31613_ROWE, MARY_20020508

T CAMA / DREDGE & FILL
GENERAL PERMIT
New Modification Complete Reissue Partial Reissue
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
/� 31ti %
Previous permit #
Date previous permit issued
❑ Rules attached.
Applicant Name Project Location: County
�J. �a._ i f
Address + r j� ,may .� Street Address/ State Road/ Lot #(s)
cityf '" ""L�' 4 'r^s t t" State t2_� ZIP;*F*C ::) _ >r
Phone # ( ) ss/ 'iI Fax # O Subdivision
Authorized Agent �.:.1' f't t i t City �,`J. 0 /i c, ZIP
Affected 0 CW E4E 14,PTA O ES ❑ PTS Phone # ( ) _ River Basin
�:AEC s : 00EA ❑ HHF O IH ❑ USA ❑ N/A Adj. Wtr. Body
man un
� PWS: ❑ FC: )
ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale: !\ )
I
Pier (dock) length
I
--
I Finger pier(s)__-
Groin length -Al -- -- -- -- - - - - - = Y t
-
number
- -- -- - - - -+-
_
Bulkhead/ Riprap length
r
avg distance offshore
max distance offshore7--
Basin,
channel
cubic yards
Boat ramp t ` --- - - -
Boathouse/ Boatlift
I
—. - - -- -
Beach u ozin
Other 7-
I 1J,if N,i
Shoreline Length
SAV. notsure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
-- f
Waiver Attached: yes no
A building permit may be required by: � r-n 1t f, -c) C' See note on back regarding River Basin rules.
Notes/ Special Conditions ! )r. n - "eft
Agent or Applicant Printe
Signature ** Please read
4 i v
Application Pee(s)
statement on back of permit **
Check #
Permit Officer's Signature
Issuing Date, Expiration Date
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, certifythat 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
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)

MRRy ►<OW t -r-- .s l 1pla 3794
C-4-Gc.IA 9188c 6v?,d3IIo17-
FOLEY & FOLEY CONTRACTORS, INC.
1810 OLD AIRPORT ROAD PH. 252-636-2515
P.O. BOX 3482
NEW BERN, NC 28564 66-85l531
DATE —
PAY TO THE
ORDER OF ~' A, $ �]?
QQ�
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DOLLARS 8 ��•�
0=
Centura Bank®
/ New Be[n, NC 60
FOR 1��
II10000 3 7 9 4ul l:0 S 3 L008 S0':0 3 900 L 6 2 SOIL'

t
ADJECENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERNOORiNG PILING/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to ll�P�
1--f property owner)
Property lacated at D,' K N D&,(
(Lot, Block, Road, ect )
, in YIm P &P"e&' , N.C.
(Wnterhody) (Town and/or County)
He has decrided to me, as shown below, the development he is proposing at that location, and,
have no objections to his proposal. I understand that a pier/mooring piling/boatlift/boathouse
must be set back minimum distance of fifteen feet (15') from my area of riparian access unless
waived by me.
I do not wish to waive yhe setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
( To be tilled in by individual proposing development)
S nature �\
Print or Type Name
Telephone Number
Date Foley & Foley Contractors

ADJECENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILING/BOATLIFT/BOATHOUSE)
X2
I hereby certify that I own property adjacent to / O `s
(Na nrpropertyowner)
Property lacated at____ SDI z0.40 , Vee _
CIA, Block, Road, ect.)
on in /V , N.C.
(Miterhody) (Town and/or County)
He has decrided to rne, as shown below, the development he is proposing at that location, and,
have no objections to his proposal. I understand that a pier/mooring piling/boatlift/boatl}ouse
must be set back minimum distance of fifteen feet (15') from my area of riparian access unless
waived by me.
I do not wish to waive yhe setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT-.
( To be tilled in by individual
lliproposing developmcnt)
T ,
GU ClC. t � Ltcapes 3 y- O
Signature
Print or Type Name
5a�1 745,
Telephone Number
Date Foley & Foley Contractors