39663_WEST, BETTY_20040825

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-7CAMA / DREDGE & FILL
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GENERAL PERMIT
`V4
Previous permit#
El New ❑Modification ❑Complete Reissue ❑Partial Reissue
Date previous permit issued ?4
As authorized by the State of North Carolina, Department of Environment and Natural Resources
J
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
�'
❑}R'ules attached.
Applicant Name/r�/
Project Location:
County
Address 'tip J `r
Street Address/ State Road/ Lot #(s)
City L J' J� ^ State JV C. ZIPS—
t
Phone # (s� �) ? Fax # ()
Subdivision
Authorized Agent � � �'' " �' '��
City A,-- ,--
� 0 P yV — ZIP �
Affected ❑ CW OFa'Vli ETA ❑ ES ❑ PTS
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
Phone # ( )
-- River Basin
AEC(s):
Adj. Wtr. Body
!"u f Ka� Oman /unkn)
❑ PWS: ❑FC:
R /ewef
!�
ORW: yes / no PNA yes /n Crit. Hab. yes / no
Closest Maj. Wtr.
Body
Type of Project/ Activity Q7'n �.�c �a ���s ,-f/-ti`-
(Scale:
Pier (dock) length .j � jl� •� �
Platforms)
Finger pier(s)
Groin length
number
Bulkhead/ Ripraplength
avg distance offshore —
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
f
Beach Bulldozing
Other
' 70'
� J
Shoreline Length Ci
� f
r.
SAM not sure yes __ -_ - _ _ _
Sandbags: not sure yes �iL
Moratorium: n/a yes n
Photos: yes n
Waiver Attached: yes
A building permit may be required by: " ` ' "' % See note on back regarding River Basin rules.
y r
Notes/ Special Conditions nc w "� ��' c r ✓1'� ° '� �c'i' c `'. f . ` ,_L
Agent or Appli ant Printed Name.,
Signature Please read compliance statement on back of permit"
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Permit Offiedr's Signature
,F- -o Y if_-a.j 41/
Issuing Date xpiration Date
✓fmI/Go
Local PlanningJurisdiction w Rover File Name
Application Fee(s) Check #

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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:
U Tar- Pamlico River Basin Buffer Rules ❑ Other:
ease 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
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888-4RCOAST
Fax:[phone]
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)
Morehead City District
151-B Hwy. 24
Hestron Plaza II
Morehead City, NC 28557
202-808-2808
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico 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
910-395-3900
Fax:[phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
www.nccoastalmanagement.net
Revised 10/05/01

IBBROAD CREEK CONSTRUCTION
PH. 252-745-4252
11 CREEKVIEW CT
MERRITT, NC 28556
3q,Q(4 RUT
3c, �(03BRANCH BANKING AND TRUST COMPANY
��rr NEW BER�'N(, NORTH CAROLINA
1:053LO1 120:5290051L6011102077
0
2077
66-112/531
01901
NP
t
.;

I hereby certify that I own property adjacent to "T WEST is
(Name of Property Owner)
property located at
(Lot, Block, Road, etc.)
on Net s& R►Ve " , in �am�;c d �p�, N. C.
(Waterbody) (Town and/or County)
He has described to me as shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
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SiQ e
Ja W e.s M, q0 �© V, d-Y,
Print or Type Name
44� q �? q
Telephone Number
Date:

08/20/2004 11:14 FAX [phone] TOWN OF LAGRANGE a 01
09/17/2004 87:28 2527454253 BROAD CREE}C C❑NSTRUC PAGE 62
i hcre6y certify that I own properly adjacent to Fa
(N&ute `5 Of PrO perly Owner)
F13PartY low at
(Lot, Bleck, Raad, erc.)
on eu,SG ' VP.1� , in ;CAP
(Waterbody) , N• �,
(Townand/or eau ty)
He his described to me as shown below, the development he is
proposing at that location,
and, I have no objecdons to his proposal.
D1=SORUMON AND/OR DRAWING OF PROPOSED D VELOpME NT
(To be flaed in by individual prapvsing development)
' 157
S i� titre -
od -Gurley
Print o r Type Name
252-566-3186 offic 66- 37 0
Te!Cphone Number