40737_DAY, DOTTIE_20041216

L CAMA / ❑ DREDGE & FILL M l'
f
GENERAL PERMIT
Previous permit #
❑New I_ -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 in an area of environmental concern pursuant to 15A NCAC
i=1 Rules attached.
Applicant Name__
Address
City % State _ ZIP
Phone # ( ) Fax # (` )
Authorized Agent
Affected CW _: EW =PTA -- ES PTS
AEC(s): ❑ OEA -- HHIF IH - UBA - N/A
❑ PWS: FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no
Type of Project/ Activity
Pier (dock) length___
Platforms)
Finger pier(s) _
Groin length
number
Bulkhead/ Riprap length _
avg distance offshore
max distance offshore
Basin, channel
cubic yards_
Boat ramp
Boathouse/ Boatlift
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
Agent or Applicant Printed Name l
i
Signature Please read compliance statement on back of permit
Project Location: County___
Street Address/ State Road/ Lot #(s)
Subdivision
City-- ....
ZIP
Phone # (_ ) River Basin
Adj. Wtr. Body_ _ (nat /man /unkn)
Closest Maj. Wtr. Body
(Scale: )
E-See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Date Expiration Date
Local Planningjurisdiction Rover File Name
Application Fee(s) Check #

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:
_j 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 howto complywith 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 / 1-888ARCOAST
Fax: [phone]
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City Distric
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

FOLEY & FOLEY CONTRACTORS INC. 1 397
PH [phone]
1810 OLD AIRPORT RD. a
NEW BERN, NC 28562 / n— 66-112/531
DATE �( __ 01901
a
PAY
TO THE QQ
ORDER OF
DOLLARS 8 a
J 4
BB&3' ELITE BUSINESS
BRANCH BANKING AND TRUST COMPANY �T I fA nn n
NEW BERN, NORTH CAAO NA ��� `�.1' / � 1
11'00139711' i:053101,120:52900520,011' I.

To: Stephen Lane (Cama)
Fax#: [phone]
Date: December 13, 2004
Page#:4
From: Foley & Foley (Sandy)
Phone#: [phone]
Customer Work Sheet
Customer Name:_ Dottie Day Date: December 13, 2004
Mailing Address: 2426 Traci Dr. Pittsburg, PA 15237
Job Address: 226 Drake Landing Phone: [phone]
Adjacent Property Owners
Left Side: DiMartino Right Side: Wiley
Job Type Description
Bulkhead 1011ft
Dock/Walkway
Platform end of dock
Boathouse_
Boatlift/jet ski
Piling
Ramp/Jetty_
Dredge
Rip Rap

1.4
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILIII�GSIBOATLIFTBOATSOUSE)
I hereby certify that I own property adjacent to —F')a- i Cz s
(Name of proper owner)
property located at
(Lot, block, road, etc.)
r
in New Sera/ 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 AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(to be filled in by individual Proposing development)
/VICU 4tlr /2-w6-. f 4,i#a
Foley & Foley Contractors, Inc. Signature
Phone#: [phone]
Fax#: [phone] t V% — o-
Print or Type N
Telephone Number and Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILIIVGS/BOATLIFTIBOATHOUSE)
I hereby certify that I own property adjacent to T:)a- iF- is
(Name of prope owner)
property located at
(Lot, block, road, etc.)
f
o, 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 AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(to be filled in by individual proposing development)
r Rdsa
Foley & Foley Contractors, Inc.
Phone#: [phone]
Fax#: [phone]
l'` ,.-/ at-L
gna e
Print or Type Name
Telephone Number and Date