31699_MAYO, HIRAM_20020522

ElCA►MA / F-j DREDGE & FILL - F
GENERAL PERMIT Previous permit#
ENew ❑Modification ❑Complete Reissue El 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 1 �+��'=�
Applicant Name
Address
; (A I
Ci J
State i, jC_ ZIP. a-
Phone #
—y.,x'V L Fax # ( )
Authorized Agent
Affected ❑ CW
❑ EW L5-PTA ❑ ES D'PTS
AEC(s): ❑ OEA
`I HHF ❑ IH ❑ USA ❑ N/A
PWS:
❑ FC:
ORW: yes / no
PNA yes / no Crit. Hab. yes / no
❑ Rules attached.
Project Location: County i��f� •J�
Street Address/ State Road/ Lot #(s) =a;
Subdivision
CiN(._ a ZIP';c ty t�,'�.., ._� ..'z r �
Phone # ( ) River Basin
Adj. Wtr. Body fffaT /man /unkn)
Closest Maj. Wtr. Body Nctx,e,
Type of Project/ Activity U
i ,'.--'�•c/(; '-c ���� 0•--t ;•V i=:a' ,:ylYc=n. (Scale: byw )
Pier (dock) length
Platform(s) _..
Finger pier(s)
Groin length
number -----i - -- - -- — ---
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp _.._
Boathouse/ Boatlift l . ; tl
Beach Bulldozing
Other
Shoreline Length <i`
SAMnot sure ayes no _____.---- -- --- --
Sandbags: not sure yes , no
Moratorium: n/a yes no
,ic •i t
Photos: yes no 1' `
Waiver Attached: yes n"o
A building permit may be required by:
Notes/ Special Conditions i
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit"
Application Fee(s) Check #
LY
.Cn�0-
L 1` jI ❑ Seernot�e on back regarding River Basin rules.
�Lit o{ -S�3 b'e 7ir,
Permit Officer's Signature
r-.
Issuing Date _ Expiration Date
't
i
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 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 (910-395-3900) for more information on how to comply with thesebuffer rules.
Division of Coastal Management Offices
Central Office Elizabeth City District
Mailing Address: 1367 U.S. 17 South
1638 Mail Service Center Elizabeth City, NC 27909
Raleigh, NC 27699-1638 252-264-3901
Location: Fax: [phone]
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888ARCOAST
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)
Revised 10/C

1622
FOLEY & FOLEY CONTRACTORS, INC.
MATERIAL ACCOUNT
1810 OLD AIRPORT RD. PH. 252-636-2515
P.O. BOX 3482
NEW BERN, NC 28564 � DATE O'IQ 66-85/531
PAY
ORDER OF \ 1�I Chi
DOLLARS
RBC
Centura
RBC Centura Bank
Bern, NC 285
FOR --- - -----
("r '2 0e 0 16 2 211E �: 3 008 50�:0 3 900 16 3 6 511'

05/17/02 12:37 FAX
N
TO: Tracey Wheeler (Cama)
Fax#: [phone]
Date: May 17, 2002
Page#: 3
From: Foley & Foley (Sandy)
Phone#: [phone]
Customer Work Sheet
Customer Name: Hiram M"o Date: May 17, 2002
Mailing Address: 469 Gale Creek Rd_ Bayboro, NC 29515
Job Address: 498 Lilli= Dr. New Bern. NC 29560 Phone- 252-745A242
Wz,
Adjacent Property Owners
Left Side: Fulcher Right Side: Lundy
Job Type Description
Bulkhead
Dock/Walkway : Walkway 5'ft wide 152'R Ion
Platform end of dock "L" 8'ft wide 16'ft !one
Boathouse 12'ft wide 24'ft lone
Boatlift�jet ski- 4000#
Finger 3'ft wide 40'ft lone
Ramp/Jetty
Dredge_
Rip Rap_

05/17/02 12:37 FAX
Z02
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORINGPILINGSBOA1U.FTBOATHOUSE)
I hereby certify that I own property adjacent to H m !t I
(Name of property owner)
property located at A09 F A" mT Ar ,
(Lot, block, road, etc)
on )U •cr, cAbc in /( 4v 47 L' ,''� , N.C.
(Water body) (Town and/or county)
He has desenbed to me, as shown below, the development he is proposing at that
location, and, I have no objections to his proposal. I understand that a pier/mooring
pilings/boatlift/boathouse must be set back a minimum distance of fifteen feet (15') from
my area of riparian access unless waived by me.
1 " I do not wish to waive the setback requirement.
1 do wish to waive that setback requirement
DESCRIPTION AND/OR DRAWING O ROPOS VELOPME
(to be filled in by indi vidud proposing deMopwnl)
Foley & Foley Contractors, Inc.
Phone#: [phone]
Fax#: [phone]
ignature
Print or Type Name
Telephone Number and Date

05/17/02 12:37 FAX
[a 03
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGS/BOATLIFTIROATHOUSE)
I hereby certify that I own property adjacent to M , is
(Name of prop rty owner)
property located at
(Lot, blGk, road, etc.)
on 13R � Ga r 0 fJ , in F.v 7LZd Al d tZ&IuF-J , N.C.
(Water body) (Town and/of 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. I understand that a pier/mooring
pilingsUatlift/boathouse must be set back a minimum distance of fifteen feet (15') from
my area of riparian access unless waived by me.
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
G OF PROPOSED DEVE
(to be filled in by 1ndiv1'!d!u1al proposing development)
i
Foley & Foley Contractors, Inc.
Phone#.- [phone]
Fax#:[phone]
gnatU
T0W4T)fA✓ "by
Print or Type Name
25z �3?- 32.5
Te ephone Number and Date
A,
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