48960_DOWD, GARY_20070601

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ZICAMA / ❑ DREDGE & FILL 1 4MO
GENERAL PERMIT' / Previous permit # """ C
ENew ❑Modification ❑Complete Reissue ❑Partial issue Date previous permit issued -- —
As authorized by the State of North Carolina, Department of Environment and Natural Res urces
and the Coastal Resources Commission in an area of environmental concern pursuant to A NCAC f�/ .ft V f 1 00
❑ Rules attached.
Applicant Name -A 1� Project Location: County o: .,;t r` .
Address
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S l� .f e,�+. �) /"
City �= (24_1.)
&e
i .1 State t` C ZIP ' ` 5 ` ., L.
Phone # (,7)
iD� Fax # ( )
Authorized Agent
tNY"N
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
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger pier(s) 'rM
Groin length
number
Bulkhead/ Riprap length i
avg distance offshore e
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boadift
Beach Bulldozing
Other
Shoreline Length I` O 3
SAV: not sure yes no
Sandbags: not sure yes
Moratorium: n/a yeso i
Photos: yes no
Waiver Attached: yes no 1n _ (a>. 6
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 #
Street Address/ State Road/ Lot #(s) j +`. S t
Subdivision p vl
City t .+) ir!' - : <_ ZIP
Phone # ( ) River Basin
Adj. Wtr. Body C t c t- '(nat)/man /unkn)
Closest Maj. Wtr. Body -J..o C ( 1
(Scale:
D See note on back regarding River Basin rules.
PermitOfficer's Signature
6 ` l` 5 i'
q-1- 6
Issuing Date
Expiration Date
(I ,.)e —, C�'V
L 01010 8,.q
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/ 1-888-4RCOAST
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

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERMOORING PILINGSBOATLIFTBOATHOUSE)
hereby certify that I own property adjacent tom_ 13 ® w el 's
i (Name of property owner)
D �e�ertylocated at 106 *Asp
(Lot, block, road, etc.)
V01, -
onw'%ka'a C`r-le. , in NA4 , N.C.
(Water body) (Town and/or county)
He has described to me, as shown below, the development he is proposing at that
lnn"rm anal T hacra nn nhiar•tinne to hie nrnnneol T imr4arctan14 +hat a nicer/mnnrincr
1VVµ"Vll, µll{i, 111µMV liV VVJVVl1V11J lV 1110 t./111t.1VJµ1. 1 µ11%1VIJµlllti µ J11V1I111VV1111b
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.
p/ I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(to be filled in by individual proposing development)
WU•/t a
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Foley & Foley Contractors, Inc.
Phone#: [phone] Signature
Fax#: [phone]
k
Print or Type Name
Telephone Number and Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSBOAI'LIFTIBOATROUSE)
I, hereby certify that I own property adjacent to �afeei 1T d &J A 's
(Name of property owner)
locatedat 136 W#.cern1 W,Asea— QNLt` ,
�- u (Lot, block, road, etc.)
onW'% k a -a Ciek , in 05,43 13 9-00 .F C' IsJ
IXT7,a 4-- L—A-A !rH'nvarsc nn�8/nw nnn»$cs%
lVVULC1 UUU,') 1A0YTAt attUivt a.vuiaLy j
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.
f I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(to be f filled in by individual proposing development)
Foley & Foley Contractors, Inc.
'hone#: [phone]
Fnv0- 057) 616-1177
Pj'JPAJ4Ax&k
Print or Type Name
Telephone Number and Date

r,
Michael P. Easley, Governor
North Carolina Department of Environment Resources
Division of Coastal Manage
Charles S. Jones, director
/ \ w I—E� f ram, 11
L L �
Bate 'IQ:2Q
�A nn1want- NaMe
Mailing Address
cer-difv that f xgQ ? authorized ed (agent) Foley Foley Contractors, ine. to act on ,
behalf, for purpose of applying for Band obtaining all CAMA Permits necessary to
-� t 1
install of construct (activity) 1� LA ��. C C r� ;
This certification is valid thru (date)
Signature .��j .' - ZiK-�
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone]/ FAX: [phone]/Internet: ww.nccoastallnanahetnent.net
An Equal Opportunity/ Affirmative Action Employer-50%Recycled/10% Post Consumer Paper
William G. Ross Jr., Secretary

Dimensions
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Road Names
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Geodetic Monumei tE
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CRAVEN COUNTY COUNTY NORTH CAROLINA
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Craven County does not warrant the information shown on this reap and should be used only for tax assessment purposes.
http: //gismaps. cravencounty. comlmapslmap_print. asp?pid=8-054%20%20%20-014&min... 3 /28/2007

FOLEY $ FOLEY CONTRACTORS, INC.
PH. [phone]
1810 OLD AIRPORT RD.
NEW BERN, NC 28562
DATE AD(p
PAY
TO THE
ORDER OF
B /l B siness al a Checking
BRA NKING AND
.. COMPANY ;' I
1-8 -BANK BBTBBTom ! y+ f, ',L/) /v'
FOR
II'00004 5 2 1um I:0 5 3 10 1 1 2 11:000 5 2900 r2l�L400
4521
66-1121531
BRANCH 01901
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