31054D - Brecheisen

• CAMA /
DREDGE & FILL N9 31.05
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 'f
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC T ry .J, QC) .
E Rules attached.
Applicant Name t'Ap)4p EZ 8f C CS S e
A •.r1_ Ct ) Project Location: County (ii!/I_,(.t,/IC L._
Address Coo I �_kAk' -f1A�('ee?�.- -4kd Street Address/State Road/ Lot#(s) .,l&' f c /8
City L\ L I State_ &ZIP 2'7514 ,. j 0 rc j, ,,c_., r;UL__
Phone # ( i i 1) -1`•,,d ( r S LI Fax#( ) Subdivision
Authorized Agent W l ,aq Lc r't c f....-, City 'i1,4 e.5(' T -Rcrl c ZIP
Affected ACW !gEW !)(PTA ❑ES ❑PTS Phone# ( ) River Basin ,_‘.L i%'\rSt'-t's
❑OEA ❑HHF ❑IN ❑UBA ❑N/A
AEC(s): Adj.Wtr. Body Je.-1-,+..; (1.4%,,,,_,✓ na man /unkn)
❑ PWS: ❑FC:
ORW: yes / no PNA 0/ no Crit. Hab. yes / no Closest Maj.Wtr. Body_—_ A r(Ai u_i
Type of Project/Activity Dte,f- /ri oc 1�. re•�p1n c`.,M P'e_n'k- t S� �-irci (+UC L<--)
`>•. • -^A-1 I'rm1l ,�" \ (Scale:fsj rr TU )
Pier(dock)length 5 O' 4 -"
Platform(s) b'1( I U' /
Finger pier(s) b' . 2 O I "'""�Q�
r t ;
Groin length , • - t e' r-
number I r -_-
--
1 I
Bulkhead/Riprap length 1 }- '_ { ,j -I
P P 1 I
avg distance offshore I I__ I-_- i 4,
max distance offshore /A.Qi� __ ,_ -4 I _ , �,: .
Basin,channel `�, 11' - `I!- 4 v Y T�
1fI �F t
f.
y� I r
11. i_k •1 i v
1
r i
cubic yards ,}. 4 /'i v.
,►1' L ._ !r,-- i l'r - '
t t
Boat ramp Vt. - _ . i f��! __ I
1
i_ _,
Boathouse/Boatlift f j I �.
_____4„ I t, r , __,_ __, — �f yr FIt
Beach Bulldozing + t4.
Other ` I —+- �}r
Shoreline Length COO f ! I I 1 I fj ( 1 - 1 r F 1 1 014 1
M � t -
SAV: not sure yes (no
i _1 IG
Sandbags: not sure yes no - _ i ? 1 if
Moratorium: 40 yes no `
Photos: yes no
Waiver Attached: yes no —.- -- ;� - t n' --
A building permit may berequ ed by: � '(1` T -- ,:.2 `\C- VN ``/ P I See note on back regarding River Basin rules.
Notes/Special Conditions N.;() '(Yl(_(e -k rt'r1 a b G 1) 1- c / ,; L \;\-)''-, filA U
( } 1t..tvcl.ti, A ( .,
t-criff, ��c1nt,rc -.. is fiIso ci,ely own ) (,,o2 W or T4.j }�ttrh 2 7?12
Agent or App icant Printed Name ( Perm t Officer's Signature e
Cc l 5- J v 2_
Signature **Please read compliance statement on back of permit** Issuing Date Expiration Date
% - , - ,:51, IIE-T .--6e-Aci-,
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:
I I 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(252-946-648 I)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 252-946-648 I
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
9I 9 733 2293 / 1 888-4RCOAST Morehead City District Wilmington District
Fax: [phone] 15 I-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: [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)
Revised 10/05/01

kuvi f C O_\IPUTER F O P T
ADDITIONAL x ],ES: 1 (J C i i.Y'ck -
AEC Dr SILT: p T ' E� DE\ .OP Q.Ri4__� L_ PROJ DES C: 1 -12
WORK:. R �_o� : 4 I Ti 8' x r '
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MAINT:
•
(w-Al only tar=4)
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ACTION EXPIRATION
DR &FEL REQUIRE): - 31 , 0 (�2 CO 1 J 0 •
CAMA MAJOR_DEVE.PEQ3IP : .3) 5 P ® Z (o15/©a

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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: ............................
T\ �
Address of Property: _ �n��_�/ �__-- oi _____________
S ^\" "( b Ut
� (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 .
I have no objectives to this proposal .
If you have objections to what is being proposed, please write the
Division of Coastal Management , 127 Cardinal Drive Extension,
Wilmington, NC 28405 or call 910-395-3900 within 10 days of receipt of
this notice. No response is considered the same as no objection if
you have been notified by certified mail .
______________________________________________________________________
____________________________________________________________
' WAIVER SECTION
`
1 understand that a pier, dock, mooring pilings, breakwater, boat
house, lift mr sandbags must be sat 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.
________ I do not wish to waive the 15' setback requirement.
-------------------------------------------------------------------------
_________________________________________________ ___
������--�-----------------7----�---
Signature Date ^
........................
Print Name
---------------
Number
Tel ��hone wit Code

.ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
■ Complete items 1, 2,and 3.Also complete A. Received by(Please Print Clearly) B. Date of Delivery
item 4 if Restricted Delivery is desired.
• Print your name and address on the reverse
so that we can return the card to you. C. Sig ure
• Attach this card to the back of the mailpiece, ❑Agent
or on the front if space permits. X ❑Addressee
D. Is delivery address different fr...•-.. 1? ❑Yes
I. Article Addressed to: If YES,enter delivery a.•.- - below:s ■ No
CA.v ts-ck C
\ a/\ 2220 t (E3euCr_, 3. SeiceType
12'Certified Mail ❑l • -• ,
❑ Registered 12 Heturn - eipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery?(Extra Fee) ❑ Yes
1. Article Number(Cor
7001 0320 0005 9189 6333
'S Form 3811, July 1999 Domestic Return Receipt 102595-00-M-0952

UNITED STATES POSTAL SERVIC +. ust�iLi55hAaily -
^^ LISPS Postage.,&-Faes.P..aid
• Permit No...G:10�
• Sender: Please print your name, address, and ZIP+4 in this box • 777.
GRICE CONSTRUCTION
6618 BEACH DR. SW
OCEAN ISLE BEACH NC 26469
[phone]
111V1{1tI 1111111111111111111�F�11111t 1 111111111II II�1i11111

` .
'
^
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit :
-------------
Address of Property:
~ (Lot or Street #, Stre�t 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.
_________ I have no objectives to this proposal .
'
If you have objections to what is being proposed, please write the
Division of Coastal Management , 127 Cardinal Drive Extension,
Wilmington, NC 28405 or call 910-395 3900 within 10 days of receipt of
this notice. 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, breakwater, boat
house, lift or mandbags must be sat 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.
________ I do not wish to waive the 15' setback requirement .
______ ____________________________________________
__________________________________
Signat�- [�'- ---------�D--e- '
� ^��
`� --
_____________________..... ...................
Print Name /
/ - E?�� �� - �� '7 �� - / / {-/ /��
___________________________________
Telephone Number with Area Code

ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
I Complete items 1,2,and 3.Also complete A. Received by(Please Print Clearly) B. Dete of elivery
item 4 if Restricted Delivery is desired. v a S p�
I Print your name and address on the reverse I
so that we can return the card to you. C. Signatu
I Attach this card to the back of the mailpiece, X 7,Agent
or on the front if space permits. Addressee
D. Is deliv a ress different from item 1? El Yes
. Article Addressed to: If YES, nter livery address below: 1 No
CourAry A4ae,5
2\5 r 3. Serdce Type
S
10 rQ r c' _ 1 V Certified Mail El Express Mail
td❑ Registered Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
. Article Number(Copy from service label)
S Form 3811,July 1999 Domestic Return Receipt 102595-00-M-0952

UNITED STATES POSTAL SERVICE 101
First-Class Mail
Postage&Fees Paid
LISPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
GRICE CONSTRUCTION
6618 BEACH DR. SW
OCEAN ISLE BEACH NC 28469
[phone]

1
0 k r�. 'ga O 3'x21iv.
c7
6
k •ut
6x 6post treated2_5
2 x 8 band treated.40
3/4x 6decking treated.40
all hand rails treated.40
all nailsgaly

•
I•I ;e "!5 n'OA� ig vorarr'iT009_S e e u r i f ii e n h t n c r ddocument. Set bark for details. t,
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GRICE CONSTRUCTION 3607 '
PH 910-579-9095
6618 BEACH DR SW
OCEAN ISLE BEACH, NC 28469-4710
66-112/531 .i
PAY DATE _Q�
m 1' TO THE �1(1 i1 E h� 62201
ORDEtl
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1.
LLARS 8 �"'::16
BB&T
{ BRANCH BANKING AND TRUST COMPANY
E OCEAN ISLE,NORTH CAROLINA
FOR ���SCI I
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