49747_THOMPSON, ROY_20070722

❑CAMA / ❑ DREDGE & FILL (J//
GENERAL PERMIT �'"� 'Previous permit #
13New ❑Modification ❑Complete Reissue ❑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
❑ Rules attached.
Applicant Name
Address
U t
City = -<
State ZIP, '
Phone # (`)
i Fax # O
Authorized Agent
❑ CW
ElEW PTA ❑ ES ❑ PTS
Affected
AEC(s): ❑ OEA
❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
❑ FC:
ORW: yes / no
PNA yes / no Crit.Hab. yes / no
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/'Riprap length I I
avg distance offshore -
max distance offshore
Basin, channel
cubic yards_
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other -
Project Location: County R
Street Address/ State Road/ Lot #(s) -
Subdivision
City , (' : C a ._- ZIP
Phone # O River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Mai. Wtr. Body i
t
Shoreline Length ll;
SAV: not sure yes no)
Sandbags: not sure yes no -�1
Moratorium: n/a yes �no,i �C
Photos: yes (oo\_ '
Waiver Attached: yes ( noo )
,`"
A building permit may be required by: /
Notes/ Special Conditions
Agent or Applicant
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
(Scale: )
El See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Date Expiration Date
� 1 1, f 1
Local Planning JurisdictioA 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 Morehead City Headquarters
Mailing Address: 400 Commerce Ave
1638 Mail Service Center Morehead City, NC 28557
Raleigh, NC 27699-1638 252-808-2808/ 1-888-4RCOAST
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

North Carolina Department of Environment Resources
Division of Coastal Management
Charles S. Jones, Director
Michael F. Easley, Governor
Date June 13, 2007
Applicant Name —Roy Thompson
Mailing Address 226 Riverside Dr.
Havelock, NC 28532
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) Bulkhead ,
at (location)_Same as above
This certification is valid thru (date)
Signature
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone]/ FAX: [phone]/ Internet: www.necoastalmartagement.net
An Equal Opportunity/ Affirmative Action Employer-50%Recycled/10% Post Consumer Paper
William G. Ross Jr., Secretary

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(Bulkhead/rip rap)
I hereby certify that I own property adjacent to
(Name of Property Owner)
Property located at
(lot, block, road, etc.)
r) 2 �� , N.C.
on in _
(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 filled in by individual proposing development)
cAt
Foley & Foley Contractors, Inc.
Phone#: [phone]
Fax# [phone]
Signature
Print or Type Name
yyY-023S
Telephone Number
Jet apt 7-o07-
Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(Bulkhead/rip rap)
/_ 10
I hereby certify that I own property adjacent to _ It . 11A)1 J '5oA) 's
(Name of Property Owner)
Property located
(lot, block, road, etc.)
on,�n VCC,2e iY-��VT- N. C9r�1.
(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 filled in by individual proposing development)
Foley & Foley Contractors, Inc.
Phone#: [phone]
Fax# [phone]
l
0v 4'�0,06ploo — '�-d—
Signature G
Print or Type Name
X7617
ne Number
7
Date

210
ROY L THOMPSON 66_30/531
226 RIVERSIDE DR D 278
HAVELOCK, NC 28532 (�„l
V I''IR.ST CITIZENS 279 Money Market Savings
BANK H, to .'N�8 8532 —m
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www.firstcitizens.com
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