52362_SEMPLE, GEORGE & CHRLOTTE_20080724

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❑CAMA / El DREDGE DREDGE & FILL "` ^$
GENERAL PERMIT �`� Previous permit #
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❑New ❑Modification ❑Complete Reissue El 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 , ..d_ t + ,i,; 1'." k ' (�_. .�C Y'^_Ql C _
Address " ..)C
City__..
—State `- ZIP
Phone # ( )
Fax # ()
Authorized Agent
C_
Affected ❑ CW
❑ EW ❑ PTA ❑ ES ©'PTS
AEC(s): ❑ OEA
❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
❑ FC:
ORW: yes / no
PNA yes / no Crit.Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s) J O ;/
Subdivision
City 'V ZIPt-
Phone # ( ) River Basin i4
Adj. Wtr. Body S i C t�w� `_ C-C k (pat !mean_/unknj
Closest Maj. Wtr. Body
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M.
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it ���fidAsites'%•�ir:i ai1�■■■'■��■■
Agent or Applicant Printed Name
Signature "Please read compliance statement on back of permit"
-, /099
Application Fee(s) Check #
Pe ,96ffice(r's Signature �}
Issuing Date Expiration Date
Local PlanningJurisdiction 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, Govemor
Date 2-0 JULY Z-00 e)
Applicant Name Oi toq e- ' e;agj p l-e
Mailing Address,
cres � 'D r Iv-
I certify that I have authorized (agent) -Foley & Foley Contractors, Inc. to act on my
behalf, for purpose of applying for and obtaining all CAMI A Permits necessary to
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install of construct (activity) ;1 ��PM- ,
at (location) (Oaf CresA- Dr ., e_ kiayelock NC- 28532- .
This
Signf
-7yo->-f. i LcC ,,
14owei l
William G. Ross Jr., Secretary
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone]/ FAX: [phone]/ Internet: „\vw.nccoastalmanaL�ement.net
An Equal Opportunity/ Affirmative Action Employer-500/oRecycled/I0% Post Consumer Paper

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(Bulkhead/rip rap)
I hereby certify that I own property adjacent to George Semple 's
(Name of Property Owner)
Property located at 104 Crest Dr. ,
(lot, block, road, etc.)
on Slocum Creek --..in Havelock/Craven , 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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
S Le64-wa0a k, (to be filled in by individua�lproposing development)
(Applicant Information)
_104 Crest Dr
Mailing Address
Havelock, NC 28532
City/State/Zip
447-2626
Telephone
Julv 21.2008
Date
Foley & Foley Contractors, Inc
252-636-2515
252-636-3127 Fax
k
(Riparian Property Owner Information)
Print or
Telephone Number
Date

Joh�'YA' ccI
PV
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(Bulkhead/rip rap)
I hereby certify that I own property adjacent to George Semple 's
(Name of Property Owner)
Property located at 104 Crest Dr. L,
(lot, block, road, etc.)
on Slocum Creek , in Havelock/Craven , 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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(to be f filled in by individu_ u�l proposing development)
57Y�w
a- 1
�ou J
pc
(Applicant Information)
_104 Crest Dr _
Mailing Address
Havelock. NC 28532
City/State/Zip
447-2626
Telephone
Julv 21.2008
Date
Foley & Foley Contractors, Inc
252-636-2515
252-636-3127 Fax
Print or
Telephone Number
Date

PAY
TO THE
ORDER OF
FOLEY & FOLEY CONTRACTORS, INC.
1810 OLD AIRPORT RD. 66 7162 2531
NEW BERN, NC 28562
PH. [phone] DATE --- ----
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DOLLARS W
Fkst South Bank
NEW BERN, N(,' o i0-2152
FORy�
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