41182_BLANFORD, TRIP_20050406

i -' CAMA / -DREDGE &FILLIle-
®revious
GENERAL PERMIT G permit #
ClNew Modification -Complete Reissue --iPartial Reissue Date previous permi issued
As authorized by the State of North Carolina, Departme%! of Environment and Natural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
❑ Rules attached.
Applicant Name �'� > i.-> 6"'. 4, {� Project Location: County
Address k r Street Address/ State Road/ Lot #(s)
City p State -� C ZIP ?,- — — — - G4 / �l,c
Phone # ( ) Fax # (� )
Authorized Agent
Affected L" CW =1 EW 9-PTA ❑ ES ❑ PTS
AEC(s): i—' OEA E HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no
Type of Project/ Activity
Pier (dock) length
Platforms
i Finger pier(s) �uX � X /2J / X 2 y'
Groin length
number
Bulkhead/ Riprap length
avg distance offshore —
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse oa f _r t x
Beach Bulldozing
Other
Shoreline Length
SAM not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
0
7 Tr L. j �
Agent or Applicant Printed Name,
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
Subdivision
City ';. ',t� ZIP E
Phone # (_) River Basin —
Adj. Wtr. Body_ (nat_/man �unkn
Closest Maj. Wtr. Body
(Scale:
�Jxyf
ov5�
_ See note on back regarding River Basin rules.
ell
Permit Officer's Signature t[
Issuing Date ExaWnfiggDate
3;7/
Local Planning jurisdiction Rover File Name

Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attched 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 (910-395-3900) for more information on how to comply with thesebuffer 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 / 1-888-4RCOAST
Fax: [phone]
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
151-B Hwy. 24
Hestron Plaza II
Morehead City, NC 28557
202-808-2808
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
910-395-3900
Fax: [phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
www.nccoastalmanagement.net
Revised 10/05/01

a
03/24/05 09:04 FAX
y" 1��dJ01
Fo ey & Foley Contractors, Inc.
1810 Old Airport Rd.
PO Box 3482
New Bem, NC 28562
Phone [phone]
Fax [phone]
Send to:
From:
Mark Hartman
Dan Foley
Arterntion:
Date:
March 24, 2005
Office Location:
Office Location:
Fax Number,
Phone Number.
247-3330
252-636-2515
❑ Urgent
❑ Reply ASAP
❑ Please comment
❑ Please Review
❑ For your Information
Total pages, Including cover: 4

03/24/05 00:04 FAX
[a02
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/GORING PZLINGSBOATLIMBOATHOUSE)
I hereby certify that I own property adjacent to Ws
sme of property owner)
property located at 1-2y �Gv t '1w
(Lot, block, road, etc.)
on c-c!jQu , in New Bern/ Craven , N.C.
(Water body) (Town and/or county)
lie 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/boatliftlboathouse must be set back a minimum distance of fifteen feet (l 5') 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 PPoposiag development)
(-
+
Morehead Gi$y UC;JV1
M
�i.'' v NFi., r3yTA4r
e
Signature �v
Print or Type Name
Tclephone Number

03/24/05 0 9 : 0 4 FAX �103
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)WO,ORIIVG PHINGS/BOATZUMBOATHOUSE)
I hereby certify that I own property adjacent to 's
6—e of property owner)
property located at ?i Lly t A w-
(Lot, block, road, etc.)
on C.AQjV 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 do wish to waive that setback requirement_
DESCRIPTION ANWOR DRAWING OF PROPOSED DEVELOPMENT:
(to be flUed in by individual proposing development)
o„cn-
)?, le—
(z:J— 1 �,... 00 , ( r
P - 1 x - -
� N � �o.T A,.tr
e
Signahft
Print or Type Name
Telephone Number
Date: