32995_VALKO, PAUL_20021219

❑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 Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
❑ Rules attached.
Applicant Name d VP i k
P• "
Address�`L( �!. 1��1•
City \.�lr-���•
Phone # ( )_
Authorized Agent
Affected
El CW
AEC(s):
❑ OEA
PWS:
ORW:
yes / no
State zip
Fax # ( )
17 EW ❑ PTA ❑ ES ❑ PTS
HHF ❑ IH ❑ UBA ❑ N/A
❑ FC:
PNA yes / to Crit. Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
J'C-e H it
Subdivision
City d ZIP
Phone # ( ) River Basin '!ut i
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity
&04'
0,
Pier (dock) length
Platform(s)
er pier(s)
in length ctj I
number
head/ Riprap length
max distance offshore k,
house/ Boatlift
k!
1
OEM
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MEN
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MEN
IN
IN
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MENEM
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soon
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eline Length
-bags: not sure yes 60
os: yes
er
wr
WA
OEM
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Agent Applicant Printedm(a Na
Signature "Please read compliance sfatement on back of permit '
Application Fee(s) Check #
Permit Officer's Signature
' i n n, Z
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 I) 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 (910-395-3900) for more information on how to comply with thesebuffer rules.
Division of Coastal Management Offices
Central Office Elizabeth City District
Mailing Address: 1367 U.S. 17 South
1638 Mail Service Center Elizabeth City, NC 27909
Raleigh, NC 27699-1638 252-264-3901
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888ARCOAST
Fax: [phone]
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
151-B Hwy. 24
Hestron Plaza II
Morehead City, NC 28557
202-808-2808
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico 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
910-395-3900
Fax: [phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
www.nccoastalmanagement.net
Revised 10/05/01

UNITED STATES POSTAL SERVIgE
Firsi-Class Mail
Postage & Fees NO
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
Fol, E Y F 0 L LY
M A R I N E C6 N'F RA t; T O R S, IRC.
P.O. Box 3482
NPw Bern, North Carolina 28564-3482

■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
A. )Ware
X
❑Agent
❑ Addressee
131Rece' by (Printed Name)
C. Date of Delivery
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
`
D. is delivery address different from item 1?
If YES, enter delivery address below:
❑ Yes
❑ I',o
1. Article Addressed to:
Vey-�,�1�
ess � ail n
❑ Registered n ipt for Me handise
Ly'Certified Mail ((Cll
❑ Insured Mail . ,j
4. Restricted Delivery? (6ta , Yes
2. 2. Article Number
C)
(Transfer from service label) �>�q INC)
'
PS Form 3811, August 2001 Domestic Return Receipt
102595-02-M-0835

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FOLEY & FOLEY CONTRACTORS, INC.
1810 OLD AIRPORT ROAD PH. 252-636-2515
P.O. BOX 3482
NEW BERN, NC 28564
PAY
TO THE
ORDER OF
'�3z49S'
f
4099
' ^ 66-85 / 531
DATE 7'
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DOLLARS ' �•���
RBC
Centura
RBC Centura Bank
New Bern, NG 285W
FOR �7i-� 1L 1& 0L --
II'0000409911' i:053 L00850i:03900 L6 250ll'
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ear

FOLEY & FOLEY CONTRACTORS, INC.
1810 OLD AIRPORT ROAD PH. 252-636-2515
P.O. BOX 3482
NEW BERN, NC 28564
PAY
TO THE L I y-
ORDER OF
4087
/ 2 - / 66-85/531
DATE
DOLLARS 8 �.,.•M,w.
RBC
ntura
C C©ntura Bank
NC 28580
FOR--
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1100000 408 7l" l:0 5 3 1008 50l:0 3 900 16 2 50lI'

UNITED STATES POSTAL SERVICE
First -Class Mail
vv Permit No. G-10
q3
• Sender: Please print your name, address, and ZIP+4 in this box •
9
r

■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
�lV 1 t+l<5�ti1
A. Signature
X Agent
99LA ❑ Addressee
B. Rec roed by ( Printed Naate of Delivery
ESCAPEES MAIL SAW'��_a�ja
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. ice Type
kCertified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number �(�py 0
(transfer from service label), 3 " L/W vy/
PS Form 3811, August 2001 Domestic Return Receipt 102595-02-M-0e35

TO: Brad (Cama)
Fax#: [phone]
Date: December 12, 2002
Page#:6
From: Foley & Foley (Sandy)
Phone#: [phone]
Customer Work Sheet
Customer Name: Paul Valko Date: December 12, 2002
Mailing Address: 704 River Rd. Shelton, CT.
Job Address: Lot# 18 Coaches Creek or 963 Becton Rd. Phone: [phone]
Adjacent Propegy Owners
Left Side: James & Lynda Small Right Side: Michael Fitzgerald
Job Type Description
Bulkhead 118'ft wood
Dock/Walkway 5'ft wide 103'ft long
Dock right side 5'ft wide 20'ft long and 8'ft wide 32'ft long
Boathouse
Boatlift/jet ski 10,000# Power boatlift
Ramp/Jetty (1) jetty to left 25'ft long
Dredge.
Rip Rap
t1... 4 ,,

CERTIFIED MAIL RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER
FORM
Name of individual applying for Permit: Paul Valko
Address of Property: 963 Becton Rd. or Lot# 18 Havelock, NC 28532
Coaches Creek Sub/Craven County
(Lot or Street #, Street or Road, City & County)
I hereby certify that I own property adjacent to the above referenced property. The
individual applying for this permit has described to me as shown on the attached drawing
the development they are proposing. A description or drawing, with dimensions, should
be provided with t is letter.
1 have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, Hestron Plaza H, 151-B, Hwy. 24, Morehead City, NC, 28557 or call
[phone] within 10 days of receipt of this notice No response is considered the
same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift or sandbags
must be set back a minimum distance of 15' from my area of riparian access unless
waived by me. (If you wish to waive the setback, you must initial the appropriate blank
below)
/ I do wish to waive the 15' setback requirement.
1 do not wish to waive the 15' setback requirement.
Signature Date
Print Name
g io 4�Z3o�'.s�
Telephone Number With Area Code
Foley & Foley Contractors
Phone#: [phone]
Fax#: [phone]

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Article Sent To:
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Return Receipt Fee
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Restricted Delivery Fee
f_ncorsement Reauired,
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Total Postage & Fees $
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Name (Please Print Clearly (to be completed by mailer)
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