49080_DUNN, PHILLIP_20070621

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❑CAMA / ❑ DREDGE & FILL G
GENERAL PERMIT
E]New ElModification ❑Complete Reissue El Partial Reissue
As authorized by the State of North Carolina, Department of Environment and Natural Resoi
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA
Applicant Name Project L
Address P I:A ' C', r--, kV 130C Street Ac
City '' ` :w e S State ZIP 7 s b
Previous permit #
Date previous permit issued
>n: County i�,
,1 State Road/ Lot #(s) y
i/ wt %.. Ir—
Phone # I Z5j 1
Fax # O
Subdivision
Authorized Agent i;1 �t--
`--';
City cl:>rr
ZIP -
[] CW ElEW
El PTA 0 ES ❑ PTS
Phone # ( )
River Basin
Affected OEA ❑ HHF
AEC s :
❑ IH O USA ❑ N/A
Wtr. Body
Ad'. I y
� ;r ;�/man /unkn)
❑ PWS:
❑FC:
4
Closest Maj. Wtr. Body
ORW: yes / no_, PNA
yes / no - Crit.Hab. yes / ,no
Type of Project/ Activity
Pier (dock) length J
Platform(s) `
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards^
Boat ramp.
Boathousel
Beach Bulldozing
Other
Shoreline Length I o iJ
SAV: not sure
yes
Sandbags: notsure
yes
Moratorium: n/a
yes Apo 1
f
Photos:
Y es
Waiver Attached:
yes'`�tn i
A building permit may
be required byi" [ (`Afy sti
Notes/ Special Conditions
(Scale: f" / -�
91 See note on back regarding River Basin rules.
Agent or Applicant Printed Name Permit Officer's Signature
641. 0 9- .1 o y
Signature Please read compliance statement on back of permit Issuing Date Expiration Date
Application Fee(s) Check # 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

North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Charles S. Jones, Director
Michael F Easley, Governor
Date C9` 19 - ()-I
Applicant Name.
Mailing Address
William G Ross Jr., Secretary
I certify that I have authorized (agent} Foley & Foley Contractors, Inc. To act on my
behalf, for the purpose of applying for
raand
obtaining all CAMA Permits necessary to
install or construct (activity)
at (location)
This
Signi
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone]/ FAX [phone]/ Internet: www.nccoastalmanaaement.net
An Equal Opportunity/ Afiumative Action Employer-50% Recycled/ 10% Post Consumer Paper

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOA TLIFTIBOA THOUSE)
I hereby certify that I own property adjacent to L, l� E&,&anA� 's
(Name of property owner)
property located at _fiD4 MA&A M dadloc k Z-Al ,
(Lot, block, road, etc.)
19
on , in C'y�.�& N.C.
(Water bo y) (Town and/or county)
He has described to me, as shown below, the development he is proposing at that
locafion, 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]
Fax#: [phone]
Zeo '607 -a s o11/'
Print or Type Name
Z. -- G 39-4402,
Telephone Number and Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to
(Na6k of property owner)
property located at
(Lot, block, road, etc.) /
on —,in ��i/ 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.
t/ 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 belled in by individual proposing development)
Foley & Foley Contractors, Inc.
Phone#: [phone]
Fax#: [phone]
ature
E(la Pr M - C- t
Print ok Type Name
,25 /2 - k__94 - IS -3
Telephone Number and Date

.X _
Row
1114 Z-444 &
P4-

14
FOLEY & FOLEY CONTRACTORS, INC.
PH. [phone]
1810 OLD AIRPORT HD.
NEW BERN, NC 28562
TO PAY bK
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4595
66-112/531
BRANCH 01901
DATE d 4, - 7
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