49081_SPARKS, NICHOLAS_20070621

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❑CAM^ / ❑ 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 urces , ,,
and the Coastal Resources Commission in an area of environmental concern pursuant to A NCAC )/ / / �V
'® Rules attached.
Applicant Name L-�- o ?[ t ' - `.> Project Location: County.
Address i ` i ', +J ci : QcJ Street Address/ State Road/ Lot #(s)
City f n
State ZIP r s b 0
Phone # 3 16 Fax # ( )
Authorized Agent
rO\ �-
❑ CW 0 EW
:D PTA ❑ ES ❑ PTS
Affected
AEC(s): ❑ OEA ❑ HHF
❑ IH ❑ USA ❑ N/A
❑ PWS:
❑ FC:
ORW: yes /; no '; PNA
yes •L no' Crit.Hab. yes / .no .'
Subdivision ',i Q •_`
City ZIP, O
Phone # ( ) River Basin
Adj. Wtr. Body ! ./,tnan /unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale:. -7 > )
Pier (dock) length
_
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Ripraplength '
avg distance offshore
max distance offshore '>
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
L
Beach Bulldozing --
Other
Shoreline Length
SAV: not sure yes .no
Sandbags: not sure yes no — —�I—
Moratorium: n/a yes no,
Photos: yes no
Waiver Attached: es no' —
Y
A building permit may be required by: C (.VJ t n ���{ ] See note on back regarding River Basin rules.
Notes/ Special Conditions ' i It Dlc✓C-C,& 11 v MotgL- 4 G.
Agent or Applicant Printed Name ,
Signature Please read compliance"statemen-t-on back of permit
Fla(mit Officer's Signature
a")
Issuing Data Expiration Date
Local Planning Jurisdiction Rover File Name
Application Fee(s) Check #

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
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/ 1-888ARCOAST
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

04/10/2014 21:55 FAX
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Applkast
North C.aml>ima Department of"Viranment Reaoursea
Dives of CON1*21 mabage""t
Clarks S. Jams, Dbowar
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I mr* that I have salbortizd tv aft an my
behalf, for purpose of aapplybg for
and ob*mWng an LAMA Permits ae�eeaeary to
lusto of construct (activity) �l N -, r� �a t"% rr� n v
This certMembon is
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"JA.C;E1VT RIPARIAN PROPERTY OWNER STAYI�MENT C, —
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1 h=by certify dw I ovkm ProPelty adjac ew WA_ ,g 14W kf 'S
(Name of Property owner)
Propffty located L"Ak
Block, etc,)
on g~' - N.C.
(Water may) (TOVM aroxor County)
He has descnbed to the as shown below, the developmant he is proposing at the
location, and, 1 haw no objecdons to his proposal.
DLSCREMON AND/OR DRAWING OF PROW"D DKVTLOPM%NT
(10 IWflAtsd in by /ir�prop wow d~i� pwn xo
Foley Foley C,anMwtors, bh-- �
Signature
Phone#: [phone]
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Print or Type Nwne
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Tclephcme Number
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04/10/2014 21:55 FAX
.ADJAMNT I"ARTAN PRCffrA "5t" OWNER STA MMN
(Bull t9 hlp rap)
1 hermby va U y tW I own pmp" 4ao= to& • S /AWk'
(NOM of r c
1510ck. Road. do.)
on :2"4jn
(Water body) crown amdlor County)
He has dcscnlmd to me as shown blow, the dev�vlap t he is pfop�g at the
location, wO, Y have no,vbOctiom to bis pt�opoW
DE9CVMnON ANUOR,DRAMI KG DZVIIO NT
(90 beft9ad bm by *Pekpnm
Foley & Foley Con ta'ctors. Ina
Phonef#: [phone]
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FOLEY & FOLEY CONTRACTORS, INC.
PH. [phone]
1810 OLD AIRPORT HD -
NEW BERN, NC 28562
PAY
DATE n �e - 7
BB&T qq(3c,+L/,"' L{aa����L,gag3il.0jim
BRANCH BANKING AND TRUST COMPANI^T �^ D l ` �.J
!�1-800--BANK BBT BBT.com 11
FOR,-0,4 3 G' II'0000 to 9SIl' 1:0 3l0L120�' 005290052
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'COLLARS
Value 91�6-c�ing
4595
66-112/531
BRANCH 01901
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