46757_FARSAIE, JUDY_20061020

❑ CAMA / ❑ DREDGE & FILL
PERAL PERMIT
%a V= Previous permit #
❑New ❑Modification ❑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 an area of environmental concern pursuant to 15A NCAC
Applicant Name ( ' ` ' Project Location: County
Address - - Street Address/ State Road/ Lot #(s)
City State ZIP % t ' `�
"�7 7'�
J,.
Phone # ( ) Fax # O Subdivision `—
Authorized Agent City ZIP
Affected D CW ❑ EW ❑ PTA ❑ ES ❑ PTS Phone # ( ) River Basin
AEC(s): OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body (nat /man
❑ PWs: ❑ FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale: )
Pier (dock) length u
Platform(s) -- ----
Finger piers)
Groin length =-
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift + i
Beach Bulldozi
Other
a ;
I
r`-
1 �
Shoreline Length {
SAM notsure yes no
Sandbags: not sure yes no. i..
Moratorium: n/a yes i
Photos: yes no
Waiver Attached: yes 6) '—
A building permit may be required by:
Notes/ Special Conditions
❑ See note on back regarding River Basin rules.
V NOV - 2 2006
Agent or Applicant Printed Name Permit Officer's Signature
_ ;:-AAnrohit O City r C.M
Signature Please read compliance statdfnent on ac o permit '"� Issuing bate Expiration Date
Application Fee(s) Check # Local Planning]urisdiction 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
❑ Neuse River Basin Buffer Rules
❑ Other:
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
Central Office Elizabeth City District
Mailing Address: 1367 U.S. 17 South
1638 Mail Service Center Elizabeth City, NC 27909
Raleigh, NC 27699-1638 252-264-3901
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax: [phone]
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
400 Commerce Ave
Morehead City, NC 28557
202-808-2808/ 1-888-4RCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico 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,
Orslow -below New River Inlet- and
Pender Counties)
Revised 06/29/05

08/18/2013 03:01 FAX
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A pIER/MOORI?vG nLI'NGS/BOATLIF'T/BOATHOUSE)
Z001
I hereby certify that I own property adjacent to Judy Farsaie is
(Name of property owner)
Property located at 114 Allen Dr.
(lot, block, road, etc.)
on Trent Rives , 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, 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
I do wish to waive that setback requirement. 0 C T 2. 0? o o 6
DESCRIPTION AND/OR DRAWING OF PROPOSED LOi%ENT:'�! nC'M
(to be filled in by individual proposing development)
Foley & Foley Contractors, Inc.
Phone#: [phone] ignature
Fax*: [phone]
Print or Type Name
Telephone Number and Date

08/18/2013 03:01 FAX Z 002
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGS/BOATUFTBOATl�OUSE)
I hereby certify that I own property adjacent to Judy FanWe 's
(Name of property owner)
Property located at 114 Allen Dr. _
(lot, block road, etc.)
on Trent RiviOr __, in New Berra/ 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, I have no objections to his proposal. I understand that a pier/mooring
pilings/boadift/boathouse must be set back a minimum distance of fifteen feet (15') from
my area/of riparian access unless waived by me.
Y I do not wish to waive the setback requirement_ E'
I do wish to waive that setback requirement.
00
DESCRTPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:eheacy
(to befrll¢d in by individual proposing development) City DG'�
Foley & Foley Contractors, Inc.
Phone#: [phone]
Fax#: [phone]
11+a �c�.ed
Print or Type Name
Telephone Number and Date

08/18/2013 03:01 FAX
-1d
act
Z003

FOLEY & FOLEY CONTRACTORS, INC.
PH. [phone]
1810 OLD AIRPORT RD.
NEW BERN, NC 28562
ol-
3719
66-112/531
BRANCH 01901
DATE
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