52637_BRDWELL, DOHN_20081013

SAMA /.'] DREDGE & FILL
�. ENg,RAL PERMIT
w Modification ❑Complete Reiss a Partial Reissue l
As authorized bye State of North Carolina, Department nvironment and Natural Resources
and the Coastal Resources Commission in an acqa of environmental concern pursuant to 15A NCAC_
Applicant Name '` �, l (t� �Tl i` Project Location:
Previous permit #
Date previous permit issued
Rules attached.
County
Address (-}��? �V �_1 Street Address/ State Road/ Lot #(s)
City: i State ZIP
Phone # O Fax # O Subdivision
Authorized Agent t i
T
Affected ❑ CW ❑ EW ELPTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ElHHF ❑ IH ElUBA 1 N/A
❑ PWS: ❑ FC:
ORW: yes /! no PNA yes / no Crit.Hab, yes / no
Type of Project/ Activity
City ZIP_
Phone # ( ) River Basin
Adj. Wtr. Body I i i ) at /man /unkn)
Closest Maj. Wtr. Bodyt't`
(Scale:
Pier (dock) length
Finger pier(s)__
Groin length
number
Bulkhead/ ...:
avg distance offshore...■
max distance offshore-
Basin, channel
MMIEW
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A building permit may be required by:
Notes/ Special Conditions
,;
'4' lA rl
Acge t,or Applicant PrintqO e
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
❑ See note on back regarding River Basin rules.
r t 1 l --
Permit Officer's Signature ` �T
IssuingQite t Expiration Date
Local Plan ningJurisdiction -Rover He 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 1) 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 (910-796-7215) for more information on howto complywith these buffer rules.
Division of Coastal Management Offices
Raleigh Office Morehead City Headquarters
Mailing Address: 400 Commerce Ave
1638 Mail Service Center Morehead City, NC 28557
Raleigh, NC 27699-1638 252-808-2808/ 1-888ARCOAST
Location: Fax: [phone]
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
Elizabeth City District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax:[phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 08/09/06

FAX COVER SHEET
BROADWELL LAND COMPANY
903 Hay Street
P.O. Box 53587
Fayetteville, NC 28305
910-484-5193
910-484-2036 Fax
SEND TO
Company name
From
Doi IJI�(� w'� ►�
Attention
Date
Fax number
25� - � �� _ 3 � b s
Phone number
Urgent 11 Reply ASAP 11 Please comment 11 Please review 11 For your information
Total pages, including cover.

ACT,/'D7 2008,"TjUF a AM I!C'Communications FAX No, 91�ry?i'?0F�
le/07/2008 11:22 310484203E BRMDWELL. LAND COMPA
p n'0 1 in0t
PAGE 02
AL1JAL.J6'1't'1 KA,f AlUJakIN YttVA'k:2tT1 V W"4ZX "-"'A'6.:�';.Mjt'N'L'
(I-O i A prERjM00Aj?VG pjjjNfy.S)EOATLJFV90ATV0USE)
i hereby Cettlfy this 1 own property adjacent to �G�N � i�/ 't• s
(Hues of rnp-tl' Owner err Apptlea»t)
Malting address if different from tocution addTC51-Jkqq_90c" lit_ f GA >
(LOAM. state ind tips r � L)1L1. ? /:,-,2.�
phone numbers you can be reached at ----
LOT" _..
pwperty factred of LOT" t5Y 4 tCK��b�rl� 5u ��! dtytOrt
ttai.Btac.L Rood, NO
4r5 , In LctUC
arse rbaer) (Toaa aadt County)
He bu described w me, as shown b►low, the development he 1a proposing at that location,
and, I have no objeati= to his proposal. I understand that a pierlrnoxing pJingslboattittlboathouso
mwak be aet back a minimum diamce of fifteen. feet (15) frOm my n.-ca of riparian access unless
waived by me.
i d4101 wish to waive the setback rcquifemcn
w t.
TL- I do wish to wave that setback raquiremenft,
.w...r..._,.. _...._•------------- ------- ere_. -------------------------- ........ .......------ I................ -...
D9SCRUMON AND/OR DRAWiNC OF PROPOSED DEVELOPMENT:
(To beJlUed in by individual proposimg devvlopmeno)
v
rk$ i5 Lt 0 4T,
260a t
N
$Marty OkADWELL KORh* Y
!6 15
--- ---------- ....... ..--- -- -
?Mt of •type twee z
'flbp4rao Nvsofreti
w^► ADJAC24TUPAarANPACIP®[i 0"4WVAi54 W, d!
Inn l�I�A 1� n.•nf.Nr�Y.•r1�wM ..•..nnn.r ..n-. �.. .... �.• A4 ��. ., .... ,.n ,...

09/22/2008 1E:d3 9104842036 BROADWErLL LAND COMPA PAGE 02
AUJ AUCIN'a KWAKiAIN YKIIYLAT V U vrtvs•:K bTA'> WAEN't.'
(FOX A. PIE-RIMOORING PII. 80-1/80ATU'FIYBOAMO(IS,E)
I horoby ccrtify that I own property adjacent to Do Oo D4A W C� L _.I
(Hunt of Pro7ny Owner or ApptkaW)
Melling add:ecs it different from Ioeaticm address,. l �� 0 Ku� K Hl ?-;L- gol4i)
(town, state and tip) �ft Y �J � 2e /�2
phone aumbus you can bo reached at
property located at for 15 _ �' � BACK W 0196 S068j oSiN
(Uc gkc=, Road. etc.)
on TN1 5rM16 tfTs in
(11 �arpod�) Craws ►>z" Gonaty)
He bas deecnbed to me, as shown below, the development he is proposing at thr location,
and, I have no objectkms to tie proposal. I understand that 2 pief/moorutg pilingalboatlinoathousc
must be setback a minimum dtttance of frfteca feet (IS) from. my f+rea cf riparian access unloea
waived by me.
I AoLgA wish to walve the setback requitemenL
NuAk
I do wick: to walve that setback requitement,
-- .......... ------- -------------------- ----
DFSCRL>!11ON AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To bead in by trdlvfdud prop Mjr development)
rke °I-iFTs it E�� SIDES
SMIrH �t��DW�t.I. i<o�w6�-Y
lb 15
s t�►an,r.
Prtot er Sype Wd+e
1ata�hvna Nnrnba
r�w>
Date:3,�8
.w.a�o��t�.oWaut nca�tT�,uU�wrAo►metYc�wttIDtstrti�rr. psc
.,,.,.. .. NOI :q -P007. ql. A;q

TRANSMISSION VERIFICATION REPORT
TIME 10/07/2008 12:27
NAME SROADWELL LAND COMPA
FAX [phone]
TEL [phone]
DATE DIME
10/07 12:26
FAX NO./NAME
2526223765
DURATION
00:01:34
PAGES}
03
RESULT
OK
MODE
STANDARD
ECM

TRANSMISSION
VERIFICATI10H RE '--IRT I
TIME 10/07/2008 10:41
NAME BROADWELL LAND COMPA
FAX [phone]
TEL : [phone]
DATE DIME
10/ 07 10: 38
FAX NO./NAME
17008922364
DURATION
00:02:16
PAGE(S)
03
RESULT
OK
MODE
STANDARD

BLUE WATER MARINE
CONSTRUCTION INC.
P O BOX 93
MOREHEAD CITY, NC 28557-0093
DATE ��" / 3'fl 8
TO THE
ORDER OF N C 4/ r: r/ 2 J
5633
66-112/531
200, 71103
F, t„
LARS Faal ,ez
oa�a,�aoa
BRANCH BANKING AND TRUST COMPANY l -
j ♦ 1-800-BANK BBT BBT.00m �/J
6 _ �P
FOR LcL�� << .._. _._
u■0000563310 t:053 LO L L 2 Li:0005 2 L498659 2n■

