44715_ROGERS, MICHAEL_20060314

CJ CAMA x DREDGE & FILL
GENERAL PERMIT Previous p'"ermit #
CNew Modification DComplete Reissue ❑Partial Reissue Date previous permit is u
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 I SA NCAC
❑ Rules attached.
Applicant Name/.' �'�G / �' Project Location: County____
Address wr' r.:. "Ilzi � �-� � �F�L� Street Address/ State Road/ Lot #(s)
City ...� State ; U C ZIP
Phone # Fax # O Subdivision
Authorized Agent ' f i' City ' "s ✓ ZIP-
,-- CW OEA ❑ HHF D IH G'EW PTA ©ES ❑PTS Phone# ( 1_)? S- )-''`­�� River Basin
Affected ❑ UBA [I N/A %.
AEC(s): Adj. Wtr. Body ``'�=+ i,-, Al' �r r (nat /man unkn
PWS: 0 FC: �
ORW: yes / no PNA yes / no Crit. Hab, yes / no Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) length
Platform(s)________
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length /^
avg distance offshore
max distance offshore
Basin, channel
cubic yards___
Boat ramp J�
Boathouse/ Boatlift 2 k �7
Beach Bulldozing___
Other__
Shoreline Length
SAM not sure yes no
Sandbags: not sure yes 'no
Moratorium: n/a yes ono
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
1 !.c)
`iVU/�1�t� ca i
(Scale: )
See note on back regarding River Basin rules.
AgentorApplicant'PrintedNam e I ,1 Permit Officer's Signature //
Signature �* Prease rea compliances hient on back of permit Issuing Date Expiratioon Date
UV /1 flyv r rj tJ jy IL 0 ��1��
!
ApplicationFee(s) k>°Ira4/L�calPlanningjurisdiction Rover File Name
----------------- -= - --
1�

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:
LJ 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 how to comply with these buffer 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
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)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Morehead City District
Wilmington District
400 Commerce Ave
127 Cardinal Drive Ext.
Morehead City, NC 28557
Wilmington, NC 28405-3845
202-808-2808/ 1-888ARCOAST
910-796-7215
Fax: [phone]
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
(Serves: Brunswick, New Hanover,
New River Inlet- and Pamlico Counties)
Onslow -below New River Inlet- and
Pender Counties)
Revised 06/29/05

Mar 07 06 09:11a Peggy B. Burns 252-634-9550 p.1
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PLERlMOORiNG PILING&TOA TLIFTIBOA THO USE)
I hereby certify that I own property adjacent to M e o � 0 § JL
(Name of propeAy owner)
property located at "
(Lot, b oek, road, etc.)
on i in &FW j ,WA 7 ggllF 0fi•J t N.C.
Water body) (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. I understand that a pier/mooring
pilings/boatli"oathouse 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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(to be filled in by individual proposing development)
Let atrk4 (4. p
.'o
4 y
T
Foley & Foley Contractors, Inc.
Phone#: [phone]
Fax,#: [phone]
5' A
sig4lmiit
FF 66r`l B -Go p"�As
Print or Type Name
r,q. 5a) 13q- CtSS-D
Telephone Number and Date

08/17/00 22:42 FAX
c ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR<4 pff"OORINGpILTNG,S 0,4TLIFJBOATHOUSE)
I hereby certify that I own property adjacent to 's
(Name of prope ty owner)
property located at —
(I.,ot, b ock, road, etc.)
on..464 60 hock eAN& in t1,ZF MU00 _Gr uAi , N.C.
Water body) (Town and/or county)
He has described to me, as shown below, the development he is proposing at tbai
location, and, I have no objections to his proposal. I understand that a pier/mooring
pilings/boaditt/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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(to be fulled In by individual proposing development)
�0;14 0a to
t� — lap —
FL Vey
Foley & Foley Contractors, Inc.
Phone#: [phone]
Fax#: [phone]
"' n�
�Jlaml" z
�
Print or Type Name
Telephone Number and Date
lg 02
MAR 07 2006 09 43
PAGE.02

11
lu
FOLEY & FOLEY2CONTRACTORS INC.
636-2515
Aalo OLD AIRPORT RD-
NEW BERN, NC 28%2
TO THE
>, ORDER OF
2770
W112/531
BRANCH 01901
DATE 0 aJ- -7 -c.JSc�
$ Soo 1?
•
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Bus s Value Checking
BRANCC AT CAMPANY
F°R u■ I:0 5 3 LO L L 2 11:000 5 2 900 5 L 40tt'
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