51847_BLEAU, REBECCA_20071114

❑LAMA /,A•pREDGE &FILL /7 „
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 Natura Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
❑ Rules attached.
Applicant Name t
Address
City State -- ZIP
Phone # () Fax # (}
Authorized Agent
❑ CW ❑ EW ❑ PTA
Affected
❑ OEA ❑ HHF ❑ IH
AEC(s):
❑ PWS: ❑FC:
ORW:
yes / no PNA yes / no
❑ ES ❑ PTS
❑ UBA ❑ N/A
Crit.Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # () River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale: )
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length _
avg distance offshore
max distance offshore
Basin, channel
J
e-
y I
-
cubic yards
Boat ramp
Boathouse/ Boatlift
I
Beach Bulldozing
Other
-�
L-
i
Shoreline Length
SAV: not sure yes no
-
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes noFF
A building permit may be required by:+-
Notes/ Special Conditions
/
I
rules.
T
See
note
on
back
regarding
River Basin
,S•c1
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
J
Application Fee(s) Check #
Permit Officer's Signature
Issuing Date 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 (910-796-72 15) 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/ 1-888-41RCOAST
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

NOV-I?-2007 04:13P FROM:
TO:2473330 P.1
Michael F. Easley, Governor
Date
North Carolina Department of Environment Resources
Division of Coastal Management
Charles S. Jones, Director
Applicant Name
Mailing Address X 1)
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) U id sai ,
at (location) A 1();' Nhrd e- 4 rd L7vt
This certification is valid thru (date) 1 /.
IrL
Signa
400 Commence Avenue, Morehead City, North Carolina 29557
Phone: [phone]/ FAX: [phone] Internet: www nccoastalmanaraement net
An Equal Opportunity/ Atrrrmative Action Employer-50%Recyoledll04b Past Consul= Papa'
Wilhwn G. Ross Ir., Secretary

N00-12-2007 04
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TO:2473330
Ai/W CZ? i R A )" VX0PZ Fi i OW+BIZ "AISNOM
(BU3&md6p rv)
I bmr.by certify that I own pmpcM1y t to R F Ui o" c�--
(Nan off' Property Owatiz)
piOpa'ty located it )?....1....,i dru rd Q d;'jEj6&,--
(Lot. Bi{o k load, eto.)
(Water body) (Town ArAvor County)
Hr, hu doscAW to me"*own below, that 4weloorM he is ptopo&ft at tht
locabou. and, I have no ouje uow to his propoasL
4 DEBCRWTWN AND/Olt DRAWING OF PRONOIRW D9VIWPMEN1r
(to 1P iiwb"dpropadw derrwmmo
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Foley & Folcy C.odtrwtom I= SLPXWM
Phone: [phone]l5
paw [phone] o ca p? • k
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Telcpbonc Number
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NOU-12-2007 04:14P FROM:
TO:2473330 P.3
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(Bulkhead/rip rap)
I hereby certify that I own property adjacent to F F_ 13 ww ICJ &,j 's
(Name of Property Owner)
property located at QC 1 o -�2— - A1C �� f k Q E4
(Lot, Block, Road, etc.)
on A)5t4fi R. a%. in N FJ ?-e-.o P_.A'JgP 0 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.
j DESCRIMON AND/OR DRAWING OF PROPOSED DEVELOPMENT
J (to be fllled In by individual proposing development)
1� /V Eur r Z 04 wtz
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Foley & Foley Contractors, Inc.
Phone#: [phone]
Fax# [phone]
WA OW' =
Print or Type Name
Telephone Number
�/Z , a - 0 7
Date

FOLEY & FOLEY CONTRACTORS, INC.
PH. [phone]
1810 OLD AIRPORT RD.
NEW BERN, NC 28562
TO THE
ORDER OF
5166
66-112/531
/ BRANCH 01901
DATE
DOLLARS
DT iness al Checking
BR9M9VANKING AND TRUST COMPANY
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