51204_FOSTER, WILLIAM_20080729

-� ❑ CAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit #
❑New ❑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
O Rules attach
Applicant Name P L C
Address t
City State ZIP
Phone # () Fax # (
Authorized Agent
❑ CW ❑ EW ❑ PTA
Affected
AEC(s):
❑ OEA ❑ HHF ❑ IH
❑ PWS: ❑ FC:
ORW:
yes / no PNA yes / no
❑ ES ❑ PTS
❑ UBA ❑ N/A
Crit.Hab. yes / no
rolect ocation: ounty
Street Address/ State Road/ Lot #(s)
C,�' 1
Subdivision
City ZIP
Phone # ( ) River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
W.
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Agent or Applicant Printed Nhg +
7 �` ,
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Signature * Please rea-8 compliance statement on back of permit"
Application Fee(s) Check #
Permit Officer's Signature
Issuing I 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, 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 (910-796-7215) for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Raleigh Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST
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

CAMA / El DREDGE & FILL
GENERAL PERMIT
ew ❑Modification ❑Complete Reissue ❑Partial Reissue
N° 512®4 <
Previous permit #
Date previous,permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources �j f,�2—
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC �,//-A es attached.
Applicant Name \�J l —o Project Location: County G� t
Address Street Address/ State Road/ Lot #(s)
City - State�rfj ZIPS ! .
Phone # (_) Fax # Subdivision
Authorized Agent e (?�3 DES t (w cc ri City ZIP
>«
Affected ❑ CW _,e�s—w -AT7A ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
ORW: yes / o PNA yes /� Crit.Hab. yes / Eo
(� r
Type of Project/ Activity
Pier f
Platfc
Finge
Groii
BuW
Basin
Boat
Boatl
Bead
Othe
Shon
SAV:
Sandi
Mora
Phot,
Waiv
u °Yn
Phone # ( J River Basin 4" t LECC'
Adj. Wtr. Body �`li f e nat man /un/kn
Closest Maj. Wtr. Body
(Scale: Ao(le )
length
MENi
MIN
Mri
mom
max distance offshore
1111I.Erl
MEN
cubic yards
ramp
111
-i Bulldozing
ENNOMMEN��N��m
ME
IT
dine LengtK
notsure yes
wags, not s yes
tor F
n yes no I
nrkxac�cecl: —Jel
mom
0
No
INN
ON
INNIMMEME
MIME
mom
MIME
A building permit may be required by:
Notes/ Special ConcUtions
t C��
❑ See notp, on back regardit g River Basin
In �©A
or Applicant Print d Name Permit fficer's Signature
5igna�Please read compliance statement on back of permit" Issyfng Date piration Date
& PAMIIIcoC9
a i Applicon Fee(s) Check Local Plan n ngjurisdiction Rover File Name

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor .lames H. Gregson, Director William G. Ross Jr., Secretary
September 9, 2008
Mr. Malone's Marine Construction
Attn: Danny Malone
5253 Lowland Rd.
Lowland, NC 28552
Dear Mr. Malone:
Attached is General Permit #51204C to Construct a 5x20 Dock and a 5x22 Platform at 638 Bay
Shores Rd., Merritt, NC
In order to validate this permit, please sign the permit as indicated. Retain the white copy for
your files and return the signed yellow and pink copies to us in the enclosed, self-addressed
envelope. If the signed permit copies are not returned to this office before the initiation of
development, you will be working without authorization and will be subject to a Notice of
Violation and subsequent civil penalties.
We appreciate your early attention to this matter
Sincerely,
Brad Connell
Coastal Management Representative
Isb
Enclosures
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internet: www.nccoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer-50% Recycled 110% Post consumer Paper

I L5 ra-kCO A
�.
NC ENRe s
North Carolina Department of Environment and Natural Resources f
Division of Coastal Management I
Michael F. Easley, Governor James H. Gregson, Director William G, Ross Jr., Secretary
Applicant. Names li4 ?,.•� ~-E �2 S`i' C
fz—
MailingAddress
n t -T
I certify that I have authorized (agent)
to act on my
behalf, for the purpose of applying for And obtaining all CAMA Permits necessary to
install or construct (activity) ,
at (location)
This certification is valid thru (date)
Signature
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] \ Internet: www.nccoastalmanagement.net
An Equaj Opportunity 1 Affirmative Action Employer- 50% Recycled l 10% Post Consumer Paper
TE]Jbd e Tb:2T 8002-62-z0

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING .PILIN(iMBOATLIFT BOAIWOUSE)
I hereby certify that I own property adjacem to - 4 k)'V � 0, J1"q'M ro 5
(Name of Property Owner)
property located at
(lot, Block; Road, etc.)
00 �` in (,CAk N.C.
(Waterbody) (Town and/or County)
He has described to one, 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 (1 y) from my area of riparian access unless
waived by me. (if you wish to waive the wtback, you must initial the appropriate blank
below.)
I day" wish to waive
4�� 1 ag wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be, frilled In by h tdi'vkbW prapoying developnwnt)
P1r61U
Print or Type Name
Telephone Number
Date:
Z3Jdd
2t7:2Z 8008-62-Z0

m
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINWB0AIUFl1B0A7W0USE) I _'
1 hereby certify that I own property adjacent to UST 's
(Name of Property Owner)
property located at /-dam /
g4az.45
Road, 00
on e d e IL , in y IV1 �C G L N-c-
Watei'body) (Town and/or' C nty)
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/mooting pilings / boatlift / boathouse
must be set back a minimum distance of fifteen feet (151) from my area of riparian access unless
waived by me. (If your wish to waive the setback you must initial the appropriate blank
below.)
l ASIM wish to waive
V I jL0 wish to waive that setback requirement-
- -y,--DESCRIPTION AND/OR DRAWING OF PROPOSED D � OPMENT:
(To be jUkd in by ihXvi&aI Propos g
Signature
ik M
p Print or Type Name
�) Telephone Number
Date; L)
T3JHd
9 2t:2T e002-62-)-0

T 3!DUd
J ":RT 8002-68-z8

MR. MALONE'S MARINE CONSTRUCTION 507
DBA DANIEL MALONE, JR.
5253 Lowland Rd. & Horne Rd. ss-zv530
°o P O BOX 26 BRANCH 77512
Lowland, NC 52
U PAY TO THE ` — — 6S' DATE
N ORDER OF
ono Do
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