48416_BISCH, WERNER_20070427

❑CAMA / DREDGE & FILL
GENE L PERMIT
❑New ❑Modification ❑Complete Reissue El Partial Reissue /
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 Q� Project Location: County
Address �`` `' ', '''� F`y' Street Address/ State Road/ Lot
City-''�" State ZIP b
5',7-d -7
Previous permit #
Date previous per)
it issued
905 ;"'era."
Phone # ( )
Fax # ( )
Subdivision
Authorized Agent
City ;' t. _'"�
ZIP
ElCW
[I EW ElPTA 0 ES ElPTS
Phone # ( )
River Basin
Affected
AEC(s): ❑ OEA
❑ HHF El ❑ UBA ❑ N/A
Adj. Wtr. Body � L.
', c �. i+•�. (nat /roan?/unkn)
❑ PWS:
ElFC:
Closest Maj. Wtr. Body `-" + r
ORW: yes / no
PNA yes kno Crit.Hab. yes / no
Type of Project/ Activity C- 9. l
(Scale: 0
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel _
cubic yards 'M
Boat ramp
Boathouse/ Boatlift - --- --- - ---- - —��:�- `• ., !i/
Beach Bulldozing -- ------ --- --�� �.
1
Other
Shoreline Length ,
SAV: not sure yes no
i
Sandbags: not sure yes :,no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by: Q C""`O } regarding C See note on back re rdin River Basin rules.
Notes/ Special Conditions "c
Agent or Applicant Printed fame
Signature "'Please read comp)
Application Fee(s)
on back of permit"
J 413
Check #
Per•mitOfficer's Signature
Issuing Date ram Expiration Date
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, certifythatthis 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 Morehead City Headquarters
Mailing Address: 400 Commerce Ave
1638 Mail Service Center Morehead City, NC 28557
Raleigh, NC 27699-1638 252-808-2808/ 1-888ARCOAST
Location: Fax: [phone]
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
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 Resources
ZPI Division of Coastal Management
Charles S. Jones, Director
Michael F. Easley, Governor�Z William G. Ross Jr., Secretary
W
Date
Applicant Name Sa
Mailing Address
I certify that I have authorized (agent)_Foley a& Foley Contractors. Inc. to act on my
behalf, for purpose of applying for andobtaining all CAMA Permits necessary to
d
install of construct (activity) 0 � /C-a,
A Fla ,
at (location) I U
This certifica 'on is valid thru (date) f°� C/
Signature -
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone]/ FAX: [phone]/ Internet: v,1\ w.nccoastalmanQement.net
An Equal Opportunity/ Affirmative Action Employer-50%Recycled/100/c Post Consumer Paper

z
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(Bulkhead/rip rap)
I hereby certify that I own property adjacent ts
(Name of Properly Owner)
property located J. '
(Lot, Block, Road, etc.)
on i � c in 1? , N.C.
(Water ody) (Town and/or County)
He has described to me as shown below, the development he is proposing at the
location, and, I have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(to be filled in by individual proposing development)
Foley & Foley Contractors, Inc.
Phone#: [phone]
Fax# [phone]
CKit 1 � � c FG
r
Print or Type Name
Telephone Number
Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(Bulkhead/rip rap)
V
I hereby certify that I own property adjacent tcl.�irrc. �` 's
(Name of Property Owner)
property located J* �
(Lot, Block, Road, etc.)
on +_in v , N. C.
(Water dy) (Town and/or County)
He has described to me as shown below, the development he is proposing at the
location, and, I have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(to be filled in by individual proposing development)
P��pp��
Foley & Foley Contractors, Inc.
Phone#: [phone]
Fax# [phone]
f" `'
x6I ce/c
Signature
Print or Type Name
Telephone Number
Date

ri ¢jti c fy-_r_ t red d n t S.e 6 k. /ov%/d PV _
'�/ '' F.OLfY & FC�'LAY CONTRACTORS INC. f�•j�r`�r: ���°N.`,;Nf �- ; 1432
,
MATERIAL ACCOUNT
[phone] ;/\. rf` �Nf
1810 OLD AIRPORT RD.' /ij�,% , f� 66-112/531
NEW BERN NC 28562 f�, \�f�, 'DATErQ� 01901
PAY:.
TO TH
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NEW BERft„NORTH CAROLINA f ` Nf NINI i'��
FORMS-
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