52169_LAVINE, CINDY_20080117

❑CAMA / ❑ DREDGE & FILL
GENERAL PERMIT � �4revious permit #
❑New ❑Modification El 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 , r ._ , •a� L t 4 (,�
Address '-"•C c `o t� r p;
City State "- , -- ZIP 2 �'-, _
Phone # Fax # O
Authorized Agent
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS
ElOEA ❑ HHF ❑ IH ElUBA El N/A
AEC(s):
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision 1j
City .-t r_'� ' i C..: ZIP
Phone # ( ) River Basin Ca-'
Adj. Wtr. Body t• ti,^ ` < �- �- (nat /man /unkn)
Closest Maj. Wtr. Body Y_ ji -.; ut
Type of Project/ Activity
(Scale: )
Pier (dock) length tT
Platform(s) 4 1
Finger pier(s) e -
Groin length
number
Bulkhead/ Riprap length J
i
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ram
Boathouse/ Boatlift
Beach Bulldozing
Other T�
—12
Zi
I
i
_
-
-
—
I. I
LA
Shoreline Length
i
SAV: not sure yes no
I.
Sandbags: not sure yes no 7-77
Moratorium: n/a yes
Photos: yes �np-'
Waiver Attached: yes now
A building permit may be required by: f�_ - C k)-CA— Cc. 0 See note on back regarding River Basin rules.
Notes/ Special Conditions
Agent or Applicant Prir ted Name
Signature ' Please;read compliance statement on back of permit
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 (910-796-7215) 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

FEE-1-200E
01:20P FROM: TO:24T3330 P.6
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Charles S. Jones, Director '
Michael F F sley
Date
Applicant
Mailing Ai
I certify that I have authorized (agent) Foley & Foley Contractors, Inc. To act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity). =Ui
at (location) 5 M
This
Signs
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone]/ FAX [phone]/ Internet: wwlu.necoastalmanagement.net
An Equal Opportunity/ Affirmative Action Employer-So%Recycled/ 10% Pest Con=er Paper

t
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to Cu 60 c A d i&Urt 's
(Nanie of property owner)
Property located at d d GC. b EI? ,
(lot, block, road, etc.)
on/u0 to wiF C` (L!z , in New Bern/ Craven N.C.
(Water body) (Town and/or county)
He has described to me, as shown below, the development he is proposing at that
location, and,1 have no objections to his proposal. I understand that a pier/mooring
pilings/boatlift/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.
l-'� I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(to be filled in by individual proposing development)
S-rz
(Applicant Information)
Mailing Address
City/State /Zip
Telephone Number
Date
Foley & Foley Contractors, Inc.
252-636-2515
252-636-3127 Fax
(Ri ri P ope w e of rmation)
Si
,,gW A • LieJ C
Print or Type Name
Z51-- C43 - 11,4 2
Telep ne Number
Date

Page 1 of 1
W
foley and foley contractors
From: "Wayne Strausbaugh" <wstrausbaugh@sudden link.net>
To: "Foley & Foley Marine Contractors" <[e-mail]>
Sent: Friday, January 11, 2008 3:24 PM
Attach: Lavine riparians and dock.jpg
Subject: Lavine Riparians and Dock
Dan,
Use this for the Adjacent Property Owners statement. Everything is on the picture now including the
lengths of the other docks and the width of the creek.
Wayne
1 / 11 /2008

FEB-1-200e 01:20P FROM:
TO:2473330 P.4
Adjacent Riparian Property Owners Statement
(FOR A PIER/MOORING PILINGS/BOATLiFT/BOATHOUSE )
I hereby certify that I own property adjacent to C+ ►J( A A u'. N t1 's
(Name of property owner)
property located at
(Lot, Block, Road, etc.)
onA
V pM Wr-2' / CU2lL , in A (�) e U NC
(Water body) (Town and/or County)
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal. I understand that a pier/mooring pilings/boatlift/boathouse must be set
back a minimum distance of fifteen feet (15') from my area of riparian access unless be set waived by
me.
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
Description and/or drawing of proposed development:
(To be filled in by individual proposing development)
STR A77
( Applicant Information ) ( Riparian Property Owner Information)
Mailing Address Signature Va'/)-P,,- C%,
-lc+t►ury���'T rip d) WarA-e u
Cite/State/Zip Print or Typef4ame .
-� s -133 -S-S-a 0
Telephone 4 Telephone #
Date Date
Foley & Foley Contractors, Inc.
252-636-2515
252-636-3127 Fax LD
l0 ��

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