49759_FOX, HARRY JR._20070718

❑ CAM; ► / ❑- 6REDGE & FILL 4 I4 ;i
-. GENERAL PERMIT (( Previous permit#
❑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 r! � y
Address
City State ZIP �- a
Phone #
Authorized Agent
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) r-,
Subdivision
City ZIP
Phone # (_ ) �`�%' iver Basin
Adj. Wtr. bvuy-
Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale:
Pier (dock) length,-_--
Platform(s)
-�
Finger piers)
-{-
Groin length j- +
number I `
Bulkhead/,Riprap length {i r' I I
avg distance offshore
max distance offshore - ` - --
Basin, channel -
cubic yards �,
oc
Boat ramp - -
Boathouse/ Boatlift — ti X _
_ - t _
Beach Bulldozing
I d:• __ �IC
Other
7
f � -Lf
,.
Shoreline Length `.i �.. -).;�
SAV: not sure yes t - .°_ u_ _ _.. - — -----
Sandbags: not sure yes not 7'
Moratorium: n/a yes no Jy
Photos: yes no
Waiver Attached: yes no
r _
A building permit may be required by: ❑ See note on back regarding River Basin rules.
I
Notes/ Special Conditions
Agent or.Applicant Printed
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
Permit Officer's Signature
Issuing Date Expiration Date
r
Loc I 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, certifythatthis project is consistentwith 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/ 1-888ARCOAST
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

. MP;Y=22-2007 08: 38 From: NL UIV UUH51 HL %MN 1 I o :'J1':�1 (=1 H. L2' -11
CERTIFIED MAIL —RETURN RECEIPT REQUEMED
DIVISION OF COASTAL MANAGEMENT
ADJACkWIRIPARIAN PROPERTY OWNER NO'11 ICATION/WAIVER
FORM
Name of individual applying for the permit: 4 i Ft7)
V
7,�/`,.
Address of property:_. 30
(T.ul. ur street ,street of road)
(Clty Ceunty YY
i hereby certify the 1 un•n property adjacent to the above referenced property. The
Individual applying for this permit has described to me (as shown on the ait.rched
drawing) the development they are proposing, A description or drawing_, with
dimensions, should be provided whit this letter.
N..�R ��/" 0 I have no objections to this proposal
If you have objections to what is being proposed, please write the Division Of Coastal
Managemetrt., 400 Commerce Ave., Morehead City, NC 28.557 or call [phone]
within 10 days of receipt of the notice. No response is considered the same as no
objection if you have been notified by Certified Mail.
Waiver Section
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift or
sandbags must be set back a minimum distance of 15' From my area of riparian
access unless waived by me. (If you wish to waive the setback, you must initial the
appropriate blank below.)
d wish 11 i s
f1 wVi .V ^r Et1V� the . vet ii l:1� i.". Ct 11li�oiiiClii.
.
s" I do not wish to waive the 15" setback requirements
Sign� e Date
Print Name
5;
Telephone number with area code
MAY-22-2007 TUE 08:40AM IG: PAGE:2

MA'"'-'22-2007 08:.�2 F r om: NU UIV CUHS I HL r`I6 MN 1 I o : ylylydbyb4 f4
1
ADJACENT RIPARIAN PROPERTY OWNER. STATEMENT
I Hereby certify that I uwr, property adjacent to d9 r^✓ L' F�-� V
(Name of Froperty Owner)
ro ert located atC Ll.; /
�s
/ // (Lot, Block,
%oAd,/etc) /
on %i l C5 �G'Z'L�f1 in fJG��fIL�/ �I�� 1 f L N.C-'.
(Waterbody) ('Town and/or County)
He has described to me as shown below, the develOpTr,enl he is proposing at that location,
and, I have no objections to his t)roposal.
------------------------------------------------------------------------ -------------------------------------
DESCRIPTION ANWOR IMAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing develuprnent)
�-�.4 ,,vim � � �¢� `�-�t,•� lt,� Ovl�� �-� `f -'�t--� C� N''�
r, x f
94
�� 0 A)
A' vP A
Sign Xe
Print or Type Namc
`Zl-O -Zr --3
1 elephonc Number
Date:
MAY-22-2007 TUE 08:40AM ID: PAGE:3

