51079_ALBENESE, VINCENT_20070925

U CAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit#
❑New ❑Modification El 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
Applicant Name
Address
City
State ZIP_
Phone # ( )
Fax # ( )
Authorized Agent
❑ CW
❑ EW ❑ PTA ❑ ES ❑ PTS
Affected
AEC(s): ❑ OEA
❑ HHF ❑ IH ❑ UBA ❑ NIA
❑ PWS:
❑ FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
❑ Rules attached.
Project Location: County
Street Address/ State Road/ Lot #(s)
51079
- C -_
0
Subdivision
City - ZIP
Phone # ( ) River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
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Agent or Applicant Printed Name
P re mtOfficer's Signature
Issuing Date Expiration Date
Signature Please read compliance statement on back of permit **-
Application Fee(s) Check #
Local Planning Jurisdiction Rover File Name

Z
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, certifythat 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/ 1-8884RCOAST
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

07/04/2014 20:48 FAX
R001
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Appendix A
Adjatent Riparian Property ors Statement
(for a bulkhead, dock/mooring piiings)
I hereby certify that I own property adjacent to I q ��z ,5
(Name of property owner)
property located at
(Lot. Block, Road, etc.)
on , in , NC
(Waterb dy) (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 dockhnooring
pilings must be set back a minimum distance of fftwn feet (15') from my area of riparian
access unless waived by nie.
I do not with to waive the setback requirement_
I do wish to waive that setback requirement.
Description and drawing of proposed development:
MO be filled illy iindividual propaing development)
Signature
�Fbt4)ARQ A
Print name
11 (0 � dry r Ct: A) P.a 1 QrVu %V C—
Address
A-2
Date
6 2b - r �a
Telephone number

07/04/2014 20:48 FAX
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WON A PJ'b`IM/1/4Da11t1A►'ri JWLffV0*JM r
hweW ewtffs that I owa prsoaM aQmvot to youm &won
(Name of propesrty swaw)
rap" til at a� U N � O Ne-i HUMC 2950
fit, b�rtic. read' s�1
MINNOW N.C.
(Wst&lw s!i%M'sir f
He has deuAbcd to a%% as shown bdow, the development ht is propwing at that
aloe. and, f have 40 objeedow to his prepwaL I andersmnd that a pWlsnooring
ilingvtoafi iFlbosthome most be wt bask a mkhsun diftmwa of Mm fist (IS') *ow my
tea of riparian sees" unkm waived by me.
I do not wish to waive tho satba& rcqW=cnL
I jp wish to waive that setback requ from eat
i
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t, kopbm ale buD*"d. whb %moorm ie>�
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-,LEY & FOLEY CONTRACTORS, INC.
PH. [phone]
1810 OLD AIRPORT RD.
NEW BERN, NC 28562
DATE 9f
PAY
TO THE
ORDER OF
$
4 aPr)--
a, DOLLARS
BB&T ?'7 _6)6061 Business Value Checking
BRANCH BANKING AND TRUST COMPANY
1-&00-BANK BBT
FOR —.---
11000001,9SS"o ':053L01121':000529005214
........ ..... . �._­
4955
66-112/531
BRANCH 01901