48107_SHAW, WOODROW_20070315

❑ CAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit #
❑New ❑Modification ❑Complete Reissue ❑Partial Reissue !� Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Reso rc s
and the Coastal Resources Commission in an area of environmental concern pursuant to 15 N C �^ /
❑ Rules attached.
Applicant Name J� c `--5 Project Lo ation: County S c:k
Address I ` uf. 5 — Street Address/ State Road/ Lot #(s)
City_v ��>� i r_ State - ZIP i-
s
Phone # (' °) t. �Y Fax # ( )
Authorized Agent
Affected CW DEW ❑ PTA EJ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑FC:
ORW: yes / no PNA yes
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger pier(s) ~-
Groin length
number tt
Bulkhead/ Riprap length i b
avg distance offshore
max distance offshore
Basin, channel
Crit.Hab, yes / no
*_ ,
Subdivision
City L`;e ZIP �> >
Phone # ( ) River Basin C_
Adj. Wtr. Body © (nat /man /unkn)
Closest Maj. Wtr. Body
(Scale: )
•s
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing f'
Other _..._ »-..--,- .y+.+.-�.-+--••- - - - _._ _ • _ _ _ ,.fi.-.....r.- --^- - _
Shoreline Length 135
SAV: not sure yes
C no _ - --- -- - -
Sandbags: not sure yes
( no;
�no�
Moratorium: n/a yes
Photos: yes
i
F
Waiver Attached: yes
�nti - -
A building permit may be required by: 0 See note on back regarding River Basin rules.
Notes/ Special Conditions
f or ADDlicant.Printe
l ( r
% � fir-{? ,!• ,,.,�-..
Signature Please read compliance statement on back of permit
� "'.'..:-_::• - --
Application Fee(s) Check#
Permit Officer's Signature
- /l- 0?
� is ° `7
Issuing Date
Expiration Date
/ /
Y
Local PlanningJurisdiction
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 (910-796-7215) 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

North Carolina Department of Environment Resources
Division of Coastal Management
Charles S. Jones, Director
Michuel F. Eas)cy, Governor William G. Ross Jr., Secretary
Date ;2—,. [r -0 -7
Applicant Name
Mailing Address,... /C" ,
I certify that l have autharized (agent) Faley & Fo1ey Contractors, lnc to set on my
behalf, for purpose of applying for and obtaining all CAMA permits necessary to
install of construct(activity) St cEoj- c J���G�%�l ,
at (location)
This certification is valid thru (date)
------ ---- - - -
440 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone]/FAX: [phone]/ Internet nt.nut
An Equal Opportunity/Afrnnative Action EMPIO) r-50Saccyciccl/10%Post Consumer Paper

ADJACENT RVARM PROPERTY OWNER STATEMENT
(Aalkhead/rip rap)
I hereby certify that I own property adjacent is
(Name of Property Owner)
property located atJ j j_/ .S' /i• %, t
(Lot, Block, Road, etc.)
m4%� - N.C.
(Water body) (Town and/or County)
He has desen`bed to me as shown below, the development he is proposing at the
location, and, I have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(to be flUed in by 1►0h*Wal prWs W development)
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Foley & Foley Contractors, Inc,
Phone#: [phone]
Fax# [phone]
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Signature
Print or Type Name
Telephone Nuxnbcr
Date
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(Bulkhead/rip rap)
I hereby certify that I own property adjacent to,/xc c i� r rJ — 's
(Name of Property Owner)
property located at //y �/q.,r. r•
(Lot, Block, Road, etc)
Oil N.C.
(water body) (Town and/or County)
He has described to me as shown below, the development he is proposing at the
location, and, I have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(to be f iUed in by individual proposing development)
i:Ao *.r
0-1-
Flo wig
l�M"'
JCA. rn
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Foley & Foley Contractors, Inc. i e
Phone#: [phone]
Fax# [phone]
Print or Type N1,1
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Telephone Number
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t Date
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FOLEY & FOLEY CONTRACTORS, INC. 4248
PH. [phone] 66-112/531
1810 OLD AIRPORT RD.
BRANCH 01901
NEW BERN, NC 28562,
DATE
PAY
TO THE
ORDER OF
DOLLARS LJ o 0
BIW i��
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BRANCH BANKING AND TRUST COMPANY
7-800- NK BBT BBT.com
FOR— — __ --II.0000 4 2 481m 1:0 5 3 LO LL2 L1:000 5 2 900