48961_CAMERON, HAROLD_20070601

❑CAMA /DREDGE & FILL �7
GENERAL PERMIT
[]New ❑Modification ❑Complete Reissue ❑Partial Reissue
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_
Previous permit #
Date previous permit issued
El Rules attached.
Applicant Name It ; aProject Location: County
Address Street Address/ State Road/ Lot #(s)
City 4t.>E State ZIP
Phone # (- ' ) 2 �/J Fax # O Subdivision ✓ ` ac}
Authorized Agent•,r. City ZIP
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Phone # ( ) River Basin
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body (nat %man /unkn)
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards_
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
I
SAV: not sure yes no
Sandbags: not sure yes no.
Moratorium: n/a yes no
Photos: yes no,
Waiver Attached: yes ':no
A building permit may be required by:
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check#
(Scale: )
See note on back regarding River Basin rules.
PermitOfficer'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/ I-888-4RCOAST
Location:
Fax: [phone]
2728 Capital Blvd.
(Serves: Carteret, Craven, Onslow -above
Raleigh, NC 27604
New River Inlet- and Pamlico Counties)
919-733-2293
Fax:[phone]
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
Cbarles S. Jones, Director
M' e1 P. Easley, Governor
William U. Ross Jr., Smrrrary
Date 6 - l S ' 0 -7
Applicant Name
MailingAddress b 6�
fit.' � f
5
tt.i :
I certify that I have authorized (agent) Foley & Folev Contractors, Inc to act on my
behalf, for purpose of applying for and obtaining all CAMA Permits necessary to
install of construct (activity);4 l-
a
at (location) 6 0$ A- W P e e L= s
This certification is valid thru (date) � ^ (S ^0 /
Signature__�
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone]/ FAX: [phone]/ Internet: wu .v.ncco-zminianigcmcnt.l)et
An Equal OppurUmiry/ Af rtnative Ac ion Etnp)oyer-SO%Recyc]ed/105A Poet Consumer Paper

05/24/2007 02:47 2240378 ECIM ADMIN
21:04 FAX
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'I,hereby cerd�y that I own propeny4incent o.—Am" 'mWd*
(Name of progarty bwaff)
property io:a at
its bl road, ete.)
U u AAA a A:
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p'fix 'Zacg ` It
k � Kaye no objec-gons to hb pmpoA-.. I urn that a pier/mcbring
ai E must bea setbla& a nlirl um Sfmce of flffi-�-- Feet (151 J am
_ `JIdo not ,,,,-,h to waive the Mback raquiremmt.
I do vAsh to -tvaive that sodmck regWmmmt.
D C ,.. Tt" AND/OR DRAG OF PROP40MD DEVELOPMENT:
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F,
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''ohm,hm, & Foley CODLn&crs, %.c.
P�o� : (252) 636-25z 5
Fes#: (252) 636-3I27
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSBOATLIFTBOATMOUSE)
I hereby certify that I own property adjacent to a- ow 's
(Name of property owner)
property located at W4 7A) 0- *e le
(Lot, block, road, etc.)
onCL�4406-, CA.% , in A2Fdz A , 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, 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 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)
Foley & Foley Contractors, Inc.
Phone#: [phone] Signature Z/
Fax#: [phone]
Print or Type Name
Telephone Number and Date

LAYOUT Pagel of 3
http://gismaps.cravencounty.com/maps/map_print.asp?pid=8-054%20%20%20-015&min.
5/31 /2007

FOLEY & FOLEY CONTRACTORS, INC.
PH. [phone]
1810 OLD AIRPORT RD.
NEW BERN, NC 28562
;I PAY
TO THE
ORDER OF
4521
66-112/531
BRANCH 01901
DATE D (a -D1
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