] 15 I-B Hwy. 24 127 Cardinal Drive Ext.
Hestron Plaza 11 Wilmington, NC 28405-3845
Morehead City, NC 28557 910-395-3900
202-808-2808 Fax: [phone]
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 PERMET COMPUTER FORM
APPLICANT NAN E: .r2o4 flI crr L. 1 L % T io vvi AS s ATacD T
ADDITIONAL NAME-S: T fiJ 1P3 /iUCH
AEC DESIG: £6t) P l DEVELOP_AREA: , Q i
(WM y e I5 PROD DISC: - )Z
(cvni only laic_1)
WORR: 2 8o
(Veal only 4) J
FS 3o, V-, y
M.AD\TT:
(Wiii only lake 4)
MD: uJ `(P 'O
(aa;only take 6)
ACTION EXPIRATION
DREDGE&FIT 7 REQUIE Z
M: Z-03 -Z Z-d 3 `f
CAM A MAJOR DE REQIJIP.-D: / Z Z -0 3 7 -- z z .j3

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�. DEPARTMENT"�F TRANSP(�RTAT �
COAST`GUA „
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ggil NATIONAL VESSEL DOCUMENTATION CENTER
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CERTIFICATE OF DOCUMENTATIONrAZIW
VESSEL NAME OFFICIAL NUMBER IMO OR OTHER NUMBER YEAR COMPLETEDr;`,r
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:1114,1, HAWKSWOOD 565272 MSZG00100175 1 -,`• �°'
HAILING PORT HULL MATERIAL MECHANICAL PROPULSION j%_ '
PAGES CREEK NC WOOD YES
_�' GROSS TONNAGE NET TONNAGE LENGTH BREADTH
,,? DEPTH :_, i .
fug.
` , I 17 GRT 16 NRT 36.9 I 12.5 7.0 ` ',`�''.
``▪-4 PLACE BUILT
AMESBURY,MASSACHUSETTS ▪ '%°
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• OWNERS OPERATIONAL ENDORSEMENTS — ,i
THOMAS WINSTON BROADFOOT RECREATION r
%take J`,;••
• -'%:r MANAGING OWNER5r
=,,mot THOMAS WINSTON BROADFOOTFlIg,,
int- 1907 BUENA VISTA CIR %:-:
'+gin WILMINGTON,NC 28411 ='-. ''
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'/ '� RESTRICTIONS
r'a NONE FTg
4^tie\
4101
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' -_ ENTITLEMENTS
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NONE =- i gal
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`T<yT REMARKS - _ a)4:.p.,,;i NONE r
3 ISSUE DATE
•
: OCTOBER 21 : ,2002 ��
, sMiloii THIS CERTIFICA S ` rr CERTIFICATE EXPIRES ,
`r NOVEMBER:30,2003 • ` DIRECTOR NATI N I
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ti� Q A sVESSEU,DOCUMENTATIONiCENTER /790 / >
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,J pc, O Fo o 7 .2.�-r.T.T.=,0 f�,e A-4- 'sH.7 d
Name Of Individual Applying For Permit -
T6 r-t e �3,17�oa7�,gts7/
Address Of Property: i? �� U( s (�` rC 13/ A-I (LT `T
n/i l ill Lin �n &J e w . ri oVe (c i i
(Lot or Street #, Street or Road, City & Count})
I hereby cer-ufi' that I own property adjacent to the above-referenced property.applying for this permit has described tome as shown on the attached drawing The individual
applyingthey are proposing. description � � � the development
letter. F p A or drawing, with dimensions, should be provided with this
saj_c_-_ I have no objections to this proposal.
. (
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A. o G
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"4 C �_ PA. _
tf�,, , a r'fi by f
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EL 4 IR SF CTIc�r.T
I und= ".and tsar a pier, dock, ina Alltn_s, ,
Se. back a minimum , moor boat house, lift or
the :-e of 15' from my area ofs e byi3aRs must be
wish to waive the setback, you must initial the appropriate blank below.)
waived me. (If you
I do wish to waive the 15' setback requirement
4 __ I rizinm wish to waive the 15' setback requirement.
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, A Siva -e t, 03
Date
Print ame
'� ��_
/6 - 76 1 14111CDENR
Telephone Number With Area Code
NORTH G►Rouwr,D.spriurrromKr of
cNvmahrm_M AND NA:m*1`Ft`SOUR^ES

DT�, CT(? .r nF (-'(1dCTAi T4��w'
Of 3( - DT Lvut3.
Name Individual A l � �
PP)i ce� For Pe.-mit: b11�1�0 f'T
R -S�l Il'�'I'�t 1r
Address Of Property: E0 \f
T - l
(Lot or Street #, Street r Road, City & County)
I hereby cer-u fy that I oven P
property adjacent to the above-referencedproperty.
applying for this permit has described to nie as shown on the attached The individual
they are proposing. A description or drawing, drawing the development
letter. �, with dimensions, should be provided with this
I have no objections to this proposal.
�' CyA. Csr•
1 L t P . . .Q
1T ,1.. 1 1l'1 v. h... rIl TTO� �� P r P
I t:na':s"and thaz a pier, docL-, mooring pilings, breakwater, boat house
se:back minimum of 15' �, lift or sandbags must be
from my area of riparian access unless waived by me. (If you
wish to waive the setback, you mustinitialthe
appropriate blank below.)
I do wish to waive the 15' setback requirement
•
. I damoi wish to waive the 15' setback requirement.
•
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Simature • ffill?IlA
/3 C. ate
,,,._:__....._=„....ljlr
Print Aame
NcDEN
6 ,,,, __ 08ZS—
T,,tPanone Number Wttn Area Code ►�► R.
�trrl CAROLJNA D�ARr.M_xr of
LNVIR w1F.M AND NATURAL FM.SOU D S

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1
CZ•
Name Of Individual Applying For Permit I/1 ( C 07 4/All D P
T�J h .P
Address Of Property: i i A
L.
a m ► c. , Jl
(Lot or Street#, Street or Road, City & County)
I hereby certify that I own property adjacent to the above-referenced property.
applying for this permit has described tome as shown on the attached drawing The individual
they are proposing. A description or drawing, the development
letter. �, with dimensions, should be provided with this
I have no objections to this proposal.
o P. o
0
If. have hpt. nntij by Ce rifi •
1�b
W AT«R SPPTION
I understand that a pier, dock-, mooring pilings, breakwater, boat house, lift or sandb R
set back a minimum distance of 15' from myarea ofunless
a must u
wish to waive the setback, you mast initial the appropriate blank � waived by me. (If you
Y
RECEIVED
I do wish to waive the 15' setback requirement. JAN 2 2 Z003
BY:
I dnat wish to waive the 15' setback requirement.
•
Signature Date 1/22/03Al7eiliYilrA
(32o7FpOT - �
Print Name
CI i___S___Agf2L-_Z1_a_q_______ NCDENR-
Telephone Number With Area Cod„ Nam+ c,RauNa LmArsT,mxr of
LNVIRommENT AND NATURAL.FMS OUR^E

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4324
..n - n (� /�n2 60-191530 NC
,..I
)OHN H. LNG //` L�)tiIJJ ,>;5�
910-68ING NCDLEC 1 Dat
. 1� 130 E.BRp,ND�w - 1,1)0
�� �GTON,NC Zg417
�,I wi1..Mw _ � $
Pay to the Dollars Pi -:.
IOrder of (_La j\l....._ 1............. �,o
1 �
,; Bank of America �� 1
ncri r t os30001so
321,
For —.4-.VAM5
0p0 L800 L 7 5 3 _ �� _ a �;YU«tWw
1:053000 1961.