52656_LEWIS, TOM_20081104

D cAMA /5i4DREDGE & FILL
GENERAL, PERMIT Previous permit#
El ONew ❑Modification El El Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resourc6)s"
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC �1/71
El Rulis attached.
Applicant Name i,-, -,, I— e-,-J ,
Address —iO
�1�.
State ZIP
Phone #
Fax #
Authorized Agent
7J Cw L-1 EW
Ll PTA [I ES El PTS
Affected
AEC(s): El OEA ❑ HHF
El 1H Cl UBA F-i N/A
E, PWS:
D FC:
01RW: yes / no , PNA yes / no Crit.Hab. yes / no
Type of Project/ Activity
Pier (dock) I
Project Location: County
Street Address/ State Road/ Lot #(s)
, I - I .
Subdivision
City t3 �C7 ZIP
Phone# River Basin 0/1
Adj. Wtr. Body il-, I p � 6A i' k cc- I- (-Cn`at:J19an /unkn)
Closest Maj. Wtr. Body L', CUA-f-
(Scale: �i
pier(s)
length
7-H
camber
aadj Riprap length g, g,
Lvg distance offshore
nax distance offshore—
J
channel
:ubic yards
amp
ouse/ Boatlift
-tJ
40
Bulldozing
line Length 45-
not sure yes no
ags: not sure yes no
:orium: n/a yes no s: yes no -
.r Artne-hAri-
�-T
-AJ
Platform(s)
Fingei
Groin
Bulkh
Basin,
Boat i
Boati-
Beacl-
Other
Shore
SAV:
Sandt
Mora
Photo
Waivi
A building permit may be required by: sty? .ate cz R See note on back regarding River Basin rules.
Notes/ Special Conditions L F wC&AX-,w
Agent -or Applicant Printed Nai *
Signature Please read compliance statement on back of permit
I
Application Fee(s) Check #
Peahit Officer's Signature
//- 1/--01-3 �- el-d I
Issuing Date Expiration Date
C E (A 0C-Il Ca.
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/ I-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

USPS - Track & Confirm
0
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UNITED STATES
POSTAL SERVIC& Home I Help I Sign In
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Label/Receipt Number: 7007 3020 0001 3348 8147
Status: Delivered 'raC1, r> Colitlrrli
Your item was delivered at 10:49 AM on October 24, 2008 in AYDEN, Enter Label/Receipt Number.
NC 28513.
Additional Details y Return to USPS.com Home > Go
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USPS - Track & Confirm
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UNITEDST/3TES
POSTAL SERVICE., Home I Help I Sign In
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Label/Receipt Number: 7007 3020 0001 3348 8154
Status: Delivered Track & Coniirrl6
Your item was delivered at 2:09 PM on October 25, 2008 in Enter Label/Receipt Number.
WASHINGTON, DC 20024.
Additional Details > Return to USPS.corrf Horne >
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Get current event information or updates for your item sent to you or others by email. Go }
Site Map Contact Us Forms Gov't Services Jobs Privacy Policy Terms of Use National & Premier Accounts
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Go ;�
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOAT LIFTBOATHOUSE)
I hereby certify that I own property adjacent to (-)Jh _'s property located at
(Name of property owner)
OG ! F on in 1�
(Lot, block,road, etc.) (Water body) (Town and/or county)
He has described to me, as shown below, the development he is proposing at that location location
and I have no objections to his proposal. I understand that a pier/mooring pilings/boat lift/boathouse must be
set back a minimum distance of fifteen feet (15') from my area of riparian access unless waived by me.
I do not wish to waive the setback requirement.
I do wish to waive the setback requirement.
DESCRIPTION AND/ OR DRAWING OF PROPOSED DEVELOPMENT:
(to be filled in by individual proposing development)
5. 'S Qc �
Foley & Foley Contractors, Inc.
Phone #: [phone]
Fax #: [phone]
Signature
Print or Type Name
Telephone Number
Date

-- -
- - - -
66-85/531
1164
FOLEY & FOLEY CONTRACTORS INC.
0390028681
310 JOHNSON POINT RD.
NEW BERN, NC 28560
DATE
PAY TO T}IO
w� ORDER O
gooDOL-
A8
LARS Z=
RBC
:r

NOU-6-2008 10:38A FROM:FOLEY&FOLEY
2526363127 TO:247�73330 P.1
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NOV 6 zoos
North COrlia Depar#mcui;nv:rarrtnehtt�st��ta'c� D(,Ni
Iivic►n o� i:t:�i i�)aOaaemevt
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Charles S. ,Fooec, Director
M"Chwri F t't�)t•-. !z-wm, 4
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Appl;,vant
Addrems
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rm' 3ychalt for«s pzr oqC or a thin inr and RQ�istai�tMA alI CANIA cr;nilc
nee MI RM to install or Comstmet (!;activity) ic7Vt�� ��
Ai (Mcnti�nl _�..._. _ �U'� (� G�o/� C.� 1.a �t�•!,MQ�Pi�('A, iu �,..
'l'ltis Ccrtificatkma :c valid thru (late)
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(Dorgestic Mail Only; No Insurance
Coverage Provided)
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