09/29/2002 17.30 9104842036
BROADWELL LAND COMPA
PAGE 01
A1)jat G1N'1 10-rAMAIN MuYrK"k UWZNkWK 7-1'.H,`1'tl:MJd;N'1.
(FOR A PIERIMOORFNG PILINGSIBOATUFT/BOATHOUSE)
I horcby certify that. I own property adjacent zo
(Name of rrope4y Owntr Of Appl"110
Mailing address if different from location address._-. I 00_ F'OcKF41l t-L. 90/4— ,
(town., state and zip) r y �`�j�Cl% 1LL�' /j �g3 �a�---�
phone numbers you can be reached at
property located at flOT l5 �t Y O�AC�-���t�'G Su �O► Ji 5ty�
(Lot. Block. Rpid, etc.) ,
on `� SrA416 IfTS , in 6 i oueexra CAtr cowi ni—, N' .C.
(Watarbady) (Town imd/gr County)
He tas' described to me, as shown below, the d0elopcmcnt he is proposing at that location,
and, I have no objections to his proposal, I understand that.a pier/mooring pilings/boatlift/boathouso
must be setback a minimum distance of fifteen feet (15) from my area of riparian access unless
waived by rite,
I do not wish to waive the setback requirement
5+_ I do wish to waive that setback requirement.
Mich .
----- —---------------- ------- ------------- — - - - - - - - - - - - - - - - - ---------------------------------------------------
DFSCRWUON AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To bulled in by individual proposing development)
e:
N
SM1TM
16
---...----*------------------
�NADWELL
15
............. -------- �------------- �-------------------�--
1 Sigts a
\ 5�km � s N 4' ✓! �1
nut or 1we r4we �-
Telnphoro Number
pats: x ' � - C.').J
� smite//�DiAc�1'TR�AP�NP1laPF�t'TY'?WAtIBRSTA�iFNP,pd1
inn „—r91, r-,rn•.,.,-.-.mom-..... ............, .. ,. ,.� ... .�. ..,.. ,.. -- ......- ,�� ,.. ,.

09!'29/2008 17:90 9104642096 EROADI,JELL LAND C01PA PAGE 02
09 2 /2008 16!43 9104942036
BROAUWELL L4ND CObPA
ALJAUZM'j kurAAJ" YKvrvkk 1x UY11Z4" t�'1'A'L'lSMriN
(FOX A. pj MM00RINO pu1N(S,1/BOATYJFT1BOAMOUSE)
PACE 02
sctAt to o o� 4 g� L ':
I aocobY t�trtiEy that I awt; PropuZY aAj -
(Nam $I t'.o,�Ojy owner sr Appu-1)
Mali' res �dd4 tf different from 1oCatirn sddnas W
(tovm' atte and ttp)
ybono mtmbm you cut be rcaahsd at _
or 15 � -R-�t b0cK ► A-rf DW6
propaty locntc l it T - .._.��—
OL042 1. so" dca
on a' l-a UL� L C9t!/f
� (Tun .a&%rCOU14)
He bu dsutibcd to me. u down below, the d6velopm=1 he is propaln& C dw 100&6ea,
and, l have no oNwi= to kis propo&&L 1 undmtand thAt t pia/moorim pill np/beadift/boetb Drat
must be eat buh a minlmum distance of !►flees Eset (IS) bom my uea of riparian socess unless
i aim wbh to * t*& the utbecx mqulrcmM
i ft wiab to wslve t» suback rupitaMGM,
IM.W...I.w.+I...............
;VET A.ND/UR ARAWING OT PROP082D DEV$LOPMPNT:
(To be jJJ W In by h"bidudFrppoM9 d---WOPJR"t)
�D
N
SMIrH $0ADWELL kaltl� Y
ib J5
1
at�r.uu.
9/e 7"-2 - V S"-
Td"bm 149MkW
...�min�t Yaw�rr,�TatT. rxu
Z•d ..,,b50Z •�N ,.,,.........._..,......,..__.. __._ ,..�e�i �A •Annt. '�l .d�� ,._

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N 14 a 7029 20/ 20 BUFF 1
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00/22;200S a0a48 FAX [phone] NCCOAST COMMUNICATIONS a1'j.
-- tY-
NOMR
North Carolina Department of Ervirenment and Natiral Rescurces
Divl:.ion of Coastal Management
elk "I F. Easiay, Govemer Charles 2, Jones, Director ftan 0. ReS3 Jr., Caiaetary
Uare 9 23LM 9
Applicant NAme we—w—1
Mailing Address I ,vQ 14/1-L %
Al I IFY
I eertify that[ have astborized (agent) / 1 I— • 84 to act on my
behalf, for the purpose of applying for and o/b�tfsulag all CAMA Permits necessary to
Installorconstrue[(activity) V oGV' K rTW 60hr LlF%
at(Iae.tion> LOT- 15, rEMy oou< L*tJO1,46 .
6U6DIV 15719 1, GLOUCTTG�' /�)c
This certiHeado Is valid this (date) /; / ✓ ! © b
Signet— °
400 Commerce Avem)e. Morehead City. Noah Cainl(na 2g557
Phone: 252.808-M %FAX [phone] Internet www.r=oas.*wagernad nat
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