CERTIFIED MAII, — RETURN RECEIPT RE, OUESTED
D I V SIONOFCOASTAL.MANAGEMEN'1'
ADJA0 N'1' R1PARIAN PROPF12TX OWNER N011FICATION/WA,IVER
FORM
Nance of individual applying for the permit:
Address of property:_
(i..�5t u strcctu, �trc— t of r d)
e
(City & County)
hereby certify Cl;e I UWn ~s'%!gert',ilj Aral, try tF;o nhQv� ref::.,.__d 11rU1: r'ij'. T he
Individual applying for this permit has described to me (as shown on the al(.ached
drawing) the development they are proposing. A description or drawing, Willi
Aimensions, should be provided whit this letter.
Z)�NK' I have no objections to this proposal
r�
If you have objections to what is being proposed, please write the Division of Coastal
Management, 400 Commerce Ave., Morehead City, NC 28557 or call [phone]
within 10 days of receipt of the notice. No response is considered the same as no
objec (ion if you have been notified by Certified Mail.
Waiver Section
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift or
sandbags must be set back a minimum distance of 15' From my area of riparian
access unless waived by me. (if you wish to waive the setback, you must initial the
appropriate blank below.)
e-S I do wishlo.wawf! the
I do not wish to waive the 15" setback rcyuircments
X1 �ignaftire Date
Print Name
Y����3s
Telephone number with area code
1"1A`i'-22-200i TUE 08:40AM ID: PAGE:2

ub Jt3 r r om: rvt- Ulv l,uHb i HL ri Drvi CJCC'-t I JJJ✓J I U • 71717CO DO" I -t I . J
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify tl+at T own property adjacent to �r
(Name of Property pwuer)
property located at
(Lot, Klock, K 4, etc.)
10�4; -tv
(Waterbody) (Town and/or County)
He has described to me as shown below, the developn-,ent he is proposing at that location,
and, I have no objections to his proposal.
--------------------------------------------------------------------------------------------------------------
DESCRIPTION ANWORIMAWING OF PROPOSED DEVELOPMENT
(Tv be filled in by individual proposing developmentM,4vA\ 4
S
HAY-LL-21I 7 TUE 88:40RN ID:
------------------------------------------------------ —
ignature
c�Ps zu 1-e-K
Print or Type Namc
fro- g:� �--
'I elephone Number
Date.
PAGE:3

Db. 175, page 528
�. i
3/4" pipe found --
in center of Canal
n from an actual
d as drawn from
ratio of precision
i accordance with
nber and seal
?�FES SEAL
L-3042 CII
O SU R�P���\`
/ S f A I t F10\`���
t Marina
na
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AB
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SURVEYOR
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........................... .
DATE
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HOBUCKEN
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�s W. McCnllnm
look 346, Page 28
at Mid -Atlantic - - ----
Easement
Bearing
Distance
18051'11"E
69.96'
1041'58"W
39.72'
�8033'10"W
70.00'
1045'43"E
39.35,
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- — 2624'
. 304� 33 60 R � _ _Nail
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IPS
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b
b
0
b
d
81°Z3,55„1
33'I.i8' 1 i
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1 t9aziva Stote � � '
li
stone drives & parking II
�_ 1J
CIC
C10�
point in centerline
\ -- — of canal
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Survey Notes:
1. Area above water
2. Total area inclndit
3. For covering deed:
book 178, page 74, Pa
w
0
Descripti
.Q
_to David
Note: Point "A" is Ir
along centerline of c
of the canal and NC
center of a 36" diair
N Line

HARRY L. FOY, JR. Owner
1329 Tant Rd., PO Box 1270
Spring Hope, NC 27882
A & B TRAILER MANUFACTURING, INC.
CUSTOM MADE TRAILERS
PHONE [phone]
llp PHONE [phone]
`� FAX [phone]

HARRY'L FOY JR
STATE RD 1153 Phi 919-269-4639 5448 .
PO BOX 1270
SPRING MOPE, NC 27882 Date 207
Pay to the
�1 'C-- E f A
.Order oof ! " � `°'
�—
c Dollars
Prr T�TIZI BANK
wwwa.firstcitizens.cortt ✓�'✓
For
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