50773_WILDNER, BILL_20080604

CAMA / 0 DREDGE & FILL
GENERAL PERMIT v Previous permit #
❑;N ew ❑Modifi ation ❑Com Complete Reissue El Reissue D i - c p ate 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
❑ Rules attached.
Applicant Name , ! \ 1N . `� ,� Project Location: County -
Address 1 �} �� r *Z 'r Street Address/ State Road/ Lot #(s)
City C-lam 3 t? e' r State I` Zip 5 `D
Phone # O Fax # O Subdivision (.
Authorized Agent Q (n J) \ C k. _ City . ZIP
Affected ❑ CW ❑ EW 7,PTA ❑ ES ❑ PTS Phone # (,) River Basin
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body (nat ,/man unkn)
❑ PWS: ❑ FC:
ORW: yes / no PNA yes /.no Crit.Hab. yes / no Closest Maj. Wtr. Body''
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Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
-rmitOffice 's Signature
Issul'i Da a 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, certifythatthis project is consistentwith 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 how to comply with 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

o
North Carolina Department of Environment Resources
Division of Coastal Management
Charles S. Jones, Director
Michael F. Easley, Governor
William G. Ross Jr., Secretary
Date May 7, 2008
Applicant Name Bill Waldner
Mailing Address 109 Knottline Dr. New Bern NC 28560
I certify that I have authorized (agent) Foley & Foley Contractors, Inc. to act on my
behalf, for purpose of applying for and obtaining all CAMA Permits necessary to
install of construct (activity) Dred2e/Dock/Boat lift ,
at (location) Same
This certification is valid thru (date)
/} r
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone]/ FAX: [phone]/ Internet: v tiww nccoastalrnana�entent.net
An Equal Opportunity/ Affirmative Action Employer-500/oRecycled/10% Post Consumer Paper

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent toz8 +�,., _ r zy'0 k'i' 's
(Name of property owner)
property located at
(Lot, block, road, etc.)
on ► - E j .,, J e9� , in N Q) 176 y U9u;•.J , 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/boatliMoathouse must be setback a minimum distance of fifteen feet (15') from
my area of riparian access unless waived by me.
7--
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(to be
sit
, V)ala
/r
lU U U C7
)°I
Foley & Foley Contractors, Inc.
Phone#: [phone]
Fax#: [phone]
Print or Type Name
Telephone Number and Date
E
41x

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT;.
(FOR A PIER/MOORING PILINGSBOATL.IFTBOATiHOUSE)�.
I hereby certify that I own property adjacent to a "'n, IS
(Name of property owner)
property located at 169 l��c I �,..:�. C
(Lot, block, road, etc.)
on w4. 12&S C in N r N.C.
(Water body) (To n 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/moorihg
pilings/boatlift/boathouse must be set back a minimum distance of fifteen feet (1') frown
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 fille t s c lIt
WOY
IL':��— 10 4 71'�
Foley & Foley Contractors, Inc. -�
Phone#: [phone] Signature
Fax#: [phone]
Print or Type Name
Telephone Number and Date

FOLEY & FOLEY CONTRACTORS, INC.
1810 OLD AIRPORT RD.
NEW BERN, NC 28562
PH. [phone]
PAY
TO THE
ORDER OF
First South Bank 5YY O 7 7 3
NEW BERN, NC 28560-2152
�&eITJ
FOR
u'0000 l0 5 6u' 1: 2 5 3 L 7 16 2 L1:
DATE o
1056
66-7162-2531
$ (00.0c)
—DOLLARS